Ido Desember 2018.xlsx
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FORMULIR SURVEILANS HARIAN INFEKSI DAERAH OPERASI (IDO) Pengumpulan Data Surveilans Infeksi Daerah Operasi ( IDO ) Ruang Tanggal NO TANGGAL NO.RM
NAMA PASIEN
TINDAKAN
1
01/12/18
01.22.24 Ny. Misih
ORIF
2
02/12/18
02.11.25 Ny. Kanih Suryani
3
03/12/18
02.10.57 Tn. Nawi
4
03/12/18
02.11.66 Ny. Sri Wahyuni
SC
5
03/12/18
01.90.16 Ny. Dedeh Rokayah
SC
6
04/12/18
02.11.45 Tn. Sumantri
7
04/12/18
8
: :
Desember Jenis Operasi
B
BK
K
Ktr
2018 Score
0 0
ü ü
KET Laparotomi Herniorapy dg Mesh
OK
Asa Klasifikasi 1
0 0
ü ü
3
ü ü
0
ü
2
ü ü ü
4
5
Score
Time <
>
Score
Total Antibiotik Score
0 0
ü ü
1 1
1 1
Ceftriaxon
0
ü
1
1
Ceftriaxon
0 0
0 1
Ceftriaxon
1
1
Ceftriaxon
0 0 0 0 0 0
0 0 0 0 1 0
Ceftriaxon
0 1
ü ü
Ceftriaxon
Ceftriaxon
Herniorapy dg Mesh
ü
0
02.11.62 Tn. Samun
Exici
04/12/18
02.11.54 Tn. Deden
Exici
ü ü ü ü
ü ü
ü
0 0 0 0 0 0
ü
0
ü
1
1
Ceftriaxon
0
ü
1
1
Ceftriaxon
9
05/12/18
02.07.99 Ny. Nurjanah
Exici
10
05/12/18
02.11.64 Tn. Adi
Exici
11
05/12/18
00.00.39 Tn. Wandi Budi S
Debridement
12
06/12/18
02.11.74 Tn. Wahyudi
Exterpasi Bsr
ü
0 0 0 0 1 0
13
06/12/18
02.12.16 An. Rahman Mustakim
Herniorapy dg Mesh
ü
0
14
06/12/18
02.12.41 An. Pandu G Semano
15
07/12/18
02.12.23 Tn. Ahmad Jaeni
16
07/12/18
02.12.57 Ny. Astuti
SC
17
07/12/18
01.15.73 Ny. Ratna Agustina
SC
18
07/12/18
01.21.68 Ny. Sugiharti
SC
19
11/12/18
02.13.25 Tn. Supyan Riyantto
20
11/12/18
02.13.57 Tn. Uus Setiagus
ü
Appendiktomy dan reseksi sekum Herniorapy dg Mesh
ü ü
ü ü ü
0
ü
0
ü ü ü ü ü ü ü
Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon
0
ü
0
ü
0
0
Ceftriaxon
ü ü ü ü
0 0 0 0
ü ü ü
0 0 0 1
Ceftriaxon
ü
0 0 0 1
ü
1
1
Ceftriaxon
ORIF
ü
0 0 0 0
Herniorapy dg Mesh
ü
0
ü ü ü
ü
ü
0
Ceftriaxon Ceftriaxon Ceftriaxon
Ket.
21
11/12/18
01.41.50 Ny. Tri setyaningsih
22
11/12/18
02.05.24 Tn. Arieza Kurniawan
23
11/12/18
02.13.41 Tn. Yadimin
Exsterpasi Bsr
24
12/12/18
02.12.37 Tn. Udin Bin Sohib
APP Perforasi
25
12/12/18
02.13.71 An. Saddam Khannafi
Exsterpasi Bsr
26
12/12/18
01.33.76 Ny. Nur lela
SC
27
13/12/18
02.14.29 Ny. Misni
SC
28
14/12/18
02.13.37 Ny. Nur sari
Kistektomy
29
14/12/18
01.90.82 Ny. Nelpianti
SC
30
14/12/18
02.14.80 Ny. Sri kayati
SC
31
14/12/18
02.12.60 Ny. Effi Yuli Arisma
SC
32
15/12/18
01.73.08 Ny. Fitria
33
17/12/18
02.15.78 An. Arkan Khanif
34
17/12/18
02.15.77 Ny. Yeti Sumiati Lubis
35
17/12/18
01.91.35 Ny. Iis Indayani
36
18/12/18
02.15.17 Tn. Mudin Muhari
37
18/12/18
01.30.97 Ny. Asriyani Walla
38
19/12/18
02.16.04 Sdr. Ardiansyah R. S
39
19/12/18
02.16.48 Ny. Surni
40
19/12/18
01.21.82 Ny. Nena Rosita
SC
41
19/12/18
02.16.61 Tn. Abdul Rohim
Debridement
42
19/12/18
02.16.84 Ny. Senny Permata S
43
20/12/18
00.59.54 Ny. Yuni safitri
44
20/12/18
02.16.15 Tn. Aris kurniawan
45
20/12/18
00.16.59 Ny. Deti feriyanti
Exterpasi Bsr
46
21/12/18
02.16.76 Ny. Dian ayu
Exterpasi Bsr
47
21/12/18
02.17.66 Ny. Yuni eriyanti
48
26/12/18
02.17.55 Ny. Narsih
49
26/12/18
02.16.10 Ny. Siti Khodijah
50
26/12/18
01.15,39 Ny. Anah Widiastuti
SC
51
26/12/18
01,50,76 Ny. Siti Nurnainah
SC
52
26/12/18
02,17,13 Tn. M Nurrohman S
53
27/12/18
02.17.56 Ny. Junaenah
ü ü ü
ü
0 0 0 0
ü ü ü ü ü ü
0 0 0 0 0 0 0
ü ü ü
ü
SC K-wire
ü ü ü
SC Kiste Ovarium
ü ü
SC
ü ü ü
SC
ü ü
SC Cimino Exici
ü ü ü ü ü
SC Exterpasi Besar
ü ü ü ü
Kistectomy
ü
Hemoroidectomy Extrepasi Besar
ü ü ü ü
ü ü ü
Debridemen
Exsterpasi Bsr
ü
ü
Amputasi
Exici STT
ü
ü
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0
ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü
0 0 0 1
ü ü ü
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ü ü ü
ü
ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü
0 0 0 1
0 0 0 2
Ceftriaxon
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 1 0
Ceftriaxon
Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon
54
27/12/18
02.12.59 Tn. Pambudi W
55
27/12/18
02.15.11 Ny. Wiwik Susanti
SC
56
27/12/18
SC
57
27/12/18
02.13.68 Ny. Siti Sundari 01.09.44 Ny. Arum sari
58
27/12/18
00.33.34 An. Aliya N. Haziqoh
ü
0 0 0 0
ü ü
0
ü
0
ü ü ü
ü
0 0 0 1
ü
0 1 0 1
Ceftriaxon
0
0
Ceftriaxon
Debridement Debridement + Orif
ü
0
ü
0
ü
0
0
Ceftriaxon
SC
ü
0 0 0 0 0 0 0 0
ü ü ü ü ü ü ü ü
0 0 0 0 0 0 0 0
ü
0 1 0 0 0 0 0 0
0 1 0 0 0 0 0 0
Ceftriaxon
Histerectomy
27/12/18
60
27/12/18
61
28/12/18
02.03.62 Ny. Kiki Riyanti 02.08.00 Tn. Yan Abdul
62
28/12/18
01.84.71 Ny. Narliah
SC
63
28/12/18
01.71.87 Ny. Sri ariyani
SC
64
28/12/18
02.20.36 Ny. Yolanda
SC
65
29/12/18
SC
66
29/12/18
02.20.46 Ny. Naah Nurhasanah 02.20.63 Ny. Husna Ayu
67
31/12/18
02.21.07 Ny. Risna
SC
Cimino
SC
ü ü ü ü ü ü ü
ü
ü
0 1 0 0
ü ü ü ü
59
02.19.59
Ny. Juju Juhaeni
exterpasi Besar
ü ü ü ü ü ü ü
Ceftriaxon Ceftriaxon Ceftriaxon
Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon
NAMA PASIEN
TINDAKAN
1
01/12/18
01.22.24 Ny. Misih
ORIF
2
02/12/18
02.11.25 Ny. Kanih Suryani
3
03/12/18
02.10.57 Tn. Nawi
4
03/12/18
02.11.66 Ny. Sri Wahyuni
SC
5
03/12/18
01.90.16 Ny. Dedeh Rokayah
SC
6
04/12/18
02.11.45 Tn. Sumantri
7
04/12/18
8
: :
Desember Jenis Operasi
B
BK
K
Ktr
2018 Score
0 0
ü ü
KET Laparotomi Herniorapy dg Mesh
OK
Asa Klasifikasi 1
0 0
ü ü
3
ü ü
0
ü
2
ü ü ü
4
5
Score
Time <
>
Score
Total Antibiotik Score
0 0
ü ü
1 1
1 1
Ceftriaxon
0
ü
1
1
Ceftriaxon
0 0
0 1
Ceftriaxon
1
1
Ceftriaxon
0 0 0 0 0 0
0 0 0 0 1 0
Ceftriaxon
0 1
ü ü
Ceftriaxon
Ceftriaxon
Herniorapy dg Mesh
ü
0
02.11.62 Tn. Samun
Exici
04/12/18
02.11.54 Tn. Deden
Exici
ü ü ü ü
ü ü
ü
0 0 0 0 0 0
ü
0
ü
1
1
Ceftriaxon
0
ü
1
1
Ceftriaxon
9
05/12/18
02.07.99 Ny. Nurjanah
Exici
10
05/12/18
02.11.64 Tn. Adi
Exici
11
05/12/18
00.00.39 Tn. Wandi Budi S
Debridement
12
06/12/18
02.11.74 Tn. Wahyudi
Exterpasi Bsr
ü
0 0 0 0 1 0
13
06/12/18
02.12.16 An. Rahman Mustakim
Herniorapy dg Mesh
ü
0
14
06/12/18
02.12.41 An. Pandu G Semano
15
07/12/18
02.12.23 Tn. Ahmad Jaeni
16
07/12/18
02.12.57 Ny. Astuti
SC
17
07/12/18
01.15.73 Ny. Ratna Agustina
SC
18
07/12/18
01.21.68 Ny. Sugiharti
SC
19
11/12/18
02.13.25 Tn. Supyan Riyantto
20
11/12/18
02.13.57 Tn. Uus Setiagus
ü
Appendiktomy dan reseksi sekum Herniorapy dg Mesh
ü ü
ü ü ü
0
ü
0
ü ü ü ü ü ü ü
Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon
0
ü
0
ü
0
0
Ceftriaxon
ü ü ü ü
0 0 0 0
ü ü ü
0 0 0 1
Ceftriaxon
ü
0 0 0 1
ü
1
1
Ceftriaxon
ORIF
ü
0 0 0 0
Herniorapy dg Mesh
ü
0
ü ü ü
ü
ü
0
Ceftriaxon Ceftriaxon Ceftriaxon
Ket.
21
11/12/18
01.41.50 Ny. Tri setyaningsih
22
11/12/18
02.05.24 Tn. Arieza Kurniawan
23
11/12/18
02.13.41 Tn. Yadimin
Exsterpasi Bsr
24
12/12/18
02.12.37 Tn. Udin Bin Sohib
APP Perforasi
25
12/12/18
02.13.71 An. Saddam Khannafi
Exsterpasi Bsr
26
12/12/18
01.33.76 Ny. Nur lela
SC
27
13/12/18
02.14.29 Ny. Misni
SC
28
14/12/18
02.13.37 Ny. Nur sari
Kistektomy
29
14/12/18
01.90.82 Ny. Nelpianti
SC
30
14/12/18
02.14.80 Ny. Sri kayati
SC
31
14/12/18
02.12.60 Ny. Effi Yuli Arisma
SC
32
15/12/18
01.73.08 Ny. Fitria
33
17/12/18
02.15.78 An. Arkan Khanif
34
17/12/18
02.15.77 Ny. Yeti Sumiati Lubis
35
17/12/18
01.91.35 Ny. Iis Indayani
36
18/12/18
02.15.17 Tn. Mudin Muhari
37
18/12/18
01.30.97 Ny. Asriyani Walla
38
19/12/18
02.16.04 Sdr. Ardiansyah R. S
39
19/12/18
02.16.48 Ny. Surni
40
19/12/18
01.21.82 Ny. Nena Rosita
SC
41
19/12/18
02.16.61 Tn. Abdul Rohim
Debridement
42
19/12/18
02.16.84 Ny. Senny Permata S
43
20/12/18
00.59.54 Ny. Yuni safitri
44
20/12/18
02.16.15 Tn. Aris kurniawan
45
20/12/18
00.16.59 Ny. Deti feriyanti
Exterpasi Bsr
46
21/12/18
02.16.76 Ny. Dian ayu
Exterpasi Bsr
47
21/12/18
02.17.66 Ny. Yuni eriyanti
48
26/12/18
02.17.55 Ny. Narsih
49
26/12/18
02.16.10 Ny. Siti Khodijah
50
26/12/18
01.15,39 Ny. Anah Widiastuti
SC
51
26/12/18
01,50,76 Ny. Siti Nurnainah
SC
52
26/12/18
02,17,13 Tn. M Nurrohman S
53
27/12/18
02.17.56 Ny. Junaenah
ü ü ü
ü
0 0 0 0
ü ü ü ü ü ü
0 0 0 0 0 0 0
ü ü ü
ü
SC K-wire
ü ü ü
SC Kiste Ovarium
ü ü
SC
ü ü ü
SC
ü ü
SC Cimino Exici
ü ü ü ü ü
SC Exterpasi Besar
ü ü ü ü
Kistectomy
ü
Hemoroidectomy Extrepasi Besar
ü ü ü ü
ü ü ü
Debridemen
Exsterpasi Bsr
ü
ü
Amputasi
Exici STT
ü
ü
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0
ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü
0 0 0 1
ü ü ü
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ü ü ü
ü
ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü ü
0 0 0 1
0 0 0 2
Ceftriaxon
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 1 0
Ceftriaxon
Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon
54
27/12/18
02.12.59 Tn. Pambudi W
55
27/12/18
02.15.11 Ny. Wiwik Susanti
SC
56
27/12/18
SC
57
27/12/18
02.13.68 Ny. Siti Sundari 01.09.44 Ny. Arum sari
58
27/12/18
00.33.34 An. Aliya N. Haziqoh
ü
0 0 0 0
ü ü
0
ü
0
ü ü ü
ü
0 0 0 1
ü
0 1 0 1
Ceftriaxon
0
0
Ceftriaxon
Debridement Debridement + Orif
ü
0
ü
0
ü
0
0
Ceftriaxon
SC
ü
0 0 0 0 0 0 0 0
ü ü ü ü ü ü ü ü
0 0 0 0 0 0 0 0
ü
0 1 0 0 0 0 0 0
0 1 0 0 0 0 0 0
Ceftriaxon
Histerectomy
27/12/18
60
27/12/18
61
28/12/18
02.03.62 Ny. Kiki Riyanti 02.08.00 Tn. Yan Abdul
62
28/12/18
01.84.71 Ny. Narliah
SC
63
28/12/18
01.71.87 Ny. Sri ariyani
SC
64
28/12/18
02.20.36 Ny. Yolanda
SC
65
29/12/18
SC
66
29/12/18
02.20.46 Ny. Naah Nurhasanah 02.20.63 Ny. Husna Ayu
67
31/12/18
02.21.07 Ny. Risna
SC
Cimino
SC
ü ü ü ü ü ü ü
ü
ü
0 1 0 0
ü ü ü ü
59
02.19.59
Ny. Juju Juhaeni
exterpasi Besar
ü ü ü ü ü ü ü
Ceftriaxon Ceftriaxon Ceftriaxon
Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon Ceftriaxon
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