009/rev00/HIPPII PUSAT/2016

HImpunan Perawat Pencegah

dan Pengendali Infeksi Indonesia

AUDIT CHECKLIST VENTILATOR BUNDLE

Ruangan : …..…………………….. Bulan & Tahun : ……………………………..

Tanggal No Nama Pasien/ HOB Pengkajian Hand Oral Penyikatan Suction / Profilaksis DVT Control
No Bed 300 - 450 setiap hari hygiene hygiene gigi setiap manajemen peptic Profilaksis Cuff
terhadap tiap 4- 12 jam sekresi ulcer Pressure
sedasi 6jam tiap 8 jam
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TOTAL
Keterangan:
= ya
 = tidak
Penghitungan: Ʃ ya
x 100%
Ʃya & tidak