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LEMBAR PENILAIAN PRAKTIK PROFESI SURGIKAL

JURUSAN KEPERAWATAN FKUB TA 2015/2016


Waktu Praktik : 10 15 Agustus 2015
Ruangan

No.

: OK RSUD Lawang
Nama
(NIM)

1
Sri Indah Novianti
(115070201111020)

2
Merchiliea Eso N. G
(115070200111046)

3
Novita Wulan Dari
(115070200111048)

4
Uzzy Lintang Savitri
115070200111010)

Kompetensi
a.Kognitif dan Psikomotor
RKM (10%)
Case Report (20%)
Resume (10%)
Responsi (SOCA) (10%)
Target Keterampilan (10%)
b. Afektif
Sikap / Perilaku (20%)
c.Supporting Group (10%)
d. Seminar (10%)
a.Kognitif dan Psikomotor
RKM (10%)
Case Report (20%)
Resume (10%)
Responsi (SOCA) (10%)
Target Keterampilan (10%)
b. Afektif
Sikap / Perilaku (20%)
c.Supporting Group (10%)
d. Seminar (10%)
a. Kognitif dan Psikomotor
RKM (10%)
Case Report (20%)
Resume (10%)
Responsi (SOCA) (10%)
Target Keterampilan (10%)
b. Afektif
Sikap / Perilaku (20%)
c.Supporting Group (10%)
d. Seminar (10%)
a.Kognitif dan Psikomotor
RKM (10%)
Case Report (20%)
Resume (10%)

Bobot

Total
Nilai

Cacatan

Responsi (SOCA) (10%)


Target Keterampilan (10%)
b. Afektif
Sikap / Perilaku (20%)
c.Supporting Group (10%)
d. Seminar (10%)
5
Ana Muhasshonah
(115070207111028)

a.Kognitif dan Psikomotor


RKM (10%)
Case Report (20%)
Resume (10%)
Responsi (SOCA) (10%)
Target Keterampilan (10%)
b. Afektif
Sikap / Perilaku (20%)
c.Supporting Group (10%)
d. Seminar (10%)

Mengetahui,
Preceptor Klinik

Preceptor Akademik