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  • Pemantauan Troli Emergency Perinatologi

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    isbiyantoro toro
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    This document contains monitoring forms for the emergency perinatology trolley at RSIA "Harapan Bunda" Hospital from August 2018 to December 2018. The forms track the condition of the trolley, whether it is locked or unlocked, and whether medication/medical supplies were used each day by shift. Staff signatures are included to verify the reports.

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    PERI

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    PEMANTAUAN TROLI EMERGENCY PERINATOLOGI

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    This document contains monitoring forms for the emergency perinatology trolley at RSIA "Harapan Bunda" Hospital from August 2018 to December 2018. The forms track the condition of the trolley, whether it is locked or unlocked, and whether medication/medical supplies were used each day by shift. Staff signatures are included to verify the reports.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    15 views10 pages

    Pemantauan Troli Emergency Perinatologi

    Uploaded by

    isbiyantoro toro
    This document contains monitoring forms for the emergency perinatology trolley at RSIA "Harapan Bunda" Hospital from August 2018 to December 2018. The forms track the condition of the trolley, whether it is locked or unlocked, and whether medication/medical supplies were used each day by shift. Staff signatures are included to verify the reports.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 10

    RUMAH SAKIT IBU DAN ANAK (RSIA)

    “HARAPAN BUNDA”
    Izin No: 440 / 162 / D.02 / P / VI / 2014
    Alamat: Jl. KH. Dewantara No.1269 Pringsewu Kabupaten Pringsewu
    E-mail : rsiahb_2014@yahoo.com Telp / Fax. (0729) 23186

    PEMANTAUAN TROLY EMERGENCY PERINATOLOGI


    BULAN.............................TAHUN

    Kondisi Troli Kondisi Kunci Pemakaian Obat/ Alkes


    Tanggal Dinas PJ Obat Paraf
    Baik Rusak Terkunci Terbuka Ya Tidak
    Shif 1
    1. Shif 2
    Shif 3
    Shif 1
    2. Shif 2
    Shif 3
    Shif 1
    3. Shif 2
    Shif 3
    Shif 1
    4. Shif 2
    Shif 3
    Shif 1
    5. Shif 2
    Shif 3
    Shif 1
    6. Shif 2
    Shif 3
    Shif 1
    7. Shif 2
    Shif 3
    Shif 1
    8. Shif 2
    Shif 3
    Shif 1
    9. Shif 2
    Shif 3
    Shif 1
    10. Shif 2
    Shif 3
    Shif 1
    11. Shif 2
    Shif 3
    Shif 1
    12. Shif 2
    Shif 3
    Shif 1
    13. Shif 2
    Shif 3
    Shif 1
    14. Shif 2
    Shif 3
    Shif 1
    15. Shif 2
    Shif 3
    Shif 1
    16. Shif 2
    Shif 3
    Shif 1
    17. Shif 2
    Shif 3
    18. Shif 1
    Shif 2
    Shif 3
    Shif 1
    19. Shif 2
    Shif 3
    Shif 1
    20. Shif 2
    Shif 3
    Shif 1
    21. Shif 2
    Shif 3
    Shif 1
    22. Shif 2
    Shif 3
    Shif 1
    23. Shif 2
    Shif 3
    Shif 1
    24. Shif 2
    Shif 3
    Shif 1
    25. Shif 2
    Shif 3
    Shif 1
    26. Shif 2
    Shif 3
    Shif 1
    27. Shif 2
    Shif 3
    Shif 1
    28. Shif 2
    Shif 3
    Shif 1
    29. Shif 2
    Shif 3
    Shif 1
    30. Shif 2
    Shif 3
    Shif 1
    31. Shif 2
    Shif 3

    Pringsewu, Agustus 2018

    Mengetahui,
    Penanggung Jawab Obat/ Alkes Kepala Ruang Perinatologi

    ISBIYANTORO,S.Si.Apt BILATIAH,Amd.Kep
    RUMAH SAKIT IBU DAN ANAK (RSIA)
    “HARAPAN BUNDA”
    Izin No: 440 / 162 / D.02 / P / VI / 2014
    Alamat: Jl. KH. Dewantara No.1269 Pringsewu Kabupaten Pringsewu
    E-mail : rsiahb_2014@yahoo.com Telp / Fax. (0729) 23186

    PEMANTAUAN TROLY EMERGENCY PERINATOLOGI BULAN


    SEPTEMBER 2018

    Kondisi Troli Kondisi Kunci Pemakaian Obat/ Alkes


    Tanggal Dinas PJ Obat Paraf
    Baik Rusak Terkunci Terbuka Ya Tidak
    Shif 1
    1. Shif 2
    Shif 3
    Shif 1
    2. Shif 2
    Shif 3
    Shif 1
    3. Shif 2
    Shif 3
    Shif 1
    4. Shif 2
    Shif 3
    Shif 1
    5. Shif 2
    Shif 3
    Shif 1
    6. Shif 2
    Shif 3
    Shif 1
    7. Shif 2
    Shif 3
    Shif 1
    8. Shif 2
    Shif 3
    Shif 1
    9. Shif 2
    Shif 3
    Shif 1
    10. Shif 2
    Shif 3
    Shif 1
    11. Shif 2
    Shif 3
    Shif 1
    12. Shif 2
    Shif 3
    Shif 1
    13. Shif 2
    Shif 3
    Shif 1
    14. Shif 2
    Shif 3
    Shif 1
    15. Shif 2
    Shif 3
    Shif 1
    16. Shif 2
    Shif 3
    Shif 1
    17. Shif 2
    Shif 3
    18. Shif 1
    Shif 2
    Shif 3
    Shif 1
    19. Shif 2
    Shif 3
    Shif 1
    20. Shif 2
    Shif 3
    Shif 1
    21. Shif 2
    Shif 3
    Shif 1
    22. Shif 2
    Shif 3
    Shif 1
    23. Shif 2
    Shif 3
    24. Shif 1
    Shif 2
    Shif 3
    Shif 1
    25. Shif 2
    Shif 3
    Shif 1
    26. Shif 2
    Shif 3
    Shif 1
    27. Shif 2
    Shif 3
    Shif 1
    28. Shif 2
    Shif 3

    Pringsewu, September 2018


    Mengetahui,
    Penanggung Jawab Obat/ Alkes Kepala Ruang Perinatologi

    ISBIYANTORO,S.Si.Apt BILATIAH,Amd.Kep
    RUMAH SAKIT IBU DAN ANAK (RSIA)
    “HARAPAN BUNDA”
    Izin No: 440 / 162 / D.02 / P / VI / 2014
    Alamat: Jl. KH. Dewantara No.1269 Pringsewu Kabupaten Pringsewu
    E-mail : rsiahb_2014@yahoo.com Telp / Fax. (0729) 23186

    PEMANTAUAN TROLY EMERGENCY PERINATOLOGI BULAN


    OKTOBER 2018

    Kondisi Troli Kondisi Kunci Pemakaian Obat/ Alkes


    Tanggal Dinas PJ Obat Paraf
    Baik Rusak Terkunci Terbuka Ya Tidak
    Shif 1
    1. Shif 2
    Shif 3
    Shif 1
    2. Shif 2
    Shif 3
    Shif 1
    3.
    Shif 2
    Shif 3
    Shif 1
    4. Shif 2
    Shif 3
    Shif 1
    5. Shif 2
    Shif 3
    Shif 1
    6. Shif 2
    Shif 3
    Shif 1
    7. Shif 2
    Shif 3
    Shif 1
    8. Shif 2
    Shif 3
    Shif 1
    9. Shif 2
    Shif 3
    Shif 1
    10. Shif 2
    Shif 3
    Shif 1
    11. Shif 2
    Shif 3
    Shif 1
    12. Shif 2
    Shif 3
    Shif 1
    13. Shif 2
    Shif 3
    Shif 1
    14. Shif 2
    Shif 3
    Shif 1
    15. Shif 2
    Shif 3
    Shif 1
    16. Shif 2
    Shif 3
    Shif 1
    17. Shif 2
    Shif 3
    Shif 1
    18. Shif 2
    Shif 3
    Shif 1
    19. Shif 2
    Shif 3
    Shif 1
    20. Shif 2
    Shif 3
    Shif 1
    21. Shif 2
    Shif 3
    Shif 1
    22. Shif 2
    Shif 3
    Shif 1
    23. Shif 2
    Shif 3
    Shif 1
    24. Shif 2
    Shif 3
    Shif 1
    25. Shif 2
    Shif 3
    Shif 1
    26. Shif 2
    Shif 3
    Shif 1
    27. Shif 2
    Shif 3
    Shif 1
    28. Shif 2
    Shif 3
    Shif 1
    29. Shif 2
    Shif 3
    30. Shif 1
    Shif 2
    Shif 3
    Shif 1
    31.
    Shif 2
    Shif 3

    Pringsewu, Oktober 2018


    Mengetahui,

    Penanggung Jawab Obat/ Alkes Kepala Ruang Perinatologi

    ISBIYANTORO,S.Si.Apt BILATIAH,Amd.Kep
    RUMAH SAKIT IBU DAN ANAK (RSIA)
    “HARAPAN BUNDA”
    Izin No: 440 / 162 / D.02 / P / VI / 2014
    Alamat: Jl. KH. Dewantara No.1269 Pringsewu Kabupaten Pringsewu
    E-mail : rsiahb_2014@yahoo.com Telp / Fax. (0729) 23186

    PEMANTAUAN TROLY EMERGENCY PERINATOLOGI BULAN


    November 2018

    Kondisi Troli Kondisi Kunci Pemakaian Obat/ Alkes


    Tanggal Dinas PJ Obat Paraf
    Baik Rusak Terkunci Terbuka Ya Tidak
    Shif 1
    1. Shif 2
    Shif 3
    Shif 1
    2. Shif 2
    Shif 3
    Shif 1
    3. Shif 2
    Shif 3
    Shif 1
    4. Shif 2
    Shif 3
    Shif 1
    5. Shif 2
    Shif 3
    Shif 1
    6. Shif 2
    Shif 3
    7. Shif 1
    Shif 2
    Shif 3
    Shif 1
    8. Shif 2
    Shif 3
    Shif 1
    9. Shif 2
    Shif 3
    10. Shif 1
    Shif 2
    Shif 3
    Shif 1
    11. Shif 2
    Shif 3
    Shif 1
    12. Shif 2
    Shif 3
    13. Shif 1
    Shif 2
    Shif 3
    Shif 1
    14. Shif 2
    Shif 3
    Shif 1
    15. Shif 2
    Shif 3
    Shif 1
    16. Shif 2
    Shif 3
    17. Shif 1
    Shif 2
    Shif 3
    Shif 1
    18. Shif 2
    Shif 3
    Shif 1
    19. Shif 2
    Shif 3
    Shif 1
    20. Shif 2
    Shif 3
    Shif 1
    21. Shif 2
    Shif 3
    Shif 1
    22. Shif 2
    Shif 3
    Shif 1
    23. Shif 2
    Shif 3
    Shif 1
    24. Shif 2
    Shif 3
    Shif 1
    25. Shif 2
    Shif 3
    Shif 1
    26. Shif 2
    Shif 3
    Shif 1
    27. Shif 2
    Shif 3
    Shif 1
    28. Shif 2
    Shif 3
    Shif 1
    29. Shif 2
    Shif 3
    Shif 1
    30. Shif 2
    Shif 3

    Pringsewu, November 2018


    Mengetahui,

    Penanggung Jawab Obat/ Alkes Kepala Ruang Perinatologi

    ISBIYANTORO,S.Si.Apt BILATIAH,Amd,Kep
    RUMAH SAKIT IBU DAN ANAK (RSIA)
    “HARAPAN BUNDA”
    Izin No: 440 / 162 / D.02 / P / VI / 2014
    Alamat: Jl. KH. Dewantara No.1269 Pringsewu Kabupaten Pringsewu
    E-mail : rsiahb_2014@yahoo.com Telp / Fax. (0729) 23186

    PEMANTAUAN TROLY EMERGENCY PERINATOLOGI BULAN


    DESEMBER 2018

    Kondisi Troli Kondisi Kunci Pemakaian Obat/ Alkes


    Tanggal Dinas PJ Obat Paraf
    Baik Rusak Terkunci Terbuka Ya Tidak
    Shif 1
    1. Shif 2
    Shif 3
    Shif 1
    2. Shif 2
    Shif 3
    Shif 1
    3. Shif 2
    Shif 3
    Shif 1
    4. Shif 2
    Shif 3
    Shif 1
    5. Shif 2
    Shif 3
    Shif 1
    6. Shif 2
    Shif 3
    Shif 1
    7. Shif 2
    Shif 3
    Shif 1
    8. Shif 2
    Shif 3
    Shif 1
    9. Shif 2
    Shif 3
    10. Shif 1
    Shif 2
    Shif 3
    Shif 1
    11. Shif 2
    Shif 3
    Shif 1
    12. Shif 2
    Shif 3
    Shif 1
    13. Shif 2
    Shif 3
    Shif 1
    14. Shif 2
    Shif 3
    Shif 1
    15. Shif 2
    Shif 3
    Shif 1
    16. Shif 2
    Shif 3
    Shif 1
    17. Shif 2
    Shif 3
    Shif 1
    18. Shif 2
    Shif 3
    Shif 1
    19. Shif 2
    Shif 3
    20. Shif 1
    Shif 2
    Shif 3
    Shif 1
    21. Shif 2
    Shif 3
    Shif 1
    22. Shif 2
    Shif 3
    Shif 1
    23. Shif 2
    Shif 3
    Shif 1
    24. Shif 2
    Shif 3
    Shif 1
    25. Shif 2
    Shif 3
    Shif 1
    26. Shif 2
    Shif 3
    Shif 1
    27. Shif 2
    Shif 3
    Shif 1
    28. Shif 2
    Shif 3
    Shif 1
    29. Shif 2
    Shif 3
    30. Shif 1
    Shif 2
    Shif 3

    Pringsewu, Desember 2018


    Mengetahui,

    Penanggung Jawab Obat/ Alkes Kepala Ruang Perinatologi

    ISBIYANTORO,S.Si.Apt BILATIAH,Amd,Kep

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