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PT NUSANTARA SEBELAS MEDIKA

RUMAH SAKIT ELIZABETH


Jl. WR. Supratman No. 2 Situbondo Telp. (0338) 671174. Fax (0338) 678061

Mengharap dengan hormat atas kehadiran saudara yang namanya terlampir pada :

Hari dan tanggal : Jumat, 29 Maret 2015


Jam : 12.30 WIB
Tempat : Ruang Komite MedikKomite Medik
Acara : Keseragaman Tentang Penulisan Perintah dan Dokumentasi Asuhan
Keperawatan
Demikian atas kehadiaran saudara, kami sampaikan terima kasih.

PT. PPT. Nusantara Sebelas Medika


nt Rumah Sakit Elizabeth ara XI
( Persero)
Rumah Sakit Elizabeth

dr. Iwan Yulianto


Kepala RS
PT NUSANTARA SEBELAS MEDIKA
RUMAH SAKIT ELIZABETH
Jl. WR. Supratman No. 2 Situbondo Telp. (0338) 671174. Fax (0338) 678061

DAFTAR UNDANGAN RAPAT

NO NAMA BAGIAN TANDA TANGAN


1 dr. Ach.Baihaqi, Sp.PD 1
2 dr. Setijohadi, Sp.PD 2
3 dr. Iwan Yulianto 3
4 Drs. Dwi Agus Atmadji 4
5 drg. RA Kusaryani Kusumaningrum 5
6 drg. Khoirun Nisa 6
7 Umi Wahyuniati, BSc 7
8 Dra. Sri Wahyuning Hastuti,Apt 8
9 Abd. Rochim,Amd.Ak 9
10 Alfiyah, Amd. Kep 10
11 Ns. Lukik Eko Widiawati, S.Kep 11
12 Marmik Astutik, Amd.Kep 12
13 Heny Marganingtiyas, Amd. Kep 13
14 Galih Cahyo wibowo, Amd. Kep 14
15 Rokhmad Fahrudin, Amd. Kep 15
16 Ns. Agus Meriroja, S.Kep 16
17 Sri Agustin,Amd. Kep 17
18 Nurhayati. Amd. Keb 18
19 Anastasia Yunita Utama Amd. Kep 19
20 Wety Hajarini. Amd. Kep 20
21 Dyah Rini Sarastiti, Amd. Kep 21
22 Dina Afrilianty Fadillah. Amd.Kep 22
23 Indah Wahyuni Yuniati. Amd.Kep 23
24 Rr. Renantear widhiananda, Amd.Kep 24
25 Ns. Yunita Gita Siswantari, S.Kep 25
26 Jufriyadi Herwanto, Amd.Kep 26
27 Vylia Putri Akoika,Amd.Kep 27
28 Ida Puji Lestari,Amd.Kep 28
PT NUSANTARA SEBELAS MEDIKA
RUMAH SAKIT ELIZABETH
Jl. WR. Supratman No. 2 Situbondo Telp. (0338) 671174. Fax (0338) 678061

29 Ns. Elsa Yuniar Ardyana. S.Kep 29


30 Siti Zahro, Amd. Kep 30
31 Rohmatul Azizah, Amd. Kep 31
32 Arif Setyo Utomo, Amd.Kep 32
33 Ns.Rindi Herlinda,S.Kep 33
34 Iqbal Maulana Ishaq, Amd.Kep 34
35 Ns.Ayu Gamelina. S.Kep 35
36 Sri Indriyani,Amd.Kep 36
37 Ria Ni'matul Ummahat, Amd. Kep 37
38 Ns.Lailiya Afiana,S.kep 38
39 Kirana Ira Sandi, Amd.Kep 39
40 Doni Januarindra Kristianto, Amd. Kep 40
41 Ns. Farid Fatoni, S.Kep 41
42 Ns. Jefri Yudika Angga Santoso, S.Kep 42
43 Wahyu Krisna, Amd. Kep 43
44 Ahmad Muzayyinul Khuluq,Amd.Kep 44
45 Ns.Eko Bagus Santoso,S.Kep 45
46 Prastya Andi Pranata,Amd.Kep 46
47 Sukartini,Amd.Keb 47
48 Muliana,Amd.Keb 48
49 Aprillia Kartika Ningsih,Amd.Keb 49
50 Weni Retno Afianti, Amd. Kep 50
51 Irta Diah Kumalasari, Amd. Kep 51
52 Retno Hastri Risqi Romdhani. S.ST, Keb 52
53 Ayu Wardani, Amd. Keb 53
54 Kartika Cahya Yaqinia. Amd.Kep 54
55 Viqih Qurnaini Yaqinia, Amd Kep 55
56 Heria Luluk Ariva, Amd. Kep 56

DAFTAR HADIR
PT NUSANTARA SEBELAS MEDIKA
RUMAH SAKIT ELIZABETH
Jl. WR. Supratman No. 2 Situbondo Telp. (0338) 671174. Fax (0338) 678061

HARI / TANGGAL : s 24 Februari 2011


ACARA : Telaah Rekam Medis Tertutup bimbingan akreditasi ol drg. Sri
Andayani, MS.

.NO NAMA BAGIAN TANDA TANGAN

1 Sekretaris 1

2 Admin 2

3 Admin 3

4 Yanmed 4

5 Perawatan 5

6 Perawatan 6

7 Rekam Medis 7

8 Rekam Medis 8

9 UGD 9

10 Admin 10

11 11

12 12

13 13

14 14

15 15

16 16

17 17

18 18
PT NUSANTARA SEBELAS MEDIKA
RUMAH SAKIT ELIZABETH
Jl. WR. Supratman No. 2 Situbondo Telp. (0338) 671174. Fax (0338) 678061

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PT NUSANTARA SEBELAS MEDIKA
RUMAH SAKIT ELIZABETH
Jl. WR. Supratman No. 2 Situbondo Telp. (0338) 671174. Fax (0338) 678061

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PT NUSANTARA SEBELAS MEDIKA
RUMAH SAKIT ELIZABETH
Jl. WR. Supratman No. 2 Situbondo Telp. (0338) 671174. Fax (0338) 678061

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NOTULEN

HARI : ............................................
PT NUSANTARA SEBELAS MEDIKA
RUMAH SAKIT ELIZABETH
Jl. WR. Supratman No. 2 Situbondo Telp. (0338) 671174. Fax (0338) 678061

TANGGAL : ............................................
JAM : ............................................
HADIR : ............................................
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PELAKSANA : ............................................
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PT NUSANTARA SEBELAS MEDIKA
RUMAH SAKIT ELIZABETH
Jl. WR. Supratman No. 2 Situbondo Telp. (0338) 671174. Fax (0338) 678061

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TINDAK LANJUT : …………………………………………………………………………………………….


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PIMPINAN RAPAT NOTULIS

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