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Lampiran Surat Tugas Nomor : / UN3.1.

14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) KELUARGA


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER V T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK KELUARGA DESA RANCANG KENCONO LAMONGAN

NO TANGGAL NIM NAMA MAHASISWA DOSEN PEMBIMBING NIP


1 1-13 151611913030 DITA KHOIRUN NI'AM ENDAH SRI WIJAYANTI, 197008111994012001
Oktober 151611913062 MAR'ATUS SHOLIKHAH S.ST., M.Kes.
2018 151611913063 MAULIDATUL FARIKHAH
151611913064 MEGA SILVIA PUTRI
151611913065 MEIKA AFIFAH
151611913057 LUKMAN ADI JAYA SAPUTRA
151611913061 MAR'ATUS SHOLICHA KHOTIBUL UMAM, 197308231998031008
151611913066 MITA NUR HABIBAH S.Kep., Ns., M.Kes.
151611913070 MONICA PUTRI RAGIL
151611913073 NELA AMILATUS SHOLIKHAH
151611913060 M. NOR RIZQI ANTA
151611913074 NELI YULIA TSANI
151611913075 NINE MAHARDIKA SARI
151611913076 NISAK RACHMAWATI D. P. ISWATUN, S.Kep., M.Kes. 197203311994032004
151611913077 NITA HABIBA
151611913067 M. SAIFUL MAULUDIN B. U.
151611913078 NITA SARI AGUSTIN
151611913079 NORMA KHOIRUL HUDA
151611913080 NOVITA PUJI ELSA
2 12-24 151611913015 ANJAYA PRATAMA PUTRA ENDAH SRI WIJAYANTI, 197008111994012001
November 151611913044 FIRDA EKA SAPUTRI S.ST., M.Kes.
2018 151611913045 FIRDATUS SHOLIHAH
151611913046 FIRLA ISFIANA AYU W.
151611913047 FISSELLA ANGGRAINI
151611913020 BAGUS ADI UTAMA
151611913048 FITRI FADLILATUN NI'MAH KHOTIBUL UMAM, 197308231998031008
151611913049 FITRIYAH RIZKA APRILIA S.Kep., Ns., M.Kes.
151611913050 GALAU RIKA AKANA K. M.
151611913051 HALIMATUS SA'DIYAH
151611913021 BAYU CANDRA IRAWAN
151611913052 I'ANATUL KHILMIYAH
151611913053 IKA MEISTIFAYATIN
151611913054 INTAN PURNAMASARI ISWATUN, S.Kep., M.Kes. 197203311994032004
151611913055 KHARISMA CHERLYN M.
151611913025 DAVID CHANIAGO SAPUTRA
151611913056 LATIFATUL LAILIA
151611913058 LULUK QOMARIA
151611913059 LUTHFIAH WIDYA R.
3 26 November- 151611913081 NUR AIDA ENDAH SRI WIJAYANTI, 197008111994012001
8 Desember 151611913082 NUR ILMA RAMADHANTI S.ST., M.Kes.
2018 151611913083 NURUL IZZAH
151611913084 ONNY OKTAVIANI
151611913069 MOH. NUSCHUL IBAD
151611913085 PUTRI DWI LESTARI
151611913087 RENI FEBRY ANDRIANI
151611913088 RIKASIH
151611913089 RIZKA EMILIAH
151611913071 MUHAMMAD FADHIL I.
151611913090 RIZQY AMILIYAH
151611913091 RUMIATI DEVI ANISA
151611913092 SASGIA ARUM MAYANGSARI KHOTIBUL UMAM, 197308231998031008
151611913093 SETYANI YOHANES R. S.Kep., Ns., M.Kes.
151611913072 MUHAMMAD YOGGI R. P.
151611913095 SISKA RISMAWATI
151611913096 SITI KHODIJAH
151611913097 SITI NURIL HIDAYAH
151611913086 QOSIM NUR KHOLIS
151611913098 SOFIA DWI WAHYUNI
151611913099 SULVIAN AYU VITA A.
151611913094 SYLVIA WIDYATI
151611913101 TUHFATUL HANA
151611913100 TRI INDRA AJI PUTRA
151611913102 UNY ASTIYANI MESWARI
151611913103 VENI DWI ALIFATUN ISWATUN, S.Kep., M.Kes. 197203311994032004
151611913104 VIDIA DINDA SAKTI
151611913105 VITA MARIA DWI PUSPITA S.
151611913109 YONGKY RAVINDA
151611913062 VIVI NUR INDAH SARI
151611913063 WAHYUNI PUSPITA N.
151611913064 YOLANDA DWI SAFITRI
151611913110 YUNITA
151611913112 ZULFIAN RIFQI NOVANDY
151611913111 YUSVIYAH NURHIDAYATI
151611913113 ZUMROTUL FITRIYANTI
151611913114 EFI YULIANI
4 10-22 151611913001 ABDUL HAQ AL-ASRORI ENDAH SRI WIJAYANTI, 197008111994012001
Desember 151611913005 AFIFATUL MAHMUDAH S.ST., M.Kes.
2018 151611913010 ALFIA IMA FAUZIA N.
151611913011 ALFIANTI INDAH CAHYANI
151611913012 ALFIATUL SAPUTRI
151611913002 ACHMAD JIHANSYAH PUTRA
151611913013 AMALIA NURUL ADZHANI
151611913014 ANJARWATI
151611913016 ARISKA SEPTIAN D. I. P.
151611913017 AVIVA APRILLIA DEVI
151611913003 ACHSAN TUDHONNY
151611913018 AYU PUJI LESTARI
151611913019 AZMIL MUFTACHORRO KHOTIBUL UMAM, 197308231998031008
151611913022 BERNADHITA AJUNY FIRDA S.Kep., Ns., M.Kes.
151611913023 CHRISTINA YUNI AVISAH
151611913004 ADE ANANTA BOGA
151611913024 CINDY OKTAFIANI
151611913026 DENES EKA PRATIWI
151611913027 DEVITA DWI FERONIKA
151611913006 AGUS SETIAWAN
151611913028 DIANA YULI ROHMAWATI
151611913029 DITA ARDYANA DWI C.
151611913031 DWI DAMAYANTI
151611913032 DWI NUR ANUGRAH PUTRI
151611913007 AHMAD FAIQ KAUTSAR
151611913033 DWI REFORMANIA A.M ISWATUN, S.Kep., M.Kes. 197203311994032004
151611913034 EKA LAILI HIDAYATI M.
151611913035 EKA NUR FARIDA
151611913036 ELMA NINDI LARASATI
151611913008 AHRIAN YUDHO PRAKOSO
151611913037 ELOK NUR CAHYATI
151611913038 ELVIN NARINDA IRAWATI
151611913039 EVIANA NUR AFIF A'YUNI
151611913040 FADLILATUL QO'IMAH
151611913009 AIK BERLIAN INDRIANSYAH
151611913041 FARIDATUN NASICHAH
151611913042 FELLIA NURDIANA LATHIFAH
151611913043 FIFI LINDA FATMAWATI

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) KELUARGA


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER V T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK KELUARGA DESA BANJARSARI CERME

NO TANGGAL NIM NAMA MAHASISWA DOSEN PEMBIMBING NIP


1 1-13 151611913149 NURUL AMINAH ENDAH SRI WIJAYANTI, 197008111994012001
Oktober 151611913150 PUTRI DELIA ROSIDAH S.ST., M.Kes.
2018 151611913153 RIDWAN MAULANA
151611913152 REDITA RESTIFANY
151611913151 QOURYATI FILAZI HATTA
151611913154 RISKA PURIJAYANTI
151611913159 SISKA KHUMAIROH
151611913156 RIZKY ADELLIA ROSSYDA
151611913157 ROHADATUL 'AISY
151611913158 ROSALINA DEWI MARSITA
151611913155 RISQI SURYA ILLAHI
151611913160 THORFA ELFIANAH KHOTIBUL UMAM, 197308231998031008
151611913161 VIRANIDA RISTHA ANGGITA S.Kep., Ns., M.Kes.
151611913162 WACHIDATUL MAULIDA
151611913163 ZAHROTUL FIRDAUSIYAH
151611913175 DINA RIZKY FEBRIANA
151611913166 ALFIANTI DWI ROCHMA
151611913167 ANA MU'JIZATULLAILI
151611913164 PRASETYO BAGUS WIBISONO
151611913183 INDAH FITRIYAH
151611913217 YASINTHA DWI ANDRIANA
151611913171 AULIA DINDA MARINDA
151611913172 BELLA DWI KURNIA PUTRI ISWATUN, S.Kep., M.Kes. 197203311994032004
151611913173 DEVIA DWI RAMADANTY
151611913174 DEWI NAWANG SARI
151611913169 ARIF PRANANDA
151611913177 DYAH AYU ANGGRAINI
151611913178 EKA DESY KHUSMARWATI
151611913179 FAHMIATUS SHOFAH
151611913180 FAUZIYAH EVA ANDRIANI
151611913181 FITRI DWI HERLIYANI
151611913182 HANNAH WAFIYAH A.
151611913168 ANDIKA DWI PUTRA
2 29 Oktober- 151611913184 INTAN INDRAWATI ENDAH SRI WIJAYANTI, 197008111994012001
10 November 151611913185 IRA TANIAH S.ST., M.Kes.
2018 151611913201 OVI TAZKIYATUL UYUN
151611913187 KHOLIFATUL FAIZAH
151611913188 LAILATUL FAJRIYAH
151611913189 LILIS FAIZAH
151611913190 MA'RIFATUL ISLAMIYAH
151611913193 MUHAMMAD RIZAL P.
151611913194 NABILA AUDIA
151611913195 NIA AMBARWATI
151611913196 NIMAS BELA WARDANI KHOTIBUL UMAM, 197308231998031008
151611913197 NISFUL LAILIYAH S.Kep., Ns., M.Kes.
151611913198 NUR FARIDATUL KHASANAH
151611913199 NURMARIKE ISMALA F.
151611913200 NURUL ISTIQOMAH
151611913186 KAMAL HASBULLAH
151611913202 QORI'ATUL MASLUHAH
151611913203 RESTU AIVI MUCHLISOH
151611913204 RIANI APRILIA
151611913205 RIFA HIDAYATUL
151611913206 RISMA MIRAUNA
151611913207 RIZKI DEWI LESTARI ISWATUN, S.Kep., M.Kes. 197203311994032004
151611913208 ROBI ALAMSYAH
151611913209 ROSA CLAUDIA PUTRI
151611913210 SHODIFATIN LAILIYAH
151611913211 SITI ROUDHO
151611913212 STEFANI KURNIAWATI S
151611913213 VIANNI RATIH PUSPA
151611913214 VIRMA INDRIANTI
151611913170 ARJUNOVA WICAKSONO
151611913216 WINDA TRI AYU NINGSIH
151611913215 WARDATUL AFFA
3 26 November- 151611913115 ABID IBNU ABDILLAH ENDAH SRI WIJAYANTI, 197008111994012001
8 Desember 151611913116 ANGGUN JELITA FATMAWATI S.ST., M.Kes.
2018 151611913118 ANNISA ASHARI
151611913129 FADILLA NOVELLIA F
151611913120 ARYNTA MEGA RIANDINI
151611913121 BELLA DWI APRILLIA
151611913122 CHUSNUL RIZAL
151611913123 DEVI PURBANDARI REGITA C.
151611913124 DEWI MASITHOH
151611913125 DINDA DEVINA FEBRIANTI
151611913126 DITA RISWANDA
151611913127 DWI FITROTUN NISA KHOTIBUL UMAM, 197308231998031008
151611913128 ERIKA PONI ASTUTIK S.Kep., Ns., M.Kes.
151611913119 ARI WAHYUDI PUTRA
151611913130 FEBY IRVINA SAFITRI
151611913131 FIRDA AYU SURYANI
151611913132 GRENNADA ERTA RENDITA
151611913133 INDAH SULISTIYAWATI
151611913134 INTAN PUTRI MAULIDYAH
151611913137 LAELA INTAN PERMATASARI
151611913136 IVVA ROSYIDA
151611913143 MOH. ZAINUR FAHMI
151611913138 LAILATUL NIKMAH ISWATUN, S.Kep., M.Kes. 197203311994032004
151611913139 LINDA SYAVIRA PRATITISKA
151611913140 MARIA ULFA
151611913141 MEIKA FIRDALIYA
151611913145 NAURA ROYYANI D.
151611913135 IRA DWI JAYANTI
151611913144 M. RIFKI MAULANA ABDI
151611913142 MISLAHAH
151611913146 NIKKE FATIMATUL AFRIZZA
151611913147 NOVI KURNIA SRI W.
151611913148 NUR AVNI FITRIYAH

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) ANAK


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER V T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK ANAK RSUD Dr. SOETOMO SURABAYA

DOSEN PEMBIMBING/
NO TANGGAL NIM NAMA MAHASISWA NIP
RUANGAN
1 1-13 151611913008 AHRIAN YUDHO PRAKOSO LAILATUL FADHLIYAH, 197301192002122001
Oktober 151611913005 AFIFATUL MAHMUDAH S. ST., M. Kes./
2018 151611913010 ALFIA IMA FAUZIA NINGTYAS R. Bona 1
151611913038 ELVIN NARINDA IRAWATI
151611913039 EVIANA NUR AFIF A'YUNI
151611913009 AIK BERLIAN INDRIANSYAH LAILATUL FADHLIYAH, 197301192002122001
151611913041 FARIDATUN NASICHAH S. ST., M. Kes./
151611913043 FIFI LINDA FATMAWATI R. Bona 2
151611913011 ALFIANTI INDAH CAHYANI
151611913012 ALFIATUL SAPUTRI
151611913015 ANJAYA PRATAMA PUTRA LAILATUL FADHLIYAH, SST., 197301192002122001
151611913014 ANJARWATI S. ST., M. Kes./
151611913045 FIRDATUS SHOLIHAH Poli Anak
151611913046 FIRLA ISFIANA AYU WARDANI
151611913047 FISSELLA ANGGRAINI
151611913020 BAGUS ADI UTAMA AMELLIA MARDHIKA, 198509012009022012
151611913017 AVIVA APRILLIA DEVI S.Kep., Ns., M.Kes./
151611913018 AYU PUJI LESTARI Poli Anak
151611913048 FITRI FADLILATUN NI'MAH
151611913049 FITRIYAH RIZKA APRILIA
151611913021 BAYU CANDRA IRAWAN AMELLIA MARDHIKA, 198509012009022012
151611913052 I'ANATUL KHILMIYAH S.Kep., Ns., M.Kes./
151611913053 IKA MEISTIFAYATIN R. Bobo
151611913054 INTAN PURNAMASARI
151611913055 KHARISMA CHERLYN M.
151611913025 DAVID CHANIAGO SAPUTRA AMELLIA MARDHIKA, 198509012009022012
151611913056 LATIFATUL LAILIA S.Kep., Ns., M.Kes./
151611913058 LULUK QOMARIA NICU
151611913050 GALAU RIKA AKANA K. M.
151611913059 LUTHFIAH WIDYA R.
2 15-27 151611913002 ACHMAD JIHANSYAH PUTRA AMELLIA MARDHIKA, 198509012009022012
Oktober 151611913016 ARISKA SEPTIAN DEWI I. P S.Kep., Ns., M.Kes./
2018 151611913037 ELOK NUR CAHYATI Poli Anak
151611913040 FADLILATUL QO'IMAH
151611913051 HALIMATUS SA'DIYAH
151611913006 AGUS SETIAWAN AMELLIA MARDHIKA, 198509012009022012
151611913013 AMALIA NURUL ADZHANI S.Kep., Ns., M.Kes./
151611913019 AZMIL MUFTACHORRO R. Bobo
151611913042 FELLIA NURDIANA LATHIFAH
151611913007 AHMAD FAIQ KAUTSAR AMELLIA MARDHIKA, 198509012009022012
151611913034 EKA LAILI HIDAYATI M. S.Kep., Ns., M.Kes./
151611913035 EKA NUR FARIDA NICU
151611913044 FIRDA EKA SAPUTRI
151611913004 ADE ANANTA BOGA LAILATUL FADHLIYAH, SST., 197301192002122001
151611913024 CINDY OKTAFIANI S. ST., M. Kes./
151611913026 DENES EKA PRATIWI Poli Anak
151611913027 DEVITA DWI FERONIKA
151611913001 ABDUL HAQ AL-ASRORI LAILATUL FADHLIYAH, SST., 197301192002122001
151611913028 DIANA YULI ROHMAWATI S. ST., M. Kes./
151611913029 DITA ARDYANA DWI C. R. Bona 1
151611913031 DWI DAMAYANTI
151611913032 DWI NUR ANUGRAH PUTRI
151611913003 ACHSAN TUDHONNY LAILATUL FADHLIYAH, SST., 197301192002122001
151611913022 BERNADHITA AJUNY FIRDA S. ST., M. Kes./
151611913023 CHRISTINA YUNI AVISAH R. Bona 2
151611913033 DWI REFORMANIA A.M
151611913036 ELMA NINDI LARASATI
3 29 Oktober- 151611913074 NELI YULIA TSANI LAILATUL FADHLIYAH, SST., 197301192002122001
10 November 151611913075 NINE MAHARDIKA SARI S. ST., M. Kes./
2018 151611913092 SASGIA ARUM MAYANGSARI R. Bona 1
151611913093 SETYANI YOHANES R.
151611913113 ZUMROTUL FITRIYANTI
151611913072 MUHAMMAD YOGGI R. P. LAILATUL FADHLIYAH, SST., 197301192002122001
151611913095 SISKA RISMAWATI S. ST., M. Kes./
151611913079 NORMA KHOIRUL HUDA R. Bona 2
151611913098 SOFIA DWI WAHYUNI
1516119130109 YONGKY RAVINDA LAILATUL FADHLIYAH, SST., 197301192002122001
151611913112 ZULFIAN RIFQI NOVANDY S. ST., M. Kes./
151611913082 NUR ILMA RAMADHANTI Poli Anak
151611913094 SYLVIA WIDYATI
151611913101 TUHFATUL HANA
151611913057 LUKMAN ADI JAYA SAPUTRA AMELLIA MARDHIKA, 198509012009022012
151611913096 SITI KHODIJAH S.Kep., Ns., M.Kes./
151611913087 RENI FEBRY ANDRIANI Poli Anak
151611913102 UNY ASTIYANI MESWARI
151611913065 MEIKA AFIFAH
151611913086 QOSIM NUR KHOLIS AMELLIA MARDHIKA, 198509012009022012
151611913064 MEGA SILVIA PUTRI S.Kep., Ns., M.Kes./
151611913061 MAR'ATUS SHOLICHA R. Bobo
151611913103 VENI DWI ALIFATUN
151611913106 VIVI NUR INDAH SARI
151611913097 SITI NURIL HIDAYAH AMELLIA MARDHIKA, 198509012009022012
151611913108 YOLANDA DWI SAFITRI S.Kep., Ns., M.Kes./
151611913110 YUNITA Poli Kardiovaskular
151611913111 YUSVIYAH NURHIDAYATI
151611913114 EFI YULIANI
4 12-24 151611913030 DITA KHOIRUN NI'AM AMELLIA MARDHIKA, 198509012009022012
November 151611913080 NOVITA PUJI ELSA S.Kep., Ns., M.Kes./
2018 151611913099 SULVIAN AYU VITA ARVIANTI Poli Kardiovaskular
151611913107 WAHYUNI PUSPITA N.
151611913100 TRI INDRA AJI PUTRA AMELLIA MARDHIKA, 198509012009022012
151611913085 PUTRI DWI LESTARI S.Kep., Ns., M.Kes./
151611913104 VIDIA DINDA SAKTI R. Bobo
151611913105 VITA MARIA DWI PUSPITA S.
151611913067 M. SAIFUL MAULUDIN B. U. AMELLIA MARDHIKA, 198509012009022012
151611913062 MAR'ATUS SHOLIKHAH S.Kep., Ns., M.Kes./
151611913063 MAULIDATUL FARIKHAH Poli Anak
151611913076 NISAK RACHMAWATI DITA P.
151611913077 NITA HABIBA
151611913060 M. NOR RIZQI ANTA LAILATUL FADHLIYAH, SST., 197301192002122001
151611913078 NITA SARI AGUSTIN S. ST., M. Kes./
151611913088 RIKASIH Poli Anak
151611913089 RIZKA EMILIAH
151611913071 MUHAMMAD FADHIL I. LAILATUL FADHLIYAH, SST., 197301192002122001
151611913081 NUR AIDA S. ST., M. Kes./
151611913067 MITA NUR HABIBAH R. Bona 1
151611913083 NURUL IZZAH
151611913084 ONNY OKTAVIANI
151611913069 MOH. NUSCHUL IBAD LAILATUL FADHLIYAH, SST., 197301192002122001
151611913070 MONICA PUTRI RAGIL S. ST., M. Kes./
151611913073 NELA AMILATUS SHOLIKHAH R. Bona 2
151611913090 RIZQY AMILIYAH
151611913091 RUMIATI DEVI ANISA

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) ANAK


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER V T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK ANAK DI RSUD IBNU SINA GRESIK

NO TANGGAL NIM NAMA MAHASISWA DOSEN PEMBIMBING NIP

1 1-6 Okt 151611913184 INTAN INDRAWATI LAILATUL FADHLIYAH, 197301192002122001


2018 151611913185 IRA TANIAH S. ST., M. Kes./
151611913201 OVI TAZKIYATUL UYUN R. Anggrek
151611913187 KHOLIFATUL FAIZAH
151611913188 LAILATUL FAJRIYAH
151611913189 LILIS FAIZAH
151611913190 MA'RIFATUL ISLAMIYAH LAILATUL FADHLIYAH, 197301192002122001
151611913193 MUHAMMAD RIZAL PRATAMA S. ST., M. Kes./
151611913194 NABILA AUDIA Klinik Anak
151611913195 NIA AMBARWATI LAILATUL FADLIYAH, SST., 197301192002122001
151611913196 NIMAS BELA WARDANI M.Kes/ Klinik Tumbang
151611913197 NISFUL LAILIYAH AMELLIA MARDHIKA, 198509012009022012
151611913198 NUR FARIDATUL KHASANAH S. Kep.,Ns., M. Kes/
151611913199 NURMA RIKE ISMALA FITRIANI R. Anggrek
151611913200 NURUL ISTIQOMAH
151611913186 KAMAL HASBULLAH
151611913202 QORI'ATUL MASLUHAH AMELLIA MARDHIKA, 198509012009022012
151611913203 RESTU AIVI MUCHLISOH S. Kep.,Ns., M. Kes/
151611913204 RIANI APRILIA NICU
151611913205 RIFA HIDAYATUL
151611913206 RISMA MIRAUNA
2 8-13 Okt 151611913184 INTAN INDRAWATI LAILATUL FADHLIYAH, 197301192002122001
2018 151611913185 IRA TANIAH S. ST., M. Kes./
151611913201 OVI TAZKIYATUL UYUN Klinik Anak
151611913187 KHOLIFATUL FAIZAH LAILATUL FADHLIYAH, 197301192002122001
151611913188 LAILATUL FAJRIYAH S. ST., M. Kes./
151611913189 LILIS FAIZAH Klinik Tumbang
151611913190 MA'RIFATUL ISLAMIYAH LAILATUL FADHLIYAH, 197301192002122001
151611913193 MUHAMMAD RIZAL PRATAMA S. ST., M. Kes./
151611913194 NABILA AUDIA R. Anggrek
151611913195 NIA AMBARWATI
151611913196 NIMAS BELA WARDANI
151611913197 NISFUL LAILIYAH AMELLIA MARDHIKA, 198509012009022012
151611913198 NUR FARIDATUL KHASANAH S. Kep.,Ns., M. Kes/
151611913199 NURMA RIKE ISMALA FITRIANI NICU
151611913200 NURUL ISTIQOMAH
151611913186 KAMAL HASBULLAH
151611913202 QORI'ATUL MASLUHAH AMELLIA MARDHIKA, 198509012009022012
151611913203 RESTU AIVI MUCHLISOH S. Kep.,Ns., M. Kes/
151611913204 RIANI APRILIA R. Anggrek
151611913205 RIFA HIDAYATUL
151611913206 RISMA MIRAUNA
3 15-20 Okt 151611913149 NURUL AMINAH LAILATUL FADHLIYAH, 197301192002122001
2018 151611913150 PUTRI DELIA ROSIDAH S. ST., M. Kes./
151611913153 RIDWAN MAULANA Klinik Tumbang
151611913152 REDITA RESTIFANY
151611913151 QOURYATI FILAZI HATTA
151611913154 RISKA PURIJAYANTI
151611913159 SISKA KHUMAIROH LAILATUL FADHLIYAH, 197301192002122001
151611913156 RIZKY ADELLIA ROSSYDA S. ST., M. Kes./
151611913157 ROHADATUL 'AISY Klinik Anak
151611913158 ROSALINA DEWI MARSITA LAILATUL FADHLIYAH, 197301192002122001
151611913155 RISQI SURYA ILLAHI S. ST., M. Kes./
151611913160 THORFA ELFIANAH Klinik Tumbang
151611913164 PRASETYO BAGUS WIBISONO AMELLIA MARDHIKA, 198509012009022012
151611913183 INDAH FITRIYAH S. Kep.,Ns., M. Kes/
151611913217 YASINTHA DWI ANDRIANA R. Anggrek
151611913171 AULIA DINDA MARINDA
151611913172 BELLA DWI KURNIA PUTRI
151611913173 DEVIA DWI RAMADANTY AMELLIA MARDHIKA, 198509012009022012
151611913174 DEWI NAWANG SARI S. Kep.,Ns., M. Kes/
151611913169 ARIF PRANANDA NICU
151611913177 DYAH AYU ANGGRAINI
151611913178 EKA DESY KHUSMARWATI
4 22-27 Okt 151611913149 NURUL AMINAH LAILATUL FADHLIYAH, 197301192002122001
2018 151611913150 PUTRI DELIA ROSIDAH S. ST., M. Kes./
151611913153 RIDWAN MAULANA Klinik Anak
151611913152 REDITA RESTIFANY LAILATUL FADHLIYAH, 197301192002122001
151611913151 QOURYATI FILAZI HATTA S. ST., M. Kes./
151611913154 RISKA PURIJAYANTI Klinik Tumbang
151611913159 SISKA KHUMAIROH LAILATUL FADHLIYAH, 197301192002122001
151611913156 RIZKY ADELLIA ROSSYDA S. ST., M. Kes./
151611913157 ROHADATUL'AISY R. Anggrek
151611913158 ROSALINA DEWI MARSITA
151611913155 RISQI SURYA ILLAHI
151611913160 THORFA ELFIANAH
151611913164 PRASETYO BAGUS WIBISONO AMELLIA MARDHIKA, 198509012009022012
151611913183 INDAH FITRIYAH S. Kep.,Ns., M. Kes/
151611913217 YASINTHA DWI ANDRIANA NICU
151611913171 AULIA DINDA MARINDA
151611913172 BELLA DWI KURNIA PUTRI
151611913173 DEVIA DWI RAMADANTY AMELLIA MARDHIKA, 198509012009022012
151611913174 DEWI NAWANG SARI S. Kep.,Ns., M. Kes/
151611913169 ARIF PRANANDA R. Anggrek
151611913177 DYAH AYU ANGGRAINI
151611913178 EKA DESY KHUSMARWATI
5 29 Okt - 151611913115 ABID IBNU ABDILLAH LAILATUL FADHLIYAH, 197301192002122001
3 Nop 151611913116 ANGGUN JELITA FATMAWATI S. ST., M. Kes./
2018 1516119131118 ANNISA ASHARI Klinik Anak
151611913129 FADILLA NOVELLIA F LAILATUL FADHLIYAH, 197301192002122001
151611913120 ARYNTA MEGA RIANDINI S. ST., M. Kes./
151611913121 BELLA DWI APRILLIA Klinik Tumbang
151611913122 CHUSNUL RIZAL LAILATUL FADHLIYAH, 197301192002122001
151611913123 DEVI PURBANDARI REGITA C S. ST., M. Kes./
151611913124 DEWI MASITHOH R. Anggrek
151611913125 DINDA DEVINA FEBRIANTI
151611913126 DITA RISWANDA
151611913127 DWI FITROTUN NISA
151611913179 FAHMIATUS SHOFAH AMELLIA MARDHIKA, 198509012009022012
151611913180 FAUZIYAH EVA ANDRIANI S. Kep.,Ns., M. Kes/
151611913181 FITRI DWI HERLIYANI Klinik Anak
151611913182 HANNAH WAFIYAH AL DIBAH AMELLIA MARDHIKA, 198509012009022012
151611913168 ANDIKA DWI PUTRA S. Kep.,Ns., M. Kes/
Klinik Tumbang
6 05-10 Nov 151611913115 ABID IBNU ABDILLAH LAILATUL FADHLIYAH, 197301192002122001
2018 151611913116 ANGGUN JELITA FATMAWATI S. ST., M. Kes./
151611913118 ANNISA ASHARI R. Anggrek
151611913129 FADILLA NOVELLIA F
151611913120 ARYNTA MEGA RIANDINI
151611913172 BELLA DWI APRILLIA
151611913122 CHUSNUL RIZAL LAILATUL FADHLIYAH, 197301192002122001
151611913123 DEVI PURBANDARI REGITA C S. ST., M. Kes./
151611913124 DEWI MASITHOH NICU
151611913125 DINDA DEVINA FEBRIANTI
151611913126 DITA RISWANDA
151611913127 DWI FITROTUN NISA
151611913179 FAHMIATUS SHOFAH AMELLIA MARDHIKA, 198509012009022012
151611913180 FAUZIYAH EVA ANDRIANI S. Kep.,Ns., M. Kes/
151611913181 FITRI DWI HERLIYANI R. Anggrek
151611913182 HANNAH WAFIYAH AL DIBAH
151611913168 ANDIKA DWI PUTRA
7 12-17 Nov 151611913128 ERIKA PONI ASTUTIK AMELLIA MARDHIKA, 198509012009022012
2018 151611913119 ARI WAHYUDI PUTRA S. Kep.,Ns., M. Kes/
151611913130 FEBY IRVINA SAFITRI Klinik Anak
151611913131 FIRDA AYU SURYANI AMELLIA MARDHIKA, 198509012009022012
151611913132 GRENNADA ERTA RENDITA S. Kep.,Ns., M. Kes/
151611913133 INDAH SULISTIYAWATI Klinik Tumbang
151611913134 INTAN PUTRI MAULIDYAH LAILATUL FADHLIYAH, 197301192002122001
151611913137 LAELA INTAN PERMATASARI S. ST., M. Kes./
151611913136 IVVA ROSYIDA R. Anggrek
151611913143 MOH. ZAINUR FAHMI
151611913138 LAILATUL NIKMAH
151611913139 LINDA SYAVIRA PRATITISKA LAILATUL FADHLIYAH, 197301192002122001
151611913140 MARIA ULFA S. ST., M. Kes./
151611913141 MEIKA FIRDALIYA R. Anggrek
151611913145 NAURA ROYYANI D.
151611913135 IRA DWI JAYANTI
151611913144 M. RIFKI MAULANA ABDI AMELLIA MARDHIKA, 198509012009022012
151611913142 MISLAHAH S. Kep.,Ns., M. Kes/
151611913146 NIKKE FATIMATUL AFRIZZA NICU
151611913147 NOVI KURNIA SRI WULANDARI
151611913148 NUR AVNI FITRIYAH
8 19-24 Nov 151611913128 ERIKA PONI ASTUTIK AMELLIA MARDHIKA, 198509012009022012
2018 151611913119 ARI WAHYUDI PUTRA S. Kep.,Ns., M. Kes/
151611913130 FEBY IRVINA SAFITRI R. Anggrek
151611913131 FIRDA AYU SURYANI
151611913132 GRENNADA ERTA RENDITA
151611913133 INDAH SULISTIYAWATI
151611913134 INTAN PUTRI MAULIDYAH LAILATUL FADHLIYAH, 197301192002122001
151611913137 LAELA INTAN PERMATASARI S. ST., M. Kes./
151611913136 IVVA ROSYIDA Klinik Anak
151611913143 MOH. ZAINUR FAHMI LAILATUL FADLIYAH, SST., 197301192002122001
151611913138 LAILATUL NIKMAH M.Kes/ Klinik Tumbang
151611913139 LINDA SYAVIRA PRATITISKA LAILATUL FADHLIYAH, 197301192002122001
151611913140 MARIA ULFA S. ST., M. Kes./
151611913141 MEIKA FIRDALIYA NICU
151611913145 NAURA ROYYANI D.
151611913135 IRA DWI JAYANTI
151611913144 M. RIFKI MAULANA ABDI AMELLIA MARDHIKA, 198509012009022012
151611913142 MISLAHAH S. Kep.,Ns., M. Kes/
151611913146 NIKKE FATIMATUL AFRIZZA R. Anggrek
151611913147 NOVI KURNIA SRI WULANDARI
151611913148 NUR AVNI FITRIYAH
9 26 Nov - 151611913161 VIRANIDA RISTHA ANGGITA AMELLIA MARDHIKA, 198509012009022012
1-Dec 151611913162 WACHIDATUL MAULIDA S. Kep.,Ns., M. Kes/
2018 151611913163 ZAHROTUL FIRDAUSIYAH R. Anggrek
151611913175 DINA RIZKY FEBRIANA
151611913166 ALFIANTI DWI ROCHMA
151611913167 ANA MU'JIZATULLAILI
151611913207 RIZKI DEWI LESTARI LAILATUL FADHLIYAH, 197301192002122001
151611913208 ROBI ALAMSYAH S. ST., M. Kes./
151611913209 ROSA CLAUDIA PUTRI R. Anggrek
151611913210 SHODIFATIN LAILIYAH
151611913211 SITI ROUDHO
151611913212 STEFANI KURNIAWATI S LAILATUL FADHLIYAH, 197301192002122001
151611913213 VIANNI RATIH PUSPA S. ST., M. Kes./
151611913214 VIRMA INDRIANTI Klinik Anak
151611913170 ARJUNOVA WICAKSONO LAILATUL FADHLIYAH, 197301192002122001
151611913216 WINDA TRI AYU NINGSIH S. ST., M. Kes./
151611913215 WARDATUL AFFA Klinik Tumbang
10 03-08 Des 151611913161 VIRANIDA RISTHA ANGGITA AMELLIA MARDHIKA, 198509012009022012
2018 151611913162 WACHIDATUL MAULIDA S. Kep.,Ns., M. Kes/
151611913163 ZAHROTUL FIRDAUSIYAH NICU
151611913175 DINA RIZKY FEBRIANA
151611913166 ALFIANTI DWI ROCHMA
151611913167 ANA MU'JIZATULLAILI
151611913207 RIZKI DEWI LESTARI LAILATUL FADHLIYAH, 197301192002122001
151611913208 ROBI ALAMSYAH S. ST., M. Kes./
151611913209 ROSA CLAUDIA PUTRI R. Anggrek
151611913210 SHODIFATIN LAILIYAH
151611913211 SITI ROUDHO
151611913212 STEFANI KURNIAWATI S LAILATUL FADHLIYAH, 197301192002122001
151611913213 VIANNI RATIH PUSPA S. ST., M. Kes./
151611913214 VIRMA INDRIANTI R. Anggrek
151611913170 ARJUNOVA WICAKSONO
151611913216 WINDA TRI AYU NINGSIH
151611913215 WARDATUL AFFA
a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) MEDIKAL BEDAH II


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER V T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK MEDIKAL BEDAH II RSUD Dr. SOETOMO SURABAYA

DOSEN PEMBIMBING/
NO TANGGAL NIM NAMA MAHASISWA NIP
RUANGAN
1 1-13 151611913002 ACHMAD JIHANSYAH PUTRA FANNI OKVIASANTI, 198604082009122003
Oktober 151611913016 ARISKA SEPTIAN DEWI I. P. S.Kep., Ns., M.Kep./ROI
2018 151611913037 ELOK NUR CAHYATI
151611913040 FADLILATUL QO'IMAH
151611913051 HALIMATUS SA'DIYAH
151611913006 AGUS SETIAWAN FANNI OKVIASANTI, 198604082009122003
151611913013 AMALIA NURUL ADZHANI S.Kep., Ns., M.Kep./RES
151611913019 AZMIL MUFTACHORRO
151611913042 FELLIA NURDIANA LATHIFAH
151611913007 AHMAD FAIQ KAUTSAR FANNI OKVIASANTI, 198604082009122003
151611913034 EKA LAILI HIDAYATI M. S.Kep., Ns., M.Kep./
151611913035 EKA NUR FARIDA Burn Unit
151611913044 FIRDA EKA SAPUTRI
151611913004 ADE ANANTA BOGA CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913024 CINDY OKTAFIANI M.Kes./Ruang Palem II
151611913026 DENES EKA PRATIWI
151611913027 DEVITA DWI FERONIKA
151611913001 ABDUL HAQ AL-ASRORI CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913028 DIANA YULI ROHMAWATI M.Kes./Ruang Seruni A
151611913029 DITA ARDYANA DWI C.
151611913031 DWI DAMAYANTI
151611913032 DWI NUR ANUGRAH PUTRI
151611913003 ACHSAN TUDHONNY CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913022 BERNADHITA AJUNY FIRDA M.Kes./Ruang Bedah H
151611913023 CHRISTINA YUNI AVISAH
151611913033 DWI REFORMANIA A.M
151611913036 ELMA NINDI LARASATI
2 15-27 151611913008 AHRIAN YUDHO PRAKOSO CUCUK RAHMADI P., S.Kp., 196802151992031001
Oktober 151611913005 AFIFATUL MAHMUDAH M.Kes./Ruang Bedah H
2018 151611913010 ALFIA IMA FAUZIA N.
151611913038 ELVIN NARINDA IRAWATI
151611913039 EVIANA NUR AFIF A'YUNI
151611913009 AIK BERLIAN INDRIANSYAH CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913041 FARIDATUN NASICHAH M.Kes./Ruang Seruni A
151611913043 FIFI LINDA FATMAWATI
151611913011 ALFIANTI INDAH CAHYANI
151611913012 ALFIATUL SAPUTRI
151611913015 ANJAYA PRATAMA PUTRA CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913014 ANJARWATI M.Kes./Ruang Palem II
151611913045 FIRDATUS SHOLIHAH
151611913046 FIRLA ISFIANA AYU W.
151611913047 FISSELLA ANGGRAINI
151611913020 BAGUS ADI UTAMA FANNI OKVIASANTI, 198604082009122003
151611913017 AVIVA APRILLIA DEVI S.Kep., Ns., M.Kep./RR
151611913018 AYU PUJI LESTARI
151611913048 FITRI FADLILATUN NI'MAH
151611913049 FITRIYAH RIZKA APRILIA
151611913021 BAYU CANDRA IRAWAN FANNI OKVIASANTI, 198604082009122003
151611913052 I'ANATUL KHILMIYAH S.Kep., Ns., M.Kep./RES
151611913053 IKA MEISTIFAYATIN
151611913054 INTAN PURNAMASARI
151611913055 KHARISMA CHERLYN M.
151611913025 DAVID CHANIAGO SAPUTRA FANNI OKVIASANTI, 198604082009122003
151611913056 LATIFATUL LAILIA S.Kep., Ns., M.Kep./ROI
151611913058 LULUK QOMARIA
151611913050 GALAU RIKA AKANA K. M.
151611913059 LUTHFIAH WIDYA R.
3 29 Oktober- 151611913030 DITA KHOIRUN NI'AM FANNI OKVIASANTI, 198604082009122003
10 November 151611913080 NOVITA PUJI ELSA S.Kep., Ns., M.Kep./ROI
2018 151611913099 SULVIAN AYU VITA A.
151611913107 WAHYUNI PUSPITA N.
151611913100 TRI INDRA AJI PUTRA FANNI OKVIASANTI, 198604082009122003
151611913085 PUTRI DWI LESTARI S.Kep., Ns., M.Kep./RES
151611913104 VIDIA DINDA SAKTI
151611913105 VITA MARIA DWI PUSPITA S.
151611913067 MOCH. SAIFUL MAULUDIN BU. FANNI OKVIASANTI, 198604082009122003
151611913062 MAR'ATUS SHOLIKHAH S.Kep., Ns., M.Kep./RR
151611913063 MAULIDATUL FARIKHAH
151611913076 NISAK RACHMAWATI DITA P.
151611913077 NITA HABIBA
151611913060 M. NOR RIZQI ANTA CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913078 NITA SARI AGUSTIN M.Kes./Ruang Palem II
151611913088 RIKASIH
151611913089 RIZKA EMILIAH
151611913071 MUHAMMAD FADHIL I. CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913081 NUR AIDA M.Kes./Ruang Seruni A
151611913067 MITA NUR HABIBAH
151611913083 NURUL IZZAH
151611913084 ONNY OKTAVIANI
151611913069 MOH. NUSCHUL IBAD CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913070 MONICA PUTRI RAGIL M.Kes./Ruang Bedah H
151611913073 NELA AMILATUS SHOLIKHAH
151611913090 RIZQY AMILIYAH
151611913091 RUMIATI DEVI ANISA
4 12-24 151611913074 NELI YULIA TSANI CUCUK RAHMADI P., S.Kp., 196802151992031001
November 151611913075 NINE MAHARDIKA SARI M.Kes./Ruang Bedah H
2018 151611913092 SASGIA ARUM MAYANGSARI
151611913093 SETYANI YOHANES R.
151611913113 ZUMROTUL FITRIYANTI
151611913072 MUHAMMAD YOGGI R. P. CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913095 SISKA RISMAWATI M.Kes./Ruang Seruni A
151611913079 NORMA KHOIRUL HUDA
151611913098 SOFIA DWI WAHYUNI
1516119130109 YONGKY RAVINDA CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913112 ZULFIAN RIFQI NOVANDY M.Kes./Ruang Palem II
151611913082 NUR ILMA RAMADHANTI
151611913094 SYLVIA WIDYATI
151611913101 TUHFATUL HANA
151611913057 LUKMAN ADI JAYA SAPUTRA FANNI OKVIASANTI, 198604082009122003
151611913096 SITI KHODIJAH S.Kep., Ns., M.Kep./RR
151611913087 RENI FEBRY ANDRIANI
151611913102 UNY ASTIYANI MESWARI
151611913065 MEIKA AFIFAH
151611913086 QOSIM NUR KHOLIS FANNI OKVIASANTI, 198604082009122003
151611913064 MEGA SILVIA PUTRI S.Kep., Ns., M.Kep./RES
151611913061 MAR'ATUS SHOLICHA
151611913103 VENI DWI ALIFATUN
151611913106 VIVI NUR INDAH SARI
151611913097 SITI NURIL HIDAYAH FANNI OKVIASANTI, 198604082009122003
151611913108 YOLANDA DWI SAFITRI S.Kep., Ns., M.Kep./ROI
151611913110 YUNITA
151611913111 YUSVIYAH NURHIDAYATI
151611913114 EFI YULIANI

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) MEDIKAL BEDAH II


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER V T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK MEDIKAL BEDAH II RSUD Dr. SOEGIRI LAMONGAN

DOSEN PEMBIMBING/
NO TANGGAL NIM NAMA MAHASISWA NIP
RUANGAN
1 15-27 151611913081 NUR AIDA FANNI OKVIASANTI, 198604082009122003
Oktober 151611913082 NUR ILMA RAMADHANTI S.Kep., Ns., M.Kep./
2018 151611913083 NURUL IZZAH R. Seroja
151611913084 ONNY OKTAVIANI
151611913069 MOH. NUSCHUL IBAD FANNI OKVIASANTI, 198604082009122003
151611913085 PUTRI DWI LESTARI S.Kep., Ns., M.Kep./
151611913087 RENI FEBRY ANDRIANI R. Teratai
151611913088 RIKASIH
151611913089 RIZKA EMILIAH
151611913071 MUHAMMAD FADHIL I. FANNI OKVIASANTI, 198604082009122003
151611913090 RIZQY AMILIYAH S.Kep., Ns., M.Kep./
151611913091 RUMIATI DEVI ANISA R. Kemuning
151611913092 SASGIA ARUM MAYANGSARI
151611913093 SETYANI YOHANES R.
151611913072 MUHAMMAD YOGGI R. P. FANNI OKVIASANTI, 198604082009122003
151611913095 SISKA RISMAWATI S.Kep., Ns., M.Kep./
151611913096 SITI KHODIJAH R. Dahlia 1
151611913097 SITI NURIL HIDAYAH
151611913086 QOSIM NUR KHOLIS CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913098 SOFIA DWI WAHYUNI M.Kes./R. Dahlia 3
151611913099 SULVIAN AYU VITA ARVIANTI
151611913094 SYLVIA WIDYATI
151611913101 TUHFATUL HANA
151611913100 TRI INDRA AJI PUTRA CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913102 UNY ASTIYANI MESWARI M.Kes./R. Dahlia 4
151611913103 VENI DWI ALIFATUN
151611913104 VIDIA DINDA SAKTI
151611913105 VITA MARIA DWI PUSPITA S.
151611913109 YONGKY RAVINDA CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913062 VIVI NUR INDAH SARI M.Kes./R. Bougenville 1
151611913063 WAHYUNI PUSPITA NINGRUM
151611913064 YOLANDA DWI SAFITRI
151611913110 YUNITA
151611913112 ZULFIAN RIFQI NOVANDY CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913111 YUSVIYAH NURHIDAYATI M.Kes./R. Bougenville 4
151611913113 ZUMROTUL FITRIYANTI
151611913114 EFI YULIANI
2 29 Okt- 151611913015 ANJAYA PRATAMA PUTRA FANNI OKVIASANTI, 198604082009122003
10 Nov 151611913044 FIRDA EKA SAPUTRI S.Kep., Ns., M.Kep./
2018 151611913045 FIRDATUS SHOLIHAH R. Seroja
151611913046 FIRLA ISFIANA AYU WARDANI
151611913047 FISSELLA ANGGRAINI
151611913020 BAGUS ADI UTAMA FANNI OKVIASANTI, 198604082009122003
151611913048 FITRI FADLILATUN NI'MAH S.Kep., Ns., M.Kep./
151611913049 FITRIYAH RIZKA APRILIA R. Teratai
151611913050 GALAU RIKA AKANA KABUL M.
151611913051 HALIMATUS SA'DIYAH
151611913021 BAYU CANDRA IRAWAN CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913052 I'ANATUL KHILMIYAH M.Kes./R. Dahlia 3
151611913053 IKA MEISTIFAYATIN
151611913054 INTAN PURNAMASARI
151611913055 KHARISMA CHERLYN MEYLINA
151611913025 DAVID CHANIAGO SAPUTRA CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913056 LATIFATUL LAILIA M.Kes./R. Dahlia 4
151611913058 LULUK QOMARIA
151611913059 LUTHFIAH WIDYA R.
3 12-24 151611913001 ABDUL HAQ AL-ASRORI FANNI OKVIASANTI, 198604082009122003
November 151611913005 AFIFATUL MAHMUDAH S.Kep., Ns., M.Kep./
2018 151611913010 ALFIA IMA FAUZIA NINGTYAS R. Seroja
151611913011 ALFIANTI INDAH CAHYANI
151611913012 ALFIATUL SAPUTRI
151611913002 ACHMAD JIHANSYAH PUTRA FANNI OKVIASANTI, 198604082009122003
151611913013 AMALIA NURUL ADZHANI S.Kep., Ns., M.Kep./
151611913014 ANJARWATI R. Teratai
151611913016 ARISKA SEPTIAN DEWI I. P.
151611913017 AVIVA APRILLIA DEVI
151611913003 ACHSAN TUDHONNY FANNI OKVIASANTI, 198604082009122003
151611913018 AYU PUJI LESTARI S.Kep., Ns., M.Kep./
151611913019 AZMIL MUFTACHORRO R. Kemuning
151611913022 BERNADHITA AJUNY FIRDA
151611913023 CHRISTINA YUNI AVISAH
151611913004 ADE ANANTA BOGA FANNI OKVIASANTI, 198604082009122003
151611913024 CINDY OKTAFIANI S.Kep., Ns., M.Kep./
151611913026 DENES EKA PRATIWI R. Dahlia 1
151611913027 DEVITA DWI FERONIKA
151611913006 AGUS SETIAWAN CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913028 DIANA YULI ROHMAWATI M.Kes./R. Dahlia 3
151611913029 DITA ARDYANA DWI CAHYANI
151611913031 DWI DAMAYANTI
151611913032 DWI NUR ANUGRAH PUTRI
151611913007 AHMAD FAIQ KAUTSAR CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913033 DWI REFORMANIA A.M M.Kes./R. Dahlia 4
151611913034 EKA LAILI HIDAYATI M.
151611913035 EKA NUR FARIDA
151611913036 ELMA NINDI LARASATI
151611913008 AHRIAN YUDHO PRAKOSO CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913037 ELOK NUR CAHYATI M.Kes./R. Bougenville 1
151611913038 ELVIN NARINDA IRAWATI
151611913039 EVIANA NUR AFIF A'YUNI
151611913040 FADLILATUL QO'IMAH
151611913009 AIK BERLIAN INDRIANSYAH CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913041 FARIDATUN NASICHAH M.Kes./R. Bougenville 4
151611913042 FELLIA NURDIANA LATHIFAH
151611913043 FIFI LINDA FATMAWATI
4 10-22 151611913030 DITA KHOIRUN NI'AM FANNI OKVIASANTI, 198604082009122003
Desember 151611913062 MAR'ATUS SHOLIKHAH S.Kep., Ns., M.Kep./
2018 151611913063 MAULIDATUL FARIKHAH R. Kemuning
151611913064 MEGA SILVIA PUTRI
151611913065 MEIKA AFIFAH
151611913057 LUKMAN ADI JAYA SAPUTRA FANNI OKVIASANTI, 198604082009122003
151611913061 MAR'ATUS SHOLICHA S.Kep., Ns., M.Kep./
151611913066 MITA NUR HABIBAH R. Dahlia 1
151611913070 MONICA PUTRI RAGIL
151611913073 NELA AMILATUS SHOLIKHAH
151611913060 M. NOR RIZQI ANTA CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913074 NELI YULIA TSANI M.Kes./R. Bougenville 1
151611913075 NINE MAHARDIKA SARI
151611913076 NISAK RACHMAWATI DITA P.
151611913077 NITA HABIBA
151611913067 MOCH. SAIFUL MAULUDIN BU CUCUK RAHMADI P., S.Kp., 196802151992031001
151611913078 NITA SARI AGUSTIN M.Kes./R. Bougenville 4
151611913079 NORMA KHOIRUL HUDA
151611913080 NOVITA PUJI ELSA

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) MEDIKAL BEDAH II


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER V T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK MEDIKAL BEDAH II RSUD IBNU SINA GRESIK

DOSEN PEMBIMBING/
NO TANGGAL NIM NAMA MAHASISWA NIP
RUANGAN
1 1-6 151611913207 RIZKI DEWI LESTARI Susilo Harianto, S.Kep., 196604141992031010
Oktober 151611913208 ROBI ALAMSYAH Ns., M.Kep./Klinik Jantung
2018 151611913209 ROSA CLAUDIA PUTRI
151611913210 SHODIFATIN LAILIYAH Susilo Harianto, S.Kep., 196604141992031010
151611913211 SITI ROUDHO Ns., M.Kep./Klinik THT
151611913212 STEFANI KURNIAWATI S Susilo Harianto, S.Kep., 196604141992031010
151611913213 VIANNI RATIH PUSPA Ns., M.Kep./R. Hemodialisa
151611913214 VIRMA INDRIANTI
151611913170 ARJUNOVA WICAKSONO
151611913216 WINDA TRI AYU NINGSIH
151611913215 WARDATUL AFFA
2 8-13 151611913207 RIZKI DEWI LESTARI Susilo Harianto, S.Kep., 196604141992031010
Oktober 151611913208 ROBI ALAMSYAH Ns., M.Kep./R. Hemodialisa
2018 151611913209 ROSA CLAUDIA PUTRI
151611913210 SHODIFATIN LAILIYAH
151611913211 SITI ROUDHO
151611913212 STEFANI KURNIAWATI S Susilo Harianto, S.Kep., 196604141992031010
151611913213 VIANNI RATIH PUSPA Ns., M.Kep./Klinik Bedah
151611913214 VIRMA INDRIANTI
151611913170 ARJUNOVA WICAKSONO Susilo Harianto, S.Kep., 196604141992031010
151611913216 WINDA TRI AYU NINGSIH Ns., M.Kep./Klinik Syaraf
151611913215 WARDATUL AFFA
3 15-17 151611913207 RIZKI DEWI LESTARI Susilo Harianto, S.Kep., 196604141992031010
Oktober 151611913208 ROBI ALAMSYAH Ns., M.Kep./Klinik Jantung
2018 151611913209 ROSA CLAUDIA PUTRI
151611913212 STEFANI KURNIAWATI S Susilo Harianto, S.Kep., 196604141992031010
151611913213 VIANNI RATIH PUSPA Ns., M.Kep./R. Hemodialisa
151611913214 VIRMA INDRIANTI
151611913170 ARJUNOVA WICAKSONO
151611913216 WINDA TRI AYU NINGSIH
151611913215 WARDATUL AFFA
4 18-20 151611913210 SHODIFATIN LAILIYAH Susilo Harianto, S.Kep., 196604141992031010
Oktober 151611913211 SITI ROUDHO Ns., M.Kep./Klinik THT
2018 151611913161 VIRANIDA RISTHA ANGGITA Susilo Harianto, S.Kep., 196604141992031010
151611913162 WACHIDATUL MAULIDA Ns., M.Kep./R. Hemodialisa
151611913163 ZAHROTUL FIRDAUSIYAH
151611913175 DINA RIZKY FEBRIANA
151611913166 ALFIANTI DWI ROCHMA
151611913167 ANA MU'JIZATULLAILI
5 22-27 151611913161 VIRANIDA RISTHA ANGGITA Hafna Ilmy Muhalla, S.Kep., 197812202006042026
5
Oktober 151611913162 WACHIDATUL MAULIDA Ns., M.Kep., Sp.Kep., M.B./
2018 151611913163 ZAHROTUL FIRDAUSIYAH Klinik Mata
151611913175 DINA RIZKY FEBRIANA Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913166 ALFIANTI DWI ROCHMA Ns., M.Kep., Sp.Kep., M.B./
151611913167 ANA MU'JIZATULLAILI Klinik Dalam
6 29 Okt- 151611913128 ERIKA PONI ASTUTIK Hafna Ilmy Muhalla, S.Kep., 197812202006042026
3 Nov 151611913119 ARI WAHYUDI PUTRA Ns., M.Kep., Sp.Kep., M.B./
2018 151611913130 FEBY IRVINA SAFITRI R. Hemodialisa
151611913131 FIRDA AYU SURYANI
151611913132 GRENNADA ERTA RENDITA
151611913133 INDAH SULISTIYAWATI
151611913134 INTAN PUTRI MAULIDYAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913137 LAELA INTAN PERMATASARI Ns., M.Kep., Sp.Kep., M.B./
151611913136 IVVA ROSYIDA R. Edelweis
151611913143 MOH. ZAINUR FAHMI
151611913138 LAILATUL NIKMAH
151611913139 LINDA SYAVIRA PRATITISKA Susilo Harianto, S.Kep., 196604141992031010
151611913140 MARIA ULFA Ns., M.Kep./Klinik Bedah
151611913141 MEIKA FIRDALIYA
151611913145 NAURA ROYYANI DZUNNUROIN Susilo Harianto, S.Kep., 196604141992031010
151611913135 IRA DWI JAYANTI Ns., M.Kep./Klinik Syaraf
151611913144 M. RIFKI MAULANA ABDI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913142 MISLAHAH Ns., M.Kep., Sp.Kep., M.B./
151611913146 NIKKE FATIMATUL AFRIZZA R. Hemodialisa
151611913147 NOVI KURNIA SRI W.
151611913148 NUR AVNI FITRIYAH
151611913149 NURUL AMINAH Susilo Harianto, S.Kep., 196604141992031010
151611913150 PUTRI DELIA ROSIDAH Ns., M.Kep./Klinik Mata
151611913153 RIDWAN MAULANA
151611913152 REDITA RESTIFANY Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913151 QOURYATI FILAZI HATTA Ns., M.Kep., Sp.Kep., M.B./
151611913154 RISKA PURIJAYANTI Klinik Dalam
151611913159 SISKA KHUMAIROH Susilo Harianto, S.Kep., 196604141992031010
151611913156 RIZKY ADELLIA ROSSYDA Ns., M.Kep./R. Wijaya
151611913157 ROHADATUL 'AISY Kusuma
151611913158 ROSALINA DEWI MARSITA
151611913155 RISQI SURYA ILLAHI
151611913160 THORFA ELFIANAH
151611913161 VIRANIDA RISTHA ANGGITA Susilo Harianto, S.Kep., 196604141992031010
151611913162 WACHIDATUL MAULIDA Ns., M.Kep./R. Dahlia
151611913163 ZAHROTUL FIRDAUSIYAH
151611913175 DINA RIZKY FEBRIANA
151611913166 ALFIANTI DWI ROCHMA
151611913167 ANA MU'JIZATULLAILI
151611913164 PRASETYO BAGUS WIBISONO Susilo Harianto, S.Kep., 196604141992031010
151611913183 INDAH FITRIYAH Ns., M.Kep./R. Wijaya
151611913217 YASINTHA DWI ANDRIANA Kusuma
151611913171 AULIA DINDA MARINDA
151611913172 BELLA DWI KURNIA PUTRI
151611913173 DEVIA DWI RAMADANTY Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913174 DEWI NAWANG SARI Ns., M.Kep., Sp.Kep., M.B./
151611913169 ARIF PRANANDA R. Hemodialisa
151611913177 DYAH AYU ANGGRAINI
151611913178 EKA DESY KHUSMARWATI
7 5-10 151611913128 ERIKA PONI ASTUTIK Hafna Ilmy Muhalla, S.Kep., 197812202006042026
November 151611913119 ARI WAHYUDI PUTRA Ns., M.Kep., Sp.Kep., M.B./
2018 151611913130 FEBY IRVINA SAFITRI Klinik Bedah
151611913131 FIRDA AYU SURYANI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913132 GRENNADA ERTA RENDITA Ns., M.Kep., Sp.Kep., M.B./
151611913133 INDAH SULISTIYAWATI Klinik Syaraf
151611913134 INTAN PUTRI MAULIDYAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913137 LAELA INTAN PERMATASARI Ns., M.Kep., Sp.Kep., M.B./
151611913136 IVVA ROSYIDA R. Edelweis
151611913143 MOH. ZAINUR FAHMI
151611913138 LAILATUL NIKMAH
151611913139 LINDA SYAVIRA PRATITISKA Susilo Harianto, S.Kep., 196604141992031010
151611913140 MARIA ULFA Ns., M.Kep./R. Hemodialisa
151611913141 MEIKA FIRDALIYA
151611913145 NAURA ROYYANI D.
151611913135 IRA DWI JAYANTI
151611913144 M. RIFKI MAULANA ABDI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913142 MISLAHAH Ns., M.Kep., Sp.Kep., M.B./
151611913146 NIKKE FATIMATUL AFRIZZA Klinik Interna
151611913147 NOVI KURNIA SRI W. Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913148 NUR AVNI FITRIYAH Ns., M.Kep., Sp.Kep., M.B./
Klinik Mata
151611913149 NURUL AMINAH Susilo Harianto, S.Kep., 196604141992031010
151611913150 PUTRI DELIA ROSIDAH Ns., M.Kep./R. Hemodialisa
151611913153 RIDWAN MAULANA
151611913152 REDITA RESTIFANY
151611913151 QOURYATI FILAZI HATTA
151611913154 RISKA PURIJAYANTI
151611913159 SISKA KHUMAIROH Susilo Harianto, S.Kep., 196604141992031010
151611913156 RIZKY ADELLIA ROSSYDA Ns., M.Kep./R. Wijaya
151611913157 ROHADATUL 'AISY Kusuma
151611913158 ROSALINA DEWI MARSITA
151611913155 RISQI SURYA ILLAHI
151611913160 THORFA ELFIANAH
151611913161 VIRANIDA RISTHA ANGGITA Susilo Harianto, S.Kep., 196604141992031010
151611913162 WACHIDATUL MAULIDA Ns., M.Kep./R. Dahlia
151611913163 ZAHROTUL FIRDAUSIYAH
151611913175 DINA RIZKY FEBRIANA
151611913166 ALFIANTI DWI ROCHMA
151611913167 ANA MU'JIZATULLAILI
151611913164 PRASETYO BAGUS WIBISONO Susilo Harianto, S.Kep., 196604141992031010
151611913183 INDAH FITRIYAH Ns., M.Kep./R. Wijaya
151611913217 YASINTHA DWI ANDRIANA Kusuma
151611913171 AULIA DINDA MARINDA
151611913172 BELLA DWI KURNIA PUTRI
151611913173 DEVIA DWI RAMADANTY Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913174 DEWI NAWANG SARI Ns., M.Kep., Sp.Kep., M.B./
151611913169 ARIF PRANANDA Klinik Jantung
151611913177 DYAH AYU ANGGRAINI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913178 EKA DESY KHUSMARWATI Ns., M.Kep., Sp.Kep., M.B./
Klinik THT
8 12-17 151611913115 ABID IBNU ABDILLAH Susilo Harianto, S.Kep., 196604141992031010
8
November 151611913117 ANGGUN JELITA FATMAWATI Ns., M.Kep./R. Dahlia
2018 151611913118 ANNISA ASHARI
151611913129 FADILLA NOVELLIA F
151611913120 ARYNTA MEGA RIANDINI
151611913121 BELLA DWI APRILLIA
151611913122 CHUSNUL RIZAL Susilo Harianto, S.Kep., 196604141992031010
151611913123 DEVI PURBANDARI REGITA C Ns., M.Kep./R. Hemodialisa
151611913124 DEWI MASITHOH
151611913125 DINDA DEVINA FEBRIANTI
151611913126 DITA RISWANDA
151611913127 DWI FITROTUN NISA
151611913184 INTAN INDRAWATI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913185 IRA TANIAH Ns., M.Kep., Sp.Kep., M.B./
151611913201 OVI TAZKIYATUL UYUN Klinik Dalam
151611913187 KHOLIFATUL FAIZAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913188 LAILATUL FAJRIYAH Ns., M.Kep., Sp.Kep., M.B./
151611913189 LILIS FAIZAH Klinik Mata
151611913190 MA'RIFATUL ISLAMIYAH Susilo Harianto, S.Kep., 196604141992031010
151611913193 MUHAMMAD RIZAL PRATAMA Ns., M.Kep./R. Hemodialisa
151611913194 NABILA AUDIA
151611913195 NIA AMBARWATI
151611913196 NIMAS BELA WARDANI
151611913197 NISFUL LAILIYAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913198 NUR FARIDATUL KHASANAH Ns., M.Kep., Sp.Kep., M.B./
151611913199 NURMARIKE ISMALA FITRIANI R. Cempaka
151611913200 NURUL ISTIQOMAH
151611913186 KAMAL HASBULLAH
151611913202 QORI'ATUL MASLUHAH Susilo Harianto, S.Kep., 196604141992031010
151611913203 RESTU AIVI MUCHLISOH Ns., M.Kep./Klinik Jantung
151611913204 RIANI APRILIA
151611913205 RIFA HIDAYATUL Susilo Harianto, S.Kep., 196604141992031010
151611913206 RISMA MIRAUNA Ns., M.Kep./Klinik THT
151611913207 RIZKI DEWI LESTARI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913208 ROBI ALAMSYAH Ns., M.Kep., Sp.Kep., M.B./
151611913209 ROSA CLAUDIA PUTRI R. Edelweis
151611913210 SHODIFATIN LAILIYAH
151611913211 SITI ROUDHO
151611913212 STEFANI KURNIAWATI S Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913213 VIANNI RATIH PUSPA Ns., M.Kep., Sp.Kep., M.B./
151611913214 VIRMA INDRIANTI R. Gardena
151611913170 ARJUNOVA WICAKSONO
151611913216 WINDA TRI AYU NINGSIH
151611913215 WARDATUL AFFA
9 19-24 151611913115 ABID IBNU ABDILLAH Susilo Harianto, S.Kep., 196604141992031010
November 151611913117 ANGGUN JELITA FATMAWATI Ns., M.Kep./R. Dahlia
2018 151611913118 ANNISA ASHARI
151611913129 FADILLA NOVELLIA F
151611913120 ARYNTA MEGA RIANDINI
151611913121 BELLA DWI APRILLIA
151611913122 CHUSNUL RIZAL Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913123 DEVI PURBANDARI REGITA C Ns., M.Kep., Sp.Kep., M.B./
151611913124 DEWI MASITHOH Klinik Bedah
151611913125 DINDA DEVINA FEBRIANTI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913126 DITA RISWANDA Ns., M.Kep., Sp.Kep., M.B./
151611913127 DWI FITROTUN NISA Klinik Syaraf
151611913184 INTAN INDRAWATI Susilo Harianto, S.Kep., 196604141992031010
151611913185 IRA TANIAH Ns., M.Kep./R. Hemodialisa
151611913201 OVI TAZKIYATUL UYUN
151611913187 KHOLIFATUL FAIZAH
151611913188 LAILATUL FAJRIYAH
151611913189 LILIS FAIZAH
151611913190 MA'RIFATUL ISLAMIYAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913193 MUHAMMAD RIZAL PRATAMA Ns., M.Kep., Sp.Kep., M.B./
151611913194 NABILA AUDIA Klinik Dalam
151611913195 NIA AMBARWATI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913196 NIMAS BELA WARDANI Ns., M.Kep., Sp.Kep., M.B./
Klinik Mata
151611913197 NISFUL LAILIYAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913198 NUR FARIDATUL KHASANAH Ns., M.Kep., Sp.Kep., M.B./
151611913199 NURMARIKE ISMALA FITRIANI R. Cempaka
151611913200 NURUL ISTIQOMAH
151611913186 KAMAL HASBULLAH
151611913202 QORI'ATUL MASLUHAH Susilo Harianto, S.Kep., 196604141992031010
151611913203 RESTU AIVI MUCHLISOH Ns., M.Kep./R. Hemodialisa
151611913204 RIANI APRILIA
151611913205 RIFA HIDAYATUL
151611913206 RISMA MIRAUNA
151611913207 RIZKI DEWI LESTARI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913208 ROBI ALAMSYAH Ns., M.Kep., Sp.Kep., M.B./
151611913209 ROSA CLAUDIA PUTRI R. Edelweis
151611913210 SHODIFATIN LAILIYAH
151611913211 SITI ROUDHO
151611913212 STEFANI KURNIAWATI S Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913213 VIANNI RATIH PUSPA Ns., M.Kep., Sp.Kep., M.B./
151611913214 VIRMA INDRIANTI R. Gardena
151611913170 ARJUNOVA WICAKSONO
151611913216 WINDA TRI AYU NINGSIH
151611913215 WARDATUL AFFA
10 26 Nov- 151611913149 NURUL AMINAH Susilo Harianto, S.Kep., 196604141992031010
1 Des 151611913150 PUTRI DELIA ROSIDAH Ns., M.Kep./R. Edelweis
2018 151611913153 RIDWAN MAULANA
151611913152 REDITA RESTIFANY
151611913151 QOURYATI FILAZI HATTA
151611913154 RISKA PURIJAYANTI
151611913159 SISKA KHUMAIROH Susilo Harianto, S.Kep., 196604141992031010
151611913156 RIZKY ADELLIA ROSSYDA Ns., M.Kep./Klinik Bedah
151611913157 ROHADATUL 'AISY
151611913158 ROSALINA DEWI MARSITA Susilo Harianto, S.Kep., 196604141992031010
151611913155 RISQI SURYA ILLAHI Ns., M.Kep./Klinik Syaraf
151611913160 THORFA ELFIANAH
151611913183 INDAH FITRIYAH Susilo Harianto, S.Kep., 196604141992031010
151611913217 YASINTHA DWI ANDRIANA Ns., M.Kep./Klinik Dalam
151611913171 AULIA DINDA MARINDA
151611913172 BELLA DWI KURNIA PUTRI Susilo Harianto, S.Kep., 196604141992031010
151611913173 DEVIA DWI RAMADANTY Ns., M.Kep./Klinik Mata
151611913174 DEWI NAWANG SARI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913169 ARIF PRANANDA Ns., M.Kep., Sp.Kep., M.B./
151611913177 DYAH AYU ANGGRAINI R. Cempaka
151611913178 EKA DESY KHUSMARWATI
151611913179 FAHMIATUS SHOFAH
151611913180 FAUZIYAH EVA ANDRIANI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913181 FITRI DWI HERLIYANI Ns., M.Kep., Sp.Kep., M.B./
151611913182 HANNAH WAFIYAH AL ADIBAH R. Hemodialisa
151611913168 ANDIKA DWI PUTRA
151611913184 INTAN INDRAWATI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913185 IRA TANIAH Ns., M.Kep., Sp.Kep., M.B./
151611913201 OVI TAZKIYATUL UYUN R. Wijaya Kusuma
151611913187 KHOLIFATUL FAIZAH
151611913188 LAILATUL FAJRIYAH
151611913189 LILIS FAIZAH
151611913190 MA'RIFATUL ISLAMIYAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913193 MUHAMMAD RIZAL PRATAMA Ns., M.Kep., Sp.Kep., M.B./
151611913194 NABILA AUDIA R. Cempaka
151611913195 NIA AMBARWATI
151611913196 NIMAS BELA WARDANI
151611913197 NISFUL LAILIYAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913198 NUR FARIDATUL KHASANAH Ns., M.Kep., Sp.Kep., M.B./
151611913199 NURMARIKE ISMALA FITRIANI R. Hemodialisa
151611913200 NURUL ISTIQOMAH
151611913186 KAMAL HASBULLAH
151611913202 QORI'ATUL MASLUHAH Susilo Harianto, S.Kep., 196604141992031010
151611913203 RESTU AIVI MUCHLISOH Ns., M.Kep./R. Edelweis
151611913204 RIANI APRILIA
151611913205 RIFA HIDAYATUL
151611913206 RISMA MIRAUNA
11 3-8 151611913149 NURUL AMINAH Susilo Harianto, S.Kep., 196604141992031010
Desember 151611913150 PUTRI DELIA ROSIDAH Ns., M.Kep./R. Edelweis
2018 151611913153 RIDWAN MAULANA
151611913152 REDITA RESTIFANY
151611913151 QOURYATI FILAZI HATTA
151611913154 RISKA PURIJAYANTI
151611913159 SISKA KHUMAIROH Susilo Harianto, S.Kep., 196604141992031010
151611913156 RIZKY ADELLIA ROSSYDA Ns., M.Kep./R. Hemodialisa
151611913157 ROHADATUL 'AISY
151611913158 ROSALINA DEWI MARSITA
151611913155 RISQI SURYA ILLAHI
151611913160 THORFA ELFIANAH
151611913164 PRASETYO BAGUS WIBISONO
151611913183 INDAH FITRIYAH
151611913217 YASINTHA DWI ANDRIANA
151611913171 AULIA DINDA MARINDA
151611913172 BELLA DWI KURNIA PUTRI
151611913173 DEVIA DWI RAMADANTY Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913174 DEWI NAWANG SARI Ns., M.Kep., Sp.Kep., M.B./
151611913169 ARIF PRANANDA R. Cempaka
151611913177 DYAH AYU ANGGRAINI
151611913178 EKA DESY KHUSMARWATI
151611913179 FAHMIATUS SHOFAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913180 FAUZIYAH EVA ANDRIANI Ns., M.Kep., Sp.Kep., M.B./
151611913181 FITRI DWI HERLIYANI Klinik Bedah
151611913182 HANNAH WAFIYAH AL A. Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913168 ANDIKA DWI PUTRA Ns., M.Kep., Sp.Kep., M.B./
Klinik Syaraf
151611913184 INTAN INDRAWATI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913185 IRA TANIAH Ns., M.Kep., Sp.Kep., M.B./
151611913201 OVI TAZKIYATUL UYUN R. Wijaya Kusuma
151611913187 KHOLIFATUL FAIZAH
151611913188 LAILATUL FAJRIYAH
151611913189 LILIS FAIZAH
151611913190 MA'RIFATUL ISLAMIYAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913193 MUHAMMAD RIZAL PRATAMA Ns., M.Kep., Sp.Kep., M.B./
151611913194 NABILA AUDIA R. Cempaka
151611913195 NIA AMBARWATI
151611913196 NIMAS BELA WARDANI
151611913197 NISFUL LAILIYAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913198 NUR FARIDATUL KHASANAH Ns., M.Kep., Sp.Kep., M.B./
151611913199 NURMARIKE ISMALA FITRIANI Klinik Dalam
151611913200 NURUL ISTIQOMAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913186 KAMAL HASBULLAH Ns., M.Kep., Sp.Kep., M.B./
Klinik Mata
151611913202 QORI'ATUL MASLUHAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913203 RESTU AIVI MUCHLISOH Ns., M.Kep., Sp.Kep., M.B./
151611913204 RIANI APRILIA R. Edelweis
151611913205 RIFA HIDAYATUL
151611913206 RISMA MIRAUNA
12 10-15 151611913115 ABID IBNU ABDILLAH Susilo Harianto, S.Kep., 196604141992031010
Desember 151611913117 ANGGUN JELITA FATMAWATI Ns., M.Kep./R. Hemodialisa
2018 151611913118 ANNISA ASHARI
151611913129 FADILLA NOVELLIA F
151611913120 ARYNTA MEGA RIANDINI
151611913121 BELLA DWI APRILLIA
151611913122 CHUSNUL RIZAL Susilo Harianto, S.Kep., 196604141992031010
151611913123 DEVI PURBANDARI REGITA C Ns., M.Kep./R. Dahlia
151611913124 DEWI MASITHOH
151611913125 DINDA DEVINA FEBRIANTI
151611913126 DITA RISWANDA
151611913127 DWI FITROTUN NISA
151611913128 ERIKA PONI ASTUTIK Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913119 ARI WAHYUDI PUTRA Ns., M.Kep., Sp.Kep., M.B./
151611913130 FEBY IRVINA SAFITRI R. Cempaka
151611913131 FIRDA AYU SURYANI
151611913132 GRENNADA ERTA RENDITA
151611913133 INDAH SULISTIYAWATI
151611913134 INTAN PUTRI MAULIDYAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913137 LAELA INTAN PERMATASARI Ns., M.Kep., Sp.Kep., M.B./
151611913136 IVVA ROSYIDA Klinik Bedah
151611913143 MOH. ZAINUR FAHMI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913138 LAILATUL NIKMAH Ns., M.Kep., Sp.Kep., M.B./
Klinik Syaraf
151611913139 LINDA SYAVIRA PRATITISKA Susilo Harianto, S.Kep., 196604141992031010
151611913140 MARIA ULFA Ns., M.Kep./R. Edelweis
151611913141 MEIKA FIRDALIYA
151611913145 NAURA ROYYANI D.
151611913135 IRA DWI JAYANTI
151611913144 M. RIFKI MAULANA ABDI Susilo Harianto, S.Kep., 196604141992031010
151611913142 MISLAHAH Ns., M.Kep./R. Gardena
151611913146 NIKKE FATIMATUL AFRIZZA
151611913147 NOVI KURNIA SRI W.
151611913148 NUR AVNI FITRIYAH
13 17-22 151611913115 ABID IBNU ABDILLAH Susilo Harianto, S.Kep., 196604141992031010
Desember 151611913117 ANGGUN JELITA FATMAWATI Ns., M.Kep./Kinik Bedah
2018 151611913118 ANNISA ASHARI
151611913129 FADILLA NOVELLIA F Susilo Harianto, S.Kep., 196604141992031010
151611913120 ARYNTA MEGA RIANDINI Ns., M.Kep./Klinik Syaraf
151611913121 BELLA DWI APRILLIA
151611913122 CHUSNUL RIZAL Susilo Harianto, S.Kep., 196604141992031010
151611913123 DEVI PURBANDARI REGITA C Ns., M.Kep./R. Dahlia
151611913124 DEWI MASITHOH
151611913125 DINDA DEVINA FEBRIANTI
151611913126 DITA RISWANDA
151611913127 DWI FITROTUN NISA
151611913128 ERIKA PONI ASTUTIK Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913119 ARI WAHYUDI PUTRA Ns., M.Kep., Sp.Kep., M.B./
151611913130 FEBY IRVINA SAFITRI R. Cempaka
151611913131 FIRDA AYU SURYANI
151611913132 GRENNADA ERTA RENDITA
151611913133 INDAH SULISTIYAWATI
151611913134 INTAN PUTRI MAULIDYAH Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913137 LAELA INTAN PERMATASARI Ns., M.Kep., Sp.Kep., M.B./
151611913136 IVVA ROSYIDA R. Hemodialisa
151611913143 MOH. ZAINUR FAHMI
151611913138 LAILATUL NIKMAH
151611913139 LINDA SYAVIRA PRATITISKA Susilo Harianto, S.Kep., 196604141992031010
151611913140 MARIA ULFA Ns., M.Kep./R. Hemodialisa
151611913141 MEIKA FIRDALIYA
151611913145 NAURA ROYYANI D.
151611913135 IRA DWI JAYANTI
151611913144 M. RIFKI MAULANA ABDI Hafna Ilmy Muhalla, S.Kep., 197812202006042026
151611913142 MISLAHAH Ns., M.Kep., Sp.Kep., M.B./
151611913146 NIKKE FATIMATUL AFRIZZA R. Gardena
151611913147 NOVI KURNIA SRI W.
151611913148 NUR AVNI FITRIYAH

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) JIWA


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER V T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK JIWA RS MENUR SURABAYA

DOSEN PEMBIMBING/
NO TANGGAL NIM NAMA MAHASISWA NIP
RUANGAN
1 1-13 151611913069 MOH. NUSCHUL IBAD ALI SAIROZI, 197502121999031001
Oktober 151611913081 NUR AIDA S.KM., S.Kep.,Ns., M.Kes.
2018 151611913082 NUR ILMA RAMADHANTI PURI KENARI
151611913083 NURUL IZZAH
151611913084 ONNY OKTAVIANI
151611913085 PUTRI DWI LESTARI
151611913072 MUHAMMAD YOGGI R. P. ALI SAIROZI, 197502121999031001
151611913086 QOSIM NUR KHOLIS S.KM., S.Kep.,Ns., M.Kes.
151611913097 SITI NURIL HIDAYAH PURI FLAMBOYAN
151611913096 SITI KHODIJAH
151611913095 SISKA RISMAWATI
151611913093 SETYANI YOHANES ROSALINDA
151611913091 RUMIATI DEVI ANISA ALI SAIROZI, 197502121999031001
151611913087 RENI FEBRY ANDRIANI S.KM., S.Kep.,Ns., M.Kes.
151611913090 RIZQY AMILIYAH PURI GELATIK
151611913089 RIZKA EMILIAH
151611913092 SASGIA ARUM MAYANGSARI
151611913071 MUHAMMAD FADHIL I.
151611913088 RIKASIH
151611913098 SOFIA DWI WAHYUNI ENDAH SRI WIJAYANTI, 197008111994012001
151611913099 SULVIAN AYU VITA ARVIANTI S.ST., M.Kes.
151611913094 SYLVIA WIDYATI PURI WIJAYA KUSUMA
151611913101 TUHFATUL HANA
151611913100 TRI INDRA AJI PUTRA
151611913102 UNY ASTIYANI MESWARI
151611913103 VENI DWI ALIFATUN ENDAH SRI WIJAYANTI, 197008111994012001
151611913104 VIDIA DINDA SAKTI S.ST., M.Kes.
151611913105 VITA MARIA DWI PUSPITA SARI PURI ANGGREK
151611913109 YONGKY RAVINDA
151611913062 VIVI NUR INDAH SARI
151611913063 WAHYUNI PUSPITA NINGRUM
151611913064 YOLANDA DWI SAFITRI ENDAH SRI WIJAYANTI, 197008111994012001
151611913110 YUNITA S.ST., M.Kes.
151611913112 ZULFIAN RIFQI NOVANDY PURI MITRA
151611913111 YUSVIYAH NURHIDAYATI
151611913113 ZUMROTUL FITRIYANTI
151611913114 EFI YULIANI
2 15-27 151611913115 ABID IBNU ABDILLAH ABD. NASIR, 196806281991031006
Oktober 151611913117 ANGGUN JELITA FATMAWATI S. Kep., Ns., M. Kep.
2018 151611913118 ANNISA ASHARI PURI KENARI
151611913129 FADILLA NOVELLIA F
151611913120 ARYNTA MEGA RIANDINI
151611913121 BELLA DWI APRILLIA
151611913128 ERIKA PONI ASTUTIK ABD. NASIR, 196806281991031006
151611913119 ARI WAHYUDI PUTRA S. Kep., Ns., M. Kep.
151611913130 FEBY IRVINA SAFITRI PURI FLAMBOYAN
151611913131 FIRDA AYU SURYANI
151611913132 GRENNADA ERTA RENDITA
151611913133 INDAH SULISTIYAWATI
151611913139 LINDA SYAVIRA PRATITISKA ABD. NASIR, 196806281991031006
151611913140 MARIA ULFA S. Kep., Ns., M. Kep.
151611913141 MEIKA FIRDALIYA PURI MITRA
151611913145 NAURA ROYYANI D.
151611913135 IRA DWI JAYANTI
151611913122 CHUSNUL RIZAL RINDAYATI, 196101251980122003
151611913123 DEVI PURBANDARI REGITA C S. Kep., Ns., M. Kep.
151611913124 DEWI MASITHOH PURI GELATIK
151611913125 DINDA DEVINA FEBRIANTI
151611913126 DITA RISWANDA
151611913127 DWI FITROTUN NISA
151611913134 INTAN PUTRI MAULIDYAH RINDAYATI, 196101251980122003
151611913137 LAELA INTAN PERMATASARI S. Kep., Ns., M. Kep.
151611913136 IVVA ROSYIDA PURI ANGGREK
151611913143 MOH. ZAINUR FAHMI
151611913138 LAILATUL NIKMAH
151611913144 M. RIFKI MAULANA ABDI RINDAYATI, 196101251980122003
151611913142 MISLAHAH S. Kep., Ns., M. Kep.
151611913146 NIKKE FATIMATUL AFRIZZA PURI WIJAYA KUSUMA
151611913147 NOVI KURNIA SRI WULANDARI
151611913148 NUR AVNI FITRIYAH
3 29 Oktober- 151611913001 ABDUL HAQ AL-ASRORI ALI SAIROZI, 197502121999031001
10 November 151611913005 AFIFATUL MAHMUDAH S.KM., S.Kep.,Ns., M.Kes.
2018 151611913010 ALFIA IMA FAUZIA NINGTYAS PURI KENARI
151611913011 ALFIANTI INDAH CAHYANI
151611913012 ALFIATUL SAPUTRI
151611913002 ACHMAD JIHANSYAH PUTRA
151611913013 AMALIA NURUL ADZHANI ALI SAIROZI, 197502121999031001
151611913014 ANJARWATI S.KM., S.Kep.,Ns., M.Kes.
151611913016 ARISKA SEPTIAN DEWI I. PURI FLAMBOYAN
151611913017 AVIVA APRILLIA DEVI
151611913003 ACHSAN TUDHONNY
151611913018 AYU PUJI LESTARI
151611913019 AZMIL MUFTACHORRO
151611913022 BERNADHITA AJUNY FIRDA ENDAH SRI WIJAYANTI, 197008111994012001
151611913023 CHRISTINA YUNI AVISAH S.ST., M.Kes.
151611913004 ADE ANANTA BOGA PURI MITRA
151611913024 CINDY OKTAFIANI
151611913026 DENES EKA PRATIWI
151611913027 DEVITA DWI FERONIKA
151611913006 AGUS SETIAWAN ENDAH SRI WIJAYANTI, 197008111994012001
151611913028 DIANA YULI ROHMAWATI S.ST., M.Kes.
151611913029 DITA ARDYANA DWI CAHYANI PURI GELATIK
151611913031 DWI DAMAYANTI
151611913032 DWI NUR ANUGRAH PUTRI
151611913007 AHMAD FAIQ KAUTSAR
151611913033 DWI REFORMANIA A.M ENDAH SRI WIJAYANTI, 197008111994012001
151611913034 EKA LAILI HIDAYATI MASLUKHAH S.ST., M.Kes.
151611913035 EKA NUR FARIDA PURI ANGGREK
151611913036 ELMA NINDI LARASATI
151611913008 AHRIAN YUDHO PRAKOSO
151611913037 ELOK NUR CAHYATI
151611913038 ELVIN NARINDA IRAWATI
151611913039 EVIANA NUR AFIF A'YUNI ENDAH SRI WIJAYANTI, 197008111994012001
151611913040 FADLILATUL QO'IMAH S.ST., M.Kes.
151611913009 AIK BERLIAN INDRIANSYAH PURI WIJAYA KUSUMA
151611913041 FARIDATUN NASICHAH
151611913042 FELLIA NURDIANA LATHIFAH
151611913043 FIFI LINDA FATMAWATI
4 12-24 151611913159 SISKA KHUMAIROH RINDAYATI, 196101251980122003
November 151611913156 RIZKY ADELLIA ROSSYDA S. Kep., Ns., M.Kep.
2018 151611913157 ROHADATUL 'AISY PURI KENARI
151611913158 ROSALINA DEWI MARSITA
151611913155 RISQI SURYA ILLAHI
151611913160 THORFA ELFIANAH
151611913164 PRASETYO BAGUS WIBISONO RINDAYATI, 196101251980122003
151611913183 INDAH FITRIYAH S. Kep., Ns., M.Kep.
151611913217 YASINTHA DWI ANDRIANA PURI FLAMBOYAN
151611913171 AULIA DINDA MARINDA
151611913172 BELLA DWI KURNIA PUTRI
151611913179 FAHMIATUS SHOFAH RINDAYATI, 196101251980122003
151611913180 FAUZIYAH EVA ANDRIANI S. Kep., Ns., M.Kep.
151611913181 FITRI DWI HERLIYANI PURI MITRA
151611913182 HANNAH WAFIYAH AL ADIBAH
151611913168 ANDIKA DWI PUTRA
151611913149 NURUL AMINAH
151611913150 PUTRI DELIA ROSIDAH ABD. NASIR 196806281991031006
151611913153 RIDWAN MAULANA S.Kep.Ns., M.Kep
151611913152 REDITA RESTIFANY PURI GELATIK
151611913151 QOURYATI FILAZI HATTA
151611913154 RISKA PURIJAYANTI
151611913161 VIRANIDA RISTHA ANGGITA ABD. NASIR 196806281991031006
151611913162 WACHIDATUL MAULIDA S.Kep.Ns., M.Kep
151611913163 ZAHROTUL FIRDAUSIYAH PURI ANGGREK
151611913175 DINA RIZKY FEBRIANA
151611913166 ALFIANTI DWI ROCHMA
151611913167 ANA MU'JIZATULLAILI
151611913173 DEVIA DWI RAMADANTY ABD. NASIR 196806281991031006
151611913174 DEWI NAWANG SARI S.Kep.Ns., M.Kep
151611913169 ARIF PRANANDA PURI WIJAYA KUSUMA
151611913177 DYAH AYU ANGGRAINI
151611913178 EKA DESY KHUSMARWATI
5 26 November- 151611913015 ANJAYA PRATAMA PUTRA ABD. NASIR 196806281991031006
8 Desember 151611913044 FIRDA EKA SAPUTRI S.Kep.Ns., M.Kep
2018 151611913045 FIRDATUS SHOLIHAH PURI KENARI
151611913046 FIRLA ISFIANA AYU WARDANI
151611913047 FISSELLA ANGGRAINI
151611913020 BAGUS ADI UTAMA
151611913048 FITRI FADLILATUN NI'MAH
151611913049 FITRIYAH RIZKA APRILIA ABD. NASIR 196806281991031006
151611913050 GALAU RIKA AKANA KABUL M. S.Kep.Ns., M.Kep
151611913051 HALIMATUS SA'DIYAH PURI FLAMBOYAN
151611913021 BAYU CANDRA IRAWAN
151611913052 I'ANATUL KHILMIYAH
151611913053 IKA MEISTIFAYATIN
151611913054 INTAN PURNAMASARI ABD. NASIR 196806281991031006
151611913055 KHARISMA CHERLYN MEYLINA S.Kep.Ns., M.Kep
151611913025 DAVID CHANIAGO SAPUTRA PURI MITRA
151611913056 LATIFATUL LAILIA
151611913058 LULUK QOMARIA
151611913059 LUTHFIAH WIDYA R.
151611913030 DITA KHOIRUN NI'AM ENDAH SRI WIJAYANTI, 197008111994012001
151611913062 MAR'ATUS SHOLIKHAH S.ST., M.Kes.
151611913063 MAULIDATUL FARIKHAH PURI GELATIK
151611913064 MEGA SILVIA PUTRI
151611913065 MEIKA AFIFAH
151611913057 LUKMAN ADI JAYA SAPUTRA
151611913061 MAR'ATUS SHOLICHA RINDAYATI, 196101251980122003
151611913066 MITA NUR HABIBAH S. Kep., Ns., M.Kep.
151611913070 MONICA PUTRI RAGIL PURI ANGGREK
151611913073 NELA AMILATUS SHOLIKHAH
151611913060 M. NOR RIZQI ANTA
151611913074 NELI YULIA TSANI
151611913075 NINE MAHARDIKA SARI
151611913076 NISAK RACHMAWATI DITA P. RINDAYATI, 196101251980122003
151611913077 NITA HABIBA S. Kep., Ns., M.Kep.
151611913067 MOCH. SAIFUL MAULUDIN B.U. PURI WIJAYA KUSUMA
151611913078 NITA SARI AGUSTIN
151611913079 NORMA KHOIRUL HUDA
151611913080 NOVITA PUJI ELSA
6 10-22 151611913184 INTAN INDRAWATI ABD. NASIR 196806281991031006
Desember 151611913185 IRA TANIAH S.Kep.Ns., M.Kep
2018 151611913201 OVI TAZKIYATUL UYUN PURI KENARI
151611913187 KHOLIFATUL FAIZAH
151611913188 LAILATUL FAJRIYAH
151611913189 LILIS FAIZAH
151611913198 NUR FARIDATUL KHASANAH ABD. NASIR 196806281991031006
151611913199 NURMARIKE ISMALA FITRIANI S.Kep.Ns., M.Kep
151611913200 NURUL ISTIQOMAH PURI FLAMBOYAN
151611913186 KAMAL HASBULLAH
151611913202 QORI'ATUL MASLUHAH
151611913208 ROBI ALAMSYAH ABD. NASIR 196806281991031006
151611913209 ROSA CLAUDIA PUTRI S.Kep.Ns., M.Kep
151611913210 SHODIFATIN LAILIYAH PURI MITRA
151611913211 SITI ROUDHO
151611913212 STEFANI KURNIAWATI S
151611913190 MA'RIFATUL ISLAMIYAH RINDAYATI, 196101251980122003
151611913193 MUHAMMAD RIZAL PRATAMA S. Kep., Ns., M.Kep.
151611913194 NABILA AUDIA PURI GELATIK
151611913195 NIA AMBARWATI
151611913196 NIMAS BELA WARDANI
151611913197 NISFUL LAILIYAH
151611913203 RESTU AIVI MUCHLISOH RINDAYATI, 196101251980122003
151611913204 RIANI APRILIA S. Kep., Ns., M.Kep.
151611913205 RIFA HIDAYATUL PURI ANGGREK
151611913206 RISMA MIRAUNA
151611913207 RIZKI DEWI LESTARI
151611913213 VIANNI RATIH PUSPA RINDAYATI, 196101251980122003
151611913214 VIRMA INDRIANTI S. Kep., Ns., M.Kep.
151611913170 ARJUNOVA WICAKSONO PURI WIJAYA KUSUMA
151611913216 WINDA TRI AYU NINGSIH
151611913215 WARDATUL AFFA

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) GERONTIK


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER V T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK DESA BANJARSARI CERME

NO TANGGAL NIM NAMA MAHASISWA DOSEN PEMBIMBING NIP


1 1-13 151611913149 NURUL AMINAH RINDAYATI, 196101251982122003
Oktober 151611913150 PUTRI DELIA ROSIDAH S. Kep., Ns., M.Kep.
2018 151611913153 RIDWAN MAULANA
151611913152 REDITA RESTIFANY
151611913151 QOURYATI FILAZI HATTA
151611913154 RISKA PURIJAYANTI
151611913159 SISKA KHUMAIROH
151611913156 RIZKY ADELLIA ROSSYDA
151611913157 ROHADATUL 'AISY
151611913158 ROSALINA DEWI MARSITA KHOTIBUL UMAM, 197308231998031008
151611913155 RISQI SURYA ILLAHI S.Kep., Ns., M.Kes.
151611913160 THORFA ELFIANAH
151611913161 VIRANIDA RISTHA ANGGITA
151611913162 WACHIDATUL MAULIDA
151611913163 ZAHROTUL FIRDAUSIYAH
151611913175 DINA RIZKY FEBRIANA
151611913166 ALFIANTI DWI ROCHMA
151611913167 ANA MU'JIZATULLAILI ALI SAIROZI, 197502121999031001
151611913164 PRASETYO BAGUS WIBISONO S.KM., S.Kep.,Ns., M.Kes.
151611913183 INDAH FITRIYAH
151611913217 YASINTHA DWI ANDRIANA
151611913171 AULIA DINDA MARINDA
151611913172 BELLA DWI KURNIA PUTRI
151611913173 DEVIA DWI RAMADANTY
151611913174 DEWI NAWANG SARI
151611913169 ARIF PRANANDA RINDAYATI, 196101251982122003
151611913177 DYAH AYU ANGGRAINI S. Kep., Ns., M.Kep.
151611913178 EKA DESY KHUSMARWATI
151611913179 FAHMIATUS SHOFAH
151611913180 FAUZIYAH EVA ANDRIANI
151611913181 FITRI DWI HERLIYANI
151611913182 HANNAH WAFIYAH A.
151611913168 ANDIKA DWI PUTRA
2 29 Oktober- 151611913184 INTAN INDRAWATI RINDAYATI, 196101251982122003
10 November 151611913185 IRA TANIAH S. Kep., Ns., M.Kep.
2018 151611913201 OVI TAZKIYATUL UYUN
151611913187 KHOLIFATUL FAIZAH
151611913188 LAILATUL FAJRIYAH
151611913189 LILIS FAIZAH
151611913190 MA'RIFATUL ISLAMIYAH
151611913193 MUHAMMAD RIZAL P.
151611913194 NABILA AUDIA
151611913195 NIA AMBARWATI KHOTIBUL UMAM, 197308231998031008
151611913196 NIMAS BELA WARDANI S.Kep., Ns., M.Kes.
151611913197 NISFUL LAILIYAH
151611913198 NUR FARIDATUL KHASANAH
151611913199 NURMARIKE ISMALA F.
151611913200 NURUL ISTIQOMAH RINDAYATI, 196101251982122003
151611913186 KAMAL HASBULLAH S. Kep., Ns., M.Kep.
151611913202 QORI'ATUL MASLUHAH
151611913203 RESTU AIVI MUCHLISOH
151611913204 RIANI APRILIA
151611913205 RIFA HIDAYATUL
151611913206 RISMA MIRAUNA
151611913207 RIZKI DEWI LESTARI ALI SAIROZI, 197502121999031001
151611913208 ROBI ALAMSYAH S.KM., S.Kep.,Ns., M.Kes.
151611913209 ROSA CLAUDIA PUTRI
151611913210 SHODIFATIN LAILIYAH
151611913211 SITI ROUDHO Dr. JONI HARYANTO, 19630608 199103 1002
151611913212 STEFANI KURNIAWATI S S.Kp., M.Si.
151611913213 VIANNI RATIH PUSPA
151611913214 VIRMA INDRIANTI
151611913170 ARJUNOVA WICAKSONO
151611913216 WINDA TRI AYU NINGSIH
151611913215 WARDATUL AFFA
3 26 November- 151611913115 ABID IBNU ABDILLAH RINDAYATI, 196101251982122003
8 Desember 151611913116 ANGGUN JELITA FATMAWATI S. Kep., Ns., M.Kep.
2018 151611913118 ANNISA ASHARI
151611913129 FADILLA NOVELLIA F
151611913120 ARYNTA MEGA RIANDINI
151611913121 BELLA DWI APRILLIA
151611913122 CHUSNUL RIZAL
151611913123 DEVI PURBANDARI REGITA C.
151611913124 DEWI MASITHOH
151611913125 DINDA DEVINA FEBRIANTI KHOTIBUL UMAM, 197308231998031008
151611913126 DITA RISWANDA S.Kep., Ns., M.Kes.
151611913127 DWI FITROTUN NISA
151611913128 ERIKA PONI ASTUTIK
151611913119 ARI WAHYUDI PUTRA
151611913130 FEBY IRVINA SAFITRI RINDAYATI, 196101251982122003
151611913131 FIRDA AYU SURYANI S. Kep., Ns., M.Kep.
151611913132 GRENNADA ERTA RENDITA
151611913133 INDAH SULISTIYAWATI
151611913134 INTAN PUTRI MAULIDYAH
151611913137 LAELA INTAN PERMATASARI
151611913136 IVVA ROSYIDA
151611913143 MOH. ZAINUR FAHMI
151611913138 LAILATUL NIKMAH
151611913139 LINDA SYAVIRA PRATITISKA
151611913140 MARIA ULFA
151611913141 MEIKA FIRDALIYA
151611913145 NAURA ROYYANI D. Dr. JONI HARYANTO, 19630608 199103 1002
151611913135 IRA DWI JAYANTI S.Kp., M.Si.
151611913144 M. RIFKI MAULANA ABDI
151611913142 MISLAHAH
151611913146 NIKKE FATIMATUL AFRIZZA
151611913147 NOVI KURNIA SRI W.
151611913148 NUR AVNI FITRIYAH
151611913116 ALFARGANI YUWONO

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
002

002
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) GERONTIK


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER V T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK DESA RANCANG KENCONO LAMONGAN

NO TANGGAL NIM NAMA MAHASISWA DOSEN PEMBIMBING NIP


1 1-13 151611913030 DITA KHOIRUN NI'AM RINDAYATI, 196101251982122003
Oktober 151611913062 MAR'ATUS SHOLIKHAH S. Kep., Ns., M.Kep.
2018 151611913063 MAULIDATUL FARIKHAH
151611913064 MEGA SILVIA PUTRI
151611913065 MEIKA AFIFAH
151611913057 LUKMAN ADI JAYA SAPUTRA KHOTIBUL UMAM, 197308231998031008
151611913061 MAR'ATUS SHOLICHA S.Kep., Ns., M.Kes.
151611913066 MITA NUR HABIBAH
151611913070 MONICA PUTRI RAGIL
151611913073 NELA AMILATUS SHOLIKHAH
151611913060 M. NOR RIZQI ANTA ALI SAIROZI, 197502121999031001
151611913074 NELI YULIA TSANI S.KM., S.Kep.,Ns., M.Kes.
151611913075 NINE MAHARDIKA SARI
151611913076 NISAK RACHMAWATI D. P.
151611913077 NITA HABIBA
151611913067 M. SAIFUL MAULUDIN B. U. RINDAYATI, 196101251982122003
151611913078 NITA SARI AGUSTIN S. Kep., Ns., M.Kep.
151611913079 NORMA KHOIRUL HUDA
151611913080 NOVITA PUJI ELSA
2 12-24 151611913015 ANJAYA PRATAMA PUTRA RINDAYATI, 196101251982122003
November 151611913044 FIRDA EKA SAPUTRI S. Kep., Ns., M.Kep.
2018 151611913045 FIRDATUS SHOLIHAH
151611913046 FIRLA ISFIANA AYU WARDANI
151611913047 FISSELLA ANGGRAINI
151611913020 BAGUS ADI UTAMA KHOTIBUL UMAM, 197308231998031008
151611913048 FITRI FADLILATUN NI'MAH S.Kep., Ns., M.Kes.
151611913049 FITRIYAH RIZKA APRILIA
151611913050 GALAU RIKA AKANA K. M.
151611913051 HALIMATUS SA'DIYAH
151611913021 BAYU CANDRA IRAWAN RINDAYATI, 196101251982122003
151611913052 I'ANATUL KHILMIYAH S. Kep., Ns., M.Kep.
151611913053 IKA MEISTIFAYATIN
151611913054 INTAN PURNAMASARI
151611913055 KHARISMA CHERLYN M.
151611913025 DAVID CHANIAGO SAPUTRA KHOTIBUL UMAM, 197308231998031008
151611913056 LATIFATUL LAILIA S.Kep., Ns., M.Kes.
151611913058 LULUK QOMARIA
151611913059 LUTHFIAH WIDYA R.
3 26 November- 151611913081 NUR AIDA RINDAYATI, 196101251982122003
8 Desember 151611913082 NUR ILMA RAMADHANTI S. Kep., Ns., M.Kep.
2018 151611913083 NURUL IZZAH
151611913084 ONNY OKTAVIANI
151611913069 MOH. NUSCHUL IBAD
151611913085 PUTRI DWI LESTARI
151611913087 RENI FEBRY ANDRIANI
151611913088 RIKASIH RINDAYATI, 196101251982122003
151611913089 RIZKA EMILIAH S. Kep., Ns., M.Kep.
151611913071 MUHAMMAD FADHIL I.
151611913090 RIZQY AMILIYAH
151611913091 RUMIATI DEVI ANISA
151611913092 SASGIA ARUM MAYANGSARI
151611913093 SETYANI YOHANES R.
151611913072 MUHAMMAD YOGGI R. P.
151611913095 SISKA RISMAWATI
151611913096 SITI KHODIJAH KHOTIBUL UMAM, 197308231998031008
151611913097 SITI NURIL HIDAYAH S.Kep., Ns., M.Kes.
151611913086 QOSIM NUR KHOLIS
151611913098 SOFIA DWI WAHYUNI
151611913099 SULVIAN AYU VITA ARVIANTI
151611913094 SYLVIA WIDYATI
151611913101 TUHFATUL HANA
151611913100 TRI INDRA AJI PUTRA ALI SAIROZI, 197502121999031001
151611913102 UNY ASTIYANI MESWARI S.KM., S.Kep.,Ns., M.Kes.
151611913103 VENI DWI ALIFATUN
151611913104 VIDIA DINDA SAKTI
151611913105 VITA MARIA DWI PUSPITA S.
151611913109 YONGKY RAVINDA
151611913062 VIVI NUR INDAH SARI Dr. JONI HARYANTO, 19630608 199103 1002
151611913063 WAHYUNI PUSPITA N. S.Kp., M.Si.
151611913064 YOLANDA DWI SAFITRI
151611913110 YUNITA
151611913112 ZULFIAN RIFQI NOVANDY
151611913111 YUSVIYAH NURHIDAYATI
151611913113 ZUMROTUL FITRIYANTI
151611913114 EFI YULIANI
4 10-22 151611913001 ABDUL HAQ AL-ASRORI RINDAYATI, 196101251982122003
Desember 151611913005 AFIFATUL MAHMUDAH S. Kep., Ns., M.Kep.
2018 151611913010 ALFIA IMA FAUZIA NINGTYAS
151611913011 ALFIANTI INDAH CAHYANI
151611913012 ALFIATUL SAPUTRI
151611913002 ACHMAD JIHANSYAH PUTRA
151611913013 AMALIA NURUL ADZHANI
151611913014 ANJARWATI KHOTIBUL UMAM, 197308231998031008
151611913016 ARISKA SEPTIAN D. I. P. S.Kep., Ns., M.Kes.
151611913017 AVIVA APRILLIA DEVI
151611913003 ACHSAN TUDHONNY
151611913018 AYU PUJI LESTARI
151611913019 AZMIL MUFTACHORRO RINDAYATI, 196101251982122003
151611913022 BERNADHITA AJUNY FIRDA S. Kep., Ns., M.Kep.
151611913023 CHRISTINA YUNI AVISAH
151611913004 ADE ANANTA BOGA
151611913024 CINDY OKTAFIANI
151611913026 DENES EKA PRATIWI
151611913027 DEVITA DWI FERONIKA
151611913006 AGUS SETIAWAN KHOTIBUL UMAM, 197308231998031008
151611913028 DIANA YULI ROHMAWATI S.Kep., Ns., M.Kes.
151611913029 DITA ARDYANA DWI CAHYANI
151611913031 DWI DAMAYANTI
151611913032 DWI NUR ANUGRAH PUTRI
151611913007 AHMAD FAIQ KAUTSAR
151611913033 DWI REFORMANIA A.M
151611913034 EKA LAILI HIDAYATI M. ALI SAIROZI, 197502121999031001
151611913035 EKA NUR FARIDA S.KM., S.Kep.,Ns., M.Kes.
151611913036 ELMA NINDI LARASATI
151611913008 AHRIAN YUDHO PRAKOSO
151611913037 ELOK NUR CAHYATI
151611913038 ELVIN NARINDA IRAWATI Dr. JONI HARYANTO, 19630608 199103 1002
151611913039 EVIANA NUR AFIF A'YUNI S.Kp., M.Si.
151611913040 FADLILATUL QO'IMAH
151611913009 AIK BERLIAN INDRIANSYAH
151611913041 FARIDATUN NASICHAH
151611913042 FELLIA NURDIANA LATHIFAH
151611913043 FIFI LINDA FATMAWATI

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
002
002
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) DASAR II


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER III T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK DASAR II RSUD Dr. SOEGIRI LAMONGAN

RUANGAN
KEL NO NAMA MAHASISWA
5-18 Nov '18 19 Nov-1 Des'18
1 1 A. KHIKAM MUDIN
2 ILHAM BAYU SETYA PRATAMA R. MELATI R. DAHLIA
3 ERVI TIKO NURHARVIAN
4 ALDA MIFTACHUL QIROM
5 ALDIAH PUTRI ANGGRAYNI
6 ANASTASIA MEGA ANANDA
7 AYU PUSPITASARI
8 DEVITA WAHYU TRI W.
2 1 ABDULLAH FAQIH
2 KEVIN AGASTIAN SARYONO R. ANGGREK R. LAVENDER
3 DEWI HANUM NUR AINI
4 DIA AYU ANGGRAINI
5 DIAH PUSPITA RACHMAWATI
6 DIANA DWI YUSMITA SARI
7 DINA DWI SHOFIANA
8 DITA NOVITA SARI
3 1 ACHMAD AFANDI
2 KHIZQIL ZEAN RAMADHAN R. KEMUNING R. SEROJA
3 DWI CHOIRUN NUPUS
4 EKA FATMAH FUJIYAH
5 EKA PUTRI NUR WANTI
6 EVA LITA WULANDARI HASARI
7 FADHILA OKTAVIAN
4 1 ACHMAD TEGAR AFFANDI
2 M. AGUNG MAHENDRA R. TERATAI R. BOUGENVILLE
3 FATKHIYATUL FITRIA
4 FERINA CHAYANTI
5 GITA DIAN NAVELA
6 HALIMATUS SYA'DIAH
7 IGA MAYANK ANGGRAINI
5 1 AHMAD SYAIFUL ANIF
2 M. SHOLAHUDIN SYAIFULLAH R. FLAMBOYAN R. TERATAI
3 IKA KHOLIFATUL MAR'AH
4 INDAH DWI LESTARI
5 INDAH MENIK PATMAWATI
6 INDAH WIDYA NINGRUM
7 IZZATA AULIA KHOIRUNNISA'
6 1 ANGGA TRI SETYAWAN
2 MOH. FEBRI SECTIO NUGROHO R. BOUGENVILLE R. FLAMBOYAN
3 JIHAN NURFANING HIU
4 KARTIKA DAMAYANTI
5 KIKI OKTAVIANI WINDI ASTUTI
6 KURROTUL AINI
7 LAILATUL FITRIA ROSA
7 1 CAHYO KUNCORO
2 NANDA DWI SATRIO P. R. SEROJA R. KEMUNING
3 LAILATUL FITRIYAH
4 LILIS NUR AZIZAH
5 LITA ROHMAWATI
6 MAHMUDA
7 MELATI DEWI WARTIKA L.
8 1 DICKY ALIFFIYAN SAPUTRA
2 PANCA ADE KURNIAWAN R. LAVENDER R. ANGGREK
3 MIFTACHUL JANAH
4 NABILA PRAMESHELLA A.
5 NADHIATUN NABILLA
6 NI'MATUS SOLICHAH
7 NILA ALFINA
9 1 ERWIN ARDIANSYAH
2 SATRIYA AGUNG WICAKSONO R. DAHLIA R. MELATI
3 NOVIA WAHYU NINGSRI
4 NUR AIDA RAHMAH AGUSTIN
5 NUR FARADIS RAHMAH
6 NUR KUMALA SARI
7 NUR WAHYU PUTRI LESTARI

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
Keperawatan (PKK)

N (PKK) DASAR II
N

GGA

LAMONGAN

PEMBIMBING/
NIP

CUCUK RAHMADI P.,


S.Kp., M.Kes.
196802151992031001

AMELLIA MARDHIKA,
S.Kep., Ns., M.Kes.
198509012009022012

ENDAH SRI WIJAYANTI,


S.ST., M.Kes.
197008111994012001

ISWATUN,
S.Kep., Ns., M.Kes.
197203311994032004

ALI SAIROZI, S.KM.,


S.Kep., Ns., M.Kes.
197502121999031001

KHOTIBUL UMAM,
S.Kep., Ns., M.Kes.
197308231998031008

FANNI OKVIASANTI,
S.Kep., Ns., M.Kep.
198604082009122003

LAILATUL FADHLIYAH,
S.ST., M.Kes.
197301192002122001

ENDAH SRI WIJAYANTI,


S.ST., M.Kes.
197008111994012001

tna Apsari.,M.Si
6261993032003
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) DASAR II


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER III T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK DASAR II RSI NASHRUL UMMAH LAMONGAN

RUANGAN PEMBIMBING/
KEL NO NAMA MAHASISWA
5-18 Nov '18 19 Nov-1 Des'18 NIP
10 1 GANIUSA MUKLISON
2 TRI MIRZA CARISMA ISWATUN,
3 NUR WIDYA RAHAYU R. SAKURA R. SEDAP MALAM S.Kep., Ns., M.Kes.
4 PURNAMA RAHAYU 197203311994032004
5 PUTRI KHOIRUN NISA
6 PUTRI WAHYU LESTARI
11 1 QURROTA A'YUN
2 HELMI DWI ADHI SATRIYO ALI SAIROZI, S.KM.,
3 YUAN BAGUS DWI S. R. ANGGREK R. MAWAR S.Kep., Ns., M.Kes.
4 RIFATUN ALIYAH 197502121999031001
5 RIZADIA IFA ROSYIDAH
6 RIZKY NUR AMALIA G
12 1 SANIA INDAH OKTAVIA
2 SITI AISYAH NURVIANTI KHOTIBUL UMAM,
3 HERI KUSNANDAR R. MELATI R. ANGGREK S.Kep., Ns., M.Kes.
4 ZAIDUL KHOIR 197308231998031008
5 SITI ERICA EMILIANA
6 SITI MAESAROH
13 1 SITI NUR AFITA
2 SUHAPRILYANAH EKA REPSYAH LAILATUL FADHLIYAH,
3 TINA DWI TISNAWATI R. MAWAR R. SAKURA S.ST., M.Kes.
4 TITIS MEY DITA NOFARISKAH 197301192002122001
5 TSUROYYA NUR HABIBAH I.
6 UMI MAMLU'UL HIKMAH
14 1 VIVI DWI PATMA
2 WARDANI K. FANNI OKVIASANTI,
3 WILDA RACHMATUL P. R. SEDAP MALAM R. MELATI S.Kep., Ns., M.Kep.
4 WIWIT 198604082009122003
5 WUKIRASIH UTARI R.
6 ZULFATUL FA'IZAH

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003
Lampiran Surat Tugas Nomor : / UN3.1.14 / PPd / 2018
Tentang: Dosen Pembimbing Praktik Kerja Lapangan (PKL)/Praktik Klinik Keperawatan (PKK)

DOSEN PEMBIMBING PRAKTIK KLINIK KEPERAWATAN (PKK) DASAR II


PROGRAM STUDI D-III KEPERAWATAN
SEMESTER III T.A. 2018/2019
FAKULTAS VOKASI UNIVERITAS AIRLANGGA

DAFTAR KELOMPOK PKK DASAR II RSUD IBNU SINA GRESIK

RUANGAN PEMBIMBING/
KEL NO NAMA MAHASISWA
5-10 Nov '18 12-17 Nov'18 19-24 Nov '18 26 Nov-1 Des'18 NIP
A 1 ADELSY UCHA YULITA
2 MOHAMMAD FAHMI WAHYUDI RINDAYATI,
3 AMELIA FIRDATIN NISA' Ruang Ruang Ruang S. Kep., Ns., M. Kep.
IGD
4 ANIK ISWATIH Cempaka Cempaka Gardena 196101251980122003
5 ARIE SUYITNO
6 ANTIKA CAHYANI
B 7 ANISAH FIRDAUS DWI ASNURI P
8 AVINIA WIDYA SARI Ruang RINDAYATI,
Ruang Ruang Wijaya
9 FANNI DYAH EKA SAPUTRI IGD Wijaya S. Kep., Ns., M. Kep.
Heliconia Kusuma
Kusuma 196101251980122003
10 DITA ANJELINA F.
11 DWI INDAH RATNASARI
C 12 ERLINA MAULIDDYAH
13 BAGUS SURYA RAMADHAN ABD. NASIR,
Ruang Ruang Ruang
14 FARIKHATUN JANNAH IGD S. Kep., Ns., M. Kep.
Gardena Heliconia Heliconia
15 FAUZIA WIDI ANDARI 196806281991031000
16 HUDZAIFAH SALSABILLA N.
D 17 HULIYATUN NAFISAH
18 INTAN PUTRI RAMADHANI ABD. NASIR,
Ruang Ruang Ruang S. Kep., Ns., M. Kep.
19 RIFDLATUL KHURIN'IN IGD
Cempaka Gardena Gardena
20 IZA DIANA MANZIL 196806281991031006
21 KHIKMATUL MUNAWAROH
E 22 NUR EZZATI
23 AGUS GUMILANG SUSILO HARIANTO,
Ruang Ruang S. Kep., Ns., M. Kep.
24 ALFARGHANI YOWONO IGD Ruang Dahlia
Gardena Gardena
25 MAULANA SAPUTRA 196604141992031010
26 LENNI SHINTIANI SUCITRA S
F 27 AMBAR AYU OKTAVIANTI
28 NAHDIYA NUR EL KAUSAR SUSILO HARIANTO,
29 NOVIFAH ARIFIN Ruang Ruang S. Kep., Ns., M. Kep.
IGD Ruang Dahlia
30 NOVITA DWI SUHARTINI Heliconia Heliconia 196604141992031010
31 RAHMAWATI FIRDAUSI
32 NURJIHAN AMIRYYAH
G 33 LANGGENG WAHYU PRASETYO
34 REZA KRISYULIANTI HAFNA ILMY MUHALLA
35 IWAN ABDUL GHONI Ruang Ruang S. Kep., Ns., M. Kep.
Ruang Wijaya Wijaya IGD
36 RIKHATUL JANNAH F. Heliconia Sp. Kep. M.B.
Kusuma Kusuma
37 ROCHMANIYA EKA D. 197812202006042026
38 SALSABILA AULYA FIRLI
H 39 SIGIT HENDRA WAHYUDI
40 SISKA FIRLY AZIZAH HAFNA ILMY MUHALLA
Ruang Ruang Ruang IGD
41 SYARIFATUZ ZAHROH Ruang Ruang Ruang S. Kep., Ns., M. Kep.
IGD
42 VIDYA AYU PANGESTIKA Dahlia Dahlia Heliconia Sp. Kep. M.B.
43 VIKY SUGIARTO 197812202006042026
44 WAHYU RAHMATULLAH

a.n Dekan
Wakil Dekan I

Prof. Dr. Retna Apsari.,M.Si


NIP. 196806261993032003

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