Lembar Observasi Komunikasi Efektif Maret 2022

You might also like

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 6

LEMBAR OBSERVASI KOMUNIKASI EFEKTIF (SBAR)

Bulan : Maret 2022


Ruangan : Bersalin
No Tanggal No RM Diagnosa DPJP Laporan Pengesahan Instruksi KET
Obat Lab Tindakan Lain2 ≤24 jam >24 jam
1 1/3/22 179601 G2P1-1 38 mg kifl+KPD Dr.yulianto,spog √ √
2 1/3/22 183854 GIP0-0 40-41 mg KPD+kifa Dr.yulianto,spog √ √
3 1/3/22 183854 GIP0-0 40-41 mg KPD+kifa Dr.yulianto,spog √ √
4 1/3/22 183854 GIP0-0 40-41 mg KPD+kifa Dr.yulianto,spog √ √
5 1/3/22 183854 GIP0-0 40-41 mg KPD+kifa Dr.yulianto,spog √ √
6 1/3/22 183854 GIP0-0 40-41 mg KPD+kifa Dr.yulianto,spog √ √
7 2/3/22 179601 G2P1-1 38 mg kifl+KPD Dr.yulianto,spog √ √
8 2/3/22 179601 G2P1-1 38 mg kifl+KPD Dr.yulianto,spog √ √
9 2/3/22 179601 G2P1-1 38 mg kifl+KPD Dr.yulianto,spog √ √
10 2/3/22 179601 G2P1-1 38 mg kifl+KPD Dr.yulianto,spog √ √
11 2/3/22 179601 G2P1-1 38 mg kifl+KPD Dr.yulianto,spog √ √
12 2/3/22 185671 G2P1-1 40 mg KPD Dr.fauzan, spog √ √
13 3/3/22 077199 G2P1-1 37-38 mg gemelli Dr.yulianto,spog √ √
14 3/3/22 176245 AUB+ anemia Dr.yulianto,spog √ √
15 4/3/22 184066 GIP0-0 38-39 mg kifl+KPD Dr.yulianto,spog √ √
16 4/3/22 186624 GIP0-0 41-42 mg Dr.yulianto,spog √ √
oligohidramnion
LEMBAR OBSERVASI KOMUNIKASI EFEKTIF (SBAR)
Bulan : Maret 2022
Ruangan : Bersalin
No Tanggal No RM Diagnosa DPJP Laporan Pengesahan Instruksi KET
Obat Lab Tindakan Lain2 ≤24 jam >24 jam
17 4/3/22 186624 GIP0-0 41-42 mg Dr.yulianto,spog √ √
oligohidramnion
18 4/3/22 186624 GIP0-0 41-42 mg Dr.yulianto,spog √ √
oligohidramnion
19 4/3/22 176245 AUB+ anemia Dr.yulianto,spog √ √
20 5/3/22 181959 GIP0-0 38-39 mg kifl Dr.yulianto,spog √ √
21 7/3/22 156147 Post curret Dr.yulianto,spog √ √
22 7/3/22 181612 GIP0-0 39-40 mg kifl Dr.yulianto,spog √ √
23 7/3/22 186793 GIP0-0 KIFL Dr.yulianto,spog √ √
24 7/3/22 183865 GIP0-0 Dr.fauzan, spog √ √
25 7/3/22 183865 GIP0-0 Dr.fauzan, spog √ √
26 9/3/22 180957 GIP0-0 39-40 mg kifl Dr.yulianto,spog √ √
27 9/3/22 180957 GIP0-0 39-40 mg kifl Dr.yulianto,spog √ √
28 9/3/22 185012 Post sc hari 1 Dr.yulianto,spog √ √
29 10/3/22 185963 G2P1-1 41-42 mg kifa+postdate Dr.yulianto,spog √ √
30 10/3/22 185963 G2P1-1 41-42 mg kifa+postdate Dr.yulianto,spog √ √
31 11/3/22 180349 GIP0-0 38 mg kifl Dr.fauzan, spog √ √
32 11/3/22 180349 GIP0-0 38 mg kifl Dr.fauzan, spog √ √

LEMBAR OBSERVASI KOMUNIKASI EFEKTIF (SBAR)


Bulan : Maret 2022
Ruangan : Bersalin
No Tanggal No RM Diagnosa DPJP Laporan Pengesahan Instruksi KET
Obat Lab Tindakan Lain2 ≤24 jam >24 jam
33 12/3/22 186898 Post SC hari ke 2 Dr.fauzan, spog √ √
34 12/3/22 181025 GIP0-0 39-40 mg kifa Dr.yulianto,spog √ √
35 12/3/22 181025 GIP0-0 39-40 mg kifa Dr.yulianto,spog √ √
36 12/3/22 184077 GIP0-0 17 mg ISK Dr.yulianto,spog √ √
37 12/3/22 183013 G3P2-2 38-39 mg b.sc+plasenta Dr.yulianto,spog √ √
previa
38 12/3/22 186940 G3P2-2 33 mg KPD+kifa Dr.fauzan, spog √ √
39 13/3/22 186940 G3P2-2 33 mg KPD+kifa Dr.fauzan, spog √ √
40 13/3/22 186940 G3P2-2 33 mg KPD+kifa Dr.fauzan, spog √ √
42 14/3/22 186964 Post partum IUFD Dr.yulianto,spog √ √
43 17/3/22 186565 GIP0-0 40 mg PEB Dr.yulianto,spog √ √
44 19/3/22 184859 G2P1-1 38-39 mg kifl Dr.yulianto,spog √ √
45 21/3/22 181577 GIP0-0 38-39 mg KPD Dr.yulianto,spog √ √
46 21/3/22 181577 GIP0-0 38-39 mg KPD Dr.yulianto,spog √ √
47 22/3/22 186891 G3P2-2 41-42 mg Dr.yulianto,spog √ √
oligohidramnion
48 22/3/22 186891 G3P2-2 41-42 mg Dr.yulianto,spog √ √
oligohidramnion
49 23/3/22 187058 G2P1-1 34-35 mg KPD Dr.yulianto,spog √ √

LEMBAR OBSERVASI KOMUNIKASI EFEKTIF (SBAR)


Bulan : Maret 2022
Ruangan : Bersalin
No Tanggal No RM Diagnosa DPJP Laporan Pengesahan Instruksi KET
Obat Lab Tindakan Lain2 ≤24 jam >24 jam
50 23/3/22 187058 G2P1-1 34-35 mg KPD Dr.yulianto,spog √ √
51 23/3/22 187158 DUB+ Anemia Dr.yulianto,spog √ √
52 23/3/22 187158 DUB+ Anemia Dr.yulianto,spog √ √
53 26/3/22 186688 Prolap uteri + anemia Dr.yulianto,spog √ √
54 26/3/22 169461 GIP0-0 40-41 mg kifl Dr.yulianto,spog √ √
55 26/3/22 183653 G2P1-1 kifl + KPD Dr.yulianto,spog √ √
56 27/3/22 187256 Blighted ovum Dr.yulianto,spog √ √
57 28/3/22 187286 G2P1-1 37 mg KPD Dr.yulianto,spog √ √
58 28/3/22 187286 G2P1-1 37 mg KPD Dr.yulianto,spog √ √
59 28/3/22 187129 GIP0-0 kifa+CPD Dr.yulianto,spog √ √
60 29/3/22 183848 G7P5A1 37-38 mg kifl Dr.yulianto,spog √ √
61 29/3/22 183848 G7P5A1 37-38 mg kifl Dr.yulianto,spog √ √
62 30/3/22 153259 G2P1-1 39 mg KPD +b.sc Dr.fauzan, spog √ √
63 30/3/22 181667 G2P1-1 35-36 mg PE+IUGR+b.sc Dr.fauzan, spog √ √
64 30/3/22 181667 G2P1-1 35-36 mg PE+IUGR+b.sc Dr.fauzan, spog √ √
65 31/3/22 187358 G2P0A1 39-40 mg KPD Dr.fauzan, spog √ √

LEMBAR OBSERVASI KOMUNIKASI EFEKTIF (SBAR)


Bulan : Maret 2022
Ruangan : Bersalin
No Tanggal No RM Diagnosa DPJP Laporan Pengesahan Instruksi KET
Obat Lab Tindakan Lain2 ≤24 jam >24 jam
66 31/3/22 185866 GIP0-0 KIFL Dr.yulianto,spog √ √

You might also like