Tabel 3.

Ketersediaan Fasilitas Hand Hygiene

Tersedia air Tersedia Hand Tersedia Sabun

No Profesi Tersedia Wastafel
mengalir Scrub antiseptik

1 POLI
2 IGD
3 OK
4 Rawat Inap
6 Laboratorium
7 Gizi
8 Radiology
9 Farmasi
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
 Tersedia tempat
TERSEDIA Tissue
sampah jon medis

√ √
√ √
√ √
√ √
√ √
√ √
√ √
√ √
Tabel 4. Angka kepatuhan Hand Hygiene berdasarkan 5 moment
Januari Januari
Moment
No Profesi Rata-Rata No
1 2 3 4 5
1 Dokter 20% 20% 20% 60% 1
2 IGD 20% 20% 20% 20% 20% 100% 2
3 OK 20% 20% 20% 20% 20% 100% 3
4 Rawat Inap 20% 20% 20% 20% 20% 100% 4
5 Bidan 20% 20% 20% 20% 20% 100% 5
6 Laboratorium 20% 20% 20% 60% 6
7 Gizi 20% 20% 20% 60% 7
8 Radiology 20% 20% 20% 60% 8
9 Non Medis 20% 20% 20% 60% 9

Februari Februari
Moment No
No Profesi Rata-Rata
1 2 3 4 5
1 Dokter 20% 20% 40% 1
2 IGD 20% 20% 20% 20% 20% 100% 2
3 OK 20% 20% 20% 20% 20% 100% 3
4 Rawat Inap 20% 20% 20% 20% 20% 100% 4
5 Bidan 20% 20% 20% 20% 20% 100% 5
6 Laboratorium 20% 20% 20% 20% 20% 100% 6
7 Gizi 20% 20% 20% 60% 7
8 Radiology 20% 20% 20% 60% 8
9 Non Medis 20% 20% 40% 9

Maret Maret
Moment No
No Profesi Rata-Rata
1 2 3 4 5
1 Dokter 20% 20% 20% 60% 1
2 IGD 20% 20% 20% 20% 20% 100% 2
3 OK 20% 20% 20% 20% 20% 100% 3
4 Rawat Inap 20% 20% 20% 20% 80% 4
5 Bidan 20% 20% 20% 20% 20% 100% 5
6 Laboratorium 20% 20% 40% 6
7 Gizi 20% 20% 40% 7
8 Radiology 20% 20% 40% 8
9 Non Medis 20% 20% 40% 9

Moment
Profesi BLN
1 2 3 4 5
20% 20% 20%
JAN
20% 20% 20% 20% 20%
Dokter
 20% 20%
Dokter FEB
20% 20% 20%
20% 20% 20%
MAR
20% 20% 20%
20% 20% 20% 20% 20%
JAN
20% 20% 20% 20% 20%
20% 20% 20% 20% 20%
IGD FEB
20% 20% 20% 20% 20%
20% 20% 20% 20% 20%
MAR
20% 20% 20% 20% 20%
20% 20% 20% 20% 20%
JAN
20% 20% 20% 20% 20%
20% 20% 20% 20% 20%
OK FEB
20% 20% 20% 20% 20%
20% 20% 20% 20% 20%
MAR
20% 20% 20% 20% 20%
20% 20% 20% 20% 20%
JAN
20% 20% 20% 20% 20%
20% 20% 20% 20% 20%
Rawat Inap FEB
20% 20% 20% 20% 20%
20% 20% 20% 20%
MAR
20% 20% 20% 20% 20%
20% 20% 20% 20% 20%
JAN
20% 20% 20% 20% 20%
20% 20% 20% 20% 20%
Bidan FEB
20% 20% 20% 20% 20%
20% 20% 20% 20% 20%
MAR
20% 20% 20% 20%
20% 20% 20%
JAN
20% 20% 20%
20% 20% 20% 20% 20%
Laboratorium FEB
20% 20% 20%
20% 20%
MAR
20% 20% 20%
20% 20% 20%
JAN
20% 20% 20%
20% 20% 20%
Gizi FEB
20% 20% 20%
20% 20%
MAR
20% 20%
20% 20% 20%
JAN
20% 20% 20%
20% 20% 20%
Radiology FEB
20% 20% 20%
20% 20%
MAR
Radiology

MAR
20% 20%
20% 20% 20%
JAN
20% 20%
20% 20% 20%
Non Medis FEB
20% 20% 20%
20% 20%
MAR
20% 20%
860% 5.2 6.2 1080% 980%
Januari
Moment Moment
Profesi Rata-Rata Profesi
1 2 3 4 5 1 2 3
Dokter 20% 20% 20% 20% 20% 100% 20%
IGD 20% 20% 20% 20% 20% 100% Dokter 20% 20% 20%
OK 20% 20% 20% 20% 20% 100% 80%
Rawat Inap 20% 20% 20% 20% 20% 100% 20% 20% 20%
Bidan 20% 20% 20% 20% 20% 100% IGD 20% 20% 20%
Laboratorium 20% 20% 20% 60% 100%
Gizi 20% 20% 20% 60% 20% 20% 20%
Radiology 20% 20% 20% 60% OK 20% 20% 20%
Non Medis 20% 20% 20% 60% 100%
20% 20% 20%
Februari Rawat Inap 20% 20% 20%
Profesi Moment Rata-Rata 100%
1 2 3 4 5 20% 20% 20%
Dokter 20% 20% 20% 60% Bidan 20% 20% 20%
IGD 20% 20% 20% 20% 20% 100% 100%
OK 20% 20% 20% 20% 20% 100% 20% 20%
Rawat Inap 20% 20% 20% 20% 20% 100% Laboratorium 20% 20%
Bidan 20% 20% 20% 20% 20% 100% 60%
Laboratorium 20% 20% 20% 60% 20%
Gizi 20% 20% 20% 60% Gizi 20%
Radiology 20% 20% 20% 60% 60%
Non Medis 20% 20% 20% 60% 20%
Radiology 20%
Maret 60%
Profesi Moment Rata-Rata 20%
1 2 3 4 5 Non Medis 20%
Dokter 20% 20% 20% 60% 60%
IGD 20% 20% 20% 20% 80%
OK 20% 20% 20% 20% 20% 100%
Rawat Inap 20% 20% 20% 20% 20% 100%
Bidan 20% 20% 20% 20% 80%
Laboratorium 20% 20% 20% 60%
Gizi 20% 20% 40%
Radiology 20% 20% 40%
Non Medis 20% 20% 40%
Moment
Rata-Rata MOMENT Rata-Rata
4 5
20% 20% 60% 1 0%
20% 20% 100% 2 0%
80% 3 0%
20% 20% 100% 4 0%
20% 20% 100% 5 0%
100%
20% 20% 100%
20% 20% 100%
100%
20% 20% 100%
20% 20% 100%
100%
20% 20% 100%
20% 20% 100%
100%
20% 60%
20% 60%
60%
20% 20% 60%
20% 20% 60%
60%
20% 20% 60%
20% 20% 60%
60%
20% 20% 60%
20% 20% 60%
60%
 Periode : JANUARI 2022
No Nama Karyawan Profesi Scoring Rata-Rata
1 dr.Adang Dokter 85%
85%
2 dr.Nisma Dokter 85%
3 Rimawati Perawat IGD 100%
100%
4 Fitriana Perawat IGD 100%
5 Susi F Perawat OK 100% 100%
6 Khairunnita Perawat Ranap 100%
100%
7 Narti.S Perawat Ranap 100%
8 Alma Bidan 100%
100%
9 Dhanik Bidan 100%
10 Aisyah Analis Lab 85%
85%
11 Dewi Analis Lab 85%
12 Panji Radiografer 77% 77%
13 Rizki Gizi ( Pantri ) 85%
85%
14 Maey Gizi ( Pantri ) 85%
15 Taufik Non Medis 85% Tabel 2. Angka kepatuha
16 Murni Non Medis 85% 85% JANUARI - MARET
17 Yasin Non Medis 85% No
91% 1
Periode : FEBRUARI 2022 2
No Nama Karyawan Profesi Scoring Rata-Rata 3
1 dr.Nisma Dokter 85% 4
77%
2 dr.Afrizal Dokter 69% 5
3 Rimawati Perawat IGD 100% 6
4 Sarina Perawat IGD 100% 7
5 Fitriana Perawat IGD 100% 8
100%
6 Dwi.H Perawat IGD 100% 9
7 Yatrina Perawat IGD 100%
8 Anzel Perawat IGD 100%
9 Wilson Perawat OK 100% 100% Angka
10 100% 100%
11
Yenni
Eni
Perawat Ranap
Bidan 100%
b
12 Alma Bidan 100% 100% J
13 Dhanik Bidan 100%
14 Aisyah Analis Lab 100%
100%
15 Dewi Analis Lab 100%
16 Panji Radiografer 77% 77% 100% 100%
82%
17 Rizki Gizi ( Pantri ) 85%
85%
18 Maey Gizi ( Pantri ) 85%
19 Agus Non Medis 85% er GD K
okt tI atO
D a w
20 Murni Non Medis 85% ra
w ra
21 69%
81% Pe Pe
Yaser Non Medis r
Pe
 er D OK
okt t IG
at
D wa ra
w
81% era e
P P r
Pe
22 Yasin Non Medis 85%
91%

Periode : MARET 2022 Tabel 2. Angka kepatuha

No Nama Karyawan Profesi Scoring Rata-Rata APRIL - JUNI
1 dr.Nisma Dokter 85% No
85%
2 dr.Devi Dokter 85% 1
3 Rimawati Perawat IGD 100% 2
4 Riska Perawat IGD 100% 3
100%
5 Riski Perawat IGD 100% 4
6 Meggi Perawat IGD 100% 5
7 April Perawat OK 100% 100% 6
8 Yenni Perawat Ranap 100% 7
89%
9 Winni Perawat Ranap 77% 8
10 Alma Bidan 100% 9
100%
11 Dhanik Bidan 100%
12 Dewi Analis Lab 69% 69%
13 Panji Radiografer 77% 77%
14 Rizki Gizi ( Pantri ) 85%
85%
15 Maey Gizi ( Pantri ) 85%
16 Malik Non Medis 62%
62%
17 Taufik Non Medis 62%
85%
Periode : APRIL 2022
No Nama Karyawan Profesi Scoring Rata-Rata
1 dr.Nisma Dokter 85%
85%
2 dr.Devi Dokter 85%
3 Rimawati Perawat IGD 100%
4 Sumarni Perawat IGD 100% 92%
5 Putri Perawat IGD 77%
6 Wilson Perawat OK 100% 100%
7 Andi Perawat Ranap 77%
8 Eris Perawat Ranap 100% 92%
9 Yenni Perawat Ranap 100%
10 Eni Bidan 100%
100%
11 Dhanik Bidan 100%
12 Yusrina Analis Lab 69% 69%
13 Panji Radiografer 85% 85%
14 Rizki Gizi ( Pantri ) 85% 85%
15 Eva Non Medis 69%
16 Onat Non Medis 69%
17 Agus Non Medis 69%
77%
18 Rahman Non Medis 85%
19 Malik Non Medis 85%
20 Murni Non Medis 85%
 87%

Periode : MEI 2022

No Nama Karyawan Profesi Scoring Rata-Rata
1 dr.Nisma Dokter 85%
85%
2 dr.Adang Dokter 85%
3 Rimawati Perawat IGD 100%
4 Sumarni Perawat IGD 100% 92%
5 Fitri Perawat IGD 77%
6 Erwin Perawat OK 100% 100%
7 Meili Perawat Ranap 77%
8 Eris Perawat Ranap 100% 92%
9 Yenni Perawat Ranap 100%
10 Ami Bidan 100%
100%
11 Dhanik Bidan 100%
12 Aisyah Analis Lab 69% 69%
13 Panji Radiografer 77% 77%
14 Mey Gizi ( Pantri ) 85% 85%
15 Yasin Non Medis 85%
16 Onat Non Medis 62%
17 Agus Non Medis 62%
77%
18 Catur Non Medis 85%
19 Malik Non Medis 85%
20 Murni Non Medis 85%
86%

Periode : JUNI 2022

No Nama Karyawan Profesi Scoring Rata-Rata
1 dr. Afrizal Dokter 85%
85%
2 dr. Devi Dokter 85%
3 Meggi Perawat IGD 98%
4 Yatrina Perawat IGD 100% 92%
5 Putri Perawat IGD 77%
6 Susi Perawat OK 100% 100%
7 Nita Perawat Ranap 77%
8 Andi Perawat Ranap 85% 87%
9 Hesti Perawat Ranap 100%
10 Mey Bidan 100%
100%
11 Ami Bidan 95%
12 Jayanti Analis Lab 75% 75%
13 Panji Radiografer 77% 77%
14 Rizky Gizi ( Pantri ) 85% 85%
15 Eva Non Medis 85%
16 Onat Non Medis 77%
17 Yaser Non Medis 69%
81%
18 Rahman Non Medis 85%
19 Malik Non Medis 85%
20 Akbar Non Medis 85%
87%

Periode : JULI 2022

No Nama Karyawan Profesi Scoring Rata-Rata
1 dr.Nisma Dokter 85%
80%
2 dr. Malikinnas Dokter 75%
3 Rimawati Perawat IGD 100%
4 Vera Perawat IGD 85%
5 Fitriana Perawat IGD 100%
98%
6 sumarni Perawat IGD 100%
7 Yayuk Perawat IGD 100%
8 Anzel Perawat IGD 100%
9 April Perawat OK 100% 100%
10 Narti Perawat Ranap 100% 100%
11 Eni Bidan 85%
12 Alma Bidan 100% 95%
13 Sera Bidan 100%
14 Rina Analis Lab 77%
81%
15 Dewi Analis Lab 85%
16 Afifah Radiografer 86% 86%
17 Rizki Gizi ( Pantri ) 85%
85%
18 Maey Gizi ( Pantri ) 85%
19 Agus Non Medis 85%
20 Suardi Non Medis 85%
81%
21 Taufiq Non Medis 69%
22 Yasin Non Medis 85%
90%
 RATA-RATA ANGKA KEPATUHAN HAND HYGIENE
Angka
Bulan Kepatuhan Rata-Rata
Hand Hygiene
Januari 91%
Februari 91% 89%
Maret 85%
April 87%
Mei 86% 87%
Juni 87%
Juli 90%
Agustus 0% 30%
September 0%
Oktober 0%
November 0% 0%
Desember 0%

Tabel 2. Angka kepatuhan hand hygiene berdasarkan profesi

JANUARI - MARET
Profesi Januari Februari Maret Rata-Rata
Dokter 85% 77% 85% 82%
Perawat IGD 100% 100% 100% 100%
Perawat OK 100% 100% 100% 100%
Perawat RANAP 100% 100% 89% 96%
Bidan 100% 100% 100% 100%
Laboratorium 85% 100% 69% 85%
Gizi 85% 85% 85% 85%
Radiology 77% 77% 77% 77%
Non Medis 85% 81% 62% 76%

Angka kepatuhan hand hygiene

berdasarkan profesi
Januari - Maret 2022

100% 100% 96% 100% 85% 85%

82% 77% 76%

er GD K P n m zi y is
kt tI tO NA da riu Gi og ed
Do a a A Bi o iol M
w ra
w
at
R at d n
ra
bo
r Ra No
Pe Pe ra
w
La
Pe
 er D OK AP n m zi gy is
kt IG t N da iu Gi lo ed
o t a RA Bi or o
D wa ra
w ra
t di n
M
era e wat
bo Ra No
P P ra La
Pe

Tabel 2. Angka kepatuhan hand hygiene berdasarkan profesi

APRIL - JUNI
Profesi April Mei Juni Rata-Rata
Dokter 85% 85% 85% 85%
Perawat IGD 92% 92% 92% 92%
Perawat OK 100% 100% 100% 100%
Perawat RANAP 92% 92% 87% 90%
Bidan 100% 100% 100% 100%
Laboratorium 69% 69% 75% 71%
Gizi 85% 77% 77% 80%
Radiology 85% 85% 85% 85%
Non Medis 77% 77% 81% 78%
Angka Kepatuhan Hand Hygiene berdasarkan Moment

Periode : JANUARI 2022

Five Moment
Nama Karyawan Profesi
1 2 3 4 5
dr.Adang Dokter 1 1 1
dr.Nisma Dokter 1 1 1
Rimawati Perawat IGD 1 1 1 1 1
Fitriana Perawat IGD 1 1 1 1 1
Susi F Perawat OK 1 1 1 1 1
Khairunnita Perawat Ranap 1 1 1 1 1
Narti.S Perawat Ranap 1 1 1 1 1
Alma Bidan 1 1 1 1 1
Dhanik Bidan 1 1 1 1 1
Aisyah Analis Lab 1 1 1
Dewi Analis Lab 1 1 1
Panji Radiografer 1 1
Rizki Gizi ( Pantri ) 1 1 1
Maey Gizi ( Pantri ) 1 1 1
Taufik Non Medis 1 1 1
Murni Non Medis 1 1 1
Yasin Non Medis 1 1 1
14 7 11 17 15
Periode : FEBRUARI 2022
Five Moment
Nama Karyawan Profesi
1 2 3 4 5
dr.Nisma Dokter 1 1 1
dr.Afrizal Dokter 1 1
Rimawati Perawat IGD 1 1 1 1 1
Sarina Perawat IGD 1 1 1 1 1
Fitriana Perawat IGD 1 1 1 1 1
Dwi.H Perawat IGD 1 1 1 1 1
Yatrina Perawat IGD 1 1 1 1 1
Anzel Perawat IGD 1 1 1 1 1
Wilson Perawat OK 1 1 1 1 1
Yenni Perawat Ranap 1 1 1 1 1
Eni Bidan 1 1 1 1 1
Alma Bidan 1 1 1 1 1
Dhanik Bidan 1 1 1 1 1
Aisyah Analis Lab 1 1 1 1 1
Dewi Analis Lab 1 1 1 1 1
Panji Radiografer 1 1 1
Rizki Gizi ( Pantri ) 1 1 1 1 1
Maey Gizi ( Pantri ) 1 1 1 1 1
Agus Non Medis 1 1
 Murni Non Medis 1 1 1
Yaser Non Medis 1 1 1 1 1
Yasin Non Medis 1 1 1
20 16 16 22 22

Periode : MARET 2022

Five Moment
Nama Karyawan Profesi
1 2 3 4 5
dr.Nisma Dokter 1 1 1
dr.Devi Dokter 1 1 1
Rimawati Perawat IGD 1 1 1 1
Riska Perawat IGD 1 1 1 1
Riski Perawat IGD 1 1 1 1
Meggi Perawat IGD 1 1 1 1
April Perawat OK 1 1 1 1
Yenni Perawat Ranap 1 1 1 1
Winni Perawat Ranap 1 1 1
Alma Bidan 1 1 1 1
Dhanik Bidan 1 1 1 1
Dewi Analis Lab 1 1
Panji Radiografer 1 1
Rizki Gizi ( Pantri ) 1 1 1
Maey Gizi ( Pantri ) 1 1 1
Malik Non Medis 1
Taufik Non Medis 1
12 0 10 15 16
Periode : APRIL 2022
Five Moment
Nama Karyawan Profesi
1 2 3 4 5
dr.Nisma Dokter 1 1 1
dr.Devi Dokter 1 1 1
Rimawati Perawat IGD 1 1 1 1 1
Sumarni Perawat IGD 1 1 1 1 1
Putri Perawat IGD 1 1 1
Wilson Perawat OK 1 1 1 1 1
Andi Perawat Ranap 1 1 1
Eris Perawat Ranap 1 1 1 1 1
Yenni Perawat Ranap 1 1 1 1 1
Eni Bidan 1 1 1 1 1
Dhanik Bidan 1 1 1 1 1
Yusrina Analis Lab 1 1 1 1
Panji Radiografer 1 1 1
Rizki Gizi ( Pantri ) 1 1 1 1 1
Eva Non Medis 1 1
Onat Non Medis 1 1
 Agus Non Medis 1 1
Rahman Non Medis 1 1 1
Malik Non Medis 1 1 1
Murni Non Medis 1 1 1
15 8 11 20 20

Periode : MEI 2022

Five Moment
Nama Karyawan Profesi
1 2 3 4 5
dr.Nisma Dokter 1 1 1
dr.Adang Dokter 1 1 1
Rimawati Perawat IGD 1 1 1 1 1
Sumarni Perawat IGD 1 1 1 1 1
Fitri Perawat IGD 1 1 1 1 1
Erwin Perawat OK 1 1 1 1 1
Meili Perawat Ranap 1 1 1
Eris Perawat Ranap 1 1 1 1 1
Yenni Perawat Ranap 1 1 1 1 1
Ami Bidan 1 1 1 1 1
Dhanik Bidan 1 1 1 1 1
Aisyah Analis Lab 1 1 1 1
Panji Radiografer 1 1 1
Mey Gizi ( Pantri ) 1 1 1 1 1
Yasin Non Medis 1 1
Onat Non Medis 1 1
Agus Non Medis 1 1
Catur Non Medis 1 1 1
Malik Non Medis 1 1 1
Murni Non Medis 1 1 1
16 9 11 20 20

Periode : JUNI 2022

Five Moment
Nama Karyawan Profesi
1 2 3 4 5
dr. Afrizal Dokter 1 1 1
dr. Devi Dokter 1 1 1
Meggi Perawat IGD 1 1 1 1 1
Yatrina Perawat IGD 1 1 1 1 1
Putri Perawat IGD 1 1 1 1 1
Susi Perawat OK 1 1 1 1 1
Nita Perawat Ranap 1 1 1
Andi Perawat Ranap 1 1 1 1 1
Hesti Perawat Ranap 1 1 1 1 1
Mey Bidan 1 1 1 1 1
 Ami Bidan 1 1 1 1 1
Jayanti Analis Lab 1 1 1 1
Panji Radiografer 1 1 1
Rizky Gizi ( Pantri ) 1 1 1 1 1
Eva Non Medis 1 1 1
Onat Non Medis 1 1
Yaser Non Medis 1 1
Rahman Non Medis 1 1 1
Malik Non Medis 1 1 1
Akbar Non Medis 1 1 1
17 9 11 20 20
 Five Moment
1 2 3 4 5
46 23 37 54 53
 Five Moment
1 2 3 4 5
48 26 33 60 3
Periode : JANUARI 2022
Five Opportunites Action1
Jumlah PX yang Moment
Nama Karyawan Profesi
dilayani
1 2 3 4 5 (kesempatan) Handwash
dr.Adang Dokter 7 1 1 1 7 0
dr.Nisma Dokter 13 1 1 1 13 0
Rimawati Perawat IGD 13 1 1 1 1 1 13 13
Fitriana Perawat IGD 13 1 1 1 1 1 13 13
Susi F Perawat OK 1 1 1 1 1 1 1 1
Khairunnita Perawat Ranap 10 1 1 1 1 1 10 0
Narti.S Perawat Ranap 10 1 1 1 1 1 10 10
Alma Bidan 1 1 1 1 1 1 1 1
Dhanik Bidan 1 1 1 1 1 1 1 0
Aisyah Analis Lab 15 1 1 1 15 0
Dewi Analis Lab 17 1 1 1 17 0
Panji Radiografer 4 1 1 4 0
Rizki Gizi ( Pantri ) 10 1 1 1 10 1
Maey Gizi ( Pantri ) 10 1 1 1 10 1
Taufik Non Medis 3 1 1 1 3 0
Murni Non Medis 3 1 1 1 3 0
Yaser Non Medis 1 1 1 1 1 0

Periode :FEBRUARI 2022

Five
Opportunites Action1
Jumlah PX yang Moment
Nama Karyawan Profesi
dilayani 1 2 3 4 5 (kesempatan) Handwash

dr.Nisma Dokter 2 1 1 1 2 0
dr.Afrizal Dokter 8 1 1 8 0
Rimawati Perawat IGD 8 1 1 1 1 1 8 0
Sarina Perawat IGD 8 1 1 1 1 1 8 0
Fitriana Perawat IGD 8 1 1 1 1 1 8 0
Dwi.H Perawat IGD 8 1 1 1 1 1 8 0
Yatrina 0 1 1 1 1 1 0 0
POLI
Anzel 0 1 1 1 1 1 0 0
Wilson Perawat OK 3 1 1 1 1 1 3 3
Yenni Perawat Ranap 17 1 1 1 1 1 17 0
Eni Bidan 17 1 1 1 1 1 17 0
Alma Bidan 1 1 1 1 1 1 1 0
Dhanik Bidan 0 1 1 1 1 1 0 0
Aisyah Analis Lab 10 1 1 1 1 1 10 0
Dewi Analis Lab 8 1 1 1 1 1 8 0
Panji Radiografer 1 1 1 1 1 0
Rizki Gizi ( Pantri ) 17 1 1 1 17 0
 Maey Gizi ( Pantri ) 17 1 1 1 17 0
Agus Non Medis 1 1 1 1 0
Murni Non Medis 1 1 1 1 1 0
Yaser Non Medis 1 1 1 1 1 1 1 0
Yasin Non Medis 1 1 1 1 1 0

Periode :MARET 2022

Five
Opportunites Action1
Jumlah PX yang Moment
Nama Karyawan Profesi
dilayani 1 2 3 4 5 (kesempatan) Handwash
dr.Nisma Dokter 4 1 1 1 4 0
dr.Devi Dokter 6 1 1 1 6 0
Rimawati Perawat IGD 6 1 1
1 1 1 6 0
Riska Perawat IGD 6 1 1
1 1 1 6 0
Riski Perawat IGD 6 1 1
1 1 1 6 0
Meggi Perawat IGD 6 1 1
1 1 1 6 6
April Perawat OK 0 1 1
1 1 0 0
Yenni Perawat Ranap 10 1 1
1 1 1 10 0
Winni Perawat Ranap 10 1 1 1 10 0
Alma Bidan 1 1 1 1 1 1 1 0
Dhanik Bidan 1 1 1 1 1 1 1 0
Dewi Analis Lab 22 1 1 22 0
Panji Radiografer 2 1 1 2 0
Rizki Gizi ( Pantri ) 10 1 1 1 10 1
Maey Gizi ( Pantri ) 10 1 1 1 10 1
Malik Non Medis 3 1 3 0
Taufik Non Medis 2 1 2 0

Periode :APRIL 2022

Five
Opportunites Action1
Jumlah PX yang Moment
Nama Karyawan Profesi
dilayani 1 2 3 4 5 (kesempatan) Handwash

dr.Nisma Dokter 8 1 1 1 8 0
dr.Devi Dokter 2 1 1 1 2 0
Rimawati Perawat IGD 8 1 1 1 1 1 8 0
Sumarni Perawat IGD 8 1 1 1 1 1 8 0
Putri Perawat IGD 8 1 1 1 8 0
Wilson Perawat OK 3 1 1 1 1 1 3 0
Andi Perawat Ranap 17 1 1 1 17 0
Eris Perawat Ranap 17 1 1 1 1 1 17 0
Yenni Perawat Ranap 17 1 1 1 1 1 17 0
Eni Bidan 3 1 1 1 1 1 3 0
Dhanik Bidan 2 1 1 1 1 1 2 0
Yusrina Analis Lab 8 1 1 1 1 8 0
 Panji Radiografer 3 1 1 1 3 0
Rizki Gizi ( Pantri ) 17 1 1 1 1 1 17 0
Eva Non Medis 1 1 1 1 0
Onat Non Medis 1 1 1 1 0
Agus Non Medis 1 1 1 1 0
Rahman Non Medis 1 1 1 1 1 0
Malik Non Medis 1 1 1 1 1 0
Murni Non Medis 1 1 1 1 1 0

Periode :MEI 2022

Five
Opportunites Action1
Jumlah PX yang Moment
Nama Karyawan Profesi
dilayani 1 2 3 4 5 (kesempatan) Handwash

dr.Nisma Dokter 7 1 1 1 7 0
dr.Adang Dokter 11 1 1 1 11 0
Rimawati Perawat IGD 11 1 1 1 1 1 11 0
Sumarni Perawat IGD 11 1 1 1 1 1 11 0
Fitri Perawat IGD 11 1 1 1 11 0
Erwin Perawat OK 3 1 1 1 1 1 3 0
Meili Perawat Ranap 18 1 1 1 18 0
Eris Perawat Ranap 18 1 1 1 1 1 18 0
Yenni Perawat Ranap 18 1 1 1 1 1 18 0
Ami Bidan 2 1 1 1 1 1 2 0
Dhanik Bidan 2 1 1 1 1 1 2 0
Aisyah Analis Lab 8 1 1 1 1 8 0
Panji Radiografer 5 1 1 1 5 0
Mey Gizi ( Pantri ) 18 1 1 1 1 1 18 0
Yasin Non Medis 1 1 1 1 0
Onat Non Medis 1 1 1 1 0
Agus Non Medis 1 1 1 1 0
Catur Non Medis 2 1 1 1 2 0
Malik Non Medis 2 1 1 1 2 0
Murni Non Medis 1 1 1 1 1 0

Periode :JUNI 2022

Five
Jumlah PX yang Moment Opportunites Action1
Nama Karyawan Profesi
dilayani 1 2 3 4 5 (kesempatan) Handwash
dr. Afrizal Dokter 8 1 1 1 8 0
dr. Devi Dokter 8 1 1 1 8 0
Meggi Perawat IGD 11 1 1 1 1 1 11 0
Yatrina Perawat IGD 11 1 1 1 1 1 11 0
Putri Perawat IGD 11 1 1 1 1 1 11 0
 Susi Perawat OK 4 1 1 1 1 1 4 0
Nita Perawat Ranap 15 1 1 1 15 0
Andi Perawat Ranap 15 1 1 1 1 1 15 0
Hesti Perawat Ranap 15 1 1 1 1 1 15 0
Mey Bidan 2 1 1 1 1 1 2 0
Ami Bidan 2 1 1 1 1 1 2 0
Jayanti Analis Lab 11 1 1 1 1 11 0
Panji Radiografer 5 1 1 1 5 0
Rizky Gizi ( Pantri ) 15 1 1 1 1 1 15 0
Eva Non Medis 1 1 1 1 1 0
Onat Non Medis 1 1 1 1 0
Yaser Non Medis 1 1 1 1 0
Rahman Non Medis 2 1 1 1 2 0
Malik Non Medis 2 1 1 1 2 0
Akbar Non Medis 1 1 1 1 1 0
Action1 Compliance Action2 Compliance Rata-Rata
C=𝐴/𝑂 𝑥 C=𝐴/𝑂 𝑥
Handrub 100% Handwash Handrub 100% Compliance
7 100% 0 7 100%
100%
13 100% 5 8 100%
0 100% 13 0 100%
100%
0 100% 13 0 100%
0 100% 1 0 100% 100%
10 100% 4 6 100%
100%
0 100% 3 7 100%
0 100% 1 0 100%
100%
1 100% 1 0 100%
8 53% 2 8 67%
69%
10 59% 5 7 71%
0 0% 0 4 100% 100%
0 10% 1 4 50%
45%
0 10% 1 3 40%
1 33% 3 0 100%
1 33% 3 0 100% 100%
1 100% 0 1 100%
90%

Action1 Compliance Action Compliance Rata-Rata

Handrub C=𝐴/𝑂 𝑥 Handwash Handrub C=𝐴/𝑂 𝑥 Compliance
100% 100%
2 100% 0 2 100%
88%
0 0% 6 0 75%
7 88% 3 4 88%
7 88% 2 5 88%
88%
6 75% 3 3 75%
8 100% 5 3 100%
0 0% 0 0 0%
0%
0 0% 0 0 0%
0 100% 3 0 100% 100%
10 59% 10 5 88%
79%
7 41% 5 7 71%
1 100% 1 0 100%
100%
0 0% 0 0 0%
6 60% 0 6 60%
61%
5 63% 0 5 63%
1 100% 0 1 100% 100%
0 0% 1 10 65%
59%
 59%
0 0% 1 8 53%
0 0% 1 0 100%
1 100% 1 0 100%
100%
1 100% 1 0 100%
1 100% 1 0 100%
75%

Action1 Compliance Action Compliance Rata-Rata

Handrub C=𝐴/𝑂 𝑥 Handwash Handrub C=𝐴/𝑂 𝑥 Compliance
100% 100%
3 75% 2 1 75%
88%
6 100% 4 2 100%
6 100% 4 2 100%
6 100% 4 2 100%
100%
6 100% 3 3 100%
0 100% 3 3 100%
0 0% 0 0 0% 0%
10 100% 0 10 100%
85%
0 0% 2 5 70%
1 100% 1 0 100%
100%
1 100% 1 0 100%
0 0% 4 10 64% 64%
0 0% 0 2 100% 100%
0 10% 1 4 50%
55%
0 10% 3 3 60%
0 0% 1 0 33%
67%
0 0% 2 0 100%
73%

Action1 Compliance Action Compliance Rata-Rata

Handrub C=𝐴/𝑂 𝑥 Handwash Handrub C=𝐴/𝑂 𝑥 Compliance
100% 100%
6 75% 0 8 100%
100%
2 100% 0 2 100%
2 25% 6 6 150%
2 25% 6 0 75% 96%
0 0% 5 0 63%
3 100% 3 0 100% 100%
0 0% 15 0 88%
10 59% 10 0 59% 69%
10 59% 10 0 59%
3 100% 3 0 100%
50%
2 100% 2 0 0%
8 100% 8 0 100% 100%
 3 100% 3 0 100% 100%
0 0% 10 0 59% 59%
0 0% 1 0 100%
0 0% 1 0 100%
0 0% 1 0 100%
100%
1 100% 0 1 100%
1 100% 0 1 100%
1 100% 0 1 100%
82%

Action1 Compliance Action Compliance Rata-Rata

Handrub C=𝐴/𝑂 𝑥 Handwash Handrub C=𝐴/𝑂 𝑥 Compliance
100% 100%
6 86% 0 6 86%
61%
4 36% 0 4 36%
8 73% 8 6 127%
7 64% 7 0 64% 94%
5 45% 10 0 91%
3 100% 3 0 100% 100%
0 0% 15 0 83%
11 61% 10 0 56% 65%
10 56% 10 0 56%
2 100% 2 0 100%
50%
2 100% 2 0 0%
8 100% 8 0 100% 100%
3 60% 3 0 60% 60%
0 0% 10 0 56% 56%
0 0% 1 0 100%
0 0% 1 0 100%
0 0% 1 0 100%
83%
1 50% 0 1 50%
1 50% 0 1 50%
1 100% 0 1 100%
73%

Action1 Compliance Action Compliance Rata-Rata

Handrub Handwash Handrub Compliance
C=𝐴/𝑂 𝑥 C=𝐴/𝑂 𝑥
8 100%
100% 0 7 100%88% 81%
8 100% 0 6 75%
11 100% 9 1 91%
11 100% 7 4 100% 94%
10 91% 10 0 91%
 4 100% 4 0 100% 100%
0 0% 15 0 100%
11 73% 15 0 100% 100%
10 67% 15 0 100%
2 100% 2 0 100%
50%
2 100% 2 0 0%
8 73% 10 0 91% 91%
4 80% 0 5 100% 100%
0 0% 5 10 100% 100%
0 0% 1 0 100%
0 0% 1 0 100%
0 0% 1 0 100%
83%
1 50% 0 1 50%
1 50% 0 1 50%
1 100% 0 1 100%
89%
 JANUARI 2022
Opportunites Action1
KET Profesi
(kesempatan) Handwash
Dokter 20 0
Perawat IGD 13 13
Perawat OK 1 1
Perawat RANAP 20 10
Bidan 2 1
Laboratorium 32 0
Gizi 20 2
Membantu perawat Ranap Radiology 4 0
Membantu perawat Ranap Non Medis 7 0

FEBRUARI 2022
Opportunites Action1
Mengantar Makanan Profesi
(kesempatan) Handwash
Membersihkan muntahan px Dokter 10 0
Membersihkan muntahan px Perawat IGD 32 0
Merujuk px Perawat OK 3 3
Perawat RANAP 34 0
Bidan 1 0
Laboratorium 18 0
Gizi 34 0
KET
0
Radiology 1
Non Medis 4 0

MARET 2022
Profesi Opportunites Action1
(kesempatan) Handwash
Dokter 10 0
Tidak dilakukan Observasi
Perawat IGD 24 6
Perawat OK 0 0
Perawat RANAP 20 0
Membantu perawat Ranap Bidan 2 0
Laboratorium 22 0
Gizi 20 2
Radiology 2 0
Non Medis 5 0

Mengantar Makanan
 Mengantar Makanan
Apr-22
Profesi Opportunites Action1
(kesempatan) Handwash
Membantu transfer px
Dokter 10 0
Perawat IGD 24 0
Perawat OK 3 3
Perawat RANAP 51 0
Bidan 5 0
Laboratorium 8
KET
0
Gizi 17
Radiology 3 0
Non Medis 6 0

May-22
Profesi Opportunites Action1
(kesempatan) Handwash
Dokter 18 0
Perawat IGD 44 0
Perawat OK 3 3
Perawat RANAP 54 0
Bidan 4 4
Laboratorium 8 0
Gizi 18 0
Mengantar Makanan
Radiology 5 0
Non Medis 8 0
Membantu mengantar px

Jun-22
Opportunites Action1
Profesi
(kesempatan) Handwash
KET
0
Dokter 16
Perawat IGD 33 0
Perawat OK 4 0
Perawat RANAP 45 0
Bidan 2 0
Laboratorium 11 0
Gizi 15 0
Radiology 5 0
Non Medis 8 0
 Mengantar Makanan

Membantu mengantar px

KET

Mengantar Makanan

Membantu mengantar px

KET
 Mengantar Makanan

Membantu mengantar px
Action1 Compliance Action2 Compliance
C=𝐴/𝑂 𝑥 C=𝐴/𝑂 𝑥 Hasil
Handrub 100% Handwash Handrub 100%
20 100% 5 15 100% 100%
0 100% 13 0 100% 100%
0 100% 1 0 100% 100%
10 100% 7 13 100% 100%
1 100% 2 0 100% 100%
18 56% 7 15 69% 63%
0 10% 2 7 45% 28%
0 0% 0 4 100% 50%
3 43% 6 1 100% 71%
79%

Action1 Compliance Action2 Compliance

C=𝐴/𝑂 𝑥 C=𝐴/𝑂 𝑥 Hasil
Handrub Handwash Handrub
100% 100%
2 20% 6 2 80% 50%
28 88% 13 15 88% 88%
0 100% 3 0 100% 100%
17 50% 15 12 79% 65%
1 100% 1 0 100% 100%
11 61% 11 61% 61%
0 0% 2 18 59% 29%
1 100% 0 1 100% 100%
3 75% 4 0 100% 88%
76%

Compliance Action2 Compliance

C=𝐴/𝑂 𝑥 C=𝐴/𝑂 𝑥 Hasil
Handrub Handwash Handrub
100% 100%
9 90% 6 3 90% 90%
18 100% 14 10 100% 100%
0 0% 0 0 0% 0%
10 50% 2 15 85% 68%
2 100% 2 0 100% 100%
0 0% 4 10 64% 32%
0 10% 4 7 55% 33%
0 0% 0 2 100% 50%
0 0% 3 0 60% 30%
56%
 Compliance Action2 Compliance
C=𝐴/𝑂 𝑥 C=𝐴/𝑂 𝑥 Hasil
Handrub Handwash Handrub
100% 100%
7 70% 0 7 70% 70%
4 17% 17 6 96% 56%
0 100% 3 0 100% 100%
20 39% 35 0 69% 54%
5 100% 5 0 100% 100%
8 100% 8 0 100% 100%
0 0% 10 0 59% 29%
3 100% 3 0 100% 100%
3 50% 3 3 100% 75%
76%

Compliance Action2 Compliance

C=𝐴/𝑂 𝑥 C=𝐴/𝑂 𝑥 Hasil
Handrub Handwash Handrub
100% 100%
10 56% 0 10 56% 56%
20 45% 25 6 70% 58%
0 100% 3 0 100% 100%
21 39% 35 0 65% 52%
0 100% 4 0 100% 100%
8 100% 8 0 100% 100%
0 0% 10 0 56% 28%
3 60% 3 0 60% 60%
3 38% 3 3 75% 56%
68%

Action1 Compliance Action2 Compliance

Hasil
Handrub Handwash Handrub
C=𝐴/𝑂 𝑥 C=𝐴/𝑂 𝑥
16 100% 100% 0 13 100% 81% 91%

32 97% 26 5 94% 95%

4 100% 4 0 100% 100%
21 47% 45 0 100% 73%
2 100% 2 0 100% 100%
8 73% 10 0 91% 82%
0 0% 0 5 33% 17%
3 60% 0 4 80% 70%
3 38% 6 1 88% 63%
77%
JANUARI-MARET
Opportunites Moment 1,2 Compliance Moment 3,4,5
Profesi C=𝐴/𝑂 𝑥
C=𝐴/𝑂 𝑥
(kesempatan) Handwash Handrub 100% Handwash Handrub 100%
Dokter 40 0 31 78% 17 20
Perawat IGD 69 19 46 94% 40 25
Perawat OK 4 4 0 100% 4 0
Perawat RANAP 74 10 37 64% 24 40
Bidan 5 1 4 100% 5 0
Laboratorium 72 0 29 40% 11 36
Gizi 74 4 0 5% 8 32
Radiology 7 0 1 14% 0 7
Non Medis 16 0 6 38% 13 1
38 154 122 161
192 283

KEPATUHAN 5 MOMENT
Moment 1,2 Handwash Handrub
46
37
31 29
19
10
4 4 4 6
0 0 1 0 0 0 1 0
er GD K P n m zi y is
kt tI tO NA da riu Gi og ed
Do a a A Bi o iol M
w ra
w
at
R at d n
ra bo
r Ra No
Pe Pe ra
w
La
Pe
 Compliance
C=𝐴/𝑂 𝑥 Hasil
100%
93% 85%
94% 94%
100% 100%
86% 75%
100% 100%
65% 53%
54% 30%
100% 57%
88% 63%

KEPATUHAN 5 MOMENT
Moment 3,4,5 Handwash Handrub

25
40

20 36
32
40
24 1
17 11 13
0
4 0
5 8 7
0
er GD OK P n m zi gy is
kt tI NA da iu Gi o ed
o a at A Bi or ol
D
aw w R ra
t di n
M
r ra at Ra
No
Pe Pe w bo
ra La
Pe