BUKTI MONEV PELAKSANAAN SURGICAL SAFETY CHECK LIST

NO TGL OPERASI UMUR NAMA PASIEN DIAGNOSA RM JENIS AN DR.AN PENATA.AN YA TIDAK
1 1/9/2019 MAULINA SC 02.01.42 SAB DR.RIZAL MUSTAFA √ ─
2 1/9/2019 NOVA MAULINA SC 02.01.31 SAB DR.RIZAL DARA √ ─
3 1/9/2019 ANISAH SC 02.00.83 SAB DR.RIZAL DARA √ ─
4 1/9/2019 PUTRI DIANA SC 02.01.44 SAB DR.RIZAL DARA √ ─
5 1/9/2019 ISNATON RAHMI SC 02.01.41 SAB DR.RIZAL DARA √ ─
6 2/9/2019 MASHSARIYATI MAHMUD SC 02.01.56 SAB DR.RIZAL DARA √ ─
7 2/9/2019 HERLINA SC 01.96.10 SAB DR.RIZAL DARA √ ─
8 3/9/2019 ISPANDIAR EXSISI 02.02.38 TIVA DR.RIZAL DARA √ ─
9 3/9/2019 TIHALIMAH DEBRIDEMENT 02.02.03 TIVA DR.RIZAL DARA √ ─
10 3/9/2019 MAISARAH SC 01.92.62 SAB DR.RIZAL MUSTAFA √ ─
11 3/9/2019 YUSNANI SC 02.02.04 SAB DR.RIZAL MUSTAFA √ ─
12 4/9/2019 BADRIAH DEBRIDEMENT 01.89.82 TIVA DR.RIZAL MUSTAFA √ ─
13 4/9/2019 JUNAINAH SC 02.00.12 SAB DR.RIZAL MUSTAFA √ ─
14 4/9/2019 JUNIATI SC 02.02.41 SAB DR.RIZAL MUSTAFA √ ─
15 4/9/2019 LAINA SC 02.84.16 SAB DR.RIZAL MUSTAFA √ ─
16 4/9/2019 IRMA NUR JUNILAWATI SC 02.02.44 SAB DR.RIZAL MUSTAFA √ ─
17 5/9/2019 NURUL HAYATI SC 02.02.34 SAB DR.RIZAL DARA √ ─
18 5/9/2019 YUSNA HASANAH KURETASE 02.02.87 √ ─
19 5/9/2019 MURSYIDAH SC 02.03.06 SAB DR.RIZAL DARA √ ─
20 5/9/2019 DESSY ARISNA SC 01.88.49 SAB DR.RIZAL DARA √ ─
21 6/9/2019 YUNI HASNITA SC 02.02.90 SAB DR.RIZAL DARA √ ─
22 7/9/2019 RAHMA DEBRIDEMENT 02.03.50 TIVA DR.RIZAL DARA √ ─
23 7/9/2019 JUNIAR MUHARRAMAH SC 02.03.39 SAB DR.RIZAL DARA √ ─
24 7/9/2019 CUT MUTIA SC 02.03.40 SAB DR.RIZAL MUSTAFA √ ─
25 7/9/2019 SRI WAHYUNI SC 02.03.19 SAB DR.RIZAL MUSTAFA √ ─
26 8/9/2019 HUSNUL HIDAYATI SC 02.03.56 SAB DR.RIZAL MUSTAFA √ ─
27 8/9/2019 NYAK INTAN SC 02.03.64 SAB DR.RIZAL MUSTAFA √ ─
28 9/9/2019 NUR AFNI DEBRIDEMENT 02.01.68 TIVA DR.RIZAL MUSTAFA √ ─
29 9/9/2019 T.ALVIS DEBRIDEMENT 02.03.97 TIVA DR.RIZAL MUSTAFA √ ─
30 9/9/2019 JUWITA ZAHARA SC 02.03.63 SAB DR.RIZAL MUSTAFA √ ─
31 9/9/2019 ERLITA SC 02.03.62 SAB DR.RIZAL DARA √ ─
32 9/9/2019 SAFRINA SC 18.28.82 SAB DR.RIZAL DARA √ ─
33 9/9/2019 NOVITA ZAHARA SC 01.71.23 SAB DR.RIZAL DARA √ ─
34 9/9/2019 NURVITA SARI KURETASE 02.03.51 DR.RIZAL DARA √ ─
35 10/9/2019 TGK.HASBI AMPUTASI+DEBRI 02.03.76 TIVA DR.RIZAL DARA √ ─
36 10/9/2019 NURLINA SC 02.04.02 SAB DR.RIZAL DARA √ ─
37 10/9/2019 DARMAWATI KURETASE 02.04.13 √ ─
38 10/9/2019 SYARIFAH KURETASE 02.04.31 DR.RIZAL MUSTAFA √ ─
39 11/9/2019 MASRINAWATI SC 01.91.78 SAB DR.RIZAL MUSTAFA √ ─
40 11/9/2019 WARDATUL AINI KURETASE 02.00.70 √ ─
41 11/9/2019 RANA NAURA KURETASE 02.02.79 √ ─
42 11/9/2019 NISA ULKHAIRI KURETASE 02.04.42 √ ─
43 12/9/2019 WINDA SC 02.04.54 SAB DR.RIZAL MUSTAFA √ ─
44 Dec-19 AINAL MARDHIAH SC 02.04.66 SAB DR.RIZAL MUSTAFA √ ─
45 12/9/2019 RAHMADANI KURETASE 02.04.60 DR.RIZAL DARA √ ─
46 12/9/2019 MUTIA SC 02.04.63 SAB DR.RIZAL DARA √ ─
47 12/9/2019 NURUL MAHDALENA KURETASE 02.04.04 √ ─
48 14/9/2019 RASYIDAH DEBRIDEMENT 02.04.90 TIVA DR.RIZAL DARA √ ─
49 14/9/2019 DEWI NANDAWATI SC 02.04.95 SAB DR.RIZAL DARA √ ─
50 14/9/2019 LUSIATI SC 02.04.94 SAB DR.RIZAL DARA √ ─
51 14/9/2019 HELMILDA KURETASE 02.04.48 DR.RIZAL DARA √ ─
52 15/9/2019 SITI RAMAZHAN SC 02.05.08 SAB DR.RIZAL MUSTAFA √ ─
53 15/9/2019 AMIR HUSEN DEBRIDEMENT 02.05.19 TIVA DR.RIZAL MUSTAFA √ ─
54 15/9/2019 YUNITA SC 02.05.20 SAB DR.RIZAL MUSTAFA √ ─
55 16/9/2019 LILIS RITAWATI SC 02.05.21 SAB DR.RIZAL MUSTAFA √ ─
56 16/9/2019 SANTI MAULIZAR SC 02.05.28 SAB DR.RIZAL MUSTAFA √ ─
57 16/9/2019 EVA SUANA KURETASE 02.05.35 √ ─
58 16/9/2019 MELLA JUNIKA SC 02.05.41 SAB DR.RIZAL MUSTAFA √ ─
59 16/9/2019 IZRA MAITA SC 02.05.31 SAB DR.RIZAL DARA √ ─
60 17/9/2019 HAFSAH SC 02.05.99 SAB DR.RIZAL DARA √ ─
61 17/9/2019 DESI ARWENDA SC 02.05.90 SAB DR.RIZAL DARA √ ─
62 17/9/2019 NOVA SARI SC 02.05.93 SAB DR.RIZAL DARA √ ─
63 17/9/2019 MAHZALENA SC 02.05.89 SAB DR.RIZAL DARA √ ─
64 17/9/2019 JULIATI KURETASE 02.06.07 √ ─
65 17/9/2019 MARLINA SC 02.06.08 SAB DR.RIZAL DARA √ ─
66 18/9/2019 NAZARIAH SC 01.92.29 SAB DR.RIZAL MUSTAFA √ ─
67 18/9/2019 RATNAWATI SC 02.06.41 SAB DR.RIZAL MUSTAFA √ ─
68 18/9/2019 WARDANI SC 02.06.35 SAB DR.RIZAL MUSTAFA √ ─
69 18/9/2019 NURASIAH SC 02.06.45 SAB DR.RIZAL MUSTAFA √ ─
70 18/9/2019 SRI MAULIDAR KURETASE 02.06.57 √ ─
71 18/9/2019 RESA ARESTA SC 02.06.67 SAB DR.RIZAL MUSTAFA √ ─
72 18/9/2019 SAFRINA SC 02.06.60 SAB DR.RIZAL MUSTAFA √ ─
73 18/9/2019 DARMAWATI SC 02.06.76 SAB DR.RIZAL DARA √ ─
74 19/9/2019 NANDA YULISA SC 01.45.17 SAB DR.RIZAL DARA √ ─
75 19/9/2019 ZAHRA SC 01.14.57 SAB DR.RIZAL DARA √ ─
76 19/9/2019 MUTIANI KURETASE 02.07.01 DR.RIZAL DARA √ ─
77 19/9/2019 SAFRIDAYATI SC 02.06.92 SAB DR.RIZAL DARA √ ─
78 19/9/2019 PUTRI BALKIS SC 18.09.64 SAB DR.RIZAL DARA √ ─
79 20/9/2019 MUTHMAINNAH SC 18.14.61 SAB DR.RIZAL DARA √ ─
80 20/9/2019 AYU WANDIRA EXSISI 02.05.44 TIVA DR.RIZAL MUSTAFA √ ─
81 20/9/2019 MURZALIFAH SC 02.07.34 SAB DR.RIZAL MUSTAFA √ ─
82 20/9/2019 MAULIDAR SC 02.07.28 SAB DR.RIZAL MUSTAFA √ ─
83 20/9/2019 SITI AMINAH SC 02.07.47 SAB DR.RIZAL MUSTAFA √ ─
84 21/9/2019 MARLINA EXSISI 02.06.94 TIVA DR.RIZAL MUSTAFA √ ─
85 22/9/2019 MAHDALENA SC 02.07.65 SAB DR.RIZAL MUSTAFA √ ─
86 22/9/2019 NURHAYATI SC 02.07.79 SAB DR.RIZAL MUSTAFA √ ─
87 22/9/2019 NURLAILI KURETASE 02.07.71 √ ─
88 23/9/2019 NOVA YANTI SC 01.88.36 SAB DR.RIZAL DARA √ ─
89 23/9/2019 AMMIATI SC 02.07.83 SAB DR.RIZAL DARA √ ─
90 24/9/2019 NURUL HIDAYAH KURETASE 02.07.76 √ ─
91 24/9/2019 DARNITA SC 02.08.34 SAB DR.RIZAL DARA √ ─
92 24/9/2019 MAULINA SC 02.08.31 SAB DR.RIZAL DARA √ ─
93 24/9/2019 KASMAWATI SC 02.08.37 SAB DR.RIZAL DARA √ ─
94 25/9/2019 SYAFRANI SC 02.08.68 SAB DR.RIZAL MUSTAFA √ ─
95 26/9/2019 ANIDAR SC 02.08.83 SAB DR.RIZAL MUSTAFA √ ─
 96 26/9/2019 SURYATI SC 02.02.09 SAB DR.RIZAL MUSTAFA √ ─
97 26/9/2019 ULYA AFNA SC 02.09.10 SAB DR.RIZAL MUSTAFA √ ─
98 26/9/2019 JUNITA ZAHRA SC 02.09.42 SAB DR.RIZAL MUSTAFA √ ─
99 26/9/2019 SUCI AMANDA SC 02.07.78 SAB DR.RIZAL MUSTAFA √ ─
100 27/9/2019 JULIANA DEBRIDEMENT 01.97.04 TIVA DR.RIZAL MUSTAFA √ ─
101 27/9/2019 NURLAILI SC 02.09.60 SAB DR.RIZAL DARA √ ─
102 28/9/2019 SABARIAH SC 18.05.85 SAB DR.RIZAL DARA √ ─
103 28/9/2019 YULIA RAHMI SC 01.72.84 SAB DR.RIZAL DARA √ ─
104 28/9/2019 AZHARA UMAR SC 02.09.87 SAB DR.RIZAL DARA √ ─
105 28/9/2019 FITRIYANI SC 02.09.75 SAB DR.RIZAL DARA √ ─
106 28/9/2019 SAFRINA KURETASE 01.68.30 √ ─
107 28/9/2019 FITRIANI RASYID SC 01.86.86 SAB DR.RIZAL DARA √ ─
108 29/9/2019 ISNA MAULIDA SC 02.10.09 SAB DR.RIZAL MUSTAFA √ ─
109 29/9/2019 SAFRINA KURETASE 02.10.19 √ ─
110 29/9/2019 KHARIL ANTONI DEBRIDEMENT 02.10.10 TIVA DR.RIZAL MUSTAFA √ ─
111 29/9/2019 NUR AZIZAH KURETASE 02.10.14 DR.RIZAL MUSTAFA √ ─
112 29/9/2019 NURUL KHAMARI KURETASE 02.09.92 √ ─
113 29/9/2019 FADRIANA SC 02.10.27 SAB DR.RIZAL MUSTAFA √ ─
114 30/9/2019 RAHMADANI SKUNDER HRATING 01.92.68 TIVA DR.RIZAL MUSTAFA √ ─
115 30/9/2019 ZULFAHMI EXSISI 02.10.66 TIVA DR.RIZAL DARA √ ─
116 30/9/2019 ZURAIDAH KURETASE 02.10.69 √ ─