SUPERVISI TUPOKSI IPCLN DI UNIT KERJA

HARI/TANGGAL :
NAMA IPCLN (INISIAL)
NO ASPEK YANG DIAMATI AK YP DR SN CW WM LR LA SH NH H SJ EI
Y T Y T Y T Y T Y T Y T Y T Y T Y T Y T Y T Y T Y T
1 Mencatat data surveilans dari setiap pasien di unit rawat inap masing-masing (ada
bukti catatan di ruangan dan bukti ekpedisi pelaporan)
Memberikan motivasi dan mengingatkan tentang pelaksanaan kepatuhan PPI pada
2
setiap personil ruangan di unitnya masing-masing
a. Melaksanakan tindakan pelayanan (invasif/ penggunaan alat medis berdasarkan
prinsip PPI
b. Memberikan saran / teguran jika ada pelaksanaan pelayanan pada pasien yang
berisiko menyebarkan infeksi ( tugas dan sopan)
Memonitor kepatuhan petugas kesehatan yang lain dalam penerapan kewaspadaan
3 isolasi
a. Melakukan audit Ppi ( Kebersihan Tangan, Penggunaan APD, dll)

Memberitahukan kepada IPCN apa bila ada kecurigaan adanya HAIs pada pasien

4 a. Melakukan pencatatan kasus terkait HAIs Rumah Sakit di ruangannya masing-

masing
b. Memberitahukan temuan kepada IPCN
Bila terdapat infeksi potensial KLB melakukan penyuluhan bagi pengunjung dan
konsultasi prosedur PPI berkoordinasi dengan IPCN
5 a. Mencatat dan melaporkan temuan kasus yang potensial KLB kepada komite PPI
melalui IPCN
b. Melakukan edukasi bagi pengunjung tentang kewaspadaan standart
Memantau pelaksanaan penyuluhan bagi pasien, keluarga dan pengunjung dan
konsultasi prosedur yang harus dilaksanakan
6 a. Melaksanakan koordinasi dan mengintegrasi materi penyuluhan bersama PKRS
tentang PPI di satuan kerja masing-masing
b. Ada buku catatan pelaksanaan penyuluhan
total :
Saran / Rekomendasi : Mengetahui,
IPCN Kepala Keperawatan

Maulindawati Skep.Ns Kurnia Dwi Skep,Ns

TABEL SUPERVISI IPCLN JANUARI-FEBRUARI

IPCLN JANUARI TOTAL FEBRUARI TOTAL MARET TOTAL

AK 62% 76% 76% 63% 69% 63% 64% 62% 76% 66% 76% 76% 63% 92% 77%
YP 76% 76% 76% 76% 76% 76% 64% 63% 76% 70% 76% 76% 76% 92% 80%
DR 69% 76% 76% 63% 71% 63% 64% 63% 76% 67% 76% 76% 63% 92% 77%
SN 85% 76% 76% 63% 75% 63% 73% 84% 76% 74% 76% 76% 63% 92% 77%
CW 69% 84% 76% 76% 76% 76% 91% 63% 84% 78% 76% 76% 76% 100% 82%
WM 69% 76% 76% 63% 71% 63% 73% 63% 76% 69% 76% 76% 63% 100% 79%
LR 69% 76% 76% 63% 71% 63% 73% 63% 76% 69% 76% 76% 63% 100% 79%
LA 77% 76% 76% 63% 73% 63% 73% 76% 76% 72% 76% 76% 63% 100% 79%
H 100% 70% 82% 60% 78% 60% 100% 100% 70% 83% 63% 63% 63% 100% 72%
NH 70% 70% 82% 60% 71% 60% 100% 70% 70% 75% 63% 63% 60% 100% 72%
SJ 70% 70% 82% 60% 71% 60% 100% 70% 70% 75% 63% 63% 60% 100% 72%
SH 69% 76% 76% 63% 71% 63% 64% 63% 76% 67% 76% 76% 60% 92% 76%
EI 80% 70% 76% 70% 74% 70% 100% 80% 80% 83% 63% 63% 70% 100% 74%

IPCLN JAN FEB MAR

AK 77% 80% 77%
YP 76% 70% 80%
SUPERVISI IPCLN JANUARI - MARET 2019
DR 71% 67% 77% 90%
SN 75% 74% 77% 80%
CW 76% 78% 82% 70%
WM 71% 69% 79% 60%
LR 71% 69% 79% JA
50%
LA 73% 72% 79% FE
40%
H 78% 83% 72% M
30%
NH 71% 75% 72%
20%
SJ 71% 75% 72%
10%
SH 71% 67% 76%
0%
EI 74% 83% 74% AK YP DR SN CW WM LR LA H NH SJ SH EI
rata-rata 73% 74% 77%
 TOTAL

MARET 2019

JAN
FEB
MAR

NH SJ SH EI
 TABEL SUPERVISI IPCLN JANUARI-FEBRUARI

IPCLN APRIL TOTAL MEI TOTAL JUNI TOTAL

AK 77% 69% 69% 77% 73% 69% 69% 69% 92% 75% 77% 77% 69% 92% 79%
YP 77% 77% 69% 77% 75% 69% 69% 69% 92% 75% 77% 77% 77% 92% 81%
DR 77% 69% 69% 77% 73% 69% 69% 69% 92% 75% 77% 77% 69% 92% 79%
SN 77% 69% 85% 77% 77% 85% 85% 77% 92% 85% 77% 77% 69% 92% 79%
CW 77% 77% 69% 85% 77% 69% 69% 77% 100% 79% 77% 77% 77% 100% 83%
WM 77% 69% 69% 77% 73% 69% 69% 77% 100% 79% 77% 77% 69% 100% 81%
LR 77% 69% 77% 77% 75% 77% 69% 77% 100% 81% 77% 77% 69% 100% 81%
LA 77% 69% 100% 77% 81% 100% 77% 77% 100% 89% 77% 77% 69% 100% 81%
H 60% 60% 70% 70% 65% 70% 100% 100% 100% 93% 82% 82% 70% 100% 83%
NH 60% 60% 70% 70% 65% 70% 70% 100% 100% 85% 82% 82% 70% 100% 83%
SJ 60% 60% 70% 70% 65% 70% 70% 100% 100% 85% 82% 82% 70% 100% 83%
SH 77% 77% 69% 77% 75% 69% 64% 69% 85% 72% 77% 77% 69% 85% 77%
EI 90% 70% 80% 80% 80% 80% 100% 100% 100% 95% 90% 90% 80% 100% 90%

IPCLN APR MEI JUN

AK 73% 75% 79%
YP 75% 75% 81%
SUPERVISI IPCLN April - Juni 2019
DR 73% 75% 79% 100%
SN 77% 85% 79% 90%
CW 77% 79% 83% 80%
WM 73% 79% 81% 70%
LR 75% 81% 81% 60% A
LA 81% 89% 81% 50% M
H 65% 93% 83% 40% JU
30%
NH 65% 85% 83%
20%
SJ 75% 85% 83%
10%
SH 80% 72% 77%
0%
EI 74% 95% 90% AK YP DR SN CW WM LR LA H NH SJ SH EI
rata-rata 74% 82% 82%
 TOTAL

Juni 2019

APR
MEI
JUN

H NH SJ SH EI