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    Muhammad Suhudi Suhudi
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    This document is a supervision checklist for rooms at RSUD dr. H. ANDI ABDURRAHMAN NOOR hospital. It lists the nurse station and 7 patient rooms to check for cleanliness and functionality of beds, infusion poles, fans, lights, bathrooms, water, sinks and bed side cabinets. Staff are to note the condition of each item as either good, needs improvement or has a problem along with describing any issues found and how they were resolved. The checklist is signed by the head of the surgery department and dated September 2019.

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    This document is a supervision checklist for rooms at RSUD dr. H. ANDI ABDURRAHMAN NOOR hospital. It lists the nurse station and 7 patient rooms to check for cleanliness and functionality of beds, infusion poles, fans, lights, bathrooms, water, sinks and bed side cabinets. Staff are to note the condition of each item as either good, needs improvement or has a problem along with describing any issues found and how they were resolved. The checklist is signed by the head of the surgery department and dated September 2019.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    7 views2 pages

    Supervisi

    Uploaded by

    Muhammad Suhudi Suhudi
    This document is a supervision checklist for rooms at RSUD dr. H. ANDI ABDURRAHMAN NOOR hospital. It lists the nurse station and 7 patient rooms to check for cleanliness and functionality of beds, infusion poles, fans, lights, bathrooms, water, sinks and bed side cabinets. Staff are to note the condition of each item as either good, needs improvement or has a problem along with describing any issues found and how they were resolved. The checklist is signed by the head of the surgery department and dated September 2019.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    of 2

    LEMBAR SUPERVISI RUANGAN

    RSUD dr. H. ANDI ABDURRAHMAN NOOR


    RUANG : JAM :
    HARI/TANGGAL :

    ADA
    NO RUANG T. ADA LOKASI PROBLEM PROBLEM SOLVING
    BAIK < BAIK
    1 NURSE STATION :
    A. ATK
    B. LEMBAR RM
    C. BHP
    D. ALKES
    E. NON ALKES
    F. KIPAS ANGIN
    G. BAK MANDI
    H. AIR
    I. WASTAFEL
    J. PINTU
    K. JENDELA

    2 ADA
    RUANG RAWAT T. ADA LOKASI PROBLEM PROBLEM SOLVING
    BAIK < BAIK
    1) KELAS 1 :
    A. BED
    B. TIANG INFUS
    C. KIPAS ANGIN
    D. LAMPU
    E. BAK MANDI
    F. AIR
    G. WASTAFEL
    H. BED SIDE CABINET
    2) BEDAH ANAK :
    A. BED
    B. TIANG INFUS
    C. KIPAS ANGIN
    D. LAMPU
    E. BAK MANDI
    F. AIR
    G. WASTAFEL
    H. BED SIDE CABINET
    3) BEDAH WANITA :
    A. BED
    B. TIANG INFUS
    C. KIPAS ANGIN
    D. LAMPU
    E. BAK MANDI
    F. AIR
    G. WASTAFEL
    H. BED SIDE CABINET
    4) BEDAH LAKI-LAKI :
    A. BED
    B. TIANG INFUS
    C. KIPAS ANGIN
    D. LAMPU
    E. BAK MANDI
    F. AIR
    G. WASTAFEL
    H. BED SIDE CABINET
    5) ISWAN :
    A. BED
    B. TIANG INFUS
    C. KIPAS ANGIN
    D. LAMPU
    E. BAK MANDI
    F. AIR
    G. WASTAFEL
    H. BED SIDE CABINET
    6) ISLAK :
    A. BED
    B. TIANG INFUS
    C. KIPAS ANGIN
    D. LAMPU
    E. BAK MANDI
    F. AIR
    G. WASTAFEL
    H. BED SIDE CABINET
    7) RUANG ISOLASI :
    A. BED
    B. TIANG INFUS
    C. KIPAS ANGIN
    D. LAMPU
    E. BAK MANDI
    F. AIR
    G. WASTAFEL
    H. BED SIDE CABINET

    Mengetahui :
    Sepunggur, 2019
    Kepala Ruang Bedah

    Muhammad Suhudi, S.Kep.,Ns


    LEMBAR SUPERVISI RUANGAN
    RSUD dr. H. ANDI ABDURRAHMAN NOOR
    NIP. 198310703 201101 1 016

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