Sensus Harian Indikator Unit Kamar Operasi (Maret 2020 )

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

waktu tunggu
Realisasi operasi elektif ≤ 48 Keterangan
TGL Rcn jam
NO Nama Pasien No RM Dx Tindakan Operasi Tgl
Tindaknn
Tindakan
Ya Tdk
1 Ny.Emi 16.56.21 STT antebrachi 3/3/2020 3/3/2020 1
2 Tn.Sunarta 00.42.24 hil D 3/3/2020 3/3/2020 1
3 Nn.Linda 07.96.98 Appendicitis acute 3/3/2020 3/3/2020 1
4 Tn.Muhidin 05.32.50 Abses gluteal 3/3/2020 3/3/2020 1
5 Ny. Wiwik W 09.05.04 G6P3A2 3/3/2020 3/3/2020 1
6 Tn. Inu Setio 16.52.97 Tumor Mammae Sinistra 4/3/2020 4/3/2020 1
7 Ny. Betty R.S 08.01.17 STT Abdomen 4/3/2020 4/3/2020 1
8 tn. Barnas 16,42,02 hil D 4/3/2020 4/3/2020 1
9 Tn.Acmad fauzi 16.58.07 limfadenopati 5/3/2020 5/3/2020 1
10 Tn.Sugiyanto 03.62.37 STT Thorax posterior 5/3/2020 5/3/2020 1
11 Nn Anindya 15.45.13 paronikia 5/3/2020 5/3/2020 1
12 Ny.sinta 16.58.94 G2P1A0 Hml 38-39mgg bsc 1x 6/3/2020 6/3/2020 1
13 Tn.Holid 16.59.52 fraktur clavikula 6/3/2020 6/3/2020 1
14 Ny.atiyah 15.99.19 frozen shoulder sinistra 7/3/2020 7/3/2020 1
15 Ny.Solekha 06.19.26 myoma uteri 9/3/2020 9/3/2020 1
16 Ny. Ratna 04.79.67 FAM dextra 10/3/2020 10/3/2020 1
17 Tn. Okto Frangky 16.56..00 Tumor antebrachial dextra 10/3/2020 10/3/2020 1
18 Ny Sri dewi 05.41.88 G5P1(+)A3 h:aterm a/I Bsc1x 11/4/2020 11/4/2020 1
19 Ny Priyandini 12.59.55 G6P4A1 H:37-38mgg a/I bsc2x + MOW 11/4/2020 11/4/2020 1
20 Ny Nanik 00.52.01 Stt gluteus 11/4/2020 11/4/2020 1
21 Tn. Pratin 16.59.41 Hermoroid externa 11/4/2020 11/4/2020 1
22 Nn.Friska 16.61.99 Tumor mamae sinistra 12/3/2020 12/3/2020 1
23 Ny.Munawaroh 15.00.81 Tumor mamae dextra 12/3/2020 12/3/2020 1
24 Nn.Juwita 16.61.78 Tumor mamae sinistra 12/3/2020 12/3/2020 1
25 Ny.Afifah 15.57.29 G3pP2 A0 H aterm bsc 2x 12/3/2020 12/3/2020 1
26 Ny Wahyuni 18.24.16 G3P1A1 h:aterm a/I bsc1x + let-bo 13/3/2020 13/3/2020 1
27 tn. Arie budiman 15,95,81 stt femoralis multiple 13/3/2020 13/3/2020 1
28 An. Rasya M. 05.01.91 TUMOR SUPRA SILIAR 16/03/202016/03/2020 1
29 Tn. Yaya Sunarya 16.57.92 HIL Dextra 16/03/2020 16/03/2020 1
30 Ny. Lucia Rosita F 16.65.33 G2P0A1 H 38 minggu a/I KPD 16/03/202016/03/2020 1
31 An.Raditya 16.61.95 STT punggung 17/3/2020 17/3/2020 1
32 Ny.Martha 11.47.01 STT aurikula 17/3/2020 17/3/2020 1
33 Ny.andi 14.23.05 Haemorroid 17/3/2020 17/3/2020 1
34 Ny.St Herawati 13.84.08 Tumor mamae dextra 18/3/2020 18/3/2020 1
35 Ny.Ika 08.45.40 Tumor mamae dextra 18/3/2020 18/3/2020 1
36 Ny.Neng sri 15.83.04 Mastitis 19/3/2020 19/3/2020 1
37 Ny.Srimunah 16.56.90 HILL sinistra 19/3/2020 19/3/2020 1
38 Ny.Nurhayati 16.49.54 Miomauteri 19/3/2020 19/3/2020 1
39 Ny.Suhaeriah 16.58.63 G2P1 Gemeli h 37 mgg bsc 1x 20/3/2020 20/3/2020 1
40 Ny. Vivi J 16.04.81 Frozen Shoulder Dextra 21/3/2020 21/3/2020 1
41 NY. ELMI 15,56,42 G2P1A0 HAMIL. ATERM A/I BSC 1X 23/3/2022 23/3/2022 1
42 Ny.Goyati 16.65.99 STT axila dextra 24/3/2020 24/3/2020 1
43 Ny.Feluhesti 16.63.42 G3P2 A 0 Bsc 1 + tubec 26/03/202026/03/2020 1
44 Nn Lubina 16.63.18 Tumor axilla sinistra 26/03/202026/03/2020 1
45 An.aidil Nadira 07.55.70 closed # 1/3 distal radius sinistra 27/3/2020 27/3/2020 1
46 Ny. Marinta 16.70.86 G1P0A0 H Aterm a/I Kala 2 Memanjang 27/3/2020 27/3/2020 1
47 Ny. Tarsijah 06.51.53 G3P2A0 H Aterm a/I HNP 27/3/2020 27/3/2020 1
48 ny. Siti 15,55,47 g2p1a0 hamil 39 minggu 14,jam 29/3/2020 29/3/2020 1
49 Tri haryanti 16.63.23 Tumor mamae sinistra 30/3/2020 30/3/2020 1
50 Ny.Jeni 12.28.98 G2P1Ao Hiperglikemi + mioma uteri 30/3/2020 30/3/2020 1
51 Ny Suryani 16.42.40 unial fr. Distal sinistra 31/3/2020 31/3/2020 1
52 31/3/2020 31/3/2020 1
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 (Maret 2020)
Indikator : Penundaan Operasi Elektif (IMN 4)/ ketepatan jam, Maret 2020

Jam realisasi Ketepatan waktu Keterangan

NO TGL Nama Pasien No RM Dx Tindakan Operasi rencana Jam
operasi operasi Ya Tdk dr Operator
1 3/3/2020 Ny.Emi 16.56.21 STT antebrachi 8,00 09,00 1
2 3/3/2020 Tn.Sunarta 00.42.24 hil D lanjut 11,00 1
3 3/3/2020 Nn.Linda 07.96.98 Appendicitis acute lanjut 10,00 1
4 3/3/2020 Tn.Muhidin 05.32.50 Abses gluteal lanjut 11,10 1
5 3/3/2020 Ny. Wiwik W 09.05.04 G6P3A2 13,00 13,50 1 dr yuni partus di vk
6 4/3/2020 Tn. Inu Setio 16.52.97 Tumor Mammae Sinistra 09,00 09,50 1 dr. roosanie telat
7 4/3/2020 Ny. Betty R.S 08.01.17 STT Abdomen lanjut 10,30 1
8 4/3/2020 tn. Barnas 16,42,02 hil D 20,00 20,30 1
9 5/3/2020 Tn.Acmad fauzi 16.58.07 limfadenopati 9,00 9,10 1
10 5/3/2020 Tn.Sugiyanto 03.62.37 STT Thorax posterior lnjt 9,40 1
11 5/3/2020 Nn Anindya 15.45.13 paronikia 11,30 12,00 1
12 6/3/2020 Ny.sinta 16.58.94 G2P1A0 Hml 38-39mgg bsc 1x 8,00 8,30 1
13 6/3/2020 Tn.Holid 16.59.52 fraktur clavikula 13,00 13,30 1
14 7/3/2020 Ny.atiyah 15.99.19 frozen shoulder sinistra 09,00 09,10 1
15 9/3/2020 Ny.Solekha 06.19.26 myoma uteri 0,900 9,00 1
16 10/3/2020 Ny. Ratna 04.79.67 FAM dextra 09,00 09,10 1
17 10/3/2020 Tn. Okto Frangky16.56..00 Tumor antebrachial dextra 20,00 20,10 1
18 11/4/2020 Ny Sri dewi 05.41.88 G5P1(+)A3 h:aterm a/I Bsc1x 10,00 10,00 1
19 11/4/2020 Ny Priyandini 12.59.55 G6P4A1 H:37-38mgg a/I bsc2x + MOW lanjut 11,50 1
20 11/4/2020 Ny Nanik 00.52.01 Stt gluteus 12,00 13,00 1
21 11/4/2020 Tn. Pratin 16.59.41 Hermoroid externa 20,00 20,20 1
22 12/3/2020 Nn.Friska 16.61.99 Tumor mamae sinistra 7,30 08,02 1
23 12/3/2020 Ny.Munawaroh 15.00.81 Tumor mamae dextra lnjt 08,40 1
24 12/3/2020 Nn.Juwita 16.61.78 Tumor mamae sinistra lnjt 09,40 1
25 12/3/2020 Ny.Omah 16.61.93 tenosivaginitis manus sinistra 14,00 14,30 1
26 13/3/2020 Ny Wahyuni 18.24.16 G3P1A1 h:aterm a/I bsc1x + let-bo 10,00 11,45 1
27 13/3/2020 tn. Arie budiman 15,95,81 stt femoralis multiple 19,00 19,00 1
28 16/03/2020An. Rasya M. 05.01.91 TUMOR SUPRA SILIAR 09,00 09,00 1
29 16/03/2020 Tn. Yaya Sunarya 16.57.92 HIL Dextra lanjut 10,00 1
30 16/03/2020Ny. Lucia Rosita F 16.65.33 G2P0A1 H 38 minggu a/I KPD LANJUT 11,20 1
31 17/3/2020 An.Raditya 16.61.95 STT punggung 08,00 8,30 1
32 17/3/2020 Ny.Martha 11.47.01 STT aurikula LNJT 09,40 1
33 17/3/2020 Ny.andi 14.23.05 Haemorroid LNJT 10,20 1
34 18/3/2020 Ny.St Herawati 13.84.08 Tumor mamae dextra 9,00 9,30 1
35 18/3/2020 Ny.Ika 08.45.40 Tumor mamae dextra lnjt 10,20 1
36 19/3/2020 Ny.Neng sri 15.83.04 Mastitis 8,00 10,00 1
37 19/3/2020 Ny.Srimunah 16.56.90 HILL sinistra lanjut 08,35 1
38 19/3/2020 Ny.Nurhayati 16.49.54 Miomauteri lanjut 11,10 1
39 20/3/2020 Ny.Suhaeriah 16.58.63 G2P1 Gemeli h 37 mgg bsc 1x 10,00 10,30 1
40 21/3/2020 Ny. Vivi J 16.04.81 Frozen Shoulder Dextra 09,00 09,30 1
41 23/3/2022 NY. ELMI 15,56,42 G2P1A0 HAMIL. ATERM A/I BSC 1X 13,00 13,00 1
42 24/3/2020 Ny.Goyati 16.65.99 STT axila dextra 9,00 9,20 1
43 26/03/2020Ny.Feluhesti 16.63.42 G3P2 A 0 Bsc 1 + tubec 10,00 10,10 1
44 26/03/2020Nn Lubina 16.63.18 Tumor axilla sinistra 19,00 19,30 1
45 27/3/2020 An.aidil Nadira 07.55.70 closed # 1/3 distal radius sinistra 8,00 09,00 1
46 27/3/2020 Ny. Marinta 16.70.86 G1P0A0 H Aterm a/I Kala 2 Memanjang 12,00 12,00 1
47 27/3/2020 Ny. Tarsijah 06.51.53 G3P2A0 H Aterm a/I HNP lanjut 1
48 29/3/2020 ny. Siti 15,55,47 g2p1a0 hamil 39 minggu 14,jam 10,30 11,25 1 dr. yuni datang terlambat
49 30/3/2020 Tri haryanti 16.63.23 Tumor mamae sinistra 9,00 09,45 1
50 30/3/2020 Ny.Jeni 12.28.98 G2P1Ao Hiperglikemi + mioma uteri 12,00 12,20 1
51 31/3/2020 Ny Suryani 16.42.40 unial fr. Distal sinistra 10,00 10,30 1
52 31/3/2020

Kepala Instalasi Kamar Operasi

PIC Data Ka.Ru Kamar Operasi
Jinni Simamora, Amd. Keb Yuliana Frederika, Amd. Kep dr. Roosanie Patria Sp.B,M.Kes
 Keterangan
dr.Anestehsi Lain-lain

msh ad sc cito dr.L

pasien lama dianter

msh ad sc cito dr.Y

 pasien lama dianter

lambat
dr vita terlambat

Operasi
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), Maret 2020

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

Pelaksanaan Sign In, Time

No Tanggal Nama Pasien No RM Diagnosa Operasi Out pada pasien operasi d

Ya
1 3/3/2020 Ny.Emi 16.56.21 STT antebrachi 1
2 3/3/2020 Tn.Sunarta 00.42.24 hil D 1
3 3/3/2020 Nn.Linda 07.96.98 Appendicitis acute 1
4 3/3/2020 Tn.Muhidin 05.32.50 Abses gluteal 1
5 3/3/2020 Ny. Wiwik W 09.05.04 G6P3A2 1
6 4/3/2020 Tn. Inu Setio 16.52.97 Tumor Mammae Sinistra 1
7 4/3/2020 Ny. Betty R.S 08.01.17 STT Abdomen 1
8 4/3/2020 tn. Barnas 16,42,02 hil D 1
9 5/3/2020 Tn.Acmad fauzi 16.58.07 limfadenopati 1
10 5/3/2020 Tn.Sugiyanto 03.62.37 STT Thorax posterior 1
11 5/3/2020 Nn Anindya 15.45.13 paronikia 1
12 6/3/2020 Ny.sinta 16.58.94 G2P1A0 Hml 38-39mgg bsc 1x 1
13 6/3/2020 Tn.Holid 16.59.52 fraktur clavikula 1
14 7/3/2020 Ny.atiyah 15.99.19 frozen shoulder sinistra 1
15 9/3/2020 Ny.Solekha 06.19.26 myoma uteri 1
16 10/3/2020 Ny. Ratna 04.79.67 FAM dextra 1
17 10/3/2020 Tn. Okto Frangky 16.56..00 Tumor antebrachial dextra 1
18 11/4/2020 Ny Sri dewi 05.41.88 G5P1(+)A3 h:aterm a/I Bsc1x 1
19 11/4/2020 Ny Priyandini 12.59.55 G6P4A1 H:37-38mgg a/I bsc2x + MOW 1
20 11/4/2020 Ny Nanik 00.52.01 Stt gluteus 1
21 11/4/2020 Tn. Pratin 16.59.41 Hermoroid externa 1
22 12/3/2020 Nn.Friska 16.61.99 Tumor mamae sinistra 1
23 12/3/2020 Ny.Munawaroh 15.00.81 Tumor mamae dextra 1
24 12/3/2020 Nn.Juwita 16.61.78 Tumor mamae sinistra 1
25 12/3/2020 Ny.Afifah 15.57.29 G3pP2 A0 H aterm bsc 2x 1
26 13/3/2020 Ny Wahyuni 18.24.16 G3P1A1 h:aterm a/I bsc1x + let-bo 1
27 13/3/2020 tn. Arie budiman 15,95,81 stt femoralis multiple 1
28 16/03/2020 An. Rasya M. 05.01.91 TUMOR SUPRA SILIAR 1
29 16/03/2020 Tn. Yaya Sunarya 16.57.92 HIL Dextra 1
30 16/03/2020 Ny. Lucia Rosita F 16.65.33 G2P0A1 H 38 minggu a/I KPD 1
31 17/3/2020 An.Raditya 16.61.95 STT punggung 1
32 17/3/2020 Ny.Martha 11.47.01 STT aurikula 1
33 17/3/2020 Ny.andi 14.23.05 Haemorroid 1
34 18/3/2020 Ny.St Herawati 13.84.08 Tumor mamae dextra 1
35 18/3/2020 Ny.Ika 08.45.40 Tumor mamae dextra 1
36 19/3/2020 Ny.Neng sri 15.83.04 Mastitis 1
37 19/3/2020 Ny.Srimunah 16.56.90 HILL sinistra 1
38 19/3/2020 Ny.Nurhayati 16.49.54 Miomauteri 1
39 20/3/2020 Ny.Suhaeriah 16.58.63 G2P1 Gemeli h 37 mgg bsc 1x 1
40 21/3/2020 Ny. Vivi J 16.04.81 Frozen Shoulder Dextra 1
41 23/3/2022 NY. ELMI 15,56,42 G2P1A0 HAMIL. ATERM A/I BSC 1X 1
42 24/3/2020 Ny.Goyati 16.65.99 STT axila dextra 1
43 26/03/2020 Ny.Feluhesti 16.63.42 G3P2 A 0 Bsc 1 + tubec 1
44 26/03/2020 Nn Lubina 16.63.18 Tumor axilla sinistra 1
45 27/3/2020 An.aidil Nadira 07.55.70 closed # 1/3 distal radius sinistra 1
46 27/3/2020 Ny. Marinta 16.70.86 G1P0A0 H Aterm a/I Kala 2 Memanjang 1
47 27/3/2020 Ny. Tarsijah 06.51.53 G3P2A0 H Aterm a/I HNP 1
48 29/3/2020 ny. Siti 15,55,47 g2p1a0 hamil 39 minggu 14,jam 1
49 30/3/2020 Tri haryanti 16.63.23 Tumor mamae sinistra 1
50 30/3/2020 Ny.Jeni 12.28.98 G2P1Ao Hiperglikemi + mioma uteri 1
51 31/3/2020 Ny Suryani 16.42.40 unial fr. Distal sinistra 1
52 31/3/2020 1

PIC Data Ka.Ru Kamar Operasi Kepala Instalasi K

Jinni Simamora,Amd,Keb Yuliana Frederika, Amd. Kep dr. Roosanie Pat

20

Pelaksanaan Sign In, Time Out dan Sign

Out pada pasien operasi diisi lengkap Ket

Tidak
Kepala Instalasi Kamar Operasi

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) / Maret 2020

Tidak dilakukan Penandaan

No Tanggal Nama Pasien No RM Nama Tindkan Operasi lokasi operasi

Ya
1 3/3/2020 Ny.Emi 16.56.21 STT antebrachi
2 3/3/2020 Tn.Sunarta 00.42.24 hil D
3 3/3/2020 Tn.Muhidin 05.32.50 Abses gluteal
4 4/3/2020 Tn. Inu Setio 16.52.97 Tumor Mammae Sinistra
5 4/3/2020 Ny. Betty R.S 08.01.17 STT Abdomen
6 4/3/2020 tn. Barnas 16,42,02 hil D
7 5/3/2020 Tn.Acmad fauzi 16.58.07 limfadenopati
8 5/3/2020 Tn.Sugiyanto 03.62.37 STT Thorax posterior
9 5/3/2020 Nn Anindya 15.45.13 paronikia
10 6/3/2020 Tn.Holid 16.59.52 fraktur clavikula
11 7/3/2020 Ny.atiyah 15.99.19 frozen shoulder sinistra
12 9/3/2020 Ny.Solekha 06.19.26 myoma uteri
13 10/3/2020 Ny. Ratna 04.79.67 FAM dextra
14 10/3/2020 Tn. Okto Frangky 16.56..00 Tumor antebrachial dextra
15 11/4/2020 Ny Nanik 00.52.01 Stt gluteus
16 12/3/2020 Nn.Friska 16.61.99 Tumor mamae sinistra
17 12/3/2020 Ny.Munawaroh 15.00.81 Tumor mamae dextra
18 12/3/2020 Nn.Juwita 16.61.78 Tumor mamae sinistra
19 13/3/2020 tn. Arie budiman 15,95,81 stt femoralis multiple
20 16/03/2020 An. Rasya M. 05.01.91 TUMOR SUPRA SILIAR
21 16/03/2020 Tn. Yaya Sunarya 16.57.92 HIL Dextra
22 17/3/2020 An.Raditya 16.61.95 STT punggung
23 17/3/2020 Ny.Martha 11.47.01 STT aurikula
24 18/3/2020 Ny.St Herawati 13.84.08 Tumor mamae dextra
25 18/3/2020 Ny.Ika 08.45.40 Tumor mamae dextra
26 19/3/2020 Ny.Neng sri 15.83.04 Mastitis
27 19/3/2020 Ny.Srimunah 16.56.90 HILL sinistra
28 21/3/2020 Ny. Vivi J 16.04.81 Frozen Shoulder Dextra
29 24/3/2020 Ny.Goyati 16.65.99 STT axila dextra
30 26/03/2020 Nn Lubina 16.63.18 Tumor axilla sinistra
31 27/3/2020 An.aidil Nadira 07.55.70 closed # 1/3 distal radius sinistra
32 30/3/2020 Tri haryanti 16.63.23 Tumor mamae sinistra
33 31/3/2020 Ny Suryani 16.42.40 unial fr. Distal sinistra
34

PIC Data Ka.Ru Kamar Operasi Kepala Instalasi Kama

Jinni Simamora,Amd,Keb Yuliana Frederika, Amd. Kep dr. Roosanie Patria Sp
Tidak dilakukan Penandaan
lokasi operasi Ket
Tdk
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Kepala Instalasi Kamar Operasi

dr. Roosanie Patria Sp.B,M.Kes