PEMERINTAH KABUPATEN SITUBONDO

DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com

LAPORAN PELAKSANAAN TUGAS

Pemantauan Ibu Nifas dan Neonatus Resiko Tinggi

1) Nama Kegiatan : Pemantauan Ibu Nifas dan Neonatus Resiko Tinggi

2) Tanggal Pelaksanaan :
3) Tempat Kegiatan :
4) Pelaksana Kegiatan :
5) Sasaran Kegiatan :
6) Hasil Kegiatan : :
a) Proses Pelaksanaan
- ..........................................................................................................................................
- ..........................................................................................................................................
- ..........................................................................................................................................
b) Permasalahan yang dihadapi :
-..........................................................................................................................................
- ..........................................................................................................................................
c) Evaluasi Hasil Kegiatan
-..........................................................................................................................................
- .........................................................................................................................................
d) Rencana Tindak Lanjut
-..........................................................................................................................................
- ..........................................................................................................................................
e) Lampiran Hasil Kegiatan
-..........................................................................................................................................
- ..........................................................................................................................................

Jatibanteng,
MENGETAHUI
KepalaPuskesmasJatibanteng Pelaksana

AMROZI, S.Kep.Ners PREFTI YUNITA .S.Amd.Keb

NIP. 19641008 198503 1 004
 PEMERINTAH KABUPATEN SITUBONDO
DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com

LAPORAN PELAKSANAAN TUGAS

Pemantauan Kesehatan Balita DO DDTK

1) Nama Kegiatan : Pemantauan Kesehatan Balita DO DDTK

2) Tanggal Pelaksanaan :
3) Tempat Kegiatan :
4) Pelaksana Kegiatan :
5) Sasaran Kegiatan :
6) Hasil Kegiatan : :
a) Proses Pelaksanaan
- ..........................................................................................................................................
- ..........................................................................................................................................
- ..........................................................................................................................................
b) Permasalahan yang dihadapi :
-..........................................................................................................................................
- ..........................................................................................................................................
c) Evaluasi Hasil Kegiatan
-..........................................................................................................................................
- .........................................................................................................................................
d) Rencana Tindak Lanjut
-..........................................................................................................................................
- ..........................................................................................................................................
e) Lampiran Hasil Kegiatan :
-..........................................................................................................................................
- ..........................................................................................................................................

Jatibanteng,
MENGETAHUI
KepalaPuskesmasJatibanteng Pelaksana

AMROZI, S.Kep.Ners PREFTI YUNITA .S.Amd.Keb

NIP. 19641008 198503 1 004
 PEMERINTAH KABUPATEN SITUBONDO
DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com

LAPORAN PELAKSANAAN TUGAS

Pelayanan Imunisasi Termasuk Swiping dan DOFU

1) Nama Kegiatan : Pelayanan Imunisasi Termasuk Swiping Dan DOFU

2) Tanggal Pelaksanaan :
3) Tempat Kegiatan :
4) Pelaksana Kegiatan :
5) Sasaran Kegiatan :
6) Hasil Kegiatan : :
a) Proses Pelaksanaan
- ..........................................................................................................................................
- ..........................................................................................................................................
- ..........................................................................................................................................
b) Permasalahan yang dihadapi :
-..........................................................................................................................................
- ..........................................................................................................................................
c) Evaluasi Hasil Kegiatan
-..........................................................................................................................................
- .........................................................................................................................................
d) Rencana Tindak Lanjut
-..........................................................................................................................................
- ..........................................................................................................................................
e) Lampiran Hasil Kegiatan :
-..........................................................................................................................................
- ..........................................................................................................................................

Jatibanteng,
MENGETAHUI
KepalaPuskesmasJatibanteng Pelaksana

AMROZI, S.Kep.Ners PREFTI YUNITA .S.Amd.Keb

NIP. 19641008 198503 1 004
 PEMERINTAH KABUPATEN SITUBONDO
DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com

LAPORAN PELAKSANAAN TUGAS

Pengambilan Vaksin Dari Desa Ke Puskesmas

1) Nama Kegiatan : Pengambilan Vaksin Dari Desa Ke Puskesmas

2) Tanggal Pelaksanaan :
3) Tempat Kegiatan :
4) Pelaksana Kegiatan :
5) Sasaran Kegiatan :
6) Hasil Kegiatan : :
a) Proses Pelaksanaan
- ..........................................................................................................................................
- ..........................................................................................................................................
- ..........................................................................................................................................
b) Permasalahan yang dihadapi :
-..........................................................................................................................................
- ..........................................................................................................................................
c) Evaluasi Hasil Kegiatan
-..........................................................................................................................................
- .........................................................................................................................................
d) Rencana Tindak Lanjut
-..........................................................................................................................................
- ..........................................................................................................................................
e) Lampiran Hasil Kegiatan :
-..........................................................................................................................................
- ..........................................................................................................................................

Jatibanteng,
MENGETAHUI
KepalaPuskesmasJatibanteng Pelaksana

AMROZI, S.Kep.Ners PREFTI YUNITA .S.Amd.Keb

NIP. 19641008 198503 1 004
 PEMERINTAH KABUPATEN SITUBONDO
DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com

LAPORAN PELAKSANAAN TUGAS

PELAKSANAAN KELAS IBU BALITA KELOMPOK b

1) Nama Kegiatan : Pelaksanaan Kelas Ibu Balita Kelompok b

2) Tanggal Pelaksanaan :
3) Tempat Kegiatan : Balai Desa Curahsuri
4) Pelaksana Kegiatan : Heni Sosiana dan Andriyani
5) Sasaran Kegiatan : 10 Ibu Balita
6) Hasil Kegiatan : :
a) Proses Pelaksanaan
- Memberikan sambutan untuk mencairkan suasana
- Memperkenalkan diri
- Menyampaiakan materi pertemuan I
- Membuat kesepakatan waktu dengan peserta
- Membagikan soal pre test
- Memulai diskusi dengan mempersilahkan peserta untuk bertanya
b) Permasalahan yang dihadapi :
- Ada anak yang rewel dan minta untuk pulang
c) Evaluasi Hasil Kegiatan
- Kegiatan berjalan dengan lancar
d) Rencana Tindak Lanjut
- Memberikan alat permainan untuk anak agar tidak jenuh dan ibu dapat mendengarkan
materi dengan jelas.
e) Lampiran Hasil Kegiatan :
-....Foto Kegiatan
- Hasil Kegiatan ( daftar hadir dan notulen)

PEMERINTAH KABUPATEN SITUBONDO

 DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com

LAPORAN PELAKSANAAN TUGAS

PELAKSANAAN KELAS IBU BALITA KELOMPOK b

7) Nama Kegiatan : Pelaksanaan Kelas Ibu Balita Kelompok b

8) Tanggal Pelaksanaan :
9) Tempat Kegiatan : Balai Desa Curahsuri
10) Pelaksana Kegiatan : Heni Sosiana dan Andriyani
11) Sasaran Kegiatan : 10 Ibu Balita
12) Hasil Kegiatan : :
f) Proses Pelaksanaan
- Memberikan sambutan untuk mencairkan suasana
- Mengulang materi sebelumnya secara singkat
- Menyampaiakan materi pertemuan II
- Memulai diskusi dengan mempersilahkan peserta untuk bertanya
- Membagikan soal post test
g) Permasalahan yang dihadapi :
- Tidak ada
h) Evaluasi Hasil Kegiatan
- Kegiatan berjalan dengan lancar
i) Rencana Tindak Lanjut
- Ibu dapat menerapkan hal – hal yang sudah disampaikan oleh pemateri di rumah
bagaimana cara merawat anak untuk usia 1-2 th
j) Lampiran Hasil Kegiatan :
-....Foto Kegiatan
- Hasil Kegiatan ( daftar hadir dan notulen)

PEMERINTAH KABUPATEN SITUBONDO

DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com
 LAPORAN PELAKSANAAN TUGAS
PELAKSANAAN PEMBERIAN OBAT CACING DI SEKOLAH

1. Nama Kegiatan : Pelaksanaan pemberian obat cacing di sekolah

2. Tanggal Pelaksanaan :
3. Tempat Kegiatan :
4. Pelaksana Kegiatan :
5. Sasaran Kegiatan :
6. Hasil Kegiatan : :
a) Proses Pelaksanaan
- ..........................................................................................................................................
- ..........................................................................................................................................
- ..........................................................................................................................................
b) Permasalahan yang dihadapi :
-..........................................................................................................................................
- ..........................................................................................................................................
c) Evaluasi Hasil Kegiatan
-..........................................................................................................................................
- .........................................................................................................................................
d) Rencana Tindak Lanjut
-..........................................................................................................................................
- ..........................................................................................................................................
e) Lampiran Hasil Kegiatan :
-..........................................................................................................................................
- ..........................................................................................................................................

Jatibanteng,
MENGETAHUI
KepalaPuskesmasJatibanteng Pelaksana

AMROZI, S.Kep.NersPREFTI YUNITA .S.Amd Keb

NIP. 19641008 198503 1 004

PEMERINTAH KABUPATEN SITUBONDO

DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com
 LAPORAN PELAKSANAAN TUGAS
PELAKSANAAN PEMANTAUAN JENTIK BERKALA

1. Nama Kegiatan : Pelaksanaan pemantauan jentik berkala

2. Tanggal Pelaksanaan :
3. Tempat Kegiatan :
4. Pelaksana Kegiatan :
5. Sasaran Kegiatan :
6. Hasil Kegiatan : :
a) Proses Pelaksanaan
- ..........................................................................................................................................
- ..........................................................................................................................................
- ..........................................................................................................................................
b) Permasalahan yang dihadapi :
-..........................................................................................................................................
- ..........................................................................................................................................
c) Evaluasi Hasil Kegiatan
-..........................................................................................................................................
- .........................................................................................................................................
d) Rencana Tindak Lanjut
-..........................................................................................................................................
- ..........................................................................................................................................
e) Lampiran Hasil Kegiatan :
-..........................................................................................................................................
- ..........................................................................................................................................

Jatibanteng,
MENGETAHUI
KepalaPuskesmasJatibanteng Pelaksana

AMROZI, S.Kep.Ners DIAH AGUSTIN .Amd Kep

NIP. 19641008 198503 1 004

PEMERINTAH KABUPATEN SITUBONDO

DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com
 LAPORAN PELAKSANAAN TUGAS
PELAKSANAAN PEMBERIAN OBAT CACING DI POSYANDU

1. Nama Kegiatan : Pelaksanaan pemberian obat cacing di posyandu

2. Tanggal Pelaksanaan :
3. Tempat Kegiatan :
4. Pelaksana Kegiatan :
5. Sasaran Kegiatan :
6. Hasil Kegiatan : :
a) Proses Pelaksanaan
- ..........................................................................................................................................
- ..........................................................................................................................................
- ..........................................................................................................................................
b) Permasalahan yang dihadapi :
-..........................................................................................................................................
- ..........................................................................................................................................
c) Evaluasi Hasil Kegiatan
-..........................................................................................................................................
- .........................................................................................................................................
d) Rencana Tindak Lanjut
-..........................................................................................................................................
- ..........................................................................................................................................
e) Lampiran Hasil Kegiatan :
-..........................................................................................................................................
- ..........................................................................................................................................

Jatibanteng,
MENGETAHUI
KepalaPuskesmasJatibanteng Pelaksana

AMROZI, S.Kep.NersPREFTI YUNITA .S.Amd Keb

NIP. 19641008 198503 1 004

PEMERINTAH KABUPATEN SITUBONDO

DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com
 LAPORAN PELAKSANAAN TUGAS
PELAKSANAAN PENYUNTIKAN BIAS Dt & Td DI SEKOLAH

1. Nama Kegiatan : Pelaksanaan Penyuntikan Bias Dt & Td Di Sekolah

2. Tanggal Pelaksanaan :
3. Tempat Kegiatan :
4. Pelaksana Kegiatan :
5. Sasaran Kegiatan :
6. Hasil Kegiatan : :
a) Proses Pelaksanaan
- ..........................................................................................................................................
- ..........................................................................................................................................
- ..........................................................................................................................................
b) Permasalahan yang dihadapi :
-..........................................................................................................................................
- ..........................................................................................................................................
c) Evaluasi Hasil Kegiatan
-..........................................................................................................................................
- .........................................................................................................................................
d) Rencana Tindak Lanjut
-..........................................................................................................................................
- ..........................................................................................................................................
e) Lampiran Hasil Kegiatan :
-..........................................................................................................................................
- ..........................................................................................................................................

Jatibanteng,
MENGETAHUI
KepalaPuskesmasJatibanteng Pelaksana

AMROZI, S.Kep.Ners PREFTI YUNITA .S.Amd Keb

NIP. 19641008 198503 1 004

PEMERINTAH KABUPATEN SITUBONDO

DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com
 LAPORAN PELAKSANAAN TUGAS
PELAKSANAAN SKREENING & IMUNISASI TT WUS

1. Nama Kegiatan : Pelaksanaan Skreening & Imunisasi TT Wus

2. Tanggal Pelaksanaan :
3. Tempat Kegiatan :
4. Pelaksana Kegiatan :
5. Sasaran Kegiatan :
6. Hasil Kegiatan : :
a) Proses Pelaksanaan
- ..........................................................................................................................................
- ..........................................................................................................................................
- ..........................................................................................................................................
b) Permasalahan yang dihadapi :
-..........................................................................................................................................
- ..........................................................................................................................................
c) Evaluasi Hasil Kegiatan
-..........................................................................................................................................
- .........................................................................................................................................
d) Rencana Tindak Lanjut
-..........................................................................................................................................
- ..........................................................................................................................................
e) Lampiran Hasil Kegiatan :
-..........................................................................................................................................
- ..........................................................................................................................................

Jatibanteng,
MENGETAHUI
KepalaPuskesmasJatibanteng Pelaksana

AMROZI, S.Kep.NersPREFTI YUNITA .S.Amd Keb

NIP. 19641008 198503 1 004

PEMERINTAH KABUPATEN SITUBONDO

DINAS KESEHATAN
UPTD PUSKESMAS JATIBANTENG
Jl. Jatibanteng (0338)891982 -Jatibanteng 68357
e-mail : puskesmasjatibanteng@gmail.com
 LAPORAN PELAKSANAAN TUGAS
PELAKSANAAN KUNJUNGAN LANSIA RESTI

1. Nama Kegiatan : Pelaksanaan Kunjungan Lansia Resti

2. Tanggal Pelaksanaan :
3. Tempat Kegiatan :
4. Pelaksana Kegiatan :
5. Sasaran Kegiatan :
6. Hasil Kegiatan : :
a) Proses Pelaksanaan
- ..........................................................................................................................................
- ..........................................................................................................................................
- ..........................................................................................................................................
b) Permasalahan yang dihadapi :
-..........................................................................................................................................
- ..........................................................................................................................................
c) Evaluasi Hasil Kegiatan
-..........................................................................................................................................
- .........................................................................................................................................
d) Rencana Tindak Lanjut
-..........................................................................................................................................
- ..........................................................................................................................................
e) Lampiran Hasil Kegiatan :
-..........................................................................................................................................
- ..........................................................................................................................................

Jatibanteng,
MENGETAHUI
KepalaPuskesmasJatibanteng Pelaksana

AMROZI, S.Kep.Ners TUNGGAL RAHMAWATI.A.Md.Kep

NIP. 19641008 198503 1 004