Sensus Harian Indikator Unit Kamar Operasi (Januari 2020 )

Indikator : Waktu tunggu operasi elektif (IAK 4) / Penundaan, Januari 20

waktu tunggu operasi

TGL Rcn Realisasi Tgl elektif ≤ 48 jam Ket.
NO Nama Pasien No RM Dx Tindakan Operasi
Tindaknn Tindakan
Ya Tdk
1 Nn. Rasdila 04.41.56 eksisi+pa 2/1/2020 2/1/2020 1
2 Tn.wahyuddin 16.23.73 eksisi+pa 2/1/2020 2/1/2020 1
3 Ny.dewi puspita 12.41.58 SC 2/1/2020 2/1/2020 1
4 Tn. Saumat 16.03.63 Hemiatroplasti sinistra 2/1/2020 2/1/2020 1
5 Ny.Nurani 15.04.60 sc 2/1/2020 2/1/2020 1
6 Ny.komang 09.55.32 sc 3/1/2020 3/1/2020 1
7 Ny.dewi rati 03,95,82 SC 3/1/2020 3/1/2020 1
8 Ny. Mamah M. 05.50.64 excisi 3/1/2020 3/1/2020 1
9 Ny. Yuslia Z. 16.10.91 excisi 3/1/2020 3/1/2020 1
10 Ny. Nurhayati 16.10.91 excisi 3/1/2020 3/1/2020 1
11 Ny.Ratna 09.81.53 debridement v.y flap 4/1/2020 4/1/2020 1
12 Ny Melati 16.28.92 Debridement + Pasang wayer 5/1/2020 5/1/2020 1
13 Ny Jumadi 16.28.37 debridement + amputasi 5/1/2020 5/1/2020 1
14 Tn.Cipto Eko 57371 Fistulektomy 6/1/2020 6/1/2020 1
15 Ny Anita 15.99.37 SC 6/1/2020 6/1/2020 1
16 Tn. Slamet R 15.71.83 Eksisi + PA 7/1/2020 7/1/2020 1
17 Tn. Reza K 15.66.25 Herniatomy 7/1/2020 7/1/2020 1
18 Tn. Bambang 10,74,94 orif 7/1/2020 7/1/2020 1
19 ny. Nanda 08,92,19 sc 7/1/2020 7/1/2020 1
20 tn. H Madi 16,27,88 Herniatomy 7/1/2020 7/1/2020 1
21 Ny. Umi Salamah 15.94.80 SC 8/1/2020 8/1/2020 1
22 Ny Rahmijusti 16.26.42 Eksisi + PA 8/1/2020 8/1/2020 1
23 Ny Umi 15.94.80 Eksisi + PA 8/1/2020 8/1/2020 1
24 Ny.sumiyati 12.82.27 eksisi + debridement 8/1/2020 8/1/2020 1
25 Nn Anisa 16,08,93 Mastitis dextra 9/1/2020 9/1/2020 1
26 Nn Fera 16.29.67 exsisi + pa 9/1/2020 9/1/2020 1
27 Ny Asima 08.52.10 SC 10/1/2020 10/1/2020 1
28 Tn Rafi M 01.87.93 Remove 11/1/2020 11/1/2020 1
29 Ny. Gita Anggriani 05.46.01 SC 13/1/2020 13/1/2020 1
30 ny.ny. Yeni 05,75,46 ektraksi kuku 13/1/2020 13/1/2020 1
31 An. Zaki Ibnu Fauzan 15.78.82 Eksisi + PA 14/1/2020 14/1/2020 1
32 Nn Kartika 16.34.10 Insisi debridement 14/1/2020 14/1/2020 1
33 Nn. Lutfi 15.36.78 Eksisi + PA 15/1/2020 15/1/2020 1
34 Ny. Mawariyanah 16.30.68 Eksisi + PA 15/1/2020 15/1/2020 1
35 Ny. Megawati 05.60.88 SC 15/1/2020 15/1/2020 1
36 Ny. Tamia 00.43.62 SC 15/1/2020 15/1/2020 1
37 Ny. Adinda 16.34.31 SC 15/1/2020 15/1/2020 1
38 An. Stefanie Carell 16.34.49 Eksisi 16/1/2020 16/1/2020 1
39 ny.bontor 11.88.13 debridement + aputasi 16/1/2020 16/1/2020 1
40 ny. Laras 16,35,32 sc 16/1/2020 16/1/2020 1
41 Ny. Kamsiem 162952 Laparatomy hysterectmy 17/1/2020 17/1/2020 1
42 Ny. Mardianti 08.80.27 Hemorodectomy 18/1/2020 18/1/2020 1
43 Ny.merry agustuningsih 03.04.59 SC + TUBEKTOMI 20/1/2020 20/1/2020 1
44 Tn. Stefanus Rewidyo 16.34.05 Appendiktomy 20/1/2020 20/1/2020 1
45 Ny Putri linda 16.16.24 sc 20/1/2020 20/1/2020 1
46 Ny.Tinike 107941 exisi 21/1/2020 21/1/2020 1
47 Ny.Maemunah 163771 SC 21/1/2021 21/1/2021 1
48 my. Trinawang 16,35.98 excisi + pa 21/1/2021 21/1/2021 1
49 Nn Muanah 16.34.44 excisi +pa 23/1/2020 23/1/2020 1
50 Ny Ida 12.20.03 herniotami 23/1/2020 23/1/2020 1
51 Tn Giyanto 16.37.79 excisi +pa 23/1/2020 23/1/2020 1
52 Ny Felicia 16.38.31 excisi +pa 23/1/2020 23/1/2020 1
53 Ny.Devi rianti 16.38.13 excisi +pa 23/1/2020 23/1/2020 1
54 Ny. Nur islamiyah 11.90.81 eksisi + debridement 24/1/2020 24/1/2020 1
55 Ny.Irma M 16,38,67 eksisi + debridement 24/1/2020 24/1/2020 1
56 ny.rani sumarni 16.39.77 sc 25/1/2020 25/1/2020 1
57 Tn. Anas S 08.96.25 Eksisi + PA 27/1/2020 27/1/2020 1
58 Tn. Marjono 10.68.48 Hemoroidectomy 27/1/2020 27/1/2020 1
59 Marhatusoleha 161685 Exisi + PA 28/1/2020 28/1/2020 1
60 Nn.Tasya 16.33.68 Exisis 28/1/2020 28/1/2020 1
 PIC Data Ka.Ru Kamar Operasi Kepala Instalasi Kamar Operasi

Jinni Simamora,Amd,Keb Yuliana Frederika, Amd. Kep dr. Roosanie Patria Sp.B,M.Kes
Sensus Harian Indikator Unit Kamar Operasi (Januari 2020)
Indikator : Penundaan Operasi Elektif (IMN 4)/ ketepatan jam, Januari 2020

Jam realisasi Ketepatan waktu Keterangan

NO TGL Nama Pasien No RM Dx Tindakan Operasi rencana Jam
operasi operasi Ya Tdk dr Operator dr.Anestehsi Lain-lain
1 2/1/2020 Nn. Rasdila 04.41.56 eksisi+pa 07,30 08,00 1
2 2/1/2020 Tn.wahyuddin 16.23.73 eksisi+pa lanjut 08,40 1
3 2/1/2020 Ny.dewi puspita 12.41.58 SC lanjut 10,54 1
4 2/1/2020 Tn. Saumat 16.03.63 Hemiatroplasti sinistra 13,00 13,10 1
5 2/1/2020 Ny.Nurani 15.04.60 sc 16,30 16,35 1
6 3/1/2020 Ny.komang 09.55.32 sc 09,00 09,30 1
7 3/1/2020 Ny.dewi rati 03,95,82 SC lanjut 11,30 1
8 3/1/2020 Ny. Mamah M. 05.50.64 excisi 14,00 14,05 1
9 3/1/2020 Ny. Yuslia Z. 16.10.91 excisi 18,00 20,15 1 dr. Ferdy ada tndkn diluar
10 3/1/2020 Ny. Nurhayati 16.10.91 excisi lanjut 21,10 1
11 4/1/2020 Ny.Ratna 09.81.53 debridement v.y flap 07,00 07,15 1
12 5/1/2020 Ny Melati 16.28.92 Debridement + Pasang wayer 10,00 11,00 1
13 5/1/2020 Ny Jumadi 16.28.37 debridement + amputasi 12,00 13,30 1
14 6/1/2020 Tn.Cipto Eko 57371 Fistulektomy 9,00 9,30 1
15 6/1/2020 Ny Anita 15.99.37 SC 15,00 15,20 1
16 7/1/2020 Tn. Slamet R 15.71.83 Eksisi + PA 08,00 08,20 1
17 7/1/2020 Tn. Reza K 15.66.25 Herniatomy LANJUT 09,21 1
18 7/1/2020 Tn. Bambang 10,74,94 orif LANJUT 11,00 1
19 7/1/2020 ny. Nanda 08,92,19 sc 13,00 13,50 1
20 7/1/2020 tn. H Madi 16,27,88 Herniatomy 20,00 20,30 1
21 8/1/2020 Ny. Umi Salamah 15.94.80 SC 07,00 07,30 1
22 8/1/2020 Ny Rahmijusti 16.26.42 Eksisi + PA 08,30 09,00 1
23 8/1/2020 Ny Umi 15.94.80 Eksisi + PA Lanjut 09,50 1
24 8/1/2020 Ny.sumiyati 12.82.27 eksisi + debridement 20,00 20,20 1
25 9/1/2020 Nn Anisa 16,08,93 Mastitis dextra 09,00 09,20 1
26 9/1/2020 Nn Fera 16.29.67 exsisi + pa Lanjut 10,00 1
27 10/1/2020 Ny Asima 08.52.10 SC 10,00 12,00 1 dr Yuni ad tndkan diBuha
28 11/1/2020 Tn Rafi M 01.87.93 Remove 09,00 09,10 1
29 13/1/2020 Ny. Gita Anggriani 05.46.01 SC 08,00 08,50 1
30 13/1/2020 ny.ny. Yeni 05,75,46 ektraksi kuku 13,00 13,30 1
31 14/1/2020 An. Zaki Ibnu Fauza 15.78.82 Eksisi + PA 09,00 09,30 1
32 14/1/2020 Nn Kartika 16.34.10 Insisi debridement 21,00 21,10 1
33 15/1/2020 Nn. Lutfi 15.36.78 Eksisi + PA 09,00 09,00 1
34 15/1/2020 Ny. Mawariyanah 16.30.68 Eksisi + PA Lanjut 10,00 1
35 15/1/2020 Ny. Megawati 05.60.88 SC Lanjut 11,00 1
36 15/1/2020 Ny. Tamia 00.43.62 SC Lanjut 12,30 1
37 15/1/2020 Ny. Adinda 16.34.31 SC Lanjut 14,00 1
38 16/1/2020 An. Stefanie Carell 16.34.49 Eksisi 09,00 09,00 1
39 16/1/2020 ny.bontor 11.88.13 debridement + aputasi 18,00 18,30 1
40 16/1/2020 ny. Laras 16,35,32 sc 21,00 20,30 1
41 17/1/2020 Ny. Kamsiem 162952 Laparatomy hysterectmy 8,00 8,30 1
42 18/1/2020 Ny. Mardianti 08.80.27 Hemorodectomy 09,00 10,10 1 masih op dr britya
43 20/1/2020 Ny.merry agustunin 03.04.59 SC + TUBEKTOMI 08,00 08,10 1
44 20/1/2020 Tn. Stefanus Rewid 16.34.05 Appendiktomy 10,00 09,37 1
45 20/1/2020 Ny Putri linda 16.16.24 sc 14,00 15,10 1 dr Lydia Sambil poli
46 21/1/2020 Ny.Tinike 107941 exisi 9,30 10,00 1
47 21/1/2021 Ny.Maemunah 163771 SC 13,00 13,30 1
48 21/1/2021 my. Trinawang 16,35.98 excisi + pa 20,00 20,30 1
49 23/1/2020 Nn Muanah 16.34.44 excisi +pa 08,00 08,30 1
50 23/1/2020 Ny Ida 12.20.03 herniotami Lanjut 09,20 1
51 23/1/2020 Tn Giyanto 16.37.79 excisi +pa Lanjut 10,40 1
52 23/1/2020 Ny Felicia 16.38.31 excisi +pa Lanjut 11,30 1
53 23/1/2020 Ny.Devi rianti 16.38.13 excisi +pa 18,00 18,30 1
54 24/1/2020 Ny. Nur islamiyah 11.90.81 eksisi + debridement 18,00 18,30 1
55 24/1/2020 Ny.Irma M 16,38,67 eksisi + debridement lanjut 19,25 1
56 25/1/2020 ny.rani sumarni 16.39.77 sc 07,30 08,00 1
57 27/1/2020 Tn. Anas S 08.96.25 Eksisi + PA 08,00 08,20 1
58 27/1/2020 Tn. Marjono 10.68.48 Hemoroidectomy Lanjut 09,20 1
59 27/1/2020 Marhatusoleha 161685 Exisi + PA 8,00 8,30 1
60 27/1/2020 Nn.Tasya 16.33.68 Exisis lnjt 9,30 1

PIC Data Kepala Instalasi Kamar Operasi

Ka.Ru Kamar Operasi

Jinni Simamora, Amd. Keb Yuliana Frederika, Amd. Kep dr. Roosanie Patria Sp.B,M.Kes
Formulir Untuk Pengumpul Data

Sensus Harian Indikator Prioritas Unit Ranap

Jenis Indikator : Ketepatan tepat lokasi, tepat prosedur dan tepat pasien operasi (SKP 4), Jan 2020

Indikator : Pelaksanaan Sign In -Time Out- Sign Out pada pasien operasi

Pelaksanaan Sign In, Time Out dan Sign

No Tanggal Nama Pasien No RM Diagnosa Operasi Out pada pasien operasi diisi lengkap Ket
Ya Tidak
1 2/1/2020 Nn. Rasdila 04.41.56 eksisi+pa 1
2 2/1/2020 Tn.wahyuddin 16.23.73 eksisi+pa 1
3 2/1/2020 Ny.dewi puspita 12.41.58 SC 1
4 2/1/2020 Tn. Saumat 16.03.63 Hemiatroplasti sinistra 1
5 2/1/2020 Ny.Nurani 15.04.60 sc 1
6 3/1/2020 Ny.komang 09.55.32 sc 1
7 3/1/2020 Ny.dewi rati 03,95,82 SC 1
8 3/1/2020 Ny. Mamah M. 05.50.64 excisi 1
9 3/1/2020 Ny. Yuslia Z. 16.10.91 excisi 1
10 3/1/2020 Ny. Nurhayati 16.10.91 excisi 1
11 4/1/2020 Ny.Ratna 09.81.53 debridement v.y flap 1
12 5/1/2020 Ny Melati 16.28.92 Debridement + Pasang wayer 1
13 5/1/2020 Ny Jumadi 16.28.37 debridement + amputasi 1
14 6/1/2020 Tn.Cipto Eko 57371 Fistulektomy 1
15 6/1/2020 Ny Anita 15.99.37 SC 1
16 7/1/2020 Tn. Slamet R 15.71.83 Eksisi + PA 1
17 7/1/2020 Tn. Reza K 15.66.25 Herniatomy 1
18 7/1/2020 Tn. Bambang 10,74,94 orif 1
19 7/1/2020 ny. Nanda 08,92,19 sc 1
20 7/1/2020 tn. H Madi 16,27,88 Herniatomy 1
21 8/1/2020 Ny. Umi Salamah 15.94.80 SC 1
22 8/1/2020 Ny Rahmijusti 16.26.42 Eksisi + PA 1
23 8/1/2020 Ny Umi 15.94.80 Eksisi + PA 1
24 8/1/2020 Ny.sumiyati 12.82.27 eksisi + debridement 1
25 9/1/2020 Nn Anisa 16,08,93 Mastitis dextra 1
26 9/1/2020 Nn Fera 16.29.67 exsisi + pa 1
27 10/1/2020 Ny Asima 08.52.10 SC 1
28 11/1/2020 Tn Rafi M 01.87.93 Remove 1
29 13/1/2020 Ny. Gita Anggriani 05.46.01 SC 1
30 13/1/2020 ny.ny. Yeni 05,75,46 ektraksi kuku 1
31 14/1/2020 An. Zaki Ibnu Fauzan 15.78.82 Eksisi + PA 1
32 14/1/2020 Nn Kartika 16.34.10 Insisi debridement 1
33 15/1/2020 Nn. Lutfi 15.36.78 Eksisi + PA 1
34 15/1/2020 Ny. Mawariyanah 16.30.68 Eksisi + PA 1
35 15/1/2020 Ny. Megawati 05.60.88 SC 1
36 15/1/2020 Ny. Tamia 00.43.62 SC 1
37 15/1/2020 Ny. Adinda 16.34.31 SC 1
38 16/1/2020 An. Stefanie Carell 16.34.49 Eksisi 1
39 16/1/2020 ny.bontor 11.88.13 debridement + aputasi 1
40 16/1/2020 ny. Laras 16,35,32 sc 1
41 17/1/2020 Ny. Kamsiem 162952 Laparatomy hysterectmy 1
42 18/1/2020 Ny. Mardianti 08.80.27 Hemorodectomy 1
43 20/1/2020 Ny.merry agustuningsih 03.04.59 SC + TUBEKTOMI 1
44 20/1/2020 Tn. Stefanus Rewidyo 16.34.05 Appendiktomy 1
45 20/1/2020 Ny Putri linda 16.16.24 sc 1
46 21/1/2020 Ny.Tinike 107941 exisi 1
47 21/1/2021 Ny.Maemunah 163771 SC 1
48 21/1/2021 my. Trinawang 16,35.98 excisi + pa 1
49 23/1/2020 Nn Muanah 16.34.44 excisi +pa 1
50 23/1/2020 Ny Ida 12.20.03 herniotami 1
51 23/1/2020 Tn Giyanto 16.37.79 excisi +pa 1
52 23/1/2020 Ny Felicia 16.38.31 excisi +pa 1
53 23/1/2020 Ny.Devi rianti 16.38.13 excisi +pa 1
54 24/1/2020 Ny. Nur islamiyah 11.90.81 eksisi + debridement 1
55 24/1/2020 Ny.Irma M 16,38,67 eksisi + debridement 1
56 25/1/2020 ny.rani sumarni 16.39.77 sc 1
57 27/1/2020 Tn. Anas S 08.96.25 Eksisi + PA 1
58 27/1/2020 Tn. Marjono 10.68.48 Hemoroidectomy 1
59 28/1/2020 Marhatusoleha 161685 Exisi + PA 1
60 28/1/2020 Nn.Tasya 16.33.68 Exisis 1

PIC Data Ka.Ru Kamar Operasi Kepala Instalasi Kamar Operasi

Jinni Simamora,Amd,Keb Yuliana Frederika, Amd. Kep dr. Roosanie Patria Sp.B,M.Kes
Formulir Untuk Pengumpul Data

Sensus Harian Indikator Unit Kamar Operasi

Jenis Indikator : Tidak dilakukannya penandaan lokasi operasi (UK 6) / Jan 2020

Tidak dilakukan Penandaan

No Tanggal Nama Pasien No RM Nama Tindkan Operasi lokasi operasi Ket
Ya Tdk
1 2/1/2020 Nn. Rasdila 04.41.56 eksisi+pa 1
2 2/1/2020 Tn.wahyuddin 16.23.73 eksisi+pa 1
3 2/1/2020 Tn. Saumat 16.03.63 Hemiatroplasti sinistra 1
4 3/1/2020 Ny. Mamah M. 05.50.64 excisi 1
5 3/1/2020 Ny. Yuslia Z. 16.10.91 excisi 1
6 3/1/2020 Ny. Nurhayati 16.10.91 excisi 1
7 4/1/2020 Ny.Ratna 09.81.53 debridement v.y flap 1
8 5/1/2020 Ny Melati 16.28.92 Debridement + Pasang wayer 1
9 5/1/2020 Ny Jumadi 16.28.37 debridement + amputasi 1
10 7/1/2020 Tn. Slamet R 15.71.83 Eksisi + PA 1
11 7/1/2020 Tn. Reza K 15.66.25 Herniatomy 1
12 7/1/2020 Tn. Bambang 10,74,94 orif 1
13 7/1/2020 tn. H Madi 16,27,88 Herniatomy 1
14 8/1/2020 Ny Rahmijusti 16.26.42 Eksisi + PA 1
15 8/1/2020 Ny Umi 15.94.80 Eksisi + PA 1
16 8/1/2020 Ny.sumiyati 12.82.27 eksisi + debridement 1
17 9/1/2020 Nn Anisa 16,08,93 Mastitis dextra 1
18 9/1/2020 Nn Fera 16.29.67 exsisi + pa 1
19 9/1/2020 Tn.M soleh 16.29.70 debridement 1
20 11/1/2020 Tn Rafi M 01.87.93 Remove 1
21 13/1/2020 ny.ny. Yeni 05,75,46 ektraksi kuku 1
22 14/1/2020 An. Zaki Ibnu Fauzan 15.78.82 Eksisi + PA 1
23 14/1/2020 Nn Kartika 16.34.10 Insisi debridement 1
24 15/1/2020 Nn. Lutfi 15.36.78 Eksisi + PA 1
25 15/1/2020 Ny. Mawariyanah 16.30.68 Eksisi + PA 1
26 16/1/2020 An. Stefanie Carell 16.34.49 Eksisi 1
27 16/1/2020 ny.bontor 11.88.13 debridement + aputasi 1
28 21/1/2020 Ny.Tinike 107941 exisi 1
29 21/1/2021 my. Trinawang 16,35.98 excisi + pa 1
30 23/1/2020 Nn Muanah 16.34.44 excisi +pa 1
31 23/1/2020 Ny Ida 12.20.03 herniotami 1
32 23/1/2020 Tn Giyanto 16.37.79 excisi +pa 1
33 23/1/2020 Ny Felicia 16.38.31 excisi +pa 1
34 23/1/2020 Ny.Devi rianti 16.38.13 excisi +pa 1
35 24/1/2020 Ny. Nur islamiyah 11.90.81 eksisi + debridement 1
36 24/1/2020 Ny.Irma M 16,38,67 eksisi + debridement 1
37 27/1/2020 Tn. Marjono 10.68.48 Hemoroidectomy 1
38 28/1/2020 Marhatusoleha 161685 Exisi + PA 1
39 28/1/2020 Nn.Tasya 16.33.68 Exisis 1
40 29/1/2020 Tn Mursan 04.98.82 herniotomi dextra 1
41 30/1/2019 Nn Gadis 11.31.05 exisis + PA 1
42 30/1/2020 Ny.Pamela Kirasati 16.41.02 exisis + PA 1
43 1

PIC Data Ka.Ru Kamar Operasi Kepala Instalasi Kamar Operasi

Jinni Simamora,Amd,Keb Yuliana Frederika, Amd. Kep dr. Roosanie Patria Sp.B,M.Kes