PENILAIAN PRESTASI KERJA
PEGAWAI NEGERI SIPIL
Jangka Waktu Penilaian
Januari s.d Desember 2016
Nama Pegawai : Rodiyah, SST
NIP 19720110 199301 2 002
Pangkat Golongan Ruang_ : Penata /Illc
Jabatan Bidan Pelaksana Lanjutan
Unit Kerja RSU Kota Tangerang Selatan
RSU KOTA TANGERANG SELATAN
TAHUN 2016 INSTANSI RSU KOTA TANGERANG SELATAN
JANGKA WAKTU PENILAIAN Januari s.d Desember 2016
. Nama : Rodiyah, S.ST
lb. NIP : 19720110 199301 2 002
lc. Pangkat/Gol.Ruang Penata /IIIc
id, Jabatan : Bidan Pelaksana Lanjutan
: RSU Kota Tangerang Selatan
Unit Kerja
a. Nama : dr. Umi Kulsum
: 19821215 2010012011
b. NIP
lc. Pangkat/Gol.Ruang : Penata, Ill/c
id. Jabatan : Kepala Seksi Asuhan Keperawatan
Unit Kerja : RSU Kota Tangerang Selatan
Nama |: Asep Sopari,SKM.MM
b. NIP ; 19620908 198409 1 001
Pangkat/Gol.Ruang : Penata Tk, IlI/d
: Kepala Bidang Keperawatan
|. Jabatan
Unit Kerja : RSU Kota Tangerang Selatan FORMULIR SASARAN KERJA
PEGAWAINEGERI SIPIL.
PEJABAT PENILAT NO I PEGAWATNEGERI SIPIL YANG DINILAT
1 [Name [ae Ut Kus = a
2 [wr 119821215 2010012011 sae kia Ree ieeeet te
S| eaanenrcot neces © |Gemete Is 32 [Panghat/coLRuang |Penata tite
4 [Jabatan Ikepata Seks! Asuhan Keperawatan + [pecan lnidan Pelaksana Lanjutan
5 [nie erin RSU Kota Tangerang Selatan 5 _Jnieerja RSU Kota Tangerang Selatan
TARGET
No {ML KEGIATAN TUGAS IABATAN a am aaa
munervourrar [Sure] wanru
[Melaksanakan Anamnese Kien/pasien ibu hamil pada BS.
a oa 2 003| 406 | 2002 | roam | 100]
00s| 14010 | 2002 | rene | 100 | 1 | muan
(claksanakan pemeriksian sik Kien /pasien pada Kasus sal leaee | meun
3 fsiogistanpa masalah 0.006] 16812 | sez | reser
rnbwat diagnosa kebidanan sesual dengan hasil pea 5 ool alte
4 Ppenpkajian pada kas tidak normal »001] 2,802 | 2002 | ranen
| [wstscutan persapan playananasshankebidananrads T9054) g39g | aos | mum | 100 | 2 | sou
ien/pasien dengan pre operas! dan post operas .002| 08
Metakukan perstapan pelayanan asuhan Kebidanan pads esa ee OSES [rook Ae [ooo
© }haien/pasten dengan tidak normal 0.03] 4.066
[Mempersiapkanalat dengan obst padakasustidaknormall 0,02] 13,500] «7s | raven | 100 | 12 | sian
fisachanshantidoanpaiansen an T ooae| vaoi0 | mms | rm | 100 | | oman
[Melakukan KIE pada Wlien/ pasion Kavus tidak normal aoa] 224160[ 202 | rem | 100 | 2 | van
[Melakukan Asahan Kebidanan pada kllen/pasien saat
10 Jmetsksanakan tugas dikamor edah Kebidanan sebagai | 0,004| 0760 | 190 | ran | 100 | 12 | saw
stan dokter dalam tindakan bedah /operas!,
11 [Ptetaksanakan togaskepala Ruangan oo0s| 0200 | a | mu | too | 2 | mmm
ai
39720110 199501 2 02
3 floorzo1t joao,
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