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  • Formulir Monitoring Melakukan Assesmen Risiko Jatuh

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    aris kumala santi
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    1. This document is a monitoring form for assessing fall risk in hospitalized patients from March 2018. 2. It lists the name, age, and patient ID of 80 patients and whether they have been assessed for fall risk and given a yellow wristband. 3. The form tracks if any of the patients fell, the date and time of falls, and whether incidents were reported to the incident reporting system.

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    Maret 2018

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    1. This document is a monitoring form for assessing fall risk in hospitalized patients from March 2018. 2. It lists the name, age, and patient ID of 80 patients and whether they have been assessed for fall risk and given a yellow wristband. 3. The form tracks if any of the patients fell, the date and time of falls, and whether incidents were reported to the incident reporting system.

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    © All Rights Reserved
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    14 views4 pages

    Formulir Monitoring Melakukan Assesmen Risiko Jatuh

    Uploaded by

    aris kumala santi
    1. This document is a monitoring form for assessing fall risk in hospitalized patients from March 2018. 2. It lists the name, age, and patient ID of 80 patients and whether they have been assessed for fall risk and given a yellow wristband. 3. The form tracks if any of the patients fell, the date and time of falls, and whether incidents were reported to the incident reporting system.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 4

    FORMULIR MONITORING

    MELAKUKAN ASSESMEN RISIKO JATUH

    BULAN : MARET 2018 UNIT: RAWAT INAP


    TIDAK SUDAH TANGGAL /
    SUDAH
    DILAKUKAN DIPAKAIKAN JAM
    TANGGAL NAMA PASIEN / DILAKUKAN PELAPORAN Insiden
    NO NO. RM ASSESMEN GELANG INSIDEN KETERANGAN
    MRS UMUR ASSESMEN KPRS (ya/tidak)
    FALL RISK KUNING PASIEN
    FALL RISK
    JATUH
    1 2 3 4 5 6 7 8 9
    1 1-3-2018 Ni Nyoman Gemuh/ 184861
    50th
    2 1-3-2018 Ni Kadek Anggi 184850
    Shree/14th
    3 1-3-2018 Darmasih/ 40th 184701
    4 2-3-2018 Putu Ayu Junita/ 9th 184871
    5 2-3-2018 Made Tekek/70th 184875
    6 2-3-2018 Deva Satria Putra/ 6bln 184874
    7 2-3-2018 Km Wiwik Kusuma 184878
    Dewi/23th
    8 5-3-2018 Kadek Oka Yasa /34th 184896
    9 5-3-2018 Made Tunas /60 184424
    10 5-3-2018 Desak Nyoman Nariani / 184900
    48th
    12 6-3-2018 Putu Arya Tanaya/ 2,5th 184897
    13 6-3-2018 Wayan Saru/ 70th 184891
    14 6-3-2018 Wayan Kisid/ 65th 184901
    15 7-3-2018 Wayan Anom/ 31th 184916
    16 8-2-2018 Made Dana/ 73th 160161
    17 8-3-2018 Nyoman Winanca 184918
    Ardana/ 49th
    18 8-3-2018 Ni Ketut Hery Suwati/ 170621
    24th
    19 8-3-2018 I Gst Putu Suka Astawa/ 184903
    27th
    20 8-3-2018 Komang Anugrah/ 6bln 184613
    21 8-3-2018 Ketut Kaplo/ 63th 184856
    22 10-3-2018 Ni Luh Putu Yuli 170354
    Purnam/ 2,5th
    23 10-3-2018 Ni Made Nariani/ 49th 171075
    24 11-3-2018 Ni Made Puspa Yani/ 171139
    17th
    25 11-3-2018 Made Merta/ 50th 184937
    26 11-3-2018 Made Nyabuh/ 70th 184938
    27 11-3-2018 Kadek Aira Pratiwi/ 2th 171974
    28 13-3-2018 Wayan Sada/ 55th 184950
    29 14-3-2018 Jumain/ 60th 184954
    30 14-3-2018 Ni Luh Seniati/ 26th 184956
    31 14-3-2018 Putu Gandhi Adnyana/ 184956
    9th
    32 14-3-2018 Nyoman Surya 141194
    Adnyana/4,5th
    33 14-3-2018 I Md Purna Mitiawan/ 184957
    25th
    34 15-3-2018 Made Wen/ 62th 184961
    35 15-3-2018 Ketut Ginarta/ 35th 184963
    36 16-3-2018 Kadek Rina Putri/ 7th 184969
    37 16-3-2018 Kadek Evan Fandian/ 184943
    2th
    38 16-3-2018 Kadek Ananta Arya/ 8th 184972
    39 16-3-2018 IWayan Kasub/ 59th 184952
    40 17-3-2018 Ketut Merta Tenaya/ 184978
    49th
    41 17-3-2018 Komang Arimbawa/5th 184979
    42 17-3-2018 Ketut Tangguh/ 57th 184982
    43 17-3-2018 Putu Eri Candra 184981
    Kusuma/ 15th
    44 18-3-2018 Ketut Darta/ 63th 184699
    45 18-3-2018 NiWayan Juwet/ 60th 184983
    46 18-3-2018 Ni Nyoman Tening/ 184985
    84th
    47 18-3-2018 Gusti Ayu Mayun/ 73th 184989
    48 18-3-2018 I B Made Arjana/ 50th 184990
    49 19-3-2018 Ni Ketut Wartini/ 50th 184992
    50 20-3-2018 Wayan Deger/65th 185004
    51 20-3-2018 Made Supi/ 10bln 172258
    52 21-3-2018 Jero Merta/ 82th 185021
    53 22-3-2018 I Ketut Maja/ 68th 185023
    54 23-3-2018 Nyoman Gria/ 52th 184661
    55 23-3-2018 Ni Made Sudiasih/ 33th 185031
    56 23-3-2018 Intan Dewi/ 12th 185007
    57 23-3-2018 I Made Ayik Andika/ 185035
    26th
    58 23-3-2018 Desi Faidatus/ 23th 185039
    59 24-3-2018 Ketut Juniasih/ 31th 185040
    60 24-3-2018 Ni Luh Putu Sapta 185044
    Yuniari/ 42th
    61 24-3-2018 Wayan Langgeng/ 70th 171799
    62 25-3-2018 Nyoman Ceteng/ 50th 185048
    63 25-3-2018 Wayan Santep/ 40th 185049
    64 25-3-2018 Ayu Susrianti/ 21th 185053
    65 26-3-2018 Komang Kafin Prasetya/ 185056
    1,2th
    66 27-3-2018 Ni Ketut Doblo/ 75th 185030
    67 27-3-2018 Ketut Wardana/70th 185068
    68 28-3-2018 Sudiani/ 50th 185072
    69 28-3-2018 Ketut Suardita/ 42 th 172027
    70 28-3-2018 Wayan Gunawan/ 28 th 171921
    71 28-3-2018 Wayan Genya/ 185075
    72 29-3-2018 Nyoman Yoga Antara/ 185078
    50th
    73 29-3-2018 Putu Andi Bayu 185079
    Pramana/ 20 th
    74 29-3-2018 Luh Putu Epa Y./1,9 th 172218
    75 29-3-2018 Ketut Tiyeb/ 81 th 170736
    76 30-3-2018 Komang Desi/ 21 th 185084
    77 30-3-2018 Nyoman Saji/ 70 th 185088
    78 30-3-2018 Made Purusa Esa Putra/ 184471
    1 th
    79 30-3-2018 I Made Kari/ 65 th 171005
    80 31-3-2018 Wila Mega Lestari/ 2,5 185096
    th
    VALIDASI:

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