Tgl observasi : Bef-pat

Nama observer :
Bef-asept
Nama petugas :
Opp Indication HH action Aft-b.f.
1
Aft-pat
HR Aft-p.surr
HW Opp indication HH action
Bef-pat 5
Bef-asept
HR
Aft-b.f.
HW
Aft-pat Bef-pat
Aft-p.surr Bef-asept
Opp indication HH action Aft-b.f.
2
Aft-pat
HR Aft-p.surr
HW Opp indication HH action
Bef-pat 6
Bef-asept
HR
Aft-b.f.
HW
Aft-pat Bef-pat
Aft-p.surr Bef-asept
Opp indication HH action Aft-b.f.
3
Aft-pat
HR Aft-p.surr
HW Opp indication HH action
Bef-pat 7
Bef-asept
HR
Aft-b.f.
HW
Aft-pat Bef-pat
Aft-p.surr Bef-asept
Opp indication HH action Aft-b.f.
4
Aft-pat
HR Aft-p.surr
HW Opp indication HH action
 8 Bef-asept

Aft-b.f.
HR
Aft-pat
HW
Bef-pat Aft-p.surr
Bef-asept Opp indication HH action
4
Aft-b.f.

Aft-pat HR
Aft-p.surr HW
Bef-pat
Tgl observasi :
Nama observer : Bef-asept
Nama petugas :
Aft-b.f.
Opp Indication HH action
1 Aft-pat

HR Aft-p.surr

HW Opp indication HH action

5
Bef-pat

Bef-asept HR
Aft-b.f. HW
Bef-pat
Aft-pat
Bef-asept
Aft-p.surr
Aft-b.f.
Opp indication HH action
2 Aft-pat

HR Aft-p.surr

HW Opp indication HH action

6
Bef-pat

Bef-asept HR
Aft-b.f. HW
Bef-pat
Aft-pat
Bef-asept
Aft-p.surr
Aft-b.f.
Opp indication HH action
3 Aft-pat

HR Aft-p.surr

HW Opp indication HH action

7
Bef-pat
 HR

HW
Bef-pat

Bef-asept

Aft-b.f.

Aft-pat

Aft-p.surr

Opp indication HH action

8

HR

HW
Bef-pat

Bef-asept

Aft-b.f.

Aft-pat

Aft-p.surr