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  • Form Monitoring Indikator Mutu

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    Poned Puskesmas Tretep
    14 views18 pages
    The document is a form for monitoring quality indicators in a delivery room over 24 hours. It lists the names of 19 staff members and has columns to record subjective and objective data, assessments, and plans for each staff member over 30 days in June, July, and August 2023. The form will be used to monitor various variables in the delivery room on a daily basis over this three month period.

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    The document is a form for monitoring quality indicators in a delivery room over 24 hours. It lists the names of 19 staff members and has columns to record subjective and objective data, assessments, and plans for each staff member over 30 days in June, July, and August 2023. The form will be used to monitor various variables in the delivery room on a daily basis over this three month period.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views18 pages

    Form Monitoring Indikator Mutu

    Uploaded by

    Poned Puskesmas Tretep
    The document is a form for monitoring quality indicators in a delivery room over 24 hours. It lists the names of 19 staff members and has columns to record subjective and objective data, assessments, and plans for each staff member over 30 days in June, July, and August 2023. The form will be used to monitor various variables in the delivery room on a daily basis over this three month period.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 18

    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    JUNI 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    1 Diyah Nurmalia
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    2 Dwi Astuti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    3 Nurul Huda
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    4 Sri Rejeki
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    5 Eko Timi Wahyu W
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    6 Suwiyani
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    7 Ani Muji Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    8 Fatimah M.
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    9 Lisa Indriyani
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    JUNI 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    10 Rani Astiti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    11 Dewik Fitri Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    12 Erlina Nurfida
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    13 Nurkhotimah Rifqi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    14 Neli Muflihah
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    15 Anisa Fahmi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    16 Ari Dwi Ratnasari
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    17 Suharti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    18 Nanda Pratiwi
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    JUNI 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    19 Isty Utamy
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    JULI 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    1 Diyah Nurmalia
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    2 Dwi Astuti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    3 Nurul Huda
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    4 Sri Rejeki
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    5 Eko Timi Wahyu W
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    6 Suwiyani
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    7 Ani Muji Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    8 Fatimah M.
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    9 Lisa Indriyani
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    JULI 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    10 Rani Astiti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    11 Dewik Fitri Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    12 Erlina Nurfida
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    13 Nurkhotimah Rifqi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    14 Neli Muflihah
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    15 Anisa Fahmi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    16 Ari Dwi Ratnasari
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    17 Suharti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    18 Nanda Pratiwi
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    JULI 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    19 Isty Utamy
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    AGUSTUS 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    1 Diyah Nurmalia
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    2 Dwi Astuti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    3 Nurul Huda
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    4 Sri Rejeki
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    5 Eko Timi Wahyu W
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    6 Suwiyani
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    7 Ani Muji Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    8 Fatimah M.
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    9 Lisa Indriyani
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    AGUSTUS 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    10 Rani Astiti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    11 Dewik Fitri Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    12 Erlina Nurfida
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    13 Nurkhotimah Rifqi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    14 Neli Muflihah
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    15 Anisa Fahmi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    16 Ari Dwi Ratnasari
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    17 Suharti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    18 Nanda Pratiwi
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    AGUSTUS 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    19 Isty Utamy
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    SEPTEMBER 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    1 Diyah Nurmalia
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    2 Dwi Astuti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    3 Nurul Huda
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    4 Sri Rejeki
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    5 Eko Timi Wahyu W
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    6 Suwiyani
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    7 Ani Muji Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    8 Fatimah M.
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    9 Lisa Indriyani
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    SEPTEMBER 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    10 Rani Astiti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    11 Dewik Fitri Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    12 Erlina Nurfida
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    13 Nurkhotimah Rifqi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    14 Neli Muflihah
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    15 Anisa Fahmi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    16 Ari Dwi Ratnasari
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    17 Suharti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    18 Nanda Pratiwi
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    SEPTEMBER 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    19 Isty Utamy
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    OKTOBER 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    1 Diyah Nurmalia
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    2 Dwi Astuti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    3 Nurul Huda
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    4 Sri Rejeki
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    5 Eko Timi Wahyu W
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    6 Suwiyani
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    7 Ani Muji Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    8 Fatimah M.
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    9 Lisa Indriyani
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    OKTOBER 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    10 Rani Astiti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    11 Dewik Fitri Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    12 Erlina Nurfida
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    13 Nurkhotimah Rifqi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    14 Neli Muflihah
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    15 Anisa Fahmi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    16 Ari Dwi Ratnasari
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    17 Suharti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    18 Nanda Pratiwi
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    OKTOBER 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    19 Isty Utamy
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    NOVEMBER 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    1 Diyah Nurmalia
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    2 Dwi Astuti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    3 Nurul Huda
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    4 Sri Rejeki
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    5 Eko Timi Wahyu W
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    6 Suwiyani
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    7 Ani Muji Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    8 Fatimah M.
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    9 Lisa Indriyani
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    NOVEMBER 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    10 Rani Astiti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    11 Dewik Fitri Rahayu
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    12 Erlina Nurfida
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    13 Nurkhotimah Rifqi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    14 Neli Muflihah
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    15 Anisa Fahmi
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    16 Ari Dwi Ratnasari
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    17 Suharti
    Asessment
    Plan
    Data Subjektif
    Data Objektif
    18 Nanda Pratiwi
    Asessment
    Plan
    FORM MONITORING INDIKATOR MUTU RUANG PERSALINAN 24 JAM

    NOVEMBER 2023
    NO NAMA PETUGAS VARIABEL
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    Data Subjektif
    Data Objektif
    19 Isty Utamy
    Asessment
    Plan

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