LAPORAN PASIEN IGD ( SENSUS PASIEN IGD )

NO. TANGGAL TGTD DTG

PTC K PENS PTC K

1 2-Apr-18 13 10 3 5
2 3-Apr-18 12 8 7 3 2
3 4-Apr-18 13 15 3 2 3
4 5-Apr-18 12 16 3 6 2
5 6-Apr-18 13 13 2 2 1
6 7-Apr-18 14 21 7 7 1
7 8-Apr-18 6 11 6 7 4
TOTAL 83 94 31 32 13
208 48
TOTAL PTC
TOTAL KARYAWAN
TOTAL PENSIUN
PERSENTASE PTC
PERSENTASE KARYAWAN
PERSENTASE PENSIUN

LAPORAN IGD ( SENSUS PASIEN IGD )

NO. TANGGAL PEGAWAI KELUARGA PENSIUN BPJS UMUM

KARYAWA
N
1 2-Apr-18 1 9 4 5 13
2 3-Apr-18 1 9 8 5 11
3 4-Apr-18 8 10 3 4 11
4 5-Apr-18 2 16 3 10 9
5 6-Apr-18 6 9 2 4 10
6 7-Apr-18 12 11 9 8 14
7 8-Apr-18 4 11 6 7 6
Total 34 75 35 43 74
144
Persentage 55.2 16.5 28.4

LAPORAN PASIEN IGD

(RAWAT INAP, RUJUK & MENINGGAL)

NO. TANGGAL RAWAT RUJUK MENINGGAL Pasien anak < 5 tahun

INAP DOS DOA
1 2-Apr-18 4
 2 3-Apr-18 8 1 1 `
3 4-Apr-18 2
4 5-Apr-18 8
5 6-Apr-18 4
6 7-Apr-18 4
7 8-Apr-18 5
Total 35 1 0 1

LAPORAN PASIEN BANGSAL ( SENSUS PASIEN RAWAT INAP )

NO. TANGGAL ANTRASI LIGNITE BM HCU KEBIDANAN (1B,2&3)

TE (2&3) (1A,1B,2
(1A&1B) &3)

1 2-Apr-18 9 10 5 0 1
2 3-Apr-18 9 15 3 0 2
3 4-Apr-18 11 16 3 0 2
4 5-Apr-18 12 15 4 1 3
5 6-Apr-18 8 8 3 2 2
6 7-Apr-18 7 6 4 3 5
7 8-Apr-18 7 11 6 2 3

LAPORAN PASIEN BANGSAL ( SENSUS PASIEN RAWAT INAP )

NO. TANGGAL PEGAWAI ISTRI/SUA ANAK PENSIUN PTC

MI PEGAWA umum
PEGAWAI I
1 2-Apr-18 0 3 0 6 4
2 3-Apr-18 0 3 1 10 6
3 4-Apr-18 0 3 1 10 8
4 5-Apr-18 3 3 2 10 6
5 6-Apr-18 1 3 0 8 2
 6 7-Apr-18 2 2 0 8 3
7 8-Apr-18 2 4 1 9 1

LAPORAN PASIEN BANGSAL

(SENSUS PASIEN RAWAT INAP)

NO. TANGGAL MASUK KELUAR

IGD POLI/JADWALLAHIR
OP (VK) PULANG RUJUK
1 2-Apr-18 4 9
2 3-Apr-18 8 4
3 4-Apr-18 2 1
4 5-Apr-18 8 1 6
5 6-Apr-18 4 1 17
6 7-Apr-18 4 1 3
7 8-Apr-18 5 1
TOTAL 35 1 3 40 0
39 40

BANGSAL KELAS JUMLAH TOTAL JUMLAH PASIEN PERSENTASE (%)

BED BED

ANTRASITE 1A #DIV/0!
1B
LIGNITE 1B #DIV/0!
2
3
ISOLASI
BITUMINUS 1A #DIV/0!
1B
2
3
BABY
BOX
HCU HCU #DIV/0!
PERISTI HCU #DIV/0!
KEBIDANAN 1B #DIV/0!
2
3
1A
Total 0 0 0 #DIV/0!
Rujukan IGD
Tanggal Nama Pasien Umur Status Diagnosa
4/2/2018 rafles bin pardede multipel fr tertutup complit 1/3 distal os
15 th ptc radius n ulna dextra et sinistra
4/7/2018 MIKERON 55TH TC GCSPTC
3 + HEMATOTORAK + OPEN FR OS HUMERUS DX + FR COSTAE 3-4 DX

Rujukan Bangsal
Tanggal Nama Pasien Umur Status Diagnosa

meninggal di bangsal
tanggal nama usia status diagnosa bangsal

doa/dos
Tanggal Nama Pasien Umur Status Diagnosa
4/3/2018 Tn M Adit Rama 17 PTC DOA ec Asfiksia
4/7/2018 SUNARTO 62TH PENS STROKE ISKEMIK + CAD DG PEN. KESADARAN ( DOS )
TG GTD GD

PENS PTC K PENS PTC K

1
1

1 1 1

3 0 0 0 2 1
48 0 4

108
35
0.0
41.38
13.41

KASUS PENYAKIT D

NO.
Total

32
34 1
36 2
40 3
31 4
54 5
34 6
261 7
8
9
10
11
12
13
14
15
16
17
18
19
20
 21
22

1
2
3
4
5
6
7
8
9
10
11
12
PERISTI JUMLAH BOR sisa pasien 13

21 14
25 15
29 16
32 17
35 18
23 19
25 20
29 21
22
0.0 23
0.0 24
25
26
27
28
29
30
31
32
33
34

1
PTC Total 2
BPJS 3
12 25 4
9 29 5
10 32
11 35
9 23
 10 25
12 29

NO.

LUAR SISA PASIEN 30 1

PASIEN MINGGU
MENINGGAL 2
LALU
25 3
29 4
32 5
35 6
23 7
25 8
29 9
0 10
40
1
2
3

4
5
6

7
8
9
10
11
12
13
14
15

16
17
17
19
20
20
21
22
23
24
25
 26
27
28
GD
1

KASUS KEBIDANAN

Dirujuk Ke Alasan dokter

konsul pro SpOT dr.Nirwan, SpB
RS RK Charitas Palembang

RS. RABAIN
PRO CT SCAN DAN KONSUL SP.B DAN ICU
DR. ARLINGGA

Dirujuk Ke Alasan dokter

dokter
 GD DOA/DOS TOTAL

PENS PTC K PENS

32
1 34
36
40
31
1 54
34
1 1 0 0 261
4 1

KASUS PENYAKIT DALAM

DIAGNOSA KASUS RAWAT INAP RUJUK MENINGG

AL

DTG/GTD
acites ec sirosis
1 1
Asma Bronkial Eksaserbasi Akut 7
bronkiolitis 1 1
bronkopneumonia 1
CHF + HHD 1 1
CVD non Hemoragic 1 1
DLI+COLIK ABDOMEN 1 1
Gastritis Kronik 2 2
gea+dli 4 4
HHD 2 1
HT URGENSI 2 2
KDK 1 1
tdbd 1 1
typhoid + DLI 4 4
vomitus + DLI 2 2
VOMITUS PROFUS 1 1
 TGTD
CC 2

CHEPALGIA 2

colic abd 1

croup synd. 1

Dyspepsia 11 1

Faringitis Akut 7

Febris 1

Gastritis 17

GEA TD 12

HT 3

ISK 1

ISPA 11
3

klinis d. typoid
konstipasi 1

limfadenitis 2

Migrain 2

myialgia 6
obs vomitus 3

OTALGIA 1

POLINEUROPATI 1

post cvd 1

Psikosomatis 1

rinitis 5

SANGUITUS 1

Skizofren 1

sks 1

stomatitis 2

susp TB paru 1

tinea corporis 1

TTH 4

urtikari 3

Vertigo 14 2

penurunan kesadaran ec susp cvd hemoragik +hipotensi 1 1

CVD non hemorragik 1 1
edempulmo+ ht emergensy 1 1
CAD STEMI 1 1
stroke iskemik + cad dg pen. Kesadaran 1 1
 DIAGNOSA KASUS RAWAT INAP RUJUK MENINGG
AL
DTG

ckr+mve 1 1
closed fr incomp. Os metatarsal dx 1
multipel fr tertutup complit 1/3 distal os radius n ul 1 1

TGTD

BLEFARITIS 1

cholesistitis 1

Colic Renal 1
contusio 1

furunkel 1
ginggivitis 3
gout atritis 7
hematom 1

hematuri 1
konjungtivitis 1

kontrol luka 10
LBP 1
Malunion fraktur femur dextra
muscle sprain 2

mve 6
OA genu 2

post laminektomi (ganti kateter)

STT 1

trauma tumpul thorax 1

trauma tumpul wajah 1
ulkus diabetik 1
V. PUNCTUM 1
VL 8
TC gcs 3 + hematothorax + open fr os humerus dx + 1` 1

DIAGNOSA KASUS RAWAT INAP RUJUK MENINGG

AL
G2P1A0 hamil 14 mgg dgn abortus komplit 1 1
G4P2A1 hamil 4 minggu dengan HEG gr III
G2P1A0 hamil 40 minggu inpartu kala 1 fase laten jth preskep 1 1

G3P2A0 hamil posterm inpartu kala 1 fase laten 1 1

G2P1A0 hamil aterm inpartu kala 1 fs aktif dengan KPD 12jam 1 1

G1P0A0 hm 38-39 mg aterm inpartu kala 1 fs aktif dgn KPD 1 1

;.
KETERANGAN
KETERANGAN
KETERANGAN

s
 JANUARI FEBRUARI MARET
I II III IV I II III IV I II
19 29 23 28.9 26.1 19.4 18.2 23 22.8 19.2
24.975 21.675 22.12

JULI AGUSTUS SEPTEMBER

I II III IV I II III IV V I
 MARET MEI
III IV V I II III IV I II III
23.6 20.4 24.6 33.2 25.5 22 18.1 15.4 22.5 27.4
22.12 24.7 20.35

SEPTEMBER OKTOBER NOVEMBER

II III I II III IV I II III
MEI JUNI
IV I II III IV V
16.1
0.35

EMBER DESEMBER
IV I II III IV
 DAFTAR KEBUTUHAN ALKES DISPOSABLE
INSTALASI GAWAT DARURAT

No Nama Barang Jumlah

1 Nasal Canule Dewasa 60
2 Nasal Canule Anak 60
3 Nasal Canule Bayi 30
4 Selang Suction Dewasa 15
5 Selang Suction Anak 10
6 Gudel Dewasa 10
7 Gudel Anak 10
8 Stomach tube no. 16 10
9 Stomach tube no. 18 10
10 Electroda ECG 30
11 NON REBREATHING MASK DEWASA 30
12 NON REBREATHING MASK ANAK 30
13
14
15
NO. DIAGNOSA KASUS RAWAT INAP RUJUK MENINGGAL KETERA

DTG/GTD
1 gastritis + vomitus 2 2 K29. Gastritis; E86
2 GEA DRS 3 3 A09.9 Diarrhea & gastroente
3 Typhoid DRS 2 2
4 HT urgensi 2 2 I10 Hype
5 asma bronkial 10
8 HIPERPIREKSIA + DLI 1 1 E. 86 volume depletion
10 KDS/KDK 2 2 R56 Febrile
11 ANEMIA berat ec aplastik 1 1 D61.9 Aplastic anaemia, unsp
12 muntah profuse + dehidrasi ringansedang 2 2 R11 Nausea and vomitin
14 DEMAM DENGUE 4 4 A90 deng
15 kolik renal 1 1 N23 kol
16 HHD+VES 1 1
17 Bronkopneumonia 1 1
18 dehidrasi sedang 3 3
19
20
TGTD
1 faringitis 8 J02.2 ph
2 gastritis 16 1 k29.1 Acut
3 GE TD 8 A09.9 Diarrhea &
4 ispa 30 J06.9 Upper respira
6 dispepsia 11
7 CC 8
8 klinis tifoid 5 1
9 vertigo 3 H81.1 Benign Pa
11 TTH 4 G44.2 Tension T
12 rinitis J30.0 r
13 TFA 2 J03.9 Acute tons
14 syncope R55. syncope
15 HT 4 I10 Hype
16 myialgia 4 m79.1 M
17 ISK N39.0 Urinary tract infe
18 Urticaria 2 L50.9 Urticar
19 konstipasi 1 K59.0 Co
20 Kolik abdomen 2 1 R10. Abdo
24 dermatitis 1 B05 m
25 morbili 1 1
26 hemoroid 1
27 CVD LAMA 1
28 Hiperglikemi 1
29 KDK (obat rutin) 1
30 hematochezia ec susp disentri 1
31 insomnia 1
32 tinea corporis 1
33 oa 1
34

1 ACS I25.0 Atherosclerotic cardiov

2 CAD NSTEMI I29 myocard
3 AF rapid + VES I41. atrial fibrillation; I49. ventri
4

NO. DIAGNOSA Kasus rawat inap RUJUK MENINGGAL KETERA

DTG
1 susp hernia inguinalis dextra 1 S92.30 Fracture of me
2 mvl/vl 10 S01. ope
3 retensio urine ec BPH 1 S72.30 Fracture of s
4 Muscle strain 2 skala ny
5 closed fr tibia dx 1 S52. fracture of
6 closed fr incomplete os digiti 2 pedis sin S52. fracture o
7 mve S00. superfi
8 hemoroid interna I84.1. haemmhoroids intern
9 LASERASI CAE SIN 1
10 SUSP APP 1 berangkat sendir
TGTD
1 VE/MVE 10 S00. superfi
1 kontrol luka 10 Z48.0 Attention to surgi
2 retensio urine 1 ganti k
3 LBP 2 1 M54.5. low
4 Hematom 1 S00. superfi
5 BPH + Retensio Urine 1 T15. foreign b
6 OA genue 1 k02.9. carie
7 CA Cell squamous meta KGB 1 1 M62.6 mu
8 serumen pug 1 H61. impact
9 hemorroid interna 2 I84.5 External haemorrh
10 V. Punctum 1 H66.9 Otitis me
11 trauma tumpul thorax 1 W57 Bitten or stung by non
 12 konjungtivitis 2 H10.9 Conjuncti
13 abses genu 1
14 paronikia 1 J03.9 Acute tons
15 sinusitis 1 K05.0 Acu
16 kolik renal 1 L08. Pyo
17 STT reg colli dex
19 urolithiasis 1 1 N20 urinar
20 OTALGIA 1
20 CONTUSIO 1
21 pterigium 1
22 pulpitis 4
23 abses pedis 1 1
24 corpus alienum 1
25 LBP+HHD 1 1
26 corpus alienum 1
27
28
GD

KASUS KEBIDANAN DIAGNOSA KASUS RAWAT INAP RUJUK MENINGGAL KE

abortus inkomp 1 1 O21.1 Hyperemesis gravidaru

G2P1A0 hm 36-37mg JTH preskep fase latern 1 1
G2P1A0 hm 40 mg presbo 032.1 maternal care fo
G3P2A0 hamil 13minggu dengan HEG gr III O21.1 Hyperemesis gravidaru
PG hamil 16minggu dengan HEG gr III O21.1 Hyperemesis gravidaru
G2P1A0 hamil 35 minggu inpartu kala 1 fase laten JTH O80. spontaneou
preskep
G2P1A0 hamil 32 minggu kala 1 fase aktif 060 preter
 KETERANGAN

K29. Gastritis; E86 volume depletion

A09.9 Diarrhea & gastroenteritis; E86 volume depletion
A01.01 Typhoid fever
I10 Hypertension
J45 Predominant allergic asthma
E. 86 volume depletion; R50.1 persistent fever
R56 Febrile Convulsion
D61.9 Aplastic anaemia, unspecified / menolak rawat inap
R11 Nausea and vomiting; E86 volume depletion
A90 dengue fever
N23 kolik renal

J02.2 pharyngitis
k29.1 Acute Gastritis
A09.9 Diarrhea & gastroenteritis
J06.9 Upper respiratory tract infection
K30 Dyspepsia

A01.01 Typhoid fever

H81.1 Benign Paroxysmal Vertigo
G44.2 Tension Type Headache
J30.0 rhinitis
J03.9 Acute tonsillitis, unspecified
R55. syncope and collapse
I10 Hypertension
m79.1 Myialgia
N39.0 Urinary tract infection, site not specified
L50.9 Urticaria, unspecified
K59.0 Constipation
R10. Abdominal pain
B05 measles
 I25.0 Atherosclerotic cardiovascular disease, so described
I29 myocardial infaction
I41. atrial fibrillation; I49. ventricular premature depolarization

KETERANGAN

S92.30 Fracture of metatarsal bone, closed

S01. open wound
S72.30 Fracture of shaft of femur, closed
skala nyeri > 5
S52. fracture of shaft of radius
S52. fracture of other finger
S00. superficial injury
I84.1. haemmhoroids interna with other complications

berangkat sendiri ke RSUD Rabain

S00. superficial injury

Z48.0 Attention to surgical dressings and sutures
ganti kateter
M54.5. low back pain
S00. superficial injury
T15. foreign body in cornea
k02.9. caries of dentine
M62.6 muscle strain
H61. impacted cerumen
I84.5 External haemorrhoids without complication
H66.9 Otitis media, unspecified
W57 Bitten or stung by nonvenomous insect and other
nonvenomous arthropods
 H10.9 Conjunctivitis, unspecified

J03.9 Acute tonsillitis, unspecified

K05.0 Acute gingivitis
L08. Pyoderma

N20 urinary calculus

KET

O21.1 Hyperemesis gravidarum with metabolic disturbance

032.1 maternal care for breech presetation

O21.1 Hyperemesis gravidarum with metabolic disturbance
O21.1 Hyperemesis gravidarum with metabolic disturbance
O80. spontaneous vertex delivery

060 preterm delivery