Bulan : Mei 2019

Indikator : Kelengkapan Assesmen Pra anesthesi

Kelengkapan asesmen Pra Anesthesi

No Tgl Nama Pasien No RM Diagnosa Operasi KETERANGAN
Lengkap Tidak
1 1/5/2019 Ny.Nurlena 04.80.09 G1p0A0 gagal induksi
2 1/5/2019 tn. Ahmad 14.77.83 closed fraktur distal radial
3 2/5/2019 ny. Lydia 03,89,45 abses abdominal 1
4 2/5/2019 ny. Valeri 14,77,70 stt pemut D
5 2/5/2019 ny. Susni 14,78,83 stt pedis sinistra 1
6 2/5/2019 ny. Zulianna 13,29,42 g1p0a0 hamil atrm a/I oligo hidramnion 1
7 2/5/2019 An Nazwa 14.78,51 App Akut
8 2/5/2019 Ny. Samiyah 06.85.50 G5P3A1 H. Aterm a/I BSC 2X 1
g3p2a0 h 35-36 minggu a/I pendarahn ante
9 2/5/2019 NY,endah 14,07,47 partum + gawat janin
10 3/5/2019 tn. Sony 14,78,86 abses pedis sinistra
11 3/5/2019 ny.Margaritha 13.84.55 Carpal tunnel dextra
12 4/5/2019 ny.Tresnaeni 14.80.03 abses manus dextra
13 4/5/2019 tn .Tampuk 14.79.82 abses antebrachi
14 4/5/2019 Tn.Heartman 12.49.99 post orif 1
15 4/5/2019 Tn.M.sanny 06.23.06 fx.radius sin distal

16 4/5/2019 Ny Sri 13.62.04 G5P2A2 H:Aterm a/I Oligohidramion berat 1

17 4/5/2019 Ny Dewi 14.08.49 G3P2A h: ATERM A/I Bsc1x
18 4/5/2019 Ny Venny M 14.58.91 G1P0A0 H:aterm a/I Gagagl induksi
19 6/5/2019 ny. Sri 13,65,75 abses pedis dektra
20 6/5/2019 ny putri 147473 g3p2a0 bsc 1x
21 6/5/2019 ny. Yanih 14,71,10 abses pedois dektra pada dm
22 7/5/2019 Ny. Robiah 14,79,06 Tumor mamae abrains axila dextra 1
23 7/5/2019 Ny. Neni 00,53,52 G4P3Ao h. Aterm a/I BSC 1X
24 7/5/2019 ny.Mastat 85668 appendik akut
25 7/5/2019 tn T0t0k 07.46.17 hil sinistra 1
26 7/5/2019 ny. Megawat 14,81,84 g2p1a0 hamil 40 minggu a/I bsc ix
 Kelengkapan asesmen Pra Anesthesi
No Tgl Nama Pasien No RM Diagnosa Operasi KETERANGAN
Lengkap Tidak
27 8/5/2019 ny.Onny 63440 G3P2A0 konisasi cervik Tb cervik 1
28 8/5/2019 Tn Hartono 14.82.75 Open Fr digit 1 pedis dextra 1
29 9/5/2019 Ny.Ayu dinamika 99046 G2P1 A0 gagal Induksi
30 9/6/2019 Ny.Nadia 8108 G3P2A0 h: aterm a/I bsc2x 1
31 9/6/2019 Ny Jumiat 14.58.79 Defet Cakaneus sinistra 1

32 9/6/2019 Ny Christna 07.65.02 g2p1ao h:aterm a/I bsc, post transfusi 250cc 1
33 9/6/2019 NY. NICKYTA 14,75,74 G2P1A0 h aterm a/I bsc dan letak lintang
34 9/5/2019 tn. Rudi 12,87,23 hil dektra 1
35 9/5/2019 ny.Kusumawat 69530 fistula ani
36 10/5/2019 Ny. Nur farida 14.59.08 G1PoAo H. 37/38 Mgg a/I HBsAg (+)
37 10/5/2019 Ny Nani 13.94.20 G3P1AI h: aterm a/I bsc1x
38 10/5/2019 Ny Hairani 06.94.56 G2P1AO h:aterm a/I bsc1x + kpd 2 jm
39 10/5/2019 nn hana 5704 fam
40 10/5/2019 ny.Wie ling 05.48.12 fam dextra
41 10/5/2019 ny.Miskinem 14.69.19 stt ospital
G3P2A0 H ATERM A/I KPD 14 JM PARTUS TAK
42 10/5/2019 NY.NINI 08,89,63 MAJU 1
43 10/5/2019 ny. Tri 12,42,01 g2p1ao h ater a/I kpd 12 jm
44 10/5/2019 tn.Rinaldi 14.71.48 hidrokel dextra 1
45 11/5/2019 ny.erlina 09.86.72 G6p2a3 hml 39-40 mgg dgn bsc 2x+kpd
46 11/5/2019 Tn.sugeng 10.65.16 close fraktur a/r patela sinistra
47 11/5/2019 Ny. Rosita 08.49.33 Kontraktur digit v manus 1
48 12/5/2019 ny. Nuke 04,12,17 g5p3a1 h ater a/I kpd + DM
49 12/5/2019 ny,kamsira 14,85,37 g3p1a1 h aterm a/I bsc 1x
50 12/5/2019 ny.deny mulyani 14.85.42 G1p0A0 hml 37 mgg dgn PeB
g1p0a0 h. 38-39 minggu a/I oligo hidramnon
51 12/5/2019 ny, intan 14.85.45 gawat janin 1
52 13/5/2019 Ny.Ulfi 65638 G2P1A H 37-38 mgg BSC IX
53 14/5/2019 Ny.Nur Khairani 148564 G2P1A0 H 40-41 Mgg Ggl induksi
54 14/5/2019 An M Al Faqih 14.63.20 hidrokel dextra
 Kelengkapan asesmen Pra Anesthesi
No Tgl Nama Pasien No RM Diagnosa Operasi KETERANGAN
Lengkap Tidak
55 14/5/2019 Tn Erwin 14.85.21 Abses perianal
56 14/5/2019 Ny Murah 14.80.57 Abses perianal
57 14/5/2019 Ny Indriani 13.45.53 G2P1A0 h:aterm a/I let-lin + dm
58 15/5/2019 An.Kafkha 14.77.69 limfadenopaty occipital
59 15/5/2019 Ny Nur Zakiah 10.77.23 Stt Genu kiri
60 15/5/2019 Tn Indra 13.80.06 Hernia inguinalis kiri 1
19
jumlah kelengkapan asesmen pra anestesi
No Indikator Ya tdak presentase
kelengkapan
1 asesmen pra 19 31.6666666667
anestesi
 SUPERVISI MONITORING KAMAR OPERASI 2019
Bulan : Mei 2019
Indikator : Kelengkapan Assesmen Pra anesthesi

Kelengkapan asesmen
No Tgl Nama Pasien No RM Diagnosa Operasi
Pra Anesthesi KETERANGAN
Lengkap Tidak
1 1/5/2019 Ny.Nurlena 04.80.09 G1p0A0 gagal induksi
2 1/5/2019 tn. Ahmad 14.77.83 closed fraktur distal radial
3 2/5/2019 ny. Lydia 03,89,45 abses abdominal 1
4 2/5/2019 ny. Valeri 14,77,70 stt pemut D
5 2/5/2019 ny. Susni 14,78,83 stt pedis sinistra 1
6 2/5/2019 ny. Zulianna 13,29,42 g1p0a0 hamil atrm a/I oligo hidramnion
7 2/5/2019 An Nazwa 14.78,51 App Akut
8 2/5/2019 Ny. Samiyah 06.85.50 G5P3A1 H. Aterm a/I BSC 2X 1
g3p2a0 h 35-36 minggu a/I pendarahn ante
9 2/5/2019 NY,endah 14,07,47 partum + gawat janin

10 3/5/2019 tn. Sony 14,78,86 abses pedis sinistra 1

11 3/5/2019 ny.Margaritha 13.84.55 Carpal tunnel dextra
12 4/5/2019 ny.Tresnaeni 14.80.03 abses manus dextra
13 4/5/2019 tn .Tampuk 14.79.82 abses antebrachi 1
14 4/5/2019 Tn.Heartman 12.49.99 post orif
15 4/5/2019 Tn.M.sanny 06.23.06 fx.radius sin distal

16 4/5/2019 Ny Sri 13.62.04 G5P2A2 H:Aterm a/I Oligohidramion berat

17 4/5/2019 Ny Dewi 14.08.49 G3P2A h: ATERM A/I Bsc1x
18 4/5/2019 Ny Venny M 14.58.91 G1P0A0 H:aterm a/I Gagagl induksi 1
19 6/5/2019 ny. Sri 13,65,75 abses pedis dektra
20 6/5/2019 ny putri 147473 g3p2a0 bsc 1x
21 6/5/2019 ny. Yanih 14,71,10 abses pedois dektra pada dm 1
22 7/5/2019 Ny. Robiah 14,79,06 Tumor mamae abrains axila dextra
 Kelengkapan asesmen
No Tgl Nama Pasien No RM Diagnosa Operasi
Pra Anesthesi KETERANGAN
Lengkap Tidak
23 7/5/2019 Ny. Neni 00,53,52 G4P3Ao h. Aterm a/I BSC 1X
24 7/5/2019 ny.Mastat 85668 appendik akut
25 7/5/2019 tn T0t0k 07.46.17 hil sinistra 1
26 7/5/2019 ny. Megawat 14,81,84 g2p1a0 hamil 40 minggu a/I bsc ix
27 8/5/2019 ny.Onny 63440 G3P2A0 konisasi cervik Tb cervik
28 8/5/2019 Tn Hartono 14.82.75 Open Fr digit 1 pedis dextra
29 9/5/2019 Ny.Ayu dinamika 99046 G2P1 A0 gagal Induksi 1
30 9/6/2019 Ny.Nadia 8108 G3P2A0 h: aterm a/I bsc2x
31 9/6/2019 Ny Jumiat 14.58.79 Defet Cakaneus sinistra

32 9/6/2019 Ny Christna 07.65.02 g2p1ao h:aterm a/I bsc, post transfusi 250cc

33 9/6/2019 NY. NICKYTA 14,75,74 G2P1A0 h aterm a/I bsc dan letak lintang
34 9/5/2019 tn. Rudi 12,87,23 hil dektra 1
35 9/5/2019 ny.Kusumawat 69530 fistula ani
36 10/5/2019 Ny. Nur farida 14.59.08 G1PoAo H. 37/38 Mgg a/I HBsAg (+)
37 10/5/2019 Ny Nani 13.94.20 G3P1AI h: aterm a/I bsc1x
38 10/5/2019 Ny Hairani 06.94.56 G2P1AO h:aterm a/I bsc1x + kpd 2 jm 1
39 10/5/2019 nn hana 5704 fam
40 10/5/2019 ny.Wie ling 05.48.12 fam dextra
41 10/5/2019 ny.Miskinem 14.69.19 stt ospital
G3P2A0 H ATERM A/I KPD 14 JM PARTUS TAK
42 10/5/2019 NY.NINI 08,89,63 MAJU 1
43 10/5/2019 ny. Tri 12,42,01 g2p1ao h ater a/I kpd 12 jm
44 10/5/2019 tn.Rinaldi 14.71.48 hidrokel dextra
45 11/5/2019 ny.erlina 09.86.72 G6p2a3 hml 39-40 mgg dgn bsc 2x+kpd 1
46 11/5/2019 Tn.sugeng 10.65.16 close fraktur a/r patela sinistra
47 11/5/2019 Ny. Rosita 08.49.33 Kontraktur digit v manus
48 12/5/2019 ny. Nuke 04,12,17 g5p3a1 h ater a/I kpd + DM 1
49 12/5/2019 ny,kamsira 14,85,37 g3p1a1 h aterm a/I bsc 1x
 Kelengkapan asesmen
No Tgl Nama Pasien No RM Diagnosa Operasi
Pra Anesthesi KETERANGAN
Lengkap Tidak
50 12/5/2019 ny.deny mulyani 14.85.42 G1p0A0 hml 37 mgg dgn PeB
g1p0a0 h. 38-39 minggu a/I oligo hidramnon
51 12/5/2019 ny, intan 14.85.45 gawat janin
52 13/5/2019 Ny.Ulfi 65638 G2P1A H 37-38 mgg BSC IX
53 14/5/2019 Ny.Nur Khairani 148564 G2P1A0 H 40-41 Mgg Ggl induksi
54 14/5/2019 An M Al Faqih 14.63.20 hidrokel dextra 1
55 14/5/2019 Tn Erwin 14.85.21 Abses perianal 1
56 14/5/2019 Ny Murah 14.80.57 Abses perianal 1
57 14/5/2019 Ny Indriani 13.45.53 G2P1A0 h:aterm a/I let-lin + dm
58 15/5/2019 An.Kafkha 14.77.69 limfadenopaty occipital
59 15/5/2019 Ny Nur Zakiah 10.77.23 Stt Genu kiri 1
60 15/5/2019 Tn Indra 13.80.06 Hernia inguinalis kiri
18
jumlah kelengkapan asesmen pra anestesi
No Indikator Ya tdak presentase
kelengkapan
1 asesmen pra 18 30
anestesi
 SUPERVISI MONITORING KAMAR OPERASI 2019
Bulan : juni 2019
Indikator : Kelengkapan Assesmen Pra sadasi

Kelengkapan asesmen
No Tgl Nama Pasien No RM Diagnosa Operasi Pra Anesthesi KETERANGAN
Lengkap Tidak
1 1/6/2019 Sri Rahayu 14.96.86 g2p1a0 h aterm kala 2 lama+ cpd 1 barkode tida ada
vulnus schisum digit 1 manus sinistra
1/6/2019 14,96,68
2 Tn. Rudi dan nruptur tendon
3 2/6/2019 Ny Bertha 14.97.26 G1P0A0 h:aterm a.i Gagal induksi
4 3/6/2019 Ny.Supiat 14.14.39 G3P2A0 bsc 2x + Lintang 1 barkode tida ada
5 3/6/2019 Ny Hamdani 14.97.76 G2P1A0 h:aterm a/I Cpd
6 3/6/2019 Ny Tia 17.03.88 G2P1A0 h: aterm a/I kpd + PEB 1 barkode tida ada
7 3/6/2019 Ny ratna 03.56.64 G3P2A0 h 5-6mggu ket 1 barkode tida ada
8 4/6/2019 Tn Agung 14.87.24 App Kronik
9 5/6/2019 Ny Vianita 14.97.99 G1P0A0 h:aterm a.i Hemoroid 1 barkode tida ada
G2P0A1 h:aterm a/I kpd 25jm + gagal
10 7/6/2019 Ny Yullansari 14,.98.44
induksi

11 7/6/2019 Ny. HJ Aminah 14.97.90 Gangren digit 4 sinistra

12 7/6/2019 ny. Yuliana 14,64,58 g2p1a0 hamil aterm, a/I bsc 1x
13 8/6/2019 Ny.Veronica 06.66.07 G2p1A0 H.38 mgg bsc 1x
14 8/6/2019 ny murtni 14.85.55 Ulkus pedis sinistra
15 10/6/2019 Ny Sit R 06.64.05 G3P2A0 h: aterm a/I bsc2x
G4P3A0 h:aterm a/I letak obliq +
16 10/6/2019 Ny Suhaini 14.90.37 tubektomi
17 11/6/2019 Tn.Abdulrahman 14.94.87 Abses temporal
18 11/6/2019 Tn.H0lil 14.99.26 stt abdomen
19 11/6/2019 Ny. Reny 14.86.39 APP Kronik
20 11/6/2019 Ny. Ramayant 14.95.61 Hemoroid gr V
G1PoAo H.39 Mgg a/I KPD +gagal
21 11/6/2019 Ny. Tri seta ningsih 03.60.31 induksi 1 barkode tida ada
22 11/6/2019 Ny Resty 12.71.35 G1P0A0 h: aterem a/I Miopi
 Kelengkapan asesmen
No Tgl Nama Pasien No RM Diagnosa Operasi Pra Anesthesi KETERANGAN
Lengkap Tidak
23 11/6/2019 Ny Tit 09.63.72 G3P2A0 h:aterem a/I bsc2x
24 11/6/2019 Tn Imam 14.99.70 close fraktur pedis (D) digit 1
25 12/6/2019 Ny. Sri hevi lestari 14.82.10 G4P2A1 H 37 mgg a/I BCS 2 x 1 barkode tida ada
26 12/6/2019 Ny.Rizkiyani 74405 G3P2A0H Atrem Bsc 2x
27 12/6/2019 Ny.Hilda 15.01.02 G1P0A0 H.aterm susp CPD
28 12/6/2019 Nn.hamesya 07.30.98 Appendicyts
29 13/6/2019 Ny.Neng Lastri 14.91.91 abses mamae ( S ) 1 barkode tida ada
30 13/6/2019 Ny.Suryani 04.04.96 tumor mamae ( D )
31 13/6/2019 Tn.Rahmat 14.94.76 stt femur ( D )
32 13/6/2019 Ny.Lydia Andini 03.89.45 Abses labia mayora 1 barkode tida ada
33 13/6/2019 Nn.Cindy 14.92.37 App kronis
34 13/06/2019 Ny. Maria 06.66.48 G2P1A0 H aterm BSC 1 x
35 14/06/2019 Ny. Marliya 11.52.21 Miom urteri 1 barkode tida ada
36 14/06/2019 Ny. Dian 11.80.12 G3P2A0 H38 mgg a/I BSC 1x
37 14/06/2019 Ny. Komalawat 12.70.75 G3P1A1 H 40 mgg a/I BSC 1 x
38 14/06/2019 ny novi 15.01.98 g2p1a0 bsc 1x 1 barkode tida ada
39 14/06/2019 Ny Tureni 14.82.90 Susp Ca Mamae Dextra
40 14/06/2019 Nn Putri 14.63.12 Limfadenopat Multpel
41 14/06/2019 ny nadia 14.07.04 g1p0a0 gawat janin
42 15/6/2019 Nn. Tiska 15.01.33 STT
43 15/6/2019 Ny. Ernawat 10.55.19 Limfadenopat ( S ) 1 barkode tida ada
44 15/6/2019 Tn. Tuwarno 14.99.88 Hemoroid gr IV
45 15/6/2019 Ny Ani 05.68.99 Post orif + closed red
46 16/6/2019 ny.tri .y 06.94.05 g2p1a0 h aterm dgn bsc 1x 1 barkode tida ada
47 17/6/2019 ny syahidah 37320 G4P3A1 h aterm bsc 2X + TUBEX
48 17/6/2019 Ny.Nuraeni 91352 Abses digit 2 dextra
49 17/6/2019 Tn.Purwanto 149752 Abses peri anal 1 barkode tida ada
50 18/6/2019 Tn Agus 14.89.03 Hil Sinistra
51 18/6/2019 Tn Haris 14.99.91 Hernia Scrontalis
 Kelengkapan asesmen
No Tgl Nama Pasien No RM Diagnosa Operasi Pra Anesthesi KETERANGAN
Lengkap Tidak
18/6/2019 13.26.08 G1P0A0 H 38mgg kala 1 memanjang +
52 Ny.Vitry cpd 1 barkode tida ada
53 18/6/2019 ny.sit aisyah 14.89.06 post orif tbia dextra terinfeksi
54 18/6/2019 Tn. Hari 07.96.44 Hill dextra 1 barkode tida ada
55 19/6/2019 tn.Karisma kusuma 14.93.26 limfadenopat inguinal dextra
56 19/6/2019 Nn.Alfiah 12.45.00 hemoroid gr iv 1 barkode tida ada
57 19/6/2019 Ny. Iis puspita dewi 14,13,09 G1P0A0 Ha/I KPD
19/6/2019
58 Ny. Fuji setyawat 04.63.72 G4P3A1 H 40-41 mgg D/ gagal induksi
19/6/2019
59 Ny. Putri indriani 15.05.20 G1P0A0 H 40 - 41 mgg a/I gagal induksi barkode tida ada
20/6/2019
60 An.lembayung 14.99.94 ganglion pergelangan tangan kanan
17

jumlah kelengkapan asesmen pra anestesi

No Indikator Ya tdak presentase

kelengkapan
1 18 28.33333
asesmen pra
anestesi
 Kelengkapan asesmen
No Tgl Nama Pasien No RM Diagnosa Operasi Pra Anesthesi KETERANGAN
Lengkap Tidak

analisa : dari 60 sanpel asesmen pra anestesi sebanyak 71% ( 43 ) form asesmen pra be
dan 38 % ( 17 ) form asesmen pra bedah tdak lengkap
yak 71% ( 43 ) form asesmen pra bedah di isi secara lengkap
ap
triwulan april mei, juni 2019

No Indikator april mei juni

kelengkapan
1 asesmen pra 31.67 30 28.34
anestesi

1 kelengkapan asesmen pra anestesi

32
31.67
31

30 30
1 kelengkapan asesmen
pra anestesi
29
28.34
28

27

26
april mei juni
 SUPERVISI MONITORING KAMAR OPERASI 2019
Bulan : Juli 2019
Indikator : Kelengkapan Assesmen Pra anesthesi

No Tgl Nama Pasien No RM Diagnosa Operasi Kelengkapan asesmen KETERANGAN

Pra Anesthesi
Lengkap Tidak
1 1/7/2019 Ny.Puri 13.57.38 G1PoAo H.Aterm a/I miopi
2 1/7/2019 Ny. Sri Rath 10.22.23 G2P1Ao H.Aterm a/I bsc
3 1/7/2019 Ny.Endang 13,57,30 G3P2A1 H.Aterm a/I bsc
4 1/7/2019 an m fathir 113733 limfadenopaty
5 1/7/2019 ny nanda 77022 hemoroid
6 1/7/2019 ny dita 67634 G2P1A0 bsc 1x
7 2/7/2019 ny. Sintha 15.13.96 G2P1A0 H.36-37 a/I gamelli 1 barkode tda ada
8 2/7/2019 tn didik 151683 traumatc amputasi
9 2/7/2019 ny solekhatun 139525 G1P0A0 oligohidramnion
10 3/7/2019 An Daniel 15.15.12 abses erneest
11 3/7/2019 Ny Susilowat 10.09.70 stt wirst
12 3/7/2019 Tn Sabar 15.11.42 Hil Sinistra
13 3/7/2019 Tn Sukarmin 15.03.63 Hernia scrotalis 1 barkode tda ada
14 3/7/2019 Ny Desi 12.36.75 g2p1a0 h:aterm a/I bsc1x
15 3/7/2019 Ny Syoleha 14.89.23 g2p1a0 h:aterm a/I bsc1x
g2p1a0 h:aterm a/I bsc1x +
16 3/7/2019 Ny Mery 13.72.18 kala 1 memanjang 1 barkode tda ada
17 3/7/2019 Ny. Susant 15.03.40 Tumor colli
18 4/7/2019 NN.RISTI 12.11.55 App kronis
19 4/7/2019 ny.bet 08.87.32 mamae aberans axila sinis
1 barkode tda ada
20 4/7/2019 Tn Sigit 15.14.61 Hil Dextra
g3p2a0 h:aterm a/I kista
21 4/7/2019 Ny Suryawat 03.08.02 ovarium + Tubek 1 barkode tda ada
g2p1a0 h:39 mhh a/I kpd
22 4/7/2019 Ny Maryanih 13.40.14 3hr+oligo+ctg non reaktf
No Tgl Nama Pasien No RM Diagnosa Operasi Kelengkapan asesmen KETERANGAN
Pra Anesthesi
Lengkap Tidak
23 4/7/2019 Ny Indah 14.77.40 g3p2a0 h:aterm a/I bsc1x
24 4/7/2019 Tn. Zaldi zalrosa 15.12.10 Tumor R occipital Sinistra
25 4/7/2019 Ny. Sopiyah 14.97.58 G3P2A0 H aterm a/I PEB 1 barkode tda ada
26 5/7/2019 Nn.Sinta 14.98.78 Kista Endometriosis

Ny
27 5/7/2019 15.15.12 g1p0a0 h:aterm a/I letak obliq
Cahyuningtyas

28 5/7/2019 Ny Umi 14.94.03 abses thorax

29 5/7/2019 Ny Nasiyem 15.10.31 fam sinistra
30 5/7/2019 Ny. Ririn Nidart 07,21.27 G2P1A0 H aterm a/I varises

31 5/7/2019 Ny. Yuliyant 72127 G3P2A0 H aterm BSC 2 X 1 barkode tda ada
32 5/7/2019 Ny Jihan 12.53.84 g3p1a1 h:aterm a/I PLR
33 5/7/2019 Tn Yulianto 04,16,94 tumor peri umbilikal
34 5/7/2019 Ny Sri 08.88.70 dj stand distu
35 5/7/2019 Tn Marjukih 11.65.13 Verikokel
G2P1Ao H.Aterm a/I bsc 1x +
36 6/7/2019 Ny.Ridha helmi 08.74.28 macrosomia

7/7/2019 15.20.89
37 Ny. Elan G4P3Ao H.39.40 mgg a/I KPD
7/7/2019 14.82.86 G1PoAo H.Aterm a/I KPD +
38 Ny. Fitria HDK
39 7/7/2019 Ny Wahyu 07,12,91 g2p1a0 h:aterem a/I bsc1x
40 8/7/2019 Tn.Hasan 118173 Hil Sinistra
closwed redukton external
41 8/7/2019 An Ronaldo 15.18.72 digit 3
42 8/7/2019 ny dina 151860 G3P2a0 gagal induksi
43 9/11/2019 Tn Novi 01.50.40 Stt multpel punggung
44 9/11/2019 Ny Tutut 14.56.93 Fam dextra
45 9/11/2019 Ny Narsih 15.16.85 Fam dextra
46 9/11/2019 Ny Nurhayat 15.10.10 Stt temporalis
No Tgl Nama Pasien No RM Diagnosa Operasi Kelengkapan asesmen KETERANGAN
Pra Anesthesi
Lengkap Tidak
47 9/11/2019 Tn Wan 03.56.74 Limfadenopat sinistra
9/11/2019 15,21,89 G1P0A0 H aterm a/ I KPD +
48 ny. Herlina makrosonia
49 9/11/2019 Ny. Rizka martna 08,17,40 G2P1A0 H 38 - 39 a/I morbili

50 9/11/2019 Ny. Agustna 12,93,24 G3P1A1 h aterm + KPD

G2P1A0 hamil potrem BSC 1 x
51 9/11/2019 Ny. Aurora 14,37,19 = gawat janin
52 9/11/2019 Tn. Alvis Ubaidi 15,02,03 Hil Dextra
G1P0A0 H 40-41 mgg dengan
53 9/11/2019 Ny.sit maesaroh 150750 oligo hidramion
open dislocaton joint digit v
54 10//7/19 Tn.suryadi 15.22.22 manus dex
55 10//7/19 Ny. Wijayant 14.94.44 Tumor mamae sinistra
56 10//7/19 Ny.Latfah 14.83.97 Appendik kronik
57 10//7/19 Nn. Adzalea 147945 Fam dextra
58 10/7/2019 Ny. Henny 136506 G1PO Ao H aterm gagal induksi

59 11/7/2019 Nn. Olivia 46975 tumor sinitra

60 11/7/2019 Ny.Via hayat 151456 tumor mamae dextra
61 11/7/2019 Tn. Tammam 151083 Hil Dextra
7

jumlah kelengkapan asesmen pra anestesi

No Indikator Ya tdak presentase
kelengkapan
1 asesmen pra 7 11.47541
anestesi
 SUPERVISI MONITORING KAMAR OPERASI 2019
Bulan : Agustus 2019
Indikator : Kelengkapan Assesmen Pra anesthesi

Kelengkapan
No Tgl Nama Pasien No RM Diagnosa Operasi asesemen Pra KETERANGAN
Anesthesi
Lengkap Tidak
1 1/8/2019 Ny Nursa'dah 15.31.64 Fam sinistra
2 1/8/2019 Nn Jeny 14.00.77 Fam sinistra
3 1/8/2019 Ny Samini 15.29.30 Stt Humerus
4 1/8/2019 Tn Zaenal 10.52.46 Hil dextra
5 1/8/2019 Ny. Tri hastut 153153 G2P1A0 h aterm a/I BSC 1 x
6 1/8/2019 Ny.dina ravina 153705 G1P0A0 H posterm a/I CPD 1 barkode tdak ada
G2P1A0 H aterm dengan BSC 1
7 1/8/2019 Ny.Maryat 152989 X
8 1/8/2019 Tn Samsul hadi 15.33.33 hil sinistra 1 barkode tdak ada
9 2/8/2019 Ny.yetty 14.59.25 g3p2a0 hml aterm dgn bsc 2x

10 2/8/2019 Ny. Ulfa indah 8833 closed fratur R tbia platea 1 barkode tdak ada
11 2/8/2019 Ny. Sit bahizah 82163 G4P3A0 H aterm a/I BSC 1 1 barkode tdak ada
12 2/8/2019 Nn Happy 15.29.97 closed fr a/r antebrachi sinistra 1 barkode tdak ada
13 2/8/2019 Ny Hafnida 15.29.97 Fam sinistra 1 barkode tdak ada
14 3/8/2019 Tn. I Ketut 15.40.30 Fraktur digit 4 pedis dextra

g1p0a0 H aterm a/I kpd 3hr +

15 3/8/2019 ny.revita 15.23.45 hdk
16 3/8/2019 ny. Devilanita 09.77.17 Re Quernain Sinistra
17 4/8/2019 Ny Rosita 15.40.99 Ket
18 5/8/2019 Ny.Tantri 104184 G2P1A0 BSC 1x,CPD 1 barkode tdak ada
19 5/8/2019 Ny.Famelia F 2301 g3p2a0 hml aterm dgn bsc 2x 1 barkode tdak ada
20 5/9/2019 Nyh.Devita 140310 G2P1A0 Hatrem Bsc1x
21 5/8/2019 Tn Frans 15.36.27 Stt elbow
22 5/8/2019 Ny Ika 15.29.24 Hemoroid gr III
 Kelengkapan
No Tgl Nama Pasien No RM Diagnosa Operasi asesemen Pra KETERANGAN
Anesthesi
Lengkap Tidak
g1p0a0 h aterm dgn CTG non
23 6/8/2019 ny.qisthie anggun 15.41.87 reaktf 1 barkode tdak ada
24 6/8/2019 ny.nurliana 15.36.26 tumor mamae dextra 1 barkode tdak ada
25 6/8/2019 ny. Indriani 15.21.50 tumor mamae dextra 1 barkode tdak ada
26 6/8/2019 tn.achmad .s. 01.70.48 Hil dextra 1 barkode tdak ada
27 6/8/2019 tn. Marzuki 12.44.36 Hil dextra
28 6/8/2019 tn. Dzaki al farizzi 15.42.18 app ferporasi 1 barkode tdak ada
29 7/8/2019 ny.irene 08.26.98 tumor mamae sinistra 1 barkode tdak ada
30 7/8/2019 NY.ENDANG SRI 15.37.48 Tumor mamae abrams dex
31 7/8/2019 Ny.lust 15.36.74 limfadenopats axilla dextra 1 barkode tdak ada
32 7/8/2019 ny.isnah 15.31.16 tumor mamae sinistra
33 7/8/2019 Tn M kukuh 53035 paronits
34 7/8/2019 Tn Darto 15.42.71 Ruptur tendon Achiles dextra

35 7/8/2019 Ny Nurlela 03.39.08 tumor mamae sinistra

36 8//8/2019 Ny Anita 15.38.12 tumor mamae sinistra
37 8//8/2019 Nn Luf 15.36.78 limfadenopats dextra
38 8//8/2019 Tn Misno 15.36.35 Hil dextra 1 barkode tdak ada
39 8//8/2019 Ny Wigat 09.29.95 hernia umbilicalis 1 barkode tdak ada
Abses dm dextra thorax
40 8//8/2019 Tn Sanin 15.42.72 posterior 1 barkode tdak ada

41 8//8/2019 Ny.Lilis 10.60.89 g2p0a1 h.aterm a/I riwayat ket

g1p0a0 h 36 minggu a/I CTG

42 8//8/2019 Ny. Dina 15.23.41 Non Reactf 1 barkode tdak ada
43 8//8/2019 Ny.embun 147498 G2 P1 A0 Bsc 1x 1 barkode tdak ada
44 8//8/2020 Ny.Eka 56382 G2P1A0 BSC 1x 1 barkode tdak ada
45 9/8/2019 Ny.Mawadinna 154400 G2P1A0 BSC 1x
46 9/8/2019 Ny Susan 15.39.88 G3p2a0 hml aterm dgn bsc 2x

G1P0A0 :41 mgg a/I gagal

47 9/8/2019 Ny Shena 15.44.73
induksi
 Kelengkapan
No Tgl Nama Pasien No RM Diagnosa Operasi asesemen Pra KETERANGAN
Anesthesi
Lengkap Tidak
48 9/8/2019 Tn. Agus 07,51,68 Fistula ani 1 barkode tdak ada
G1P0A0 gagal induksi dan
49 9/8/2019 ny dero 146116 takikardi 1 barkode tdak ada
50 10/8/2019 Ny Sadiyah 13.49.09 Defet Ò Gluteus 1 barkode tdak ada
51 10/8/2019 Ny Eka 15.45.35 G3P2AO h:aterm a/I bsc2x
10/8/2019 Ny. Evy G4P1A2 H aterm a/I anemia
52 137888
cahyaningsih dengan BSC 1x

10/8/2019 Ny nanik G1P0A0 H 37 -38 a/I KPD 5 jam

53 154568
sulistyarini +DMG+galduk
g3p2a0 hml aterm a/I KPD 4
54 10/8/2019 Ny, hasanah 153993 jam dgn bsc 2x
g4p3a0 H 40-41 M a/I gagal
55 11/8/201`9 Ny. Linda Sari 39217 induksi + PEB
G2P1A0 h:aterm a/I bsc1x +
56 12/8/2019 Ny Maryani 15.36.06
hidramnion
G2P1A0 H.Aterm a/I bsc 1x +
57 12/8/2019 Ny. Tri Mulyant 14.80.19 Miopia 1 barkode tdak ada
G1P0A0 Haterm Peb + Ggl
58 12/8/2019 Ny.Nelly Balian 76808 Induksi
59 13/8/2019 Ny.rinny elisbet 132101 APP kronis
60 11/7/2019 Ny.Via hayat 151456 tumor mamae dextra
61 11/7/2019 Tn. Tammam 151083 Hil Dextra
25

jumlah kelengkapan asesmen pra anestesi

No Indikator Ya tdak presentase
kelengkapan
1 asesmen pra 7 40.98361
anestesi
 SUPERVISI MONITORING KAMAR OPERASI 2019
Bulan : September 2019
Indikator : Kelengkapan Assesmen Pra anesthesi

Kelengkapan asesemen Pra

No Tgl Nama Pasien No RM Diagnosa Operasi Anesthesi KETERANGAN
Lengkap Tidak

1/9/2019 Ny.fatmah 108344 G4P1A2 H40 a/I oligo hidromnion

1 + gagal induksi
1/9/2019 Ny Nur Halimah 06.16.16 G1P0A0 h:aterm a/I Kpd 5 jm &
2 wrn hijau
3 2/9/2019 Tn. Rifqi 15.54.62 stt wajah
4 2/9/2019 Ny Nur Ani 08.56.96 G1P0AO h:Aterm a/I let-su
5 3/9/2019 ny.ponia 154813 stt wrist dextra
6 3/9/2019 Ny. Yuliana 15.57.83 Tumor mamae 1 barkode tdak ada
7 3/9/2019 Ny. Asiah 07.31.78 Limfadenopat colli
8 3/9/2019 Nn. Bunga 15.53.10 hemoroid gr v4 1 barkode tdak ada
9 3/9/2019 Ny.intan 00.88.89 g4p2a1 h aterm dgn bsc 2x

3/9/2019 Tn.yuddie H 135544

10 Rachman Tumor ganglion sinistra 1 barkode tdak ada
3/9/2019 Ny. Heny Ristani 156115
11 G1P0A0 H 39 mgg a/I CPD +oligo 1 barkode tdak ada
4/9/2019 Ny Holilah 15.50.02 1 barkode tdak ada
12 Limfadenopat colli axilla sinistra
13 4/9/2019 Ny Upik 05.88.43 Abses pedis 1 barkode tdak ada
4/9/2019 Ny. Ani K. 14.73.44 G2P1A0 H. aterm a/I BSC 1X +
14 plasenta letak rerndah
15 4/9/2019 tn. Aan 11.19.00 close fr.digit 1 pedis sinistra
16 4/9/2019 Ny.dessy L 156144 G2P1A0 H. aterm a/I BSC 1X
17 5/9/2019 Ny.Putri 61174 Mama Abram
18 5/9/2019 Ny.Ponco 79172 Mastts 1 barkode tdak ada
19 5/9/2019 Tn. Bachrudin 101789 Hidrocel Sinistra 1 barkode tdak ada
 Kelengkapan asesemen Pra
No Tgl Nama Pasien No RM Diagnosa Operasi Anesthesi KETERANGAN
Lengkap Tidak

5/9/2019 an. Khalila putri 155239

20 ganglion dextra
21 5/9/2019 Ny. Marliya 115221 frozen shoulder dextra
6/9/2019 Ny. Muliani 14.14.11
22 purnawan close fraktur distal radius dextra
23 6/9/2019 Ny Melly 12.46.31 Hemoroid gr iv 1 barkode tdak ada

7/9/2019 Tn. M. Reza 07. 46.44

24 Islami union fraktur femur sinistra orif 1 barkode tdak ada
7/9/2019 An. Hanan abizar 09.33.59
25 ganglion sinistra 1 barkode tdak ada
9/9/2019 Ny. Dian 11.08.30
26 G1PoAo h.aterm a/I kpd 15 jam 1 barkode tdak ada
27 9/9/2019 Ny. Dita 04.60.05 G2P2A0 H.Aterm a/I BSC 1X

9/9/2019 Ny. Rosa 14.08.69

28 G5p3A1 H. Aterm a/I Letak lintang 1 barkode tdak ada
29 9/9/2019 Tn.Dicky 149783 kista ateroma 1 barkode tdak ada
30 9/9/2019 nn.renny 15241 tumor mamae dextra
31 9/9/2019 ny.tni 14.36.85 ulkus dm pedis sinistra 1 barkode tdak ada
32 9/9/2019 ny.rusni 10.5842 Ganggren dm pedis dextra
33 10/9/2019 Tn Wawan 15.24.00 Tumor kelenjar sinistra
34 10/9/2019 An M Radishad 10.41.39 sirkumsisi
35 10/9/2019 Tn Yudi 08.77.37 Hil Dextra
36 10/9/2019 Ny Warsi 15.60.67 abses dm pedis sisnistra
37 10/9/2019 Ny Dwi 15.47.52 SC + steril
38 10/9/2019 Ny.melinah 15.58.26 kista ovaium 1 barkode tdak ada
39 10/9/2019 Tn.M ali 15.63.03 tumor femur 1 barkode tdak ada
10/9/2019 Tn. Didin 07,67,09 1 barkode tdak ada
40 wirandian tumor elbow dextra
11/9/2019 Ny. Ika 12.20.17 G2P0A1 H 39-40 mgg a/I gagal
41 nurjannah induksi +ht
 Kelengkapan asesemen Pra
No Tgl Nama Pasien No RM Diagnosa Operasi Anesthesi KETERANGAN
Lengkap Tidak
42 11/9/2019 Tn,shyarin 15.64.92 abses pedis sinistra 1 barkode tdak ada
43 11/9/2019 ny.suminah 12.93.54 abses mamae dextra 1 barkode tdak ada
44 11/9/2019 Ny. Suarnih 15.63.02 Fistel perianal sinistra 1 barkode tdak ada
45 11/9/2019 Ny. Febby 13.37.27 G3P1A1 H.aterm a/I bsc 1x
12/9/2019 Nn.annisa novia 06.17.80
46 Tumor mamae sinistra
12/9/2019 Tn. Lana ariando 15.58.76
47 hernia scrotalis dextra
12/9/2019 Ny.muliani 14.14.11
48 orif ec closed fratur radius dextra 1 barkode tdak ada
12/9/2019 Tn. Aqil tamami 09,95,89 1 barkode tdak ada
49 kista oreotoma
50 12/9/2019 Ny.defa afrilia 15.58.84 post orif 1 barkode tdak ada
13/9/2019 Ny Susi Susant 15.67.49 G2P0A1 H:39 mgg a/I Oligo +
51 Gagal induksi
13/9/2019 Tn. Marjuki 08.64.18
52 Gangren DM pedis
13/9/2019 ny.upik 05.88.43
53 Ganggren dm pedis dextra
13/9/2019 Ny.ita rosita 10.76.55
54 limfadenofat sinistra
15/9/2019 Ny. Nur Saiyah 14.99.90
55 G1P0A0 H aterm a/I gagal induksi
16/9/19 ny.putri indah 02.35.39 g3p2a0 h aterm dgn bsc 1x +
56 LETAK sunsang
16/9/19 tn.tri herisuntoro 1 barkode tdak ada
57 15.66.78 tumot thorax anterior
58 16/9/19 tn.joni 09.12.20 tumor thorax posterior
59 16/9/19 Ny. Ulva 14.78.15 G2P1Ao H. Aterm a/I BSC 1X
60 16/9/19 Ny Mercia 09.99.94 Corpal manus sinistra
 Kelengkapan asesemen Pra
No Tgl Nama Pasien No RM Diagnosa Operasi Anesthesi KETERANGAN
Lengkap Tidak
61 11/7/2019 Tn. Tammam 151083 Hil Dextra
25

jumlah kelengkapan asesmen pra anestesi

No Indikator Ya tdak presentase
kelengkapan
1 asesmen pra 25 40.9836066
anestesi
triwulan juli, agustus, september 2019
No indikator juli agustus september
kelengkap
an
1 11.47 40.98 40.98
asesmen
pra beda

1 kelengkapan asesmen pra beda

45
40
40.98 40.98
35
30
1 kelengkapan asesmen
pra beda 25
20
15
10
11.47
5
0
juli agustus september