DOOR TO BALOON

No. Tanggal Nama Pasien Umur JK No. MR Jam Jam di Jam Jam Ambil Jam Hasil Jam Urus Jam status Jam Jam Pasien Jam Diagnose ket
Konsulkan Persiapan
Datang Assesment Sampel darah Status Rawatan Pasien di Sampai di To Wire
ke Bagian set
L/P IGD Jantung Residen darah selesai Rawatan Selesai Transfer Catch Lab Puncture Time
1 7/9 BASRIL 59 L 01026646 00.44 00.44 00.45 01.30 01.45 01.50 01.55 02.00
2 7/9 CHAIRUL 62 L 01026700 15.08 15.08 15.08 15.10 15.30 15.50 15.50 15.55
3 8/9 ALI YUSMAR 61 L 01026741 12.30 12.35 12.35 12.40 13.00 13.20 13.35 13.40
4 9/9 RUDI MARTIANUS 53 L 01026796 19.04 19.05 19.10 19.20 19.45 20.05 20.07 20.10
5 10/9 SIDI SAMSU 69 L 01026813 04.47 04.47 04.50 05.00 05.30 05.45 05.40 05.45
6 10/9 SYAFRIZAL 45 L 00967456 15.38 15.40 15.45 15.50 16.20 16.30 16.30 16.35
7 11/9 JURAN SUHANDI 47 L 01026977 05.30 05.32 05.33 05.40 08.09 08.20
8 12/9 SEDI 44 L 01027023 05.23 05.25 05.30 05.35 06.35 06.45
9 12/9 ALIBAR 50 L 01027024 05.45 05.47 05.50 05.52 06.10 06.20 06.25 06.30
10 12/9 YOSYI SYANIRA 50 P 01027048 08.40 08.40 08.43 08.43 09.00 09.05 09.15
11 13/9 ARMAYENI 58 P 336935 09.30 09.30 09.35 09.40 10.15 10.25 10.30 10.35
12 15/9 RISKA YUNILIANA 46 P 00679906 09.41 09.41 09.41 09.41 09.46 09.47
13 15/9 SUHERMAN 58 L 01027376 23.12 23.12 23.13 23.30 23.40 23.44 00.45
 LEMBAR OBSEVASI PELAYANAN DOOR TO BALOON

DIAGNOSIS PERSIAPAN SISTEM

No. NAMA/MR JAM JAM EKG JAM JAWAB JAMPENGAM JAM INFONT JAM AMBIL JAM JAM STATUS JAM JAM STATUS JAM JAM SAMPAI CATH LAB K
SELESAI
KONSUL
BILAN KONSEN PAKET CUKUR, PENJEMPU E
(NAMA
PASANG
MASUK RESIDEN) SAMPEL KELUARGA PRIMARY INFUS DLL DIANTAR KE MR TAN DPJP SLESAI TRANSFER T
1 HIDAYAT/46 Th/01027569 05.40 5.45 05.45 05.55 6 6 6.1 6.15 6.15 6.25 06.25 6.3
2 RIDWAN/01027732 09.12 9.15 9.15 09.30 9.35 9.35 9.35 09.35 9.35 9.45 09.45 9.5
3 MARHUDI/01027902 01.10 1.15 01.10 01.15 01,17 1.2 .1.30 01.37 1.3 2.2 02.20 2.3
4 YUSKAL/01028046 10.25 10.4 10.27 10.30 10.45 10.45 10.5 11.05 11.05 11.1 11.10 11.15
5 YULIUS/419619 08.16 8.15 08.18 09.00 9.1 9.15 9.15 09.10 9.15 9.3 09.30 9.35
6 WEDDY FITNA 15.04 15.1 15.06 15.25 15.35 15.35 15.4 15.42 15.45 16.35 16.35 16.4
7 RUSMAN 03.00 3.1 03.05 03.10 3.15 4 4 4.05 5 5 5 5.05
8 NUR ALIMAN/01000785 10.40 10.5 10.50 11.00 11.15 11.2 11.2 11.28 11.2 12 12.00 12.05
9 YUHANASRUL/010292 22.35 22.4 22.40 22.45 22.55 23 23 23.05 23.05 23.05 23.30 23.4
10 SUPRAYITNO 04.01 4.15 04.05 04.10 4.15 4.2 4.25 04.30 4.5 4.5 04.50 5
11 YUSNI/01029538 10.55 11 11.00 11.30 11.35 12 12 12.00 12 12.25 12.25 12.3
12 DAHLIA 15.14 15.15 15.15 15.25 15.4 15.45 15.5 16.02 16 16.45 16.45 16.5
13 ASRUL/01027808 11.45 11.5 11.46 13.15 13.25 13.3 13.35 13.30 13.3 13.45 13.45 13.5
14 DAHLIA/01029647 15.14 15.15 15.15 15.27 15.45 15.5 15.55 16.02 16 16.1 16.10 16.15
15 BASNI/01024657 18.16 18.2 18.25 18.50 19 19 19.15 19.25 20 20 20 20.1
16 JONRIZAL/01029750 13.09 13.15 13.10 14.00 14.10 14.1 14.1 14.15 4.1 14.15 14.13 14.2
17 ZAINAL BAKRI/428239 16.58 17.05 17.00 17.15 17.25 17.3 17.3 17.30 18 18 18 18.1
18 ZULKARNI 22.47 22.5 22.48 23.00 23.00 23.05 23.1 23.35 23.35 23.5 23.5 23.1
19 EMLIN NAZIR/01029865 08.32 8.35 08.37 9.1 9.15 9.15 9.15 09.15 9.15 9.15 09.30 9.35
20 SURYA SOFYAN/01029873 14.33 14.35 14.35 15.05 5.1 5.1 5.1 15.12 15.3 15.35 15.35 15.4
21 NURCHALES 21.58 22.05 22.00 23.4 23.45 23.5 23.5 23.00 23 23.1 23.10 23.15
22 SUKAHARI LAIYA/955939 01.06 1.1 01.06 1.15 01,20 1.2 1.25 01.41 1.4 1.52 01.52 2
23 ULIL AMRI 01.54 2 01.56 3.1 3.15 3.2 3.25 03.31 3.3 3.5 03.50 4
24 NGATNO 18.20 18.21 18.21 18.35 18.45 18.5 18.55 19.02 19 19.1 19.1 19.15
25 ARMAINI/01030494 02.31 2.35 02.33 02.55 3 3.05 3.1 03.25 3.35 3.55 03.55 4

No. NAMA/MR JAM JAM EKG JAM JAWAB PENGAMBIL JAM JAM AMBIL JAM CUKUR, JAM STATUS PENJEMPU JAM JAM SAMPAI CATH LAB K
MASUK KONSUL SAMPEL INFORMED PAKET PSG INFUS DIANTAR KE MR TAN DPJP TRANSFER E
26 AMRAN 08.29 8.3 (NAMA
08.30 9 CONSENT
9 PRIMARY
9 9 09.12 9 9.3 09.30 9.35 T
RESIDEN)
27 JISWANTO 22.28 22.3 22.30 22.30 22.30- 22.35 23.35 22.35 23 23.15 23.15 23.2
28 SUARDI 01.46 1.5 01.55 2.05 2.15 2.2 2.25 02.43 2.4 2.55 02.55 3
29 YASMAL 15.05 10.05 15.06 15.1 16.00 16 16 16.03 10 16.15 16.15 16.2
30 ROSNIDAR/00102181 12.30 12.3 12.35 12.40 12.45 16 16 12.30 12.3 12.35 12.35 12.4
32 JAMARIS/00998148 11.38 11.4 11.40 12.00 12.15 13.05 13.25 13.25 13.25 13.3
33 KARTINA/01033853 08.57 9 09.00 (Dr. Meidi) 09.20 9.25 09.50 9.5 10 10.00 10.05
34 YUNIDAL 04.46 04.46 (TATA) 05.00 5.05 05.22
35 AZHAR 21.50 21.50 21.55 22 22.45 23.00
37 NANANG MARIANTO 23.40 23.40 00.06
38 ROY DASRAL 20.00 20.00 20.10 - 20.40 20.55
39 MAINIR 16.08 16.24 16.25 - 17.18 17.30
40 RAMINAS 14.09 14.15 14.30 - 15.00 15.20
41 MARADIL/01034481 21.25 22.25 22.30 - 22.50 23.05
42 SYAFRUDDIN LUMA 16.09 16.10 16.15 - 16.40 16.50
43 THOMAS GREMIKO 04.48 - 05.20 - 06.15 07.30
44 ERZON 19.47 19.50 (Dr. DIAN) 20.25 - 20.30 20.58
45 SYAHRIAL/01035679 13.50 13.53(M.FIRDAUS) 14.00 - 14.35 14.43