Formulir Kepatuhan Cuci Tangan Baru.xls
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FORMULIR KEPATUHAN CUCI TANGAN Unit / Instalasi Gawat Darurat Profesi
dokter umum
Bulan
Juni
No
1
Nama
Indikasi
¨seb-ps. ¨seb-asept. dr martin ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
Tindakan HH ¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk
T a n g g a l 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
¨set-pas. ¨set.lkg ps.
set.lepas srg tgn
ATUHAN CUCI TANGAN
T a n g g a l 29 30 31
Jumlah
Unit / Instalasi Gawat Darurat Profesi
: Perawat/Bidan
Bulan
: Juni
No
1
2
3
4
5
Nama
Juwita
Hotlina
Maycel
Natalia
Risma
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
TANGAN
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
Gawat Darurat : Perawat/Bidan : Juli
Unit / Instalasi Profesi Bulan No
Nama
1
2
Juwita
Hotlina
3
4
5
Maycel
Natalia
Risma
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
Paraf
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
Paraf
Paraf
FORMULIR KEPATU
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
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¨HR ¨HW Paraf
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¨HR ¨HW Paraf
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¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
Paraf
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
ORMULIR KEPATUHAN CUCI TANGAN
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
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¨HR ¨HW Paraf
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¨HR ¨HW Paraf
¨HR ¨HW Paraf
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¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW Paraf
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¨HR ¨HW Paraf
Paraf
Paraf
Paraf
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Juni
Nama
¨seb-ps. ¨seb-asept.
1
¨seb-asept.
¨set-pas.
¨set-pas.
¨set.lkg ps.
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¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
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¨HR ¨HW
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Paraf
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Paraf
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5
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4
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3
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2
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Paraf
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5
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KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
Paraf
¨set-drh.c tbh.
Paraf
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
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Paraf
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Paraf
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Paraf
ULIR KEPATUHAN CUCI TANGAN
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¨HR ¨HW
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Paraf
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Paraf
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¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
Paraf
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Paraf
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Juli
Nama
1
2
3
4
5
KETERANGAN :
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
Gawat Darurat : Perawat/Bidan Agustus
Unit / Instalasi Profesi Bulan No
Nama
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps.
1
2
Juwita
Hotlina
3
4
5
Maycel
Natalia
Risma
¨HR
¨seb-asept.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUH
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
Paraf
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
Paraf
: Gawat Darurat : Perawat/Bidan : September
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
Nama
Juwita
Hotlina
Maycel
Natalia
Risma
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HW Paraf
¨HW Paraf
¨HW Paraf
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps. ¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
MULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HW Paraf
¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HW Paraf
¨HW Paraf
¨HW Paraf
¨HW Paraf
: Gawat Darurat : Perawat/Bidan : Oktober
Unit / Instalasi Profesi Bulan No
Nama
1
2
Juwita
Hotlina
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept.
4
5
Natalia
Risma
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
KETERANGAN seb-ps seb-asept set-drh.c tbh set-asept
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨seb-asept. Maycel
¨seb-ps. ¨seb-asept.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. Paraf
¨seb-ps.
3
¨HR ¨HW
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik
set-lkg ps HR HW
: Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-pas. ¨set.lkg ps. ¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨set-drh.c tbh.
Paraf
MULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set-drh.c tbh.
Paraf
¨seb-ps.
¨HR ¨HW
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
: Gawat Darurat : Perawat/Bidan : November
Unit / Instalasi Profesi Bulan No
Nama
1
2
Juwita
Hotlina
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
Paraf
¨set-pas. ¨set.lkg ps.
3
4
5
Maycel
Natalia
Risma
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub
Paraf
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
Paraf
Paraf
HW
: Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps.
¨HR
¨seb-ps.
¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
Paraf
Paraf
¨HR
Paraf
Paraf
MULIR KEPATUHAN CUCI TANGAN
¨seb-ps.
¨HR
¨seb-ps.
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
Paraf
Paraf
: Gawat Darurat : Perawat/Bidan : Desember
Unit / Instalasi Profesi Bulan No
1
INDIKAS
Nama
Juwita
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
2
3
4
Hotlina
Maycel
Natalia
Risma
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
KETERANGAN seb-ps seb-asept set-drh.c tbh set-asept
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
5
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik
tbh. ¨set-pas. ¨set.lkg ps.
set-lkg ps HR HW
: Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHAN CUCI TANGA
INDIKASI KEPATUHAN HAND HYGIENE ¨HR
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
tbh. ¨set-pas. ¨set.lkg ps.
N CUCI TANGAN
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
: Gawat Darurat : Perawat/Bidan : Desember
Unit / Instalasi Profesi Bulan No
Nama
1
Juwita
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
2
Hotlina
3
Maycel
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
4
Natalia
Risma
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps
¨set-drh.c tbh. ¨set-pas.
¨seb-ps. ¨seb-asept. ¨set-pas. ¨set.lkg ps.
5
¨set-pas. ¨set.lkg ps.
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
HR HW
: Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
: Gawat Darurat : Perawat/Bidan : Januari
Unit / Instalasi Profesi Bulan No
Nama
1
Juwita
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
2
Hotlina
3
Maycel
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
4
Natalia
Risma
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps
¨set-drh.c tbh. ¨set-pas.
¨seb-ps. ¨seb-asept. ¨set-pas. ¨set.lkg ps.
5
¨set-pas. ¨set.lkg ps.
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
HR HW
: Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Agustus
Nama
1
2
3
4
5
KETERANGAN :
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : September
Nama
¨seb-ps. ¨seb-asept.
1
¨set-drh.c tbh.
Paraf
¨seb-asept. ¨set-drh.c tbh.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
5
¨set-drh.c tbh.
¨HW
¨seb-ps.
¨set-pas.
¨seb-ps.
4
Paraf
¨seb-asept.
¨HR
¨set-pas.
¨seb-asept.
3
¨HW
¨seb-ps.
¨set-pas.
¨seb-ps.
2
¨HR
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
5
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
Paraf
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
Paraf
FORMULIR KEPATUH
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
¨set-drh.c tbh. Paraf
¨seb-ps.
Paraf
¨set-drh.c tbh.
¨HR
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Paraf
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Oktober
Nama
¨seb-ps. ¨seb-asept.
1
¨seb-asept.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨set-drh.c tbh.
¨set-drh.c tbh. Paraf
¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
5
¨HW
¨seb-ps.
¨set-pas.
¨seb-ps.
4
¨seb-asept.
¨HR
¨set-drh.c tbh.
¨seb-asept.
3
¨HW
¨seb-ps.
¨set-drh.c tbh. Paraf
¨seb-ps.
2
¨HR
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
5
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
Paraf
¨set-drh.c tbh.
Paraf
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨HR ¨HW
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-pas.
¨seb-ps.
¨HW
¨set-drh.c tbh. Paraf
¨set-pas.
¨seb-ps.
¨HR
¨set-drh.c tbh. Paraf
¨set-pas.
¨seb-ps.
¨HW
¨set-drh.c tbh. Paraf
¨set-pas.
¨seb-ps.
¨HR
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Paraf
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: KAMAR OPERASI : Perawat/Bidan : November
INDIKASI K
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANG
INDIKASI KEPATUHAN HAND HYGIENE ¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
Paraf
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
HAN CUCI TANGAN
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
Paraf
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Desember
Nama
1
2
3
4
5
KETERANGAN :
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Januari
Nama
1
2
3
4
5
KETERANGAN :
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Januari
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Desember
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : November
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Oktober
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : September
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Agustus
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Juli
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Juni
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Juni
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Juli
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Agustus
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : September
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Oktober
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : November
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Desember
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Desember
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Compatibility Report for FORMULIR KEPATUHAN CUCI TANGAN.xls Run on 29/01/2019 23:00 The following features in this workbook are not supported by earlier versions of Excel. These features may be lost or degraded when opening this workbook in an earlier version of Excel or if you save this workbook in an earlier file format.
Minor loss of fidelity Some cells or styles in this workbook contain formatting that is not supported by the selected file format. These formats will be converted to the closest format available.
# of occurrences 18
Version Excel 97-2003
dokter umum
Bulan
Juni
No
1
Nama
Indikasi
¨seb-ps. ¨seb-asept. dr martin ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
Tindakan HH ¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk set.lepas srg tgn
¨HR ¨HW tdk
T a n g g a l 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
¨set-pas. ¨set.lkg ps.
set.lepas srg tgn
ATUHAN CUCI TANGAN
T a n g g a l 29 30 31
Jumlah
Unit / Instalasi Gawat Darurat Profesi
: Perawat/Bidan
Bulan
: Juni
No
1
2
3
4
5
Nama
Juwita
Hotlina
Maycel
Natalia
Risma
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
TANGAN
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
Gawat Darurat : Perawat/Bidan : Juli
Unit / Instalasi Profesi Bulan No
Nama
1
2
Juwita
Hotlina
3
4
5
Maycel
Natalia
Risma
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
Paraf
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
Paraf
Paraf
FORMULIR KEPATU
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
Paraf
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
ORMULIR KEPATUHAN CUCI TANGAN
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
Paraf
Paraf
Paraf
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Juni
Nama
¨seb-ps. ¨seb-asept.
1
¨seb-asept.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨set-drh.c tbh.
¨set-drh.c tbh. Paraf
¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
5
¨HW
¨seb-ps.
¨set-pas.
¨seb-ps.
4
¨seb-asept.
¨HR
¨set-drh.c tbh.
¨seb-asept.
3
¨HW
¨seb-ps.
¨set-drh.c tbh. Paraf
¨seb-ps.
2
¨HR
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
5
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
Paraf
¨set-drh.c tbh.
Paraf
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Paraf
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
Paraf
¨seb-ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
Paraf
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Paraf
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Juli
Nama
1
2
3
4
5
KETERANGAN :
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
Gawat Darurat : Perawat/Bidan Agustus
Unit / Instalasi Profesi Bulan No
Nama
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps.
1
2
Juwita
Hotlina
3
4
5
Maycel
Natalia
Risma
¨HR
¨seb-asept.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUH
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
Paraf
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
Paraf
: Gawat Darurat : Perawat/Bidan : September
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
Nama
Juwita
Hotlina
Maycel
Natalia
Risma
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HW Paraf
¨HW Paraf
¨HW Paraf
¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps. ¨HR ¨seb-ps. ¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
MULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HW Paraf
¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HW Paraf
¨HW Paraf
¨HW Paraf
¨HW Paraf
: Gawat Darurat : Perawat/Bidan : Oktober
Unit / Instalasi Profesi Bulan No
Nama
1
2
Juwita
Hotlina
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept.
4
5
Natalia
Risma
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
KETERANGAN seb-ps seb-asept set-drh.c tbh set-asept
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨seb-asept. Maycel
¨seb-ps. ¨seb-asept.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. Paraf
¨seb-ps.
3
¨HR ¨HW
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik
set-lkg ps HR HW
: Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-pas. ¨set.lkg ps. ¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨set-drh.c tbh.
Paraf
MULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set-drh.c tbh.
Paraf
¨seb-ps.
¨HR ¨HW
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
: Gawat Darurat : Perawat/Bidan : November
Unit / Instalasi Profesi Bulan No
Nama
1
2
Juwita
Hotlina
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
Paraf
¨set-pas. ¨set.lkg ps.
3
4
5
Maycel
Natalia
Risma
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Paraf
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub
Paraf
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
Paraf
Paraf
HW
: Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps.
¨HR
¨seb-ps.
¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
Paraf
Paraf
¨HR
Paraf
Paraf
MULIR KEPATUHAN CUCI TANGAN
¨seb-ps.
¨HR
¨seb-ps.
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept. ¨HW ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨seb-ps. ¨HW ¨seb-asept. ¨set-drh.c tbh. Paraf ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
Paraf
Paraf
: Gawat Darurat : Perawat/Bidan : Desember
Unit / Instalasi Profesi Bulan No
1
INDIKAS
Nama
Juwita
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
2
3
4
Hotlina
Maycel
Natalia
Risma
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW
¨seb-asept.
¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
KETERANGAN seb-ps seb-asept set-drh.c tbh set-asept
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
5
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik
tbh. ¨set-pas. ¨set.lkg ps.
set-lkg ps HR HW
: Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHAN CUCI TANGA
INDIKASI KEPATUHAN HAND HYGIENE ¨HR
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
tbh. ¨set-pas. ¨set.lkg ps.
N CUCI TANGAN
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HR
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
: Gawat Darurat : Perawat/Bidan : Desember
Unit / Instalasi Profesi Bulan No
Nama
1
Juwita
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
2
Hotlina
3
Maycel
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
4
Natalia
Risma
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps
¨set-drh.c tbh. ¨set-pas.
¨seb-ps. ¨seb-asept. ¨set-pas. ¨set.lkg ps.
5
¨set-pas. ¨set.lkg ps.
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
HR HW
: Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
: Gawat Darurat : Perawat/Bidan : Januari
Unit / Instalasi Profesi Bulan No
Nama
1
Juwita
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
2
Hotlina
3
Maycel
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
4
Natalia
Risma
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps
¨set-drh.c tbh. ¨set-pas.
¨seb-ps. ¨seb-asept. ¨set-pas. ¨set.lkg ps.
5
¨set-pas. ¨set.lkg ps.
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
HR HW
: Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨set-pas. ¨set.lkg ps.
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-ps.
¨HR
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨seb-asept.
¨HW Paraf
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Agustus
Nama
1
2
3
4
5
KETERANGAN :
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps. ¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : September
Nama
¨seb-ps. ¨seb-asept.
1
¨set-drh.c tbh.
Paraf
¨seb-asept. ¨set-drh.c tbh.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
5
¨set-drh.c tbh.
¨HW
¨seb-ps.
¨set-pas.
¨seb-ps.
4
Paraf
¨seb-asept.
¨HR
¨set-pas.
¨seb-asept.
3
¨HW
¨seb-ps.
¨set-pas.
¨seb-ps.
2
¨HR
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
5
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
Paraf
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
Paraf
FORMULIR KEPATUH
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
¨set-drh.c tbh. Paraf
¨seb-ps.
Paraf
¨set-drh.c tbh.
¨HR
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Paraf
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Oktober
Nama
¨seb-ps. ¨seb-asept.
1
¨seb-asept.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨set-drh.c tbh.
¨set-drh.c tbh. Paraf
¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
5
¨HW
¨seb-ps.
¨set-pas.
¨seb-ps.
4
¨seb-asept.
¨HR
¨set-drh.c tbh.
¨seb-asept.
3
¨HW
¨seb-ps.
¨set-drh.c tbh. Paraf
¨seb-ps.
2
¨HR
¨HR ¨HW
¨seb-ps. ¨seb-asept.
Paraf
¨HR ¨HW
¨set-drh.c tbh.
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
5
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
Paraf
¨set-drh.c tbh.
Paraf
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨HR ¨HW
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-pas.
¨seb-ps.
¨HW
¨set-drh.c tbh. Paraf
¨set-pas.
¨seb-ps.
¨HR
¨set-drh.c tbh. Paraf
¨set-pas.
¨seb-ps.
¨HW
¨set-drh.c tbh. Paraf
¨set-pas.
¨seb-ps.
¨HR
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨HR ¨HW Paraf
¨seb-ps. ¨seb-asept. ¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Paraf
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: KAMAR OPERASI : Perawat/Bidan : November
INDIKASI K
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANG
INDIKASI KEPATUHAN HAND HYGIENE ¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨HR ¨HW
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨sebasept. ¨set-drh.c tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
Paraf
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c tbh. ¨set-pas. ¨set.lkg ps.
HAN CUCI TANGAN
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW Paraf
¨HR ¨HW Paraf
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
Paraf
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Desember
Nama
1
2
3
4
5
KETERANGAN :
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
: KAMAR OPERASI : Perawat/Bidan : Januari
Nama
1
2
3
4
5
KETERANGAN :
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh. Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
FORMULIR KEPATUHA
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh. Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨HR ¨HW
ULIR KEPATUHAN CUCI TANGAN
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨seb-ps. ¨seb-asept.
¨HR ¨HW
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-drh.c tbh.
Paraf
¨set-pas.
¨set-pas.
¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Januari
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Desember
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : November
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Oktober
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : September
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Agustus
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Juli
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Perinatologi : Bidan : Juni
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Juni
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Juli
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Agustus
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : September
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Oktober
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : November
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Desember
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Unit / Instalasi Profesi Bulan No
1
2
3
4
5
: Kamar Bersalin : Bidan : Desember
INDIKASI KEP
Nama
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
5
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
KETERANGAN : seb-ps seb-asept set-drh.c tbh set-asept set-lkg ps HR HW
: Sebelum Kontak dengan pasien : Sebelum melakukan aseptik : Setelah terpapar cairan tubuh pasien : Setelah terkena aseptik : Setelah keluar dari lingkungan pasien : Hand Rub : Hand Wash
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
FORMULIR KEPATUHAN CUCI TANGAN
INDIKASI KEPATUHAN HAND HYGIENE ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨set.lkg ps.
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
CUCI TANGAN
¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨HR ¨seb¨HW asept. ¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps. ¨seb-ps. ¨sebasept.
¨HR ¨HW
¨set-drh.c Paraf tbh. ¨set-pas. ¨set.lkg ps.
Compatibility Report for FORMULIR KEPATUHAN CUCI TANGAN.xls Run on 29/01/2019 23:00 The following features in this workbook are not supported by earlier versions of Excel. These features may be lost or degraded when opening this workbook in an earlier version of Excel or if you save this workbook in an earlier file format.
Minor loss of fidelity Some cells or styles in this workbook contain formatting that is not supported by the selected file format. These formats will be converted to the closest format available.
# of occurrences 18
Version Excel 97-2003
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