Lampiran SPPT No. Um.5.02SPPT/ / /PT.

PHC-2020
Tanggal : Januari 2020

DAFTAR PESERTA IN HOUSE TRAINING

PERIODE JANUARI 2020

BLS Medis
Tanda Tangan
NAMA 14-15 Januari 2020
No

RUMAH SAKIT PHC SURABAYA

5 Medical

2 Emergency Room, Ambulance and 1 Bagus Tri Sutrisno, S.Kep.,Ns

Mortuary, Hemodialisa Unit
2 Devi Kurniawati Jayadi, A.Md.Kep

Sigit Hari Saputro, S.Kep.,Ns*

3 Outpatient Clinical Nutrition, Medical 3 Dikrie Vajrii Vegananda Suhartono, S.Kep., Ns.
Rehabilitation
4 Eryati Shinta Lestari, Amd.Kep.

4 Operation Room, Cardiovaskuler dr. Yopie Prim Avidar, Sp.An

Intervention, Diagnostic and Anesthesia
Unit 5 Imam Ndaru Kurniawan, S.Kep.,Ns

6 Henggar Bangun Jati, S.Kep.,Ns

7 Christina Hermawati, Amd. Kep.

Sindu Tri Utomo, Amd.Kep*

6 Medical Support
4 MCU & OHS 8 Windiarti Rahayu, S.Kep.,Ns

7 Inpatient
2 ICU 9 Yuni Astutik, Amd.Kep

M. Arif Luqman H., Amd.Kep*

Tri Mardiani Kartiko, Amd.Kep*

3 Berlian Hospitalization Service 10 Dwi Ummi Kartika Sari, S.Kep.,Ns

5 Ruby Hospitalization Service 11 Riska Ayu Asyhari, S.Kep.,Ns

6 Safir Hospitalization Service 12 Sumaniyah, S.Kep.,Ns

8 Zamrud Hospitalization Service 13 Alfia Dewi Shinta, S.Kep.,Ns

9 Intan Hospitalization Service 14 Wachidatul Akhmalia Solichan, S.Kep.,Ns

10 Mirah Hospitalization Service 15 Amirah Maulidiya Hadida, S.Kep.,Ns

PHC Clinic

3 OHS Service Provider 16 Yudi Handoko, S.Kep.,Ns

17 Reynaldhy Chaerlysandi, S.Kep.,Ns

18 Yogi Yussanto, S.Kep.,Ns

5 Tanjung Emas Medical Clinic and OHS 19 Ragil Mujiyanto, A.Md.Kep

Keterangan
* Tanda bintang sebagai instruktur pelatihan blok warna biru