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  • Lembar Monitoring Ppi Dan Perilaku

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    Saiful Rijal Balya
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    This document is a monitoring form from the Maron Community Health Center in Probolinggo Regency for the use of personal protective equipment (PPE) by health workers. It records the use of items like aprons, gloves, masks and sterile medical supplies over four weeks for procedures like examinations, IUD insertions, wound care, piercings and contraceptive injections. Health workers are monitored and must sign the form, which is intended to ensure PPE protocols are followed for the safety of both patients and staff.

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    This document is a monitoring form from the Maron Community Health Center in Probolinggo Regency for the use of personal protective equipment (PPE) by health workers. It records the use of items like aprons, gloves, masks and sterile medical supplies over four weeks for procedures like examinations, IUD insertions, wound care, piercings and contraceptive injections. Health workers are monitored and must sign the form, which is intended to ensure PPE protocols are followed for the safety of both patients and staff.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views3 pages

    Lembar Monitoring Ppi Dan Perilaku

    Uploaded by

    Saiful Rijal Balya
    This document is a monitoring form from the Maron Community Health Center in Probolinggo Regency for the use of personal protective equipment (PPE) by health workers. It records the use of items like aprons, gloves, masks and sterile medical supplies over four weeks for procedures like examinations, IUD insertions, wound care, piercings and contraceptive injections. Health workers are monitored and must sign the form, which is intended to ensure PPE protocols are followed for the safety of both patients and staff.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 3

    PEMERINTAH KABUPATEN PROBOLINGGO

    DINAS KESEHATAN
    PUSKESMAS MARON
    Jalan Asmali No. 604 Maron 67276 Telp.( 0335) 611552
    email : puskesmas.maron@probolinggokab.go.id
    PROBOLINGGO

    LEMBAR MONITORING PPI (APD)

    BULAN...........................

    UNIT: KIA-KB

    1. PEMERIKSAAN DALAM / VT/ INSPEKULO

    NO JENIS APD MINGGU 1 MINGGU 2 MINGGU 3 MINGGU 4 KET


    Tgl: Tgl: Tgl: Tgl:
    YA TDK YA TDK YA TDK YA TDK
    1. Apron
    2. Kaca Mata goggel
    3. Masker
    4. ST Medis steril
    Petugas yg monitoring
    Petugas yg
    dimonitoring

    2. Pemasangan/Lepas KB/Implan/IUD

    NO JENIS APD MINGGU 1 MINGGU 2 MINGGU 3 MINGGU 4 KET


    Tgl: Tgl: Tgl: Tgl:
    YA TDK YA TDK YA TDK YA TDK
    1. Apron
    2. Kaca Mata google
    3. Masker
    4. ST medis steril
    5. Kain duk steril
    Petugas yg monitoring
    Petugas yg
    dimonitoring
    PEMERINTAH KABUPATEN PROBOLINGGO
    DINAS KESEHATAN
    PUSKESMAS MARON
    Jalan Asmali No. 604 Maron 67276 Telp.( 0335) 611552
    email : puskesmas.maron@probolinggokab.go.id
    PROBOLINGGO

    3. Rawat Luka

    NO JENIS APD MINGGU 1 MINGGU 2 MINGGU 3 MINGGU 4 KET


    Tgl: Tgl: Tgl: Tgl:
    YA TDK YA TDK YA TDK YA TDK
    1. Masker
    2. ST medis Steril
    Petugas yg monitoring
    Petugas yg
    dimonitoring

    4. Tindik

    NO JENIS APD MINGGU 1 MINGGU 2 MINGGU 3 MINGGU 4 KET


    Tgl: Tgl: Tgl: Tgl:
    YA TDK YA TDK YA TDK YA TDK
    1. ST medis Non steril
    Petugas yg monitoring
    Petugas yg
    dimonitoring

    5. Suntik KB

    NO JENIS APD MINGGU 1 MINGGU 2 MINGGU 3 MINGGU 4 KET


    Tgl: Tgl: Tgl: Tgl:
    YA TDK YA TDK YA TDK YA TDK
    1. ST medis Non steril
    Petugas yg monitoring
    Petugas yg
    dimonitoring

    Ketua PPI Koordinator unit

    ………………………………………… ……………………………………………….
    PEMERINTAH KABUPATEN PROBOLINGGO
    DINAS KESEHATAN
    PUSKESMAS MARON
    Jalan Asmali No. 604 Maron 67276 Telp.( 0335) 611552
    email : puskesmas.maron@probolinggokab.go.id
    PROBOLINGGO

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