Rekap Kel B Interna

BAGIAN II : REKAP CAPAIAN KOMPETENSI
ILMU
KULIT
PENYAKIT
DAN
MATA
KELAMIN
GRUP
DALAMPE
G
Keterangan :
- 1 : MENGIKUTI kuliah, tentiran, peserta journal reading, laporan kasus/ jaga
- 2 : MENYAKSIKAN/MENGIKUTI demo pada pasien/video, bedsite teaching, PENYAJI pada journal reading, laporan kasus/
- 3 : MELAKUKAN SIMULASI kasus, simulasi terapi, simulasi dengan PS / manekin/ sesama koas
- 4AA : MELAKUKAN pada PASIEN SUNGGUHAN dengan supervisi
A. PENYAKIT
REGU
KOMPE- REKAPITULASI LEVEL PENGUASAAN
PENYAKIT (LEVEL) ANGKATAN 2014-
TENSI
1 2 3 4A 1
Paru
1 Influenza (4AA) – SK 4A 0.1 0 0 4.616667 0
2 SARS (3B) – S 3B 0.15 0 0 0 0
3 Flu Burung (3B) – S 3B 0.233333 0 0 0 0
4 Asma Bronkhial (4AA) – SK 4A 0.533333 2.866667 2.9 1.883333 1
5 Bronkhitis Akut (4AA) – SK 4A 0.35 1.541667 0 0.25 0
6 Bronkhiektasis (3A) – SK 3A 0.275 1.208333 0 0 0
7 TBC Paru tanpa Komplikasi (4AA) –SK 4A 1.166667 3.116667 0.166667 0.45 0
8 TBC Paru dengan HIV (3A) – SK 3A 0.5 1.675 0 0.116667 1
9 Pneumothorax (3A) – SK 3A 0.291667 1.125 0 0 0
10 Efusi Pleura Masif (3B) – S 3B 0.583333 1.433333 0.033333 0.158333 0
11 Emfisema Paru (3A) – S 3A 0.208333 1.358333 0 0.041667 0
Penyakit Paru Obstruktif Kronik (PPOK)
0.408333 2.8 2.791667 0.491667 0
12 eksaserbasi akut (3B) – SK 3B
13 Edema Paru (3B) – S 3B 0.8 4.241667 1.325 0.458333 0
14 Abses Paru (3A) – S 3A 0.15 0.133333 0 0 0
Jantung dan Pembuluh Darah 0 0 0 0 0
15 Angina pectoris stabil (3B) – SK 3B 4.65 2.941667 1.383333 1.491667 9.75
16 Infark miokard (3B)– SK 3B 4.516667 4.091667 1.366667 1.316667 9.75
Takikardi : Supraventrikular, Ventrikular
6.566667 3.725 1.325 0.133333 15.25
17 (3B) – SK 3B
18 Gagal jantung akut&kronik (3B) – K 3B 8.133333 5.633333 3 0.383333 16.25
19 Cardiorespiratory arrest –(3B) SK 3B 6.066667 3.85 3.483333 2.541667 15.25
20 Fibrilasi Atrial (3A) – SK 3A 4.308333 2.891667 2.833333 0 9.75
21 Fibrilasi Ventrikular (3B) – SK 3B 4.1 2.891667 2.375 0 9.75
Ekstrasistol Supraventricular, Ventrikular
3.891667 2.808333 2.433333 0 9.75
22 (3B) – S 3B
23 Kor Pulmonale Akut (3B) – S 3B 1.541667 0.5 0 0 3.25
24 Kor Pulmonale Kronik (3A) – S 3A 1.541667 0.45 0.033333 0 3.25
25 Hipertensi Esensial (4AA) – SK 4A 8.608333 5.533333 2.783333 4.441667 16.5
26 Hipertensi Sekunder (3A) – S 3A 7.05 6.725 2.875 3.2 16.25
Gastroenterohepatologi 0 0 0 0 0
27 Esofagitis Refluks (3A) – S 3A 0.75 1.3 1.216667 0 0
28 Gastritis (4AA) – SK 4A 13.34167 5.641667 5.35 3.733333 56.25
Gastroenteritis (termasuk Kolera, 0.3 0.133333 0.066667 0.033333 0
29 Giardiasis, amubiasis) – SK 4A
30 Refluks Gastroesofagus (4AA) – SK 4A 0.8 1.45 1.341667 0.083333 0
31 Ulkus (gaster, duodenum) (3A) – S 3A 4.725 1.475 1.408333 0 9
32 Perdarahan Gastrointestinal (3B) – SK 3B 5.391667 5.208333 2.783333 1.3 10
33 Alergi Makanan (4AA) – SK 4A 0.508333 0.133333 0.133333 0.133333 0
34 Keracunan Makanan (4AA) – S 4A 0.6 0.266667 0 0 0
35 Botulisme (3B) – S 3B 0 0 0 0 0
36 Penyakit Cacing Tambang (4AA) – SK 4A 0.216667 0.175 0 0 0
37 Strongiloidiasis (4AA) – SK 4A 0.266667 0 0 0 0
38 Askariasis (4AA) – SK 4A 0.525 0.133333 0 0 0
39 Skistosomiasis (4AA) – SK 4A 0.175 0 0 0 0
40 Taeniasis (4AA) – SK 4A 0.216667 0.216667 0 0 0
41 Hepatitis A (4AA) – SK 4A 5.475 4.25 1.416667 1.383333 11.75
42 Hepatitis B (3A) – SK 3A 6.333333 5.275 2.9 1.775 13
43 Abses Hepar Amoeba (3A) – SK 3A 1.533333 0.783333 0.675 0.1 0
44 Perlemakan Hepar (3A) – SK 3A 2.508333 1.216667 1.216667 0 4.5
45 Kolesisititis (3B) – SK 3B 4.425 2.675 1.433333 0.133333 9.75
46 Kolitis (3A) – S 3A 5.266667 2.6 1.25 0.033333 13
Disentri basiler, disentri amuba (4AA) – SK 0.8 0.3 0.3 0.175 0
47 4A
48 Irritable Bowel Syndrome (3A) – S 3A 2.733333 1.383333 1.383333 1.3 6.5
Ginjal dan Saluran Kemih 0 0 0 0 0
49 Infeksi Saluran Kemih (4AA) – SK 4A 3.883333 5.116667 2.766667 4.058333 6.75
50 Glomerulonefritis Akut (3A) – S 3A 2.733333 1.341667 0 0 6.5
51 Glomerulonefritis Kronik (3A) – S 3A 3.983333 1.383333 0 0 9.75
52 Kolik Renal (3A) – S 3A 2.741667 1.3 1.216667 0 6.5
Batu Sal. Kemih (vesika urinaria, ureter,
3.958333 2.633333 1.341667 1.3 9.75
53 uretra) (3A) – S 3A
54 Pielonefritis tanpa Komplikasi (4AA) – SK 4A 2.5 2.433333 1.216667 0.041667 6.5
Priapismus (3B) – S 0.266667 0.266667 0 0 0
55 3B
Sistem Endokrin dan Penyakit Metabolik 0 0 0 0 0
56 Diabetes Mellitus Tipe 1 (4AA) – S 4A 5.733333 5.2 3.816667 2.558333 15
57 Diabetes Mellitus Tipe 2 (4AA) – SK 4A 8.441667 4.45 3.183333 5.825 16.25
Diabetes Mellitus Tipe Lain (intoleransi

glukosa akibat penyakit lain atau obat- 3.775 3.691667 2.433333 1.258333 9.75
58 obatan) (3A) – S 3A
Ketoasiodsis diabetikum non ketotik (3B)
5.425 2.633333 1.341667 2.466667 13
59 – S
60 Hiperglikemi Hiperosmolar (3B) – SK 3B 5.108333 3.65 2.433333 2.475 13
61 Hipoglikemia Ringan (4AA) – SK 4A 4.083333 3.733333 2.516667 4.991667 9.75
62 Hipoglikemia Berat (3B) – SK 3B 6.891667 3.941667 1.375 1.383333 16.25
63 Hipoparatiroid (3A) – S 3A 2.708333 1.341667 1.258333 0 6.5
64 Hipertiroid (3A) – SK 3A 4.3 3.816667 2.65 1.3 9.75
65 Tirotoksikosis (3B) – SK 3B 4.216667 1.341667 1.3 0.083333 9.75
66 Goiter (3A) – S 3A 4.108333 2.6 1.216667 0 9.75
67 Cushing’s Disease (3B) – S 3B 3.75 3.816667 2.433333 1.216667 9.75
68 Krisis Adrenal (3B) – S 3B 2.5 1.283333 1.216667 0 6.5
69 Dislipidemia (4AA) – SK 4A 4.508333 4.158333 1.516667 3.941667 9.75
70 Hiperurisemia (4AA) – SK 4A 4.641667 2.9 2.858333 1.525 9.75
71 Obesitas (4AA) – SK 4A 6.591667 3.541667 2.375 2.458333 16.25
72 Sindrom Metabolik (3B) – S 3B 3.916667 2.433333 2.433333 1.258333 9.75
73 Malnutrisi energy protein (4AA) – K 4A 3.925 1.216667 1.216667 0 9.75
Hemato-Onkologi 0 0 0 0 0
74 Anemia Defiensi Besi (4AA) – SK 4A 5.816667 4.158333 2.666667 4.175 13
75 Anemia Hemolitik (3A) – S 3A 5.591667 2.283333 2.166667 1.083333 13
76 Anemia Makrositik (3A) – S 3A 5.358333 4.933333 2.433333 3.716667 13
77 Limfadenopati (3A) – SK 3A 5.491667 3.808333 2.516667 1.366667 13
78 Limfadenitis (4AA) – SK 4A 4.275 1.3 2.475 1.258333 9.75
Infeksi, Infeksi Tropis 0 0 0 0 0
79 Bakteremia, sepsis (3B) – S 3B 4.333333 2.558333 2.633333 1.291667 9.75
80 Deman Dengue, DHF (4AA) – SK 4A 8.8 5.666667 4.216667 8.3 19.5
81 Dengue Shock Syndrome (3B) – S 3B 6.783333 2.725 2.683333 1.258333 16.25
82 Demam tifoid (4AA) – SK 4A 7.016667 4.191667 2.875 5.533333 16.25
83 Malaria (4AA) – SK 4A 1.191667 0.4 0.133333 0 0
84 Toksoplasmosis (3A) – S 3A 3.925 1.3 1.258333 0 9.75
Leptospirosis (tanpa komplikasi) (4AA) –
6.25 5.366667 2.641667 5.191667 13
85 SK 4A
86 Sepsis (3B) – S 4.158333 2.558333 1.291667 0.133333 9.75
87 Filariasis – K 4A 0.391667 0.083333 0 0 0
Imunologi dan Reumatologi 0 0 0 0 0
88 Lupus Eritematosus Sistemik (3A) – SK 3A 4.616667 1.575 1.333333 1.416667 9.75
89 Polimialgia Reumatik (3A) – SK+B132 3A 3.841667 2.591667 2.591667 1.258333 9.75
90 Reaksi Anafilaktik (4AA) – SK 4A 0.541667 0.216667 0.133333 0.133333 0
91 Demam Reumatik (3A) – S 3A 2.625 2.475 1.258333 1.258333 6.5
92 Artritis Reumatoid (3A) – SK 3A 2.9 1.483333 1.416667 2.641667 6.5
93 Arthritis Osteoarthritis (3A) – SK 3A 3.95 2.7 2.558333 1.3 9.75
94 Osteoporosis (3A) – S 3A 4.083333 1.383333 1.3 1.258333 9.75
95 Ulkus pada Tungkai (4AA) – SK 4A 6.083333 4.241667 2.766667 2.866667 13
96 Osteomielitis (3A) – S 3A 2.441667 1.433333 1.433333 0.75 0
B. KETRAMPILAN KLINIK
REGU
REKAPITULASI LEVEL PENGUASAAN
KETRAMPILAN (LEVEL) ANGKATAN 2014-
1 2 3 4A 1
Kewaspadaan Standar
1 Cuci tangan 7 langkah (4A) - KP 4A 0.9 1.5 2.4 23.41667 0
2 Alat pellindung diri (4A) – KP 4A 0.6 1.5 2.4 14.86667 0
3 Prinsip aseptic & antiseptic (4A) – KP 4A 0.9 1.5 2.4 14.4 0
Ketrampilan komunikasi Dokter – Pasien – Sejawat/ 0 0 0 0 0
Petugas Kesehatan
4 Identifikasi pasien dgn tepat– P 4A 4.183333 6.916667 11.06667 16.45 9.75
5 Identifikasi pasien risiko jatuh – P 4A 2.766667 6.916667 11.06667 14.3 6.5
6 Edukasi Individu/ kelompok – SK 4A 2.766667 6.916667 11.26667 11.825 6.5
7 Menyampaikan kabar buruk – K 4A 4.15 6.916667 11.3 11.43333 9.75
8 Persetujuan tindakan medik –K 4A 4.15 6.916667 11.33333 13.575 9.75
Komunikasi Lisan dan Tulisan kepada
Teman SejawaT/ Petugas Kesehatan Lain 4A 4.483333 6.85 10.8 12.85833 11.75
(Rujukan dan Konsultasi) / ISBAR – SP
9
10 Meresepkan Obat (4A) –SPK 4A 4.183333 7.216667 11.2 7.95 9.75
Kewaspadaan High-Alert-Medication –P 4A 4.316667 6.583333 11.06667 8.075 10.75

11
Ketrampilan Klinik Terkait Ilmu
Penyakit Dalam
General Survey 0 0 0 0 0
1 Penilaian Keadaan Umum (4A) – SK 4A 7.25 14 16.6 36.78333 18.25
2 Penilaian habitus dan postur (4A) – SK 4A 4.15 12.45 14.04167 17.9 9.75
3 Penilaian status gizi (4A) – SK 4A 4.15 12.45 13.83333 17.23333 9.75
Sistem respirasi 0 0 0 0 0
Penilaian Respirasi : Inspeksi dada, palpasi
4 trakea, palpasi fremitus taktil, perkusi 4A 11.1 11.16667 17.26667 22.38333 26
paru dan dasar paru, auskultasi paru (4A)
– SK
5 Persiapan dan Pemeriksaan Sputum – SK 4A 2.833333 2.766667 1.383333 1.291667 6.5
6 Uji Fungsi Paru / Spirometri (4A) – SK 4A 2.833333 2.766667 1.383333 1.258333 6.5
7 Terapi okisgen & inhalasi – K 4A 6.916667 5.533333 2.766667 1.75 16.25
SIstem Kardiovaskuler 0 0 0 0 0
Penilaian kardiovaskuler : Inspeksi dan
20 palpasi apeks jantung, perkusi batas 4A 11.1 11.33333 17.16667 22.21667 26
jntung, auskultasi jantung (4A) – SK
Penilaian kardiovaskuler : Palpasi A.
9 4A 11.06667 8.3 16.6 21.68333 26
Karotis (4A) – SK
Penilaian kardiovaskuler : Pengukuran
10 4A 4.15 11.06667 20.75 55.575 9.75
Tekanan Darah (4A) – S
11 4A 7.383333 11.13333 20.91667 21.55 16.25
Tekanan Vena Jugularis (JVP) (4A) – SK
Palpasi Denyut Arteri Ekstremitas (4A) –
12 4A 4.15 13.83333 16.6 35.43333 9.75
SK
Palpasi Denyut Kapiler & peng-isian ulang
13 4A 4.15 11.06667 16.6 22.08333 9.75
kapiler (4A) –S
14 Deteksi Bruits (4A) – SK 4A 2.8 9.75 20.35 24.45833 6.5
15 Tes (Brodie) Trendelenburg (4A) – SK 4A 2.766667 4.025 5.325 2.433333 6.5
16 Test Homan (Homan’s Sign) (4A) – SK 4A 2.766667 3.983333 5.158333 3.691667 6.5
17 Test Ankle-Brachial Index (4A) – S 4A 1.883333 2.591667 3.158333 2.391667 0
18 EKG (4A) – SK 4A 5.733333 16.66667 13.9 19.70833 13
19 Resusitasi Cairan (4A) – SK 4A 5.6 16.18333 13.675 15.79167 13
Gastrohepatologi / Abdomen 0 0 0 0 0
Penilaian abdomen : Inspeksi abdomen

(inspeksi lipat paha / inguinal pada saat
tekanan abdomen meningkat), palpasi
20 organ intraabdomen, perkusi (pekak hati 4A 11.13333 11.33333 17.3 22.48333 26
dan area Traube), pemeriksaan pekak
beralih, pemeriksaan undulasi,
pemeriksaan nyeri ketok ginjal (4A) – SK
Pemeriksaan Colok Dubur (digitas rectal

21 4A 0.733333 0.666667 0.65 0.691667 0
examination) (4A) – SK
22 Palpasi Sacrum (4A) – S 4A 2.725 2.725 3.9 4.95 6.5
23 Persiapan dan Pemeriksaan Tinja (4A) – 4A 1.641667 0.841667 0.841667 0.758333 0
SK
Pemasangan Pipa Nasogastrik (NGT) (4A)
24 4A 1.708333 0.841667 0.8 0 0
– SK
Ginjal dan Saluran kemih 0 0 0 0 0
25 Palpasi Prostat (4A) – S 4A 0.583333 0.3 0.3 0 0
Endokrin, Nutrisi, Metabolik 0 0 0 0 0
26 Palpasi Kelenjar Tiroid (4A) – SK 4A 4.141667 4.108333 2.716667 3.025 9.75
27 Penilaian Status Gizi (4A) – SK 4A 4.175 10.85833 10.85833 16.59167 9.75
28 Mengatur Diet (4A) – SK 4A 4.258333 10.9 10.65 10.84167 9.75
29 Memberikan Insulin (4A) – SK 4A 4.216667 3.9 2.358333 2.191667 0
Hematologi- Onkologi 0 0 0 0 0
30 Palpasi Kelenjar Limfe (4A) – SK 4A 5.6 9.683333 9.683333 10.01667 13
31 Pengukuran Kadar Gula Darah (4A) – SK 4A 4.25 11.06667 2.766667 11.925 9.75
Muskuloskeletal 0 0 0 0 0
Penilaian muskuloskeletal : inspeksi gait,

inspeksi tulang belakanG (baring gerak),
32 inspeksi fleksi & ekstensi punggung, 4A 4.066667 10.65 5.608333 13.65 9.75
penilaian fleksi lumbal, Postur tulang
belakang / pelvi (4A) – SK
Penilaian muskuloskeletal : inspeksi sendi

33 ekstremitas, inspeksi bahu / ekstremitas 4A 6.833333 5.533333 5.808333 9.916667 16.25
atas, inspeksi posisi scapula (4A) – SK
Penilaian panggul : fleksi dan ekstensi,
34 4A 6.875 5.575 5.575 9.883333 16.25
adduksi, abduksi dan rotasi (4A) – SK
Inspeksi tonus otot ekstremitas dan
35 4A 4.15 5.666667 6.916667 8.4 9.75
menilai atrofi otot (4A) – SK
Lutut:Menilai lig. krusiatus dan Kolateral
36 4A 4.108333 5.366667 6.666667 7.758333 9.75
(4A) – SK
37 Penilaian Meniscus (4A) – S 4A 4.108333 5.2 6.666667 7.591667 9.75
Kaki: inspeksi Postur dan Bentuk,
38 penilaian fleksi dorsal / plantar, inversi 4A 4.15 5.533333 6.916667 8.366667 9.75
dan eversi (4A) – SK
Palpasi tenderness, tendon, tulang
Belakang, sendi sakroiliaka dan otot-otot
39 Punggung dan sendi serta untuk 4A 4.066667 5.283333 7.675 8.708333 9.75
mendeteksi nyeri diakibatkan tekanan
vertikal (4A) – SK
40 Perkusi Tenderness (4A) – S 4A 6.541667 8.85 7.425 10.00833 16.25
41 Penilaian range of motion sendi (4A) – S 4A 5.491667 5.35 8.133333 8.258333 13.25
42 Tes Fungsi Otot dan Sendi Bahu (4A) – K 4A 4.108333 2.833333 3.941667 5.45 9.75
Tes Fungsi Sendi Pergelangan Tangan,
43 Metacarpal dan Jari-Jari Tangan (4A) – K 4A 4.108333 2.9 4.108333 6.891667 9.75
Pengukuran Panjang extemitas bawah
44 (4A) – S 4A 4.108333 2.766667 2.766667 2.766667 9.75
Lain-lain 0 0 0 0 0
45 Punksi Vena (4A) – SK 4A 1.683333 4.208333 1.683333 2.275 0
46 Injeksi Intrakutan (4A) – SK 4A 4.216667 6.983333 4.15 4.066667 9.75
47 Injeksi Intravena (4A) – SK 4A 4.183333 7.05 2.766667 5.408333 9.75
Injeksi Subkutan dan Intramuskular (4A) –
48 4A 4.216667 6.583333 2.766667 4.091667 9.75
SK
49 Kanulasi Intravena Perifer (4A) – SK 4A 2.4 1.6 0.8 0 0
50 Bantuan Hidup Dasar (4A) – SK 4A 2.558333 4.208333 1.683333 2.35 0
51 Ventilasi Masker (4A) – SK 4A 5.533333 6.916667 4.15 4.475 13
52 Resusitasi Cairan (4A) – SK 4A 5.6 6.583333 8.5 8.175 13
Pemeriksaan Turgor Kulit untuk Menilai
53 Dehidrasi (4A) – SK 4A 5.533333 9.683333 6.783333 12.89167 13
Menyusun Rencana Manajemen

54 Kesehatan (4A)– S 4A 4.15 13.875 14.26667 21.25833 9.75
Menulis Rekam Medik dan Membuat

55 Pelaporan (4A) – S 4A 4.15 13.83333 12.78333 17.33333 9.75
IAN KOMPETENSI (SKDI 2012 / KMK 514/2015/ IPSG)
ENYAKIT
DAN
MATA
KELAMIN
GRUP
DALAM-
PEKAN
GRUP
GRUPPEKAN
1-2
PEKAN
1-2
1-4
- S : sesuai SKDI 2012

l reading, laporan kasus/ laporan jaga - K : sesuai 178 penyakit di FKTP menurut KMK 514/2015 – IDI 2017
- P : sesuai International Patient Safety Goals (IPSG)
REGU 1 REGU 2 REGU 3

ANGKATAN 2014-2015 REGU A ANGKATAN 2014-2015 REGU B ANGKATAN 2014-2015 REGU C
2 3 4A 1 2 3 4A 1 2 3
0 0 9.75 0 0 0 3.2 0 0 0
0 0 0 0 0 0 0 0.5 0 0
0 0 0 0 0 0 0 1 0 0
6.5 6.5 3.25 0 1.6 1.6 3.2 1 2 2
3.25 0 1 0 0.8 0 0 1.5 1.75 0
2.5 0 0 0 0.8 0 0 1.25 0.5 0
6.5 0 0 0 1.6 0 0.8 2 2.5 0
4.25 0 0 0 0.8 0 0 1 0.75 0
2.25 0 0 0 0.8 0 0 0.75 0.25 0
3.25 0 0 0 0.8 0 0 0.5 0.5 0
3.25 0 0 0 0.8 0 0 0.25 0.25 0
6.5 6.5 0 0 2.4 2.4 1.6 1.25 1 0.75
9.75 3.25 0 0 2.4 0.8 0.8 1 1.75 0.25

0 0 0 0 0 0 0 0.5 0 0
0 0 0 0 0 0 0 0 0 0
6.75 3.25 3.25 2.4 1.6 0.8 0.8 2 2 1
9.75 3.25 3.25 2.4 2.4 0.8 0.8 2 1.25 0.5
8.75 3.25 0 4 2.4 0.8 0 1.5 1.25 0.25
12 6.5 0 4 3.2 1.6 0 4.5 4 2

10.75 8.75 6.5 4 2.4 2.4 1.6 0.5 0 0
8.5 8.5 0 2.4 1.6 1.6 0 1.75 0.75 0
8.5 5.75 0 2.4 1.6 1.6 0 1.5 0.75 0
8.5 6.5 0 2.4 1.6 1.6 0 0.25 0.25 0
3 0 0 0.8 0 0 0 0.75 0 0
2 0 0 0.8 0 0 0 0.75 0.5 0
13 6.5 9.75 4.8 3.2 1.6 2.4 4.25 3 1.5
16.25 6.5 6.5 4 4 1.6 1.6 3 3.25 2.25
0 0 0 0 0 0 0 0 0 0
3.25 3.25 0 2.4 0.8 0.8 0 1.5 0.5 0
12.5 12 7.75 4 3.2 3.2 2.4 2.75 3.75 3.5
0 0 0 1.6 0.8 0 0 0 0 0
3.25 3.25 0 2.4 0.8 0.8 0 2 1 0.75

3.25 3.25 0 3.2 0.8 0.8 0 1.75 0.75 0.75
13.25 7.5 3.25 3.2 3.2 1.6 0.8 1.75 1 0.5
0 0 0 2.4 0.8 0.8 0.8 0.25 0 0
0 0 0 3.2 1.6 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0.8 0.8 0 0 0.5 0.25 0
0 0 0 1.6 0 0 0 0 0 0
0 0 0 2.4 0.8 0 0 0.75 0 0
0 0 0 0.8 0 0 0 0.25 0 0
0 0 0 0.8 0.8 0 0 0.5 0.5 0
9.75 3.25 3.25 3.2 2.4 0.8 0.8 3.5 3 1
11 6.5 3.25 3.2 3.2 1.6 0.8 4 3.25 2
0 0 0 1.6 0.8 0.8 0 0.5 0.25 0
2.25 2.25 0 1.6 0.8 0.8 0 1.25 1 1
6.5 3.25 0 2.4 1.6 0.8 0 2.25 1.25 0.5
6.5 3.25 0 3.2 1.6 0.8 0 0 0 0
0 0 0 2.4 0.8 0.8 0.8 2 1 1
3.25 3.25 3.25 1.6 0.8 0.8 0.8 1 1 1
0 0 0 0 0 0 0 0 0 0
12 6.5 9.75 2.4 3.2 1.6 2.4 3 2.5 2
3.25 0 0 1.6 0.8 0 0 1 0.75 0
3.25 0 0 2.4 0.8 0 0 1 1 0
3.25 3.25 0 1.6 0.8 0.8 0 1.25 0.5 0
6.5 3.25 3.25 2.4 1.6 0.8 0.8 1.25 1 0.75
6.5 3.25 0 1.6 1.6 0.8 0 0 0 0

0 0 0 1.6 1.6 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
13 9.75 6.5 3.2 3.2 2.4 1.6 2 2 1
9.75 6.5 13 4 2.4 1.6 3.2 4.75 4 3.5
9.75 6.5 3.25 2.4 2.4 1.6 0.8 0.75 0.25 0
6.5 3.25 6.5 3.2 1.6 0.8 1.6 1.75 1 0.75
9.75 6.5 6.5 3.2 2.4 1.6 1.6 0.25 0 0

9.75 6.5 13 2.4 2.4 1.6 3.2 1 0.5 0.5
9.75 3.25 3.25 4 2.4 0.8 0.8 3.25 1.75 0.75
3.25 3.25 0 1.6 0.8 0.8 0 1.25 0.75 0.25
9.75 6.5 3.25 2.4 2.4 1.6 0.8 1.5 1 0.5
3.25 3.25 0 2.4 0.8 0.8 0 1 0.75 0.5
6.5 3.25 0 2.4 1.6 0.8 0 0.75 1 0
9.75 6.5 3.25 2.4 2.4 1.6 0.8 0 0 0
3.25 3.25 0 1.6 0.8 0.8 0 0 0 0
9.75 3.25 9.75 2.4 2.4 0.8 2.4 2.75 2.25 1
6.5 6.5 3.25 2.4 1.6 1.6 0.8 3.75 2 1.75
9.75 6.5 6.5 4 2.25 1.75 1.25
6.5 6.5 3.25 2.4 1.6 1.6 0.8 1 0 0
3.25 3.25 0 2.4 0.8 0.8 0 1.25 0 0
0 0 0 0 0 0 0 0 0 0
9.75 6.5 9.75 3.2 2.4 1.6 2.4 2.5 2.25 1
6.5 6.5 3.25 3.2 1.75 0.5 0
13 6.5 9.75 3.2 3.2 1.6 2.4 0.75 0 0
9.75 6.5 3.25 3.2 2.4 1.6 0.8 1.75 0.75 0.5
3.25 6.5 3.25 2.4 0.8 1.6 0.8 2.75 0.5 0.25
0 0 0 0 0 0 0 0 0 0
6.5 6.5 3.25 2.4 1.6 1.6 0.8 2.5 0.75 1
13 9.75 19.5 4.8 3.2 2.4 4.8 5 4 3
6.5 6.5 3.25 4 1.6 1.6 0.8 3 1.75 1.5
9.75 6.5 13 4 2.4 1.6 3.2 4 3.25 2.25
0 0 0 4 2.4 0.8 0 1.75 0 0
3.25 3.25 0 2.4 0.8 0.8 0 1.25 0.5 0.25
13 6.5 13 3.2 3.2 1.6 3.2 3.5 2 1.25

6.5 3.25 0 2.4 1.6 0.8 0 2.25 0.75 0.25
0 0 0 1.6 0.75 0.5 0
0 0 0 0 0 0 0
3.25 3.25 3.25 2.4 0.8 0.8 0.8 2 0.75 0.5
6.5 6.5 3.25 2.4 1.6 1.6 0.8 0.75 0.75 0.75
0 0 0 1.6 0.8 0.8 0.8 1.25 0.5 0
6.5 3.25 3.25 1.6 1.6 0.8 0.8 0.75 0.25 0.25
3.25 3.25 6.5 1.6 0.8 0.8 1.6 2 1 1
6.5 6.5 3.25 2.4 1.6 1.6 0.8 1 1 0.75
3.25 3.25 3.25 2.4 0.8 0.8 0.8 2 1 0.5
9.75 6.5 6.5 3.2 2.4 1.6 1.6 3.5 2.75 2
0 0 0 2.4 1.6 1.6 0.8 1.5 0.5 0.5
REGU 1 REGU 2 REGU 3
ANGKATAN 2014-2015 REGU A ANGKATAN 2014-2015 REGU B ANGKATAN 2014-2015 REGU C
2 3 4A 1 2 3 4A 1 2 3
0 0 48.75 2.4 4 6.4 7.2 3 5 8

0 0 32.5 1.6 4 6.4 7.2 2 5 8
0 0 32.5 2.4 4 6.4 7.2 3 5 8
0 0 0 0 0 0 0 0 0 0
16.25 26 35.75 2.4 4 6.4 7.2 3 5 8

16.25 26 32.5 1.6 4 6.4 7.2 2 5 8
16.25 26 26 1.6 4 6.4 7.2 2 5 8
16.25 26 26 2.4 4 6.4 7.2 3 5 8
16.25 26 29.25 2.4 4 6.4 7.2 3 5 8
14.25 24 28.25 2.4 4 6.4 7.2 3 5 8
17.25 26 16.25 2.4 4 6.4 7.2 3 5 8
14.25 26 15.25 2.4 4 6.4 7.2 3 5 8
0 0 0 0 0 0 0 0 0 0
33.5 39 48.75 4 8 9.6 12 5 10 12
29.25 33.75 40 2.4 7.2 8 9.6 3 9 10
29.25 32.5 39 2.4 7.2 8 9.6 3 9 10
0 0 0 0 0 0 0 0 0 0
25 39 47.75 6.4 6.4 9.6 12 8 8 12
6.5 3.25 3.25 1.6 1.6 0.8 0.8 2 2 1

6.5 3.25 3.25 1.6 1.6 0.8 0.8 2 2 1
13 6.5 3.25 4 3.2 1.6 0.8 5 4 2
0 0 0 0 0 0 0 0 0 0
26 39 46.75 6.4 6.4 9.6 12 8 8 12
19.5 39 48.75 6.4 4.8 9.6 12 8 6 12
26 48.75 58.5 2.4 6.4 12 14.4 3 8 15

26 48.75 48.75 4 6.4 12 12 5 8 15
32.5 39 58.5 2.4 8 9.6 14.4 3 10 12
26 39 48.75 2.4 6.4 9.6 12 3 8 12
22.75 48.75 58.5 1.6 5.6 12 14.4 2 7 12

9.75 13 6.5 1.6 2.4 3.2 1.6 2 2.25 2.75
9.75 13 9.75 1.6 2.4 3.2 2.4 2 2 1.75
0 0 0 1.6 2.4 3.2 2.4 2 3 2.75
39 32.5 39 3.2 9.6 8 9.6 4 12 10
39 32.5 39 3.2 9.6 8 9.6 4 9.5 7.25
0 0 0 0 0 0 0 0 0 0
26 39 48.75 6.4 6.4 9.6 12 8 8 12
0 0 0 1.6 1.6 2.4 3.2 2 2 1.5
6.5 9.75 13 1.6 1.6 2.4 3.2 1.75 1.75 1.5

0 0 0 1.6 0.8 0.8 0.8 1.75 1 1
0 0 0 1.6 0.8 0.8 0 1.75 1 0.75
0 0 0 0 0 0 0 0 0 0
0 0 0 1.6 0.8 0.8 0 1.5 1 1
0 0 0 0 0 0 0 0 0 0
9.75 6.5 6.5 2.4 2.4 1.6 1.6 2.75 2.75 1.5
26 26 39 2.4 6.4 6.4 9.6 2.75 6.75 6.75
26 26 26 2.4 6.4 6.4 6.4 3.25 7 5.5
0 0 0 4 4 2.4 2.4 4.25 2.75 2
0 0 0 0 0 0 0 0 0 0
22.75 22.75 22.75 3.2 5.6 5.6 5.6 4 7 7
26 6.5 21.5 2.4 6.4 1.6 8 3 8 2
0 0 0 0 0 0 0 0 0 0
26 13 32.5 2.4 6.4 3.2 8 2.5 5.5 4.25
13 13 22.75 4 3.2 3.2 5.6 4.5 4 4.25

13 13 22.75 4 3.2 3.2 5.6 4.75 4.25 4.25
13 16.25 19.5 2.4 3.2 4 4.8 3 4 5
13 16.25 19.5 2.4 3.2 4 4.8 2.75 3 3.5

12 16.25 19.5 2.4 3.2 4 4.8 2.75 3 3.5
13 16.25 19.5 2.4 3.2 4 4.8 3 4 5
13 19.5 21.75 2.4 3.2 4.8 5.6 2.5 2.5 2.25
22.75 18.5 26 4 5.6 4.8 6.4 2.75 2 1.75

12 19.5 15.75 3.2 3.2 4.8 5.6 3.5 3.5 5
6.5 8.75 13 2.4 1.6 2.4 3.2 2.75 2 2.75
6.5 9.75 16.25 2.4 1.6 2.4 4 2.75 2 2.75
6.5 6.5 6.5 2.4 1.6 1.6 1.6 2.75 2 2

0 0 0 0 0 0 0 0 0 0
0 0 0 1.6 4 1.6 2.4 2 5 2
16.25 9.75 9.75 2.4 4 2.4 2.4 3 5 3
16.25 6.5 13 2.4 4 1.6 3.2 3 5 2
14.25 6.5 9.75 2.4 4 1.6 2.4 3 5 2
0 0 0 2.4 1.6 0.8 0 2.25 1.5 0.75

0 0 0 2.4 4 1.6 2.4 3 5 2
16.25 9.75 9.75 3.2 4 2.4 2.4 4 5 3
14.25 19.5 19.5 3.2 4 4.8 4.8 4 5 6
22.75 15.25 30.25 3.2 5.6 4 7.2 4 7 5
32.75 34.5 49 2.4 8 8 12 3 10 10
32.5 29.25 39 2.4 8 7.2 9.6 3 10 9

GU 3 REGU 4 REGU 5 REGU 6
14-2015 REGU C ANGKATAN 2014-2015 REGU D ANGKATAN 2014-2015 REGU E ANGKATAN 2014-2015
4A 1 2 3 4A 1 2 3 4A 1
5 0 0 0 9.75 0.6 0 0 0 0
0 0 0 0 0 0.4 0 0 0 0
0 0 0 0 0 0.4 0 0 0 0
1 0 6.5 6.5 3.25 1 0.2 0.8 0.4 0.2
0.5 0 3.25 0 0 0.6 0.2 0 0 0
0 0 3.25 0 0 0.4 0.2 0 0 0
1.5 0 6.5 0 0 3 0.8 0.4 0 2
0.5 0 3.25 0 0 0.4 0.8 0 0.2 0.6
0 0 3.25 0 0 0.6 0 0 0 0.4
0.75 0 3.25 0 0 2.2 0.4 0.2 0.2 0.8
0.25 0 3.25 0 0 0.4 0.4 0 0 0.6
0.75 0 6.5 6.5 0 0.8 0.2 0.6 0.4 0.4
0.75 0 9.75 3.25 0 2 1.4 0.4 1.2 1.8

0 0 0 0 0 0.4 0.8 0 0 0
0 0 0 0 0 0 0 0 0
1.25 9.75 6.5 3.25 3.25 2.8 0.4 0 0.2 1.2
0 9.75 9.75 3.25 3.25 2 0.8 0.4 0.4 1.2
0 16.25 9.75 3.25 0 0.6 0 0.4 0.8 1.8
1.5 16.25 13 6.5 0 4.8 0.8 1.2 0.8 3

0.25 16.25 9.75 9.75 6.5 0.4 0 0 0.4 0
0 9.75 6.5 6.5 0 1.2 0 0.4 0 1
0 9.75 6.5 6.5 0 0.6 0 0.4 0 0.6
0 9.75 6.5 6.5 0 0.6 0 0 0 0.6
0 3.25 0 0 0 0.4 0 0 0 0.8

0 3.25 0 0 0 0.4 0 0.2 0 0.8
3.75 19.5 13 6.5 9.75 5.2 0.8 0.4 0.8 1.4
3 16.25 16.25 6.5 6.5 1.6 0 0.4 1.2 1.2
0 0 0 0 0 0 0 0 0
0 0 3.25 3.25 0 0.4 0 0 0 0.2
2.5 16.25 13 13 9.75 0.4 1.4 0.4 0 0.4
0 0 0 0 0 0 0 0.4 0.2 0.2
0.5 0 3.25 3.25 0 0.4 0.4 0 0 0

0 13 3.25 3.25 0 1 0.8 0.4 0 0.4
0.5 13 13 6.5 3.25 3.2 0.8 0.6 0 1.2
0 0 0 0 0 0.4 0 0 0 0
0 0 0 0 0 0.4 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 13 9.75 3.25 3.25 0.8 0.4 0.2 0 0.6
1.75 13 13 6.5 3.25 3.2 1 0.6 1.2 1.6
0 6.5 3.25 3.25 0 0.4 0.4 0 0.4 0.2
0 6.5 3.25 3.25 0 0.8 0 0 0 0.4
0 9.75 6.5 3.25 0 1.8 0 0.4 0.6 0.6
0 13 6.5 3.25 0 1.8 1 0.2 0.2 0.6
0.25 0 0 0 0 0.4 0 0 0 0
0.5 6.5 3.25 3.25 3.25 0.4 0 0 0 0.4
0 0 0 0 0 0 0 0 0 0
2.25 9.75 13 6.5 9.75 0.6 0 0 0 0.8
0 6.5 3.25 0 0 0.4 0 0 0 0.4
0 9.75 3.25 0 0 1 0 0 0 0
0 6.5 3.25 3.25 0 0.4 0 0 0 0.2
0.5 9.75 6.5 3.25 3.25 0.4 0 0 0 0.2
0.25 6.5 6.5 3.25 0 0.4 0 0 0 0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0.75 13 13 9.75 6.5 0.8 0 0 0 0.4
4.75 16.25 9.75 6.5 13 6 0 0.8 0.8 3.4
0.25 9.75 9.75 6.5 3.25 0 0 0 0 0
0 13 6.5 3.25 6.5 0.6 0 0 0 1
0.25 13 9.75 6.5 6.5 0.2 0 0 0 1

0.75 9.75 9.75 6.5 13 1 0 0 0 0.6
1 16.25 9.75 3.25 3.25 1 0 0.2 0 0.6
0 6.5 3.25 3.25 0 0 0 0 0 0.4
0.5 9.75 9.75 6.5 3.25 1.4 0 0.8 0 1
0.5 9.75 3.25 3.25 0 1.4 0 0 0 1
0 9.75 6.5 3.25 0 1.2 0 0 0 0.8
0 9.75 9.75 6.5 3.25 0.4 0.6 0 0 0.2
0 6.5 3.25 3.25 0 0.4 0.4 0 0 0
1.75 9.75 9.75 3.25 9.75 1.6 0.8 0.8 0 0.8
1.25 9.75 6.5 6.5 3.25 1.6 0.8 0.8 0.4 0.6
1.75 16.25 9.75 6.5 6.5 0.4 0.4
0.25 9.75 6.5 6.5 3.25 0.4 0 0 0 0.2
0 9.75 3.25 3.25 0 0.4 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1.75 13 9.75 6.5 9.75 0.8 0.4 0.4 1 2.4
0 13 6.5 6.5 3.25 1 0 0 0 1.6
0 13 13 6.5 9.75 0.6 0.4 0 0.4 1.6
0.5 13 9.75 6.5 3.25 1.4 0 0 0.2 0.6
0.25 9.75 3.25 6.5 3.25 0.6 0 0 0 0.4
0 0 0 0 0 0 0 0 0 0
0.25 9.75 6.5 6.5 3.25 1.4 0 0 0 0.2
6 19.5 13 9.75 19.5 2.4 0.8 0.4 0 1.6
0.25 16.25 6.5 6.5 3.25 0.8 0 0 0 0.4
4 16.25 9.75 6.5 13 0.8 0 0.4 0 0.8
0 0 0 0 0 1 0 0 0 0.4
0 9.75 3.25 3.25 0 0.4 0 0 0 0
1.75 13 13 6.5 13 2.6 1 0 0.2 2.2

0 9.75 6.5 3.25 0 0.6 0 0 0.6 0.2
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 9.75 3.25 3.25 3.25 2.2 0.4 0 0 1.6
0.25 9.75 6.5 6.5 3.25 0.4 0 0 0 0
0 0 0 0 0 0.4 0 0 0 0
0.25 6.5 6.5 3.25 3.25 0.4 0 0 0 0
1.25 6.5 3.25 3.25 6.5 0.4 0 0 0 0.4
0.5 9.75 6.5 6.5 3.25 0.4 0 0 0 0.4
0.25 9.75 3.25 3.25 3.25 0.4 0 0 0 0.2
2 13 9.75 6.5 6.5 2 0.4 0 0.4 1.8
0.25 9.75 6.5 6.5 3.25 0.6 0 0 0.2 0.4
GU 3 REGU 4 REGU 5 REGU 6
14-2015 REGU C ANGKATAN 2014-2015 REGU D ANGKATAN 2014-2015 REGU E ANGKATAN 2014-2015
4A 1 2 3 4A 1 2 3 4A 1
9 0 0 0 48.75 0 0 0 14 0
9 0 0 0 32.5 0 0 0 3.2 0
9 0 0 0 32.5 0 0 0 0 0
0 0 0 0 0 0 0 0 0
9 9.75 16.25 26 35.75 0.2 0 0 5.8 0

9 6.5 16.25 26 32.5 0 0 0 4.6 0
9.75 6.5 16.25 26 26 0 0 1.2 2 0
9 9.75 16.25 26 26 0 0 1.4 0 0
10.75 9.75 16.25 26 29.25 0 0 1.6 0.2 0
7.25 9.75 16.25 26 29.25 0 0 0.4 0.4

0
8 9.75 16.25 26 16.25 0.2 0 0.4 0 0
9.75 9.75 16.25 26 16.25 0 0 0 0

0
0 0 0 0 0 0 0 0 0
15 16.25 32.5 39 48.75 0 0 0 88 0
12 9.75 29.25 32.5 39 0 0 0 0.4 0
12 9.75 29.25 32.5 39 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
15 26 26 39 48.75 0.2 1.6 4 5.2

0
0.25 6.5 6.5 3.25 3.25 0 0 0 0.2 0.4
0.25 6.5 6.5 3.25 3.25 0 0 0 0 0.4
3 16.25 13 6.5 3.25 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
15 26 26 39 48.75 0.2 1.6 3.4 5.2
0
15 26 19.5 39 48.75 0 0 0 0.4
0
20.25 9.75 26 48.75 58.5 0 0 0 144.8
0
15 16.25 26 48.75 48.75 2 0.4 0.6 3.2
0.8
18 9.75 32.5 39 58.5 0 0 0 60.8 0
15 9.75 26 39 48.75 0 0 0 0
0
11.75 6.5 22.75 48.75 58.5 0.2 0.4 0.6 3.2 0
0 6.5 9.75 13 6.5 0 0 0 0 0
0.25 6.5 9.75 13 9.75 0 0 0 0 0
2 6.5 9.75 13 9.75 0.4 0 0 0.2 0.8
13.25 13 39 32.5 39 0.2 0.4 0 9.4 1
6.75 13 39 32.5 39 0 0 1.2 0 0.4
0 0 0 0 0 0 0 0 0
15 26 26 39 48.75 0.4 1.4 4 5
0
0.75 0 0 0 0 0.4 0 0 0.2
0.4
0.5 6.5 6.5 9.75 13 0 0 0 0 0
0.5 6.5 3.25 3.25 3.25 0 0 0 0 0
0 6.5 3.25 3.25 0 0.4 0 0 0
0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0.4 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1.75 9.75 9.75 6.5 6.5 0.2 0 0.2 0.6 0
10.75 9.75 26 26 39 0.4 0 0 0.8 0
6.25 9.75 26 26 26 0.4 0 0 0 0
1 16.25 16.25 9.75 9.75 0.4 0.4 0 0 0.4
0 0 0 0 0 0 0 0 0 0
7 13 22.75 22.75 22.75 0.4 0 0 0.4 0
8.75 9.75 26 6.5 32.5 0.6 0 0 0.8 0
0 0 0 0 0 0 0 0 0 0
7.5 9.75 26 13 32.5 0 0 0 0.6
7 16.25 13 13 22.75 0 0 0.6 0.6

0
7 16.25 13 13 22.75 0 0 0 0.4
0
6 9.75 13 16.25 19.5 0 0 0 0.6
0
2.75 9.75 13 16.25 19.5 0 0 0 0
0
1.75 9.75 13 16.25 19.5 0 0 0 0 0
6 9.75 13 16.25 19.5 0 0 0 0.4

0
1.75 9.75 13 19.5 22.75 0 0 0 0.4

0
1.25 16.25 22.75 19.5 26 0 0 0 0.4 0
5.25 13 13 19.5 22.75 0 0 0 0.2 0
3.5 9.75 6.5 9.75 13 0 0 0 0 0
4.25 9.75 6.5 9.75 16.25 0 0 0 0.2
0
2 9.75 6.5 6.5 6.5 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1.5 6.5 16.25 6.5 9.75 0 0 0 0 0
2.5 9.75 16.25 9.75 9.75 0.4 0.4 0 0 0
3.25 9.75 16.25 6.5 13 0.2 0.8 0 0 0
2.25 9.75 16.25 6.5 9.75 0.4 0 0 0.4
0
0 9.75 6.5 3.25 0 0 0 0 0 0
1.75 9.75 16.25 6.5 9.75 0.2 0 0 0.2 0
3.75 13 16.25 9.75 9.75 0 0 0 0 0
5.25 13 16.25 19.5 19.5 0.4 0 0 0 0
6.25 13 22.75 16.25 29.25 0 0 0 2.2
0
15 9.75 32.5 32.5 48.75 0 0 0.6 2.8
0
12 9.75 32.5 29.25 39 0 0 0 3.6
0
REGU 6
ANGKATAN 2014-2015 REGU F
2 3 4A
0 0 0
0 0 0
0 0 0
0.4 0 0.2
0 0 0
0 0 0
0.8 0.6 0.4
0.2 0 0
0.2 0 0
0.4 0 0
0.2 0 0
0.2 0 0.2
0.4 0 0
0 0 0
0.4 0 0.2
0.6 0 0.2
0.2 0 0
0.8 0.2 0
0.2 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0.2 0 0
0.2 0.2 0.2
0.6 0 0.4
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0.2 0 0
0.2 0.2 0.4
0 0 0.2
0 0 0
0.2 0.4 0.2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0.2
0 0 0
0 0 0
0 0 0
0.2 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0.8 0.2 0.2
0 0 0
0.2 0 0.2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0.4 0 0
0 0 0
0 0 0
0 0 0.2
0 0 0
0 0 0
0 0 0
0 0 0
0.4 0 0.4
0.2 0 0
0 0 0
0.2 0 0.2
0 0 0
0 0 0
0 0.2 0.2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0.2 0.2
0 0 0
0 0 0
1 0.2 0.2
0.2 0.2 0
0 0 0
0 0 0
0.6 0.2 0
0.6 0 0
0 0 0
0.4 0 0.2
0 0 0
REGU 6
ANGKATAN 2014-2015 REGU F
2 3 4A
0 0 12.8
0 0 4.8
0 0 5.2
0 0 5.2
0 0 0
0 0 0
0 0 0.4
0 0 4.8
1.6 0 4.8
0.8 0.4 0
0 0 0
0 0 8.2
0 0 6.4
0 0 2.8
0 0 0
0 0 5.6
0 0 0
0 0 0
0 0 0.2
0 0 0
0 0 5.6
0 0 5.2
0 0 37
0 0.4 1.6
0 0 2.4
0 0 8
0 0 0.4
0 0 0
0 0 0
0.4 0 0
0 0.4 8
0 0.6 0.4
0.2 0.2 5.4
0.4 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 1.2
0 0 0.4
0 0 0.4
0 0 0
0 0 0
0 0 1.6
0 0 0
0 0 0
0 0.2 0.8
0 0.8 0.8
0 0 0.8
0.8 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0.4 0 0
0.4 0 0
0.8 0 0.4
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 1.2
0 1.2 0
0 0.2 2.2
0 0 0
0 2 0.8
ILMU PENYAKIT DALAM - I
Keterangan :
- 2 : MENYAKSIKAN/MENGIKUTI demo pada pasien/video, bedsite teaching, PENYAJI pada journal reading, laporan k
A. PENYAKIT
Anggot
PENYAKIT (LEVEL) Nama : Andri
TENSI
1 2 3 4A 1
Paru
1 Influenza (4AA) – SK 4A 0 0 0 9.75 0
2 SARS (3B) – S 3B 0 0 0 0 0
3 Flu Burung (3B) – S 3B 0 0 0 0 0
4 Asma Bronkhial (4AA) – SK 4A 1 6.5 6.5 3.25 1
5 Bronkhitis Akut (4AA) – SK 4A 0 3.25 0 1 0
6 Bronkhiektasis (3A) – SK 3A 0 2.5 0 0 0
7 TBC Paru tanpa Komplikasi (4AA) –SK 4A 0 6.5 0 0 0
8 TBC Paru dengan HIV (3A) – SK 3A 1 4.25 0 0 1
9 Pneumothorax (3A) – SK 3A 0 2.25 0 0 0
10 Efusi Pleura Masif (3B) – S 3B 0 3.25 0 0 0
11 Emfisema Paru (3A) – S 3A 0 3.25 0 0 0
0 6.5 6.5 0 0
13 Edema Paru (3B) – S 3B 0 9.75 3.25 0 0
14 Abses Paru (3A) – S 3A 0 0 0 0 0
Jantung dan Pembuluh Darah 0 0 0 0
15 Angina pectoris stabil (3B) – SK 3B 9.75 6.75 3.25 3.25 3
16 Infark miokard (3B)– SK 3B 9.75 9.75 3.25 3.25 3
15.25 8.75 3.25 0 4
17 (3B) – SK 3B
18 Gagal jantung akut&kronik (3B) – K 3B 16.25 12 6.5 0 5
19 Cardiorespiratory arrest –(3B) SK 3B 15.25 10.75 8.75 6.5 4
20 Fibrilasi Atrial (3A) – SK 3A 9.75 8.5 8.5 0 3
21 Fibrilasi Ventrikular (3B) – SK 3B 9.75 8.5 5.75 0 3
9.75 8.5 6.5 0 3
22 (3B) – S 3B
23 Kor Pulmonale Akut (3B) – S 3B 3.25 3 0 0 1
24 Kor Pulmonale Kronik (3A) – S 3A 3.25 2 0 0 1
25 Hipertensi Esensial (4AA) – SK 4A 16.5 13 6.5 9.75 3
26 Hipertensi Sekunder (3A) – S 3A 16.25 16.25 6.5 6.5 5
Gastroenterohepatologi 0 0 0 0
27 Esofagitis Refluks (3A) – S 3A 0 3.25 3.25 0 0
28 Gastritis (4AA) – SK 4A 56.25 12.5 12 7.75 5
Gastroenteritis (termasuk Kolera, 0 0 0 0 0
30 Refluks Gastroesofagus (4AA) – SK 4A 0 3.25 3.25 0 0
31 Ulkus (gaster, duodenum) (3A) – S 3A 9 3.25 3.25 0 0
32 Perdarahan Gastrointestinal (3B) – SK 3B 10 13.25 7.5 3.25 4
33 Alergi Makanan (4AA) – SK 4A 0 0 0 0 0
34 Keracunan Makanan (4AA) – S 4A 0 0 0 0 0
35 Botulisme (3B) – S 3B 0 0 0 0 0
36 Penyakit Cacing Tambang (4AA) – SK 4A 0 0 0 0 0
37 Strongiloidiasis (4AA) – SK 4A 0 0 0 0 0
38 Askariasis (4AA) – SK 4A 0 0 0 0 0
39 Skistosomiasis (4AA) – SK 4A 0 0 0 0 0
40 Taeniasis (4AA) – SK 4A 0 0 0 0 0
41 Hepatitis A (4AA) – SK 4A 11.75 9.75 3.25 3.25 3
42 Hepatitis B (3A) – SK 3A 13 11 6.5 3.25 4
43 Abses Hepar Amoeba (3A) – SK 3A 0 0 0 0 0
44 Perlemakan Hepar (3A) – SK 3A 4.5 2.25 2.25 0 0
45 Kolesisititis (3B) – SK 3B 9.75 6.5 3.25 0 3
46 Kolitis (3A) – S 3A 13 6.5 3.25 0 4
Disentri basiler, disentri amuba (4AA) – SK 0 0 0 0 0
47 4A
48 Irritable Bowel Syndrome (3A) – S 3A 6.5 3.25 3.25 3.25 2
Ginjal dan Saluran Kemih 0 0 0 0
49 Infeksi Saluran Kemih (4AA) – SK 4A 6.75 12 6.5 9.75 0
50 Glomerulonefritis Akut (3A) – S 3A 6.5 3.25 0 0 2
51 Glomerulonefritis Kronik (3A) – S 3A 9.75 3.25 0 0 3
52 Kolik Renal (3A) – S 3A 6.5 3.25 3.25 0 2
9.75 6.5 3.25 3.25 3
54 Pielonefritis tanpa Komplikasi (4AA) – SK 4A 6.5 6.5 3.25 0 2
Priapismus (3B) – S 0 0 0 0 0
55 3B
Sistem Endokrin dan Penyakit Metabolik 0 0 0 0
56 Diabetes Mellitus Tipe 1 (4AA) – S 4A 15 13 9.75 6.5 6
57 Diabetes Mellitus Tipe 2 (4AA) – SK 4A 16.25 9.75 6.5 13 5

glukosa akibat penyakit lain atau obat- 9.75 9.75 6.5 3.25 3
13 6.5 3.25 6.5 4
59 – S
60 Hiperglikemi Hiperosmolar (3B) – SK 3B 13 9.75 6.5 6.5 4
61 Hipoglikemia Ringan (4AA) – SK 4A 9.75 9.75 6.5 13 3
62 Hipoglikemia Berat (3B) – SK 3B 16.25 9.75 3.25 3.25 5
63 Hipoparatiroid (3A) – S 3A 6.5 3.25 3.25 0 2
64 Hipertiroid (3A) – SK 3A 9.75 9.75 6.5 3.25 3
65 Tirotoksikosis (3B) – SK 3B 9.75 3.25 3.25 0 3
66 Goiter (3A) – S 3A 9.75 6.5 3.25 0 3
67 Cushing’s Disease (3B) – S 3B 9.75 9.75 6.5 3.25 3
68 Krisis Adrenal (3B) – S 3B 6.5 3.25 3.25 0 2
69 Dislipidemia (4AA) – SK 4A 9.75 9.75 3.25 9.75 3
70 Hiperurisemia (4AA) – SK 4A 9.75 6.5 6.5 3.25 3
71 Obesitas (4AA) – SK 4A 16.25 9.75 6.5 6.5 5
72 Sindrom Metabolik (3B) – S 3B 9.75 6.5 6.5 3.25 3
73 Malnutrisi energy protein (4AA) – K 4A 9.75 3.25 3.25 0 3
Hemato-Onkologi 0 0 0 0
74 Anemia Defiensi Besi (4AA) – SK 4A 13 9.75 6.5 9.75 4
75 Anemia Hemolitik (3A) – S 3A 13 6.5 6.5 3.25 4
76 Anemia Makrositik (3A) – S 3A 13 13 6.5 9.75 4
77 Limfadenopati (3A) – SK 3A 13 9.75 6.5 3.25 4
78 Limfadenitis (4AA) – SK 4A 9.75 3.25 6.5 3.25 3
Infeksi, Infeksi Tropis 0 0 0 0
79 Bakteremia, sepsis (3B) – S 3B 9.75 6.5 6.5 3.25 3
80 Deman Dengue, DHF (4AA) – SK 4A 19.5 13 9.75 19.5 6
81 Dengue Shock Syndrome (3B) – S 3B 16.25 6.5 6.5 3.25 5
82 Demam tifoid (4AA) – SK 4A 16.25 9.75 6.5 13 5
83 Malaria (4AA) – SK 4A 0 0 0 0 0
84 Toksoplasmosis (3A) – S 3A 9.75 3.25 3.25 0 3
13 13 6.5 13 4
85 SK 4A
86 Sepsis (3B) – S 9.75 6.5 3.25 0 3
87 Filariasis – K 4A 0 0 0 0 0
Imunologi dan Reumatologi 0 0 0 0
88 Lupus Eritematosus Sistemik (3A) – SK 3A 9.75 3.25 3.25 3.25 3
89 Polimialgia Reumatik (3A) – SK+B132 3A 9.75 6.5 6.5 3.25 3
90 Reaksi Anafilaktik (4AA) – SK 4A 0 0 0 0 0
91 Demam Reumatik (3A) – S 3A 6.5 6.5 3.25 3.25 2
92 Artritis Reumatoid (3A) – SK 3A 6.5 3.25 3.25 6.5 2
93 Arthritis Osteoarthritis (3A) – SK 3A 9.75 6.5 6.5 3.25 3
94 Osteoporosis (3A) – S 3A 9.75 3.25 3.25 3.25 3
95 Ulkus pada Tungkai (4AA) – SK 4A 13 9.75 6.5 6.5 4
96 Osteomielitis (3A) – S 3A 0 0 0 0 0
Anggot
KETRAMPILAN (LEVEL) Nama : Andri
1 2 3 4A 1
Kewaspadaan Standar
1 Cuci tangan 7 langkah (4A) - KP 4A 0 0 0 48.75 0
2 Alat pellindung diri (4A) – KP 4A 0 0 0 32.5 0
3 Prinsip aseptic & antiseptic (4A) – KP 4A 0 0 0 32.5 0
Ketrampilan komunikasi Dokter – Pasien – Sejawat/ 0 0 0 0
Petugas Kesehatan
4 Identifikasi pasien dgn tepat– P 4A 9.75 16.25 26 35.75 3
5 Identifikasi pasien risiko jatuh – P 4A 6.5 16.25 26 32.5 2
6 Edukasi Individu/ kelompok – SK 4A 6.5 16.25 26 26 2
7 Menyampaikan kabar buruk – K 4A 9.75 16.25 26 26 3
8 Persetujuan tindakan medik –K 4A 9.75 16.25 26 29.25 3
Teman SejawaT/ Petugas Kesehatan Lain 4A 11.75 14.25 24 28.25 5
9
10 Meresepkan Obat (4A) –SPK 4A 9.75 17.25 26 16.25 3
11 Kewaspadaan High-Alert-Medication –P 4A 10.75 14.25 26 15.25 3

Penyakit Dalam
General Survey 0 0 0 0
1 Penilaian Keadaan Umum (4A) – SK 4A 18.25 33.5 39 48.75 7
2 Penilaian habitus dan postur (4A) – SK 4A 9.75 29.25 33.75 40 3
3 Penilaian status gizi (4A) – SK 4A 9.75 29.25 32.5 39 3
Sistem respirasi 0 0 0 0
trakea, palpasi fremitus taktil, perkusi
4 paru dan dasar paru, auskultasi paru (4A) 4A 26 25 39 47.75 8
– SK
5 Persiapan dan Pemeriksaan Sputum – SK 4A 6.5 6.5 3.25 3.25 2
6 Uji Fungsi Paru / Spirometri (4A) – SK 4A 6.5 6.5 3.25 3.25 2
7 Terapi okisgen & inhalasi – K 4A 16.25 13 6.5 3.25 5
SIstem Kardiovaskuler 0 0 0 0
20 palpasi apeks jantung, perkusi batas 4A 26 26 39 46.75 8
9 Karotis (4A) – SK 4A 26 19.5 39 48.75 8

10 4A 9.75 26 48.75 58.5 3
11 4A 16.25 26 48.75 48.75 5
12 4A 9.75 32.5 39 58.5 3
SK
13 4A 9.75 26 39 48.75 3
kapiler (4A) –S
14 Deteksi Bruits (4A) – SK 4A 6.5 22.75 48.75 58.5 2
15 Tes (Brodie) Trendelenburg (4A) – SK 4A 6.5 9.75 13 6.5 2
16 Test Homan (Homan’s Sign) (4A) – SK 4A 6.5 9.75 13 9.75 2
17 Test Ankle-Brachial Index (4A) – S 4A 0 0 0 0 0
18 EKG (4A) – SK 4A 13 39 32.5 39 4
19 Resusitasi Cairan (4A) – SK 4A 13 39 32.5 39 4
Gastrohepatologi / Abdomen 0 0 0 0

20 organ intraabdomen, perkusi (pekak hati 4A 26 26 39 48.75 8

21 4A 0 0 0 0 0
22 Palpasi Sacrum (4A) – S 4A 6.5 6.5 9.75 13 2
23 Persiapan dan Pemeriksaan Tinja (4A) – 4A 0 0 0 0 0
SK
24 4A 0 0 0 0 0
– SK
Ginjal dan Saluran kemih 0 0 0 0
25 Palpasi Prostat (4A) – S 4A 0 0 0 0 0
Endokrin, Nutrisi, Metabolik 0 0 0 0
26 Palpasi Kelenjar Tiroid (4A) – SK 4A 9.75 9.75 6.5 6.5 3
27 Penilaian Status Gizi (4A) – SK 4A 9.75 26 26 39 3
28 Mengatur Diet (4A) – SK 4A 9.75 26 26 26 3
29 Memberikan Insulin (4A) – SK 4A 0 0 0 0 0
Hematologi- Onkologi 0 0 0 0
30 Palpasi Kelenjar Limfe (4A) – SK 4A 13 22.75 22.75 22.75 4
31 Pengukuran Kadar Gula Darah (4A) – SK 4A 9.75 26 6.5 21.5 3
Muskuloskeletal 0 0 0 0

32 inspeksi fleksi & ekstensi punggung, 4A 9.75 26 13 32.5 3

33 ekstremitas, inspeksi bahu / ekstremitas 4A 16.25 13 13 22.75 5
34 4A 16.25 13 13 22.75 5
35 4A 9.75 13 16.25 19.5 3
36 4A 9.75 13 16.25 19.5 3
(4A) – SK
37 Penilaian Meniscus (4A) – S 4A 9.75 12 16.25 19.5 3
38 penilaian fleksi dorsal / plantar, inversi 4A 9.75 13 16.25 19.5 3
39 Punggung dan sendi serta untuk 4A 9.75 13 19.5 21.75 3
40 Perkusi Tenderness (4A) – S 4A 16.25 22.75 18.5 26 5
41 Penilaian range of motion sendi (4A) – S 4A 13.25 12 19.5 15.75 4
42 Tes Fungsi Otot dan Sendi Bahu (4A) – K 4A 9.75 6.5 8.75 13 3
43 Metacarpal dan Jari-Jari Tangan (4A) – K 4A 9.75 6.5 9.75 16.25 3
44 (4A) – S 4A 9.75 6.5 6.5 6.5 3
Lain-lain 0 0 0 0
45 Punksi Vena (4A) – SK 4A 0 0 0 0 0
46 Injeksi Intrakutan (4A) – SK 4A 9.75 16.25 9.75 9.75 3
47 Injeksi Intravena (4A) – SK 4A 9.75 16.25 6.5 13 3
48 4A 9.75 14.25 6.5 9.75 3
SK
49 Kanulasi Intravena Perifer (4A) – SK 4A 0 0 0 0 0
50 Bantuan Hidup Dasar (4A) – SK 4A 0 0 0 0 0
51 Ventilasi Masker (4A) – SK 4A 13 16.25 9.75 9.75 4
52 Resusitasi Cairan (4A) – SK 4A 13 14.25 19.5 19.5 4
53 Dehidrasi (4A) – SK 4A 13 22.75 15.25 30.25 4

54 Kesehatan (4A)– S 4A 9.75 32.75 34.5 49 3

55 Pelaporan (4A) – S 4A 9.75 32.5 29.25 39 3
NYAKIT DALAM - INDIVIDU PEKAN 1-4

ournal reading, laporan kasus/ laporan jaga - K : sesuai 178 penyakit di FKTP menurut KMK 514/2015 – IDI 2017
Anggota 1 Anggota 2 Anggota 3

Nama : Andri Ramadhan Nama : Ronaldo Nama : Hasan Murdiman
2 3 4A 1 2 3 4A 1 2 3
0 0 3 0 0 0 3 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 2 1 0 2 2 1 0 2 2
1 0 1 0 1 0 0 0 1 0
1 0 0 0 1 0 0 0 0 0
2 0 0 0 2 0 0 0 2 0
1 0 0 0 2 0 0 0 1 0
0 0 0 0 1 0 0 0 1 0
1 0 0 0 1 0 0 0 1 0
1 0 0 0 1 0 0 0 1 0
1 2 0 0 3 2 0 0 2 2
3 1 0 0 3 1 0 0 3 1
0 0 0 0 0 0 0 0 0 0
2 1 1 3 2 1 1 3 2 1
3 1 1 3 3 1 1 3 3 1
2 1 0 5 3 1 0 5 3 1
3 2 0 5 4 2 0 5 4 2
4 2 2 5 3 3 2 5 3 3
4 2 0 3 2 3 0 3 2 3
4 1 0 3 2 2 0 3 2 2
4 2 0 3 2 2 0 3 2 2
3 0 0 1 0 0 0 1 0 0
2 0 0 1 0 0 0 1 0 0
4 2 3 6 4 2 3 6 4 2
5 2 2 5 5 2 2 5 5 2
1 1 0 0 1 1 0 0 1 1
4 4 3 5 4 4 3 45 4 3
0 0 0 0 0 0 0 0 0 0
1 1 0 0 1 1 0 0 1 1
1 1 0 4 1 1 0 4 1 1
5 2 1 4 4 2 1 1 3 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 1 1 4 3 1 1 4 3 1
2 2 1 4 4 2 1 4 4 2
0 0 0 0 0 0 0 0 0 0
0 0 0 2 1 1 0 2 1 1
2 1 0 3 2 1 0 3 2 1
2 1 0 4 2 1 0 4 2 1
0 0 0 0 0 0 0 0 0 0
1 1 1 2 1 1 1 2 1 1
3 2 3 3 4 2 3 3 4 2
1 0 0 2 1 0 0 2 1 0
1 0 0 3 1 0 0 3 1 0
1 1 0 2 1 1 0 2 1 1
2 1 1 3 2 1 1 3 2 1
2 1 0 2 2 1 0 2 2 1
0 0 0 0 0 0 0 0 0 0
4 3 2 4 4 3 2 4 4 3
3 2 4 5 3 2 4 5 3 2
3 2 1 3 3 2 1 3 3 2
2 1 2 4 2 1 2 4 2 1
3 2 2 4 3 2 2 4 3 2
3 2 4 3 3 2 4 3 3 2
3 1 1 5 3 1 1 5 3 1
1 1 0 2 1 1 0 2 1 1
3 2 1 3 3 2 1 3 3 2
1 1 0 3 1 1 0 3 1 1
2 1 0 3 2 1 0 3 2 1
3 2 1 3 3 2 1 3 3 2
1 1 0 2 1 1 0 2 1 1
3 1 3 3 3 1 3 3 3 1
2 2 1 3 2 2 1 3 2 2
3 2 2 5 3 2 2 5 3 2
2 2 1 3 2 2 1 3 2 2
1 1 0 3 1 1 0 3 1 1
3 2 3 4 3 2 3 4 3 2
2 2 1 4 2 2 1 4 2 2
4 2 3 4 4 2 3 4 4 2
3 2 1 4 3 2 1 4 3 2
1 2 1 3 1 2 1 3 1 2
2 2 1 3 2 2 1 3 2 2
4 3 6 6 4 3 6 6 4 3
2 2 1 5 2 2 1 5 2 2
3 2 4 5 3 2 4 5 3 2
0 0 0 0 0 0 0 0 0 0
1 1 0 3 1 1 0 3 1 1
4 2 4 4 4 2 4 4 4 2
2 1 0 3 2 1 0 3 2 1
0 0 0 0 0 0 0 0 0 0
1 1 1 3 1 1 1 3 1 1
2 2 1 3 2 2 1 3 2 2
0 0 0 0 0 0 0 0 0 0
2 1 1 2 2 1 1 2 2 1
1 1 2 2 1 1 2 2 1 1
2 2 1 3 2 2 1 3 2 2
1 1 1 3 1 1 1 3 1 1
3 2 2 4 3 2 2 4 3 2
0 0 0 0 0 0 0 0 0 0
Nama : Andri Ramadhan Nama : Ronaldo Nama : Hasan Murdiman
2 3 4A 1 2 3 4A 1 2 3
0 0 15 0 0 0 15 0 0 0
0 0 10 0 0 0 10 0 0 0
0 0 10 0 0 0 10 0 0 0
5 8 11 3 5 8 11 3 5 8
5 8 10 2 5 8 10 2 5 8
5 8 8 2 5 8 8 2 5 8
5 8 8 3 5 8 8 3 5 8
5 8 9 3 5 8 9 3 5 8
3 8 9 3 5 6 9 3 5 8
5 8 5 3 5 8 5 3 6 8
3 8 5 4 5 8 4 3 5 8
11 12 15 5 10 12 15 5 10 12
9 10 12 3 9 10 13 3 9 11
9 10 12 3 9 10 12 3 9 10
8 12 15 8 7 12 14 8 8 12
2 1 1 2 2 1 1 2 2 1
2 1 1 2 2 1 1 2 2 1
4 2 1 5 4 2 1 5 4 2
8 12 15 8 8 12 15 8 8 12
6 12 15 8 6 12 15 8 6 12
8 15 18 3 8 15 18 3 8 15
8 15 15 5 8 15 15 5 8 15
10 12 18 3 10 12 18 3 10 12
8 12 15 3 8 12 15 3 8 12
7 15 18 2 7 15 18 2 7 15
3 4 2 2 3 4 2 2 3 4
3 4 3 2 3 4 3 2 3 4
0 0 0 0 0 0 0 0 0 0
12 10 12 4 12 10 12 4 12 10
12 10 12 4 12 10 12 4 12 10
8 12 15 8 8 12 15 8 8 12
0 0 0 0 0 0 0 0 0 0
2 3 4 2 2 3 4 2 2 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 2 2 3 3 2 2 3 3 2
8 8 12 3 8 8 12 3 8 8
8 8 8 3 8 8 8 3 8 8
0 0 0 0 0 0 0 0 0 0
7 7 7 4 7 7 7 4 7 7
8 2 4 3 8 2 5 3 8 2
8 4 10 3 8 4 10 3 8 4
4 4 7 5 4 4 7 5 4 4
4 4 7 5 4 4 7 5 4 4
4 5 6 3 4 5 6 3 4 5
4 5 6 3 4 5 6 3 4 5
4 5 6 3 4 5 6 3 3 5
4 5 6 3 4 5 6 3 4 5
4 6 7 3 4 6 6 3 4 6
7 6 8 5 7 5 8 5 7 6
4 6 7 4 4 6 0 4 3 6
2 3 4 3 2 2 4 3 2 3
2 3 5 3 2 3 5 3 2 3
2 2 2 3 2 2 2 3 2 2
0 0 0 0 0 0 0 0 0 0
5 3 3 3 5 3 3 3 5 3
5 2 4 3 5 2 4 3 5 2
3 2 3 3 5 2 3 3 5 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5 3 3 4 5 3 3 4 5 3
5 6 6 4 5 6 6 4 3 6
7 5 9 4 7 5 10 4 7 4
10 10 15 3 10 12 15 3 10 10
10 9 12 3 10 9 12 3 10 9
/2015 – IDI 2017
gota 3 Anggota 4 Anggota 5

an Murdiman Nama : Tommy Nurhayadi Nama : Chalimi Ardani
4A 1 2 3 4A 1 2 3 4A
3 0 0 0 3 0 0 0 3
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 2 2 1 0 2 2 1
0 0 1 0 0 0 1 0 0
0 0 2 0 0 0 1 0 0
0 0 2 0 0 0 1 0 0
0 0 1 0 0 0 3 0 0
0 0 1 0 0 0 0 0 0
0 0 1 0 0 0 1 0 0
0 0 1 0 0 0 2 0 0
0 0 2 2 0 0 2 2 0
0 0 3 1 0 0 3 1 0
0 0 0 0 0 0 0 0 0
1 3 3 1 1 3 2 1 1
1 3 3 1 1 3 3 1 1
0 5 3 1 0 5 3 1 0
0 5 4 2 0 5 4 2 0
2 5 3 3 2 5 3 3 2
0 3 2 2 0 3 2 2 0
0 3 2 3 0 3 2 2 0
0 3 2 2 0 3 2 2 0
0 1 0 0 0 1 0 0 0
0 1 0 0 0 1 0 0 0
3 6 4 2 3 6 4 2 3
2 5 5 2 2 5 45 2 1
0 0 1 1 0 0 1 1 0
1 5 2 4 3 5 4 4 3
0 0 0 0 0 0 0 0 0
0 0 1 1 0 0 1 1 0
0 4 1 1 0 4 1 1 0
1 4 5 2 1 4 4 2 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 3 3 1 1 4 3 1 1
1 4 4 2 1 4 4 2 1
0 0 0 0 0 0 0 0 0
0 2 1 1 0 2 1 1 0
0 3 2 1 0 3 2 1 0
0 4 2 1 0 4 2 1 0
0 0 0 0 0 0 0 0 0
1 2 1 1 1 2 1 1 1
3 3 4 2 3 3 4 2 3
0 2 1 0 0 2 1 0 0
0 3 1 0 0 3 1 0 0
0 2 1 1 0 2 1 1 0
1 3 2 1 1 3 2 1 1
0 2 2 1 0 2 2 1 0
0 0 0 0 0 0 0 0 0
2 4 4 3 2 4 4 3 2
4 5 3 2 4 5 3 2 4
1 3 3 2 1 3 3 2 1
2 4 2 1 2 4 2 1 2
2 4 3 2 2 4 3 2 2
4 3 3 2 4 3 3 2 4
1 5 3 1 1 5 3 1 1
0 2 1 1 0 2 1 1 0
1 3 3 2 1 3 3 2 1
0 3 1 1 0 3 1 1 0
0 3 2 1 0 3 2 1 0
1 3 3 2 1 3 3 2 1
0 2 1 1 0 2 1 1 0
3 3 3 1 3 3 3 1 3
1 3 2 2 1 3 2 2 1
2 5 3 2 2 5 3 2 2
1 3 2 2 1 3 2 2 1
0 3 1 1 0 3 1 1 0
3 4 3 2 3 4 3 2 3
1 4 2 2 1 4 2 2 1
3 4 4 2 3 4 4 2 3
1 4 3 2 1 4 3 2 1
1 3 1 2 1 3 1 2 1
1 3 2 2 1 3 2 2 1
6 6 4 3 6 6 4 3 6
1 5 2 2 1 5 2 2 1
4 5 3 2 4 5 3 2 4
0 0 0 0 0 0 0 0 0
0 3 1 1 0 3 1 1 0
4 4 4 2 4 4 4 2 4
0 3 2 1 0 3 2 1 0
0 0 0 0 0 0 0 0 0
1 3 1 1 1 3 1 1 1
1 3 2 2 1 3 2 2 1
0 0 0 0 0 0 0 0 0
1 2 2 1 1 2 2 1 1
2 2 1 1 2 2 1 1 2
1 3 2 2 1 3 2 2 1
1 3 1 1 1 3 1 1 1
2 4 3 2 2 4 3 2 2
0 0 0 0 0 0 0 0 0
an Murdiman Nama : Tommy Nurhayadi Nama : Chalimi Ardani
4A 1 2 3 4A 1 2 3 4A
15 0 0 0 15 0 0 0 15
10 0 0 0 10 0 0 0 10
10 0 0 0 10 0 0 0 10
11 3 5 8 11 3 5 8 11
10 2 5 8 10 2 5 8 10
8 2 5 8 8 2 5 8 8
8 3 5 8 8 3 5 8 8
9 3 5 8 9 3 5 8 9
8 3 5 8 9 3 5 8 9
5 3 5 8 5 3 5 8 5
5 3 5 8 5 3 5 8 5
15 5 10 12 15 5 10 12 15
12 3 9 11 12 3 9 10 12
12 3 9 10 12 3 9 10 12
15 8 8 12 15 8 8 12 15
1 2 2 1 1 2 2 1 1
1 2 2 1 1 2 2 1 1
1 5 4 2 1 5 4 2 1
13 8 8 12 15 8 8 12 15
15 8 6 12 15 8 6 12 15
18 3 8 15 18 3 8 15 18
15 5 8 15 15 5 8 15 15
18 3 10 12 18 3 10 12 18
15 3 8 12 15 3 8 12 15
18 2 7 15 18 2 7 15 18
2 2 3 4 2 2 3 4 2
3 2 3 4 3 2 3 4 3
0 0 0 0 0 0 0 0 0
12 4 12 10 12 4 12 10 12
12 4 12 10 12 4 12 10 12
15 8 8 12 15 8 8 12 15
0 0 0 0 0 0 0 0 0
4 2 2 3 4 2 2 3 4
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2 3 3 2 2 3 3 2 2
12 3 8 8 12 3 8 8 12
8 3 8 8 8 3 8 8 8
0 0 0 0 0 0 0 0 0
7 4 7 7 7 4 7 7 7
10 3 8 2 10 3 8 2 10
10 3 8 4 10 3 8 4 10
7 5 4 4 7 5 4 4 7
7 5 4 4 7 5 4 4 7
6 3 4 5 6 3 4 5 6
6 3 4 5 6 3 4 5 6
6 3 4 5 6 3 4 5 6
6 3 4 5 6 3 4 5 6
7 3 4 6 7 3 4 6 7
8 5 7 6 8 5 7 6 8
7 5 4 6 7 4 4 6 7
4 3 2 3 4 3 2 3 4
5 3 2 3 5 3 2 3 5
2 3 2 2 2 3 2 2 2
0 0 0 0 0 0 0 0 0
3 3 5 3 3 3 5 3 3
4 3 5 2 4 3 5 2 4
3 3 5 2 3 3 5 2 3
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3 4 5 3 3 4 5 3 3
6 4 5 6 6 4 5 6 6
9 4 7 5 9 4 7 5 9
15 3 11 10 16 3 10 10 15
12 3 10 9 12 3 10 9 11
ILMU PENYAKIT DALAM - INDIV
Keterangan :
A. PENYAKIT
Anggot
PENYAKIT (LEVEL) AL MARA
TENSI
1 2 3 4A 1
Paru
1 Influenza (4AA) – SK 4A 0 0 0 3.2 0
2 SARS (3B) – S 3B 0 0 0 0 0
3 Flu Burung (3B) – S 3B 0 0 0 0 0
7 TBC Paru tanpa Komplikasi (4AA) –SK 4A 0 1.6 0 0.8 0
0 2.4 2.4 1.6 0
13 Edema Paru (3B) – S 3B 0 2.4 0.8 0.8 0
14 Abses Paru (3A) – S 3A 0 0 0 0 0
4 2.4 0.8 0 5
17 (3B) – SK 3B
18 Gagal jantung akut&kronik (3B) – K 3B 4 3.2 1.6 0 5
19 Cardiorespiratory arrest –(3B) SK 3B 4 2.4 2.4 1.6 5
2.4 1.6 1.6 0 3
22 (3B) – S 3B
25 Hipertensi Esensial (4AA) – SK 4A 4.8 3.2 1.6 2.4 6
26 Hipertensi Sekunder (3A) – S 3A 4 4 1.6 1.6 5
27 Esofagitis Refluks (3A) – S 3A 2.4 0.8 0.8 0 3
28 Gastritis (4AA) – SK 4A 4 3.2 3.2 2.4 5
Gastroenteritis (termasuk Kolera, 1.6 0.8 0 0 2
30 Refluks Gastroesofagus (4AA) – SK 4A 2.4 0.8 0.8 0 3
32 Perdarahan Gastrointestinal (3B) – SK 3B 3.2 3.2 1.6 0.8 4
33 Alergi Makanan (4AA) – SK 4A 2.4 0.8 0.8 0.8 3
34 Keracunan Makanan (4AA) – S 4A 3.2 1.6 0 0 4
35 Botulisme (3B) – S 3B 0 0 0 0 0
37 Strongiloidiasis (4AA) – SK 4A 1.6 0 0 0 2
38 Askariasis (4AA) – SK 4A 2.4 0.8 0 0 3
40 Taeniasis (4AA) – SK 4A 0.8 0.8 0 0 1
41 Hepatitis A (4AA) – SK 4A 3.2 2.4 0.8 0.8 4
42 Hepatitis B (3A) – SK 3A 3.2 3.2 1.6 0.8 4
43 Abses Hepar Amoeba (3A) – SK 3A 1.6 0.8 0.8 0 2
46 Kolitis (3A) – S 3A 3.2 1.6 0.8 0 4
Disentri basiler, disentri amuba (4AA) – SK 2.4 0.8 0.8 0.8 3
47 4A
49 Infeksi Saluran Kemih (4AA) – SK 4A 2.4 3.2 1.6 2.4 3
52 Kolik Renal (3A) – S 3A 1.6 0.8 0.8 0 2
2.4 1.6 0.8 0.8 3
Priapismus (3B) – S 1.6 1.6 0 0 2
55 3B
56 Diabetes Mellitus Tipe 1 (4AA) – S 4A 3.2 3.2 2.4 1.6 4
57 Diabetes Mellitus Tipe 2 (4AA) – SK 4A 4 2.4 1.6 3.2 5

3.2 1.6 0.8 1.6 4
59 – S
60 Hiperglikemi Hiperosmolar (3B) – SK 3B 3.2 2.4 1.6 1.6 4
61 Hipoglikemia Ringan (4AA) – SK 4A 2.4 2.4 1.6 3.2 3
62 Hipoglikemia Berat (3B) – SK 3B 4 2.4 0.8 0.8 5
66 Goiter (3A) – S 3A 2.4 1.6 0.8 0 3
71 Obesitas (4AA) – SK 4A 4 5
74 Anemia Defiensi Besi (4AA) – SK 4A 3.2 2.4 1.6 2.4 4
75 Anemia Hemolitik (3A) – S 3A 3.2 4
76 Anemia Makrositik (3A) – S 3A 3.2 3.2 1.6 2.4 4
80 Deman Dengue, DHF (4AA) – SK 4A 4.8 3.2 2.4 4.8 6
81 Dengue Shock Syndrome (3B) – S 3B 4 1.6 1.6 0.8 5
82 Demam tifoid (4AA) – SK 4A 4 2.4 1.6 3.2 5
83 Malaria (4AA) – SK 4A 4 2.4 0.8 0 5
3.2 3.2 1.6 3.2 4
85 SK 4A
86 Sepsis (3B) – S 2.4 1.6 0.8 0 3
87 Filariasis – K 4A 1.6 2
Imunologi dan Reumatologi 0 0
90 Reaksi Anafilaktik (4AA) – SK 4A 1.6 0.8 0.8 0.8 2
95 Ulkus pada Tungkai (4AA) – SK 4A 3.2 2.4 1.6 1.6 4
Anggot
KETRAMPILAN (LEVEL) AL MARA
1 2 3 4A 1
Kewaspadaan Standar
1 Cuci tangan 7 langkah (4A) - KP 4A 2.4 4 6.4 7.2 3
2 Alat pellindung diri (4A) – KP 4A 1.6 4 6.4 7.2 2
3 Prinsip aseptic & antiseptic (4A) – KP 4A 2.4 4 6.4 7.2 3
Petugas Kesehatan
4 Identifikasi pasien dgn tepat– P 4A 2.4 4 6.4 7.2 3
5 Identifikasi pasien risiko jatuh – P 4A 1.6 4 6.4 7.2 2
6 Edukasi Individu/ kelompok – SK 4A 1.6 4 6.4 7.2 2
7 Menyampaikan kabar buruk – K 4A 2.4 4 6.4 7.2 3
8 Persetujuan tindakan medik –K 4A 2.4 4 6.4 7.2 3
Teman SejawaT/ Petugas Kesehatan Lain 4A 2.4 4 6.4 7.2 3
9
10 Meresepkan Obat (4A) –SPK 4A 2.4 4 6.4 7.2 3
11 Kewaspadaan High-Alert-Medication –P 4A 2.4 4 6.4 7.2 3
Ketrampilan Klinik Terkait Ilmu 0
Penyakit Dalam
1 Penilaian Keadaan Umum (4A) – SK 4A 4 8 9.6 12 5
2 Penilaian habitus dan postur (4A) – SK 4A 2.4 7.2 8 9.6 3
3 Penilaian status gizi (4A) – SK 4A 2.4 7.2 8 9.6 3
4 trakea, palpasi fremitus taktil, perkusi 4A 6.4 6.4 9.6 12 8
– SK
7 Terapi okisgen & inhalasi – K 4A 4 3.2 1.6 0.8 5
20 palpasi apeks jantung, perkusi batas 4A 6.4 6.4 9.6 12 8
9 Karotis (4A) – SK 4A 6.4 4.8 9.6 12 8

10 Tekanan Darah (4A) – S 4A 2.4 6.4 12 14.4 3

11 Tekanan Vena Jugularis (JVP) (4A) – SK 4A 4 6.4 12 12 5
12 4A 2.4 8 9.6 14.4 3
SK
13 4A 2.4 6.4 9.6 12 3
kapiler (4A) –S
14 Deteksi Bruits (4A) – SK 4A 1.6 5.6 12 14.4 2
15 Tes (Brodie) Trendelenburg (4A) – SK 4A 1.6 2.4 3.2 1.6 2
16 Test Homan (Homan’s Sign) (4A) – SK 4A 1.6 2.4 3.2 2.4 2
17 Test Ankle-Brachial Index (4A) – S 4A 1.6 2.4 3.2 2.4 2
18 EKG (4A) – SK 4A 3.2 9.6 8 9.6 4
19 Resusitasi Cairan (4A) – SK 4A 3.2 9.6 8 9.6 4

20 organ intraabdomen, perkusi (pekak hati 4A 6.4 6.4 9.6 12 8

21 examination) (4A) – SK 4A 1.6 1.6 2.4 3.2 2
22 Palpasi Sacrum (4A) – S 4A 1.6 1.6 2.4 3.2 2

SK
24 – SK 4A 1.6 0.8 0.8 0 2
25 Palpasi Prostat (4A) – S 4A 1.6 0.8 0.8 0 2
27 Penilaian Status Gizi (4A) – SK 4A 2.4 6.4 6.4 9.6 3
28 Mengatur Diet (4A) – SK 4A 2.4 6.4 6.4 6.4 3
29 Memberikan Insulin (4A) – SK 4A 4 4 2.4 2.4 5
30 Palpasi Kelenjar Limfe (4A) – SK 4A 3.2 5.6 5.6 5.6 4
31 Pengukuran Kadar Gula Darah (4A) – SK 4A 2.4 6.4 1.6 8 3

32 inspeksi fleksi & ekstensi punggung, 4A 2.4 6.4 3.2 8 3

33 ekstremitas, inspeksi bahu / ekstremitas 4A 4 3.2 3.2 5.6 5
34 4A 4 3.2 3.2 5.6 5
35 4A 2.4 3.2 4 4.8 3
36 4A 2.4 3.2 4 4.8 3
(4A) – SK
37 Penilaian Meniscus (4A) – S 4A 2.4 3.2 4 4.8 3
38 penilaian fleksi dorsal / plantar, inversi 4A 2.4 3.2 4 4.8 3
39 Punggung dan sendi serta untuk 4A 2.4 3.2 4.8 5.6 3
40 Perkusi Tenderness (4A) – S 4A 4 5.6 4.8 6.4 5
41 Penilaian range of motion sendi (4A) – S 4A 3.2 3.2 4.8 5.6 4
42 Tes Fungsi Otot dan Sendi Bahu (4A) – K 4A 2.4 1.6 2.4 3.2 3
43 Metacarpal dan Jari-Jari Tangan (4A) – K 4A 2.4 1.6 2.4 4 3
44 4A 2.4 1.6 1.6 1.6 3
(4A) – S
Lain-lain 0 0 0 0 0
45 Punksi Vena (4A) – SK 4A 1.6 4 1.6 2.4 2
46 Injeksi Intrakutan (4A) – SK 4A 2.4 4 2.4 2.4 3
47 Injeksi Intravena (4A) – SK 4A 2.4 4 1.6 3.2 3
48 4A 2.4 4 1.6 2.4 3
SK
50 Bantuan Hidup Dasar (4A) – SK 4A 2.4 4 1.6 2.4 3
51 Ventilasi Masker (4A) – SK 4A 3.2 4 2.4 2.4 4
52 Resusitasi Cairan (4A) – SK 4A 3.2 4 4.8 4.8 4
53 4A 3.2 5.6 4 7.2 4
Dehidrasi (4A) – SK
54 Kesehatan (4A)– S 4A 2.4 8 8 12 3

55 Pelaporan (4A) – S 4A 2.4 8 7.2 9.6 3
AIAN KOMPETENSI (SKDI 2012 / KMK 514/2015/ IPSG)
T DALAM - INDIVIDU KUMULATIF PEKAN 1-4


AL MARATUS JIHAN VINIA RAHMA
2 3 4A 1 2 3 4A 1 2 3
0 0 4 0 0 0 4 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 2 4 0 2 2 4 0 2 2
1 0 0 0 1 0 0 0 1 0
1 0 0 0 1 0 0 0 1 0
2 0 1 0 2 0 1 0 2 0
1 0 0 0 1 0 0 0 1 0
1 0 0 0 1 0 0 0 1 0
1 0 0 0 1 0 0 0 1 0
1 0 0 0 1 0 0 0 1 0
3 3 2 0 3 3 2 0 3 3
3 1 1 0 3 1 1 0 3 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 1 1 3 2 1 1 3 2 1
3 1 1 3 3 1 1 3 3 1
3 1 0 5 3 1 0 5 3 1
4 2 0 5 4 2 0 5 4 2
3 3 2 5 3 3 2 5 3 3
2 2 0 3 2 2 0 3 2 2
2 2 0 3 2 2 0 3 2 2
2 2 0 3 2 2 0 3 2 2
0 0 0 1 0 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0
4 2 3 6 4 2 3 6 4 2
5 2 2 5 5 2 2 5 5 2
0 0 0 0 0 0 0 0 0 0
1 1 0 3 1 1 0 3 1 1
4 4 3 5 4 4 3 5 4 4
1 0 0 2 1 0 0 2 1 0
1 1 0 3 1 1 0 3 1 1
1 1 0 4 1 1 0 4 1 1
4 2 1 4 4 2 1 4 4 2
1 1 1 3 1 1 1 3 1 1
2 0 0 4 2 0 0 4 2 0
0 0 0 0 0 0 0 0 0 0
1 0 0 1 1 0 0 1 1 0
0 0 0 2 0 0 0 2 0 0
1 0 0 3 1 0 0 3 1 0
0 0 0 1 0 0 0 1 0 0
1 0 0 1 1 0 0 1 1 0
3 1 1 4 3 1 1 4 3 1
4 2 1 4 4 2 1 4 4 2
1 1 0 2 1 1 0 2 1 1
1 1 0 2 1 1 0 2 1 1
2 1 0 3 2 1 0 3 2 1
2 1 0 4 2 1 0 4 2 1
1 1 1 3 1 1 1 3 1 1
1 1 1 2 1 1 1 2 1 1
0 0 0 0 0 0 0 0 0 0
4 2 3 3 4 2 3 3 4 2
1 0 0 2 1 0 0 2 1 0
1 0 0 3 1 0 0 3 1 0
1 1 0 2 1 1 0 2 1 1
2 1 1 3 2 1 1 3 2 1
2 1 0 2 2 1 0 2 2 1
2 0 0 2 2 0 0 2 2 0
0 0 0 0 0 0 0 0 0 0
4 3 2 4 4 3 2 4 4 3
3 2 4 5 3 2 4 5 3 2
3 2 1 3 3 2 1 3 3 2
2 1 2 4 2 1 2 4 2 1
3 2 2 4 3 2 2 4 3 2
3 2 4 3 3 2 4 3 3 2
3 1 1 5 3 1 1 5 3 1
1 1 0 2 1 1 0 2 1 1
3 2 1 3 3 2 1 3 3 2
1 1 0 3 1 1 0 3 1 1
2 1 0 3 2 1 0 3 2 1
3 2 1 3 3 2 1 3 3 2
1 1 0 2 1 1 0 2 1 1
3 1 3 3 3 1 3 3 3 1
2 2 1 3 2 2 1 3 2 2
3 2 2 5 3 2 2 5 3 2
2 2 1 3 2 2 1 3 2 2
1 1 0 3 1 1 0 3 1 1
0 0 0 0 0 0 0 0 0 0
3 2 3 4 3 2 3 4 3 2
2 2 1 4 2 2 1 4 2 2
4 2 3 4 4 2 3 4 4 2
3 2 1 4 3 2 1 4 3 2
1 2 1 3 1 2 1 3 1 2
0 0 0 0 0 0 0 0 0 0
2 2 1 3 2 2 1 3 2 2
4 3 6 6 4 3 6 6 4 3
2 2 1 5 2 2 1 5 2 2
3 2 4 5 3 2 4 5 3 2
3 1 0 5 3 1 0 5 3 1
1 1 0 3 1 1 0 3 1 1
4 2 4 4 4 2 4 4 4 2
2 1 0 3 2 1 0 3 2 1
1 1 0 2 1 1 0 2 1 1
0 0 0 0 0 0 0 0 0 0
1 1 1 3 1 1 1 3 1 1
2 2 1 3 2 2 1 3 2 2
1 1 1 2 1 1 1 2 1 1
2 1 1 2 2 1 1 2 2 1
1 1 2 2 1 1 2 2 1 1
2 2 1 3 2 2 1 3 2 2
1 1 1 3 1 1 1 3 1 1
3 2 2 4 3 2 2 4 3 2
2 2 1 3 2 2 1 3 2 2
AL MARATUS JIHAN VINIA RAHMA
2 3 4A 1 2 3 4A 1 2 3
5 8 9 3 5 8 9 3 5 8
5 8 9 2 5 8 9 2 5 8
5 8 9 3 5 8 9 3 5 8
0 0 0 0 0 0 0 0 0 0
5 8 9 3 5 8 9 3 5 8
5 8 9 2 5 8 9 2 5 8
5 8 9 2 5 8 9 2 5 8
5 8 9 3 5 8 9 3 5 8
5 8 9 3 5 8 9 3 5 8
5 8 9 3 5 8 9 3 5 8
5 8 9 3 5 8 9 3 5 8
5 8 9 3 5 8 9 3 5 8
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
10 12 15 5 10 12 15 5 10 12
9 10 12 3 9 10 12 3 9 10
9 10 12 3 9 10 12 3 9 10
0 0 0 0 0 0 0 0 0 0
8 12 15 8 8 12 15 8 8 12
2 1 1 2 2 1 1 2 2 1
2 1 1 2 2 1 1 2 2 1
4 2 1 5 4 2 1 5 4 2
0 0 0 0 0 0 0 0 0 0
8 12 15 8 8 12 15 8 8 12
6 12 15 8 6 12 15 8 6 12
8 15 18 3 8 15 18 3 8 15
8 15 15 5 8 15 15 5 8 15
10 12 18 3 10 12 18 3 10 12
8 12 15 3 8 12 15 3 8 12
7 15 18 2 7 15 18 2 7 15
3 4 2 2 3 4 2 2 3 4
3 4 3 2 3 4 3 2 3 4
3 4 3 2 3 4 3 2 3 4
12 10 12 4 12 10 12 4 12 10
12 10 12 4 12 10 12 4 12 10
0 0 0 0 0 0 0 0 0 0
8 12 15 8 8 12 15 8 8 12
2 3 4 2 2 3 4 2 2 3
2 3 4 2 2 3 4 2 2 3
1 1 1 2 1 1 1 2 1 1
1 1 0 2 1 1 0 2 1 1
0 0 0 0 0 0 0 0 0 0
1 1 0 2 1 1 0 2 1 1
0 0 0 0 0 0 0 0 0 0
3 2 2 3 3 2 2 3 3 2
8 8 12 3 8 8 12 3 8 8
8 8 8 3 8 8 8 3 8 8
5 3 3 5 5 3 3 5 5 3
0 0 0 0 0 0 0 0 0 0
7 7 7 4 7 7 7 4 7 7
8 2 10 3 8 2 10 3 8 2
0 0 0 0 0 0 0 0 0 0
8 4 10 3 8 4 10 3 8 4
4 4 7 5 4 4 7 5 4 4
4 4 7 5 4 4 7 5 4 4
4 5 6 3 4 5 6 3 4 5
4 5 6 3 4 5 6 3 4 5
4 5 6 3 4 5 6 3 4 5
4 5 6 3 4 5 6 3 4 5
4 6 7 3 4 6 7 3 4 6
7 6 8 5 7 6 8 5 7 6
4 6 7 4 4 6 7 4 4 6
2 3 4 3 2 3 4 3 2 3
2 3 5 3 2 3 5 3 2 3
2 2 2 3 2 2 2 3 2 2
0 0 0 0 0 0 0 0 0 0
5 2 3 2 5 2 3 2 5 2
5 3 3 3 5 3 3 3 5 3
5 2 4 3 5 2 4 3 5 2
5 2 3 3 5 2 3 3 5 2
2 1 0 3 2 1 0 3 2 1
5 2 3 3 5 2 3 3 5 2
5 3 3 4 5 3 3 4 5 3
5 6 6 4 5 6 6 4 5 6
7 5 9 4 7 5 9 4 7 5
10 10 15 3 10 10 15 3 10 10
10 9 12 3 10 9 12 3 10 9
/2015 – IDI 2017
gota 3 Anggota 4
RAHMA DYAH AYU PALUPI
4A 1 2 3 4A
4 0 0 0 4
0 0 0 0 0
0 0 0 0 0
4 0 2 2 4
0 0 1 0 0
0 0 1 0 0
1 0 2 0 1
0 0 1 0 0
0 0 1 0 0
0 0 1 0 0
0 0 1 0 0
2 0 3 3 2
1 0 3 1 1
0 0 0 0 0
0 0 0 0 0
1 3 2 1 1
1 3 3 1 1
0 5 3 1 0
0 5 4 2 0
2 5 3 3 2
0 3 2 2 0
0 3 2 2 0
0 3 2 2 0
0 1 0 0 0
0 1 0 0 0
3 6 4 2 3
2 5 5 2 2
0 0 0 0 0
0 3 1 1 0
3 5 4 4 3
0 2 1 0 0
0 3 1 1 0
0 4 1 1 0
1 4 4 2 1
1 3 1 1 1
0 4 2 0 0
0 0 0 0 0
0 1 1 0 0
0 2 0 0 0
0 3 1 0 0
0 1 0 0 0
0 1 1 0 0
1 4 3 1 1
1 4 4 2 1
0 2 1 1 0
0 2 1 1 0
0 3 2 1 0
0 4 2 1 0
1 3 1 1 1
1 2 1 1 1
0 0 0 0 0
3 3 4 2 3
0 2 1 0 0
0 3 1 0 0
0 2 1 1 0
1 3 2 1 1
0 2 2 1 0
0 2 2 0 0
0 0 0 0 0
2 4 4 3 2
4 5 3 2 4
1 3 3 2 1
2 4 2 1 2
2 4 3 2 2
4 3 3 2 4
1 5 3 1 1
0 2 1 1 0
1 3 3 2 1
0 3 1 1 0
0 3 2 1 0
1 3 3 2 1
0 2 1 1 0
3 3 3 1 3
1 3 2 2 1
2 5 3 2 2
1 3 2 2 1
0 3 1 1 0
0 0 0 0 0
3 4 3 2 3
1 4 2 2 1
3 4 4 2 3
1 4 3 2 1
1 3 1 2 1
0 0 0 0 0
1 3 2 2 1
6 6 4 3 6
1 5 2 2 1
4 5 3 2 4
0 5 3 1 0
0 3 1 1 0
4 4 4 2 4
0 3 2 1 0
0 2 1 1 0
0 0 0 0 0
1 3 1 1 1
1 3 2 2 1
1 2 1 1 1
1 2 2 1 1
2 2 1 1 2
1 3 2 2 1
1 3 1 1 1
2 4 3 2 2
1 3 2 2 1
gota 3 Anggota 4
RAHMA DYAH AYU PALUPI
4A 1 2 3 4A
9 3 5 8 9
9 2 5 8 9
9 3 5 8 9
0 0 0 0 0
9 3 5 8 9
9 2 5 8 9
9 2 5 8 9
9 3 5 8 9
9 3 5 8 9
9 3 5 8 9
9 3 5 8 9
9 3 5 8 9
0 0 0 0 0
0 0 0 0 0
15 5 10 12 15
12 3 9 10 12
12 3 9 10 12
0 0 0 0 0
15 8 8 12 15
1 2 2 1 1
1 2 2 1 1
1 5 4 2 1
0 0 0 0 0
15 8 8 12 15
15 8 6 12 15
18 3 8 15 18
15 5 8 15 15
18 3 10 12 18
15 3 8 12 15
18 2 7 15 18
2 2 3 4 2
3 2 3 4 3
3 2 3 4 3
12 4 12 10 12
12 4 12 10 12
0 0 0 0 0
15 8 8 12 15
4 2 2 3 4
4 2 2 3 4
1 2 1 1 1
0 2 1 1 0
0 0 0 0 0
0 2 1 1 0
0 0 0 0 0
2 3 3 2 2
12 3 8 8 12
8 3 8 8 8
3 5 5 3 3
0 0 0 0 0
7 4 7 7 7
10 3 8 2 10
0 0 0 0 0
10 3 8 4 10
7 5 4 4 7
7 5 4 4 7
6 3 4 5 6
6 3 4 5 6
6 3 4 5 6
6 3 4 5 6
7 3 4 6 7
8 5 7 6 8
7 4 4 6 7
4 3 2 3 4
5 3 2 3 5
2 3 2 2 2
0 0 0 0 0
3 2 5 2 3
3 3 5 3 3
4 3 5 2 4
3 3 5 2 3
0 3 2 1 0
3 3 5 2 3
3 4 5 3 3
6 4 5 6 6
9 4 7 5 9
15 3 10 10 15
12 3 10 9 12
Keterangan :
A. PENYAKIT
Anggot
PENYAKIT (LEVEL) Nama : Yusr
TENSI
1 2 3 4A 1
Paru
1 Influenza (4AA) – SK 4A 0 0 0 5 0
2 SARS (3B) – S 3B 0.5 0 0 0 0
3 Flu Burung (3B) – S 3B 1 0 0 0 0
4 Asma Bronkhial (4AA) – SK 4A 1 2 2 1 1
5 Bronkhitis Akut (4AA) – SK 4A 1.5 1.75 0 0.5
7 TBC Paru tanpa Komplikasi (4AA) –SK 4A 2 2.5 0 1.5 2
8 TBC Paru dengan HIV (3A) – SK 3A 1 0.75 0 0.5 1
9 Pneumothorax (3A) – SK 3A 0.75 0.25 0 0 0
10 Efusi Pleura Masif (3B) – S 3B 0.5 0.5 0 0.75 0
11 Emfisema Paru (3A) – S 3A 0.25 0.25 0 0.25 0
1.25 1 0.75 0.75 2
13 Edema Paru (3B) – S 3B 1 1.75 0.25 0.75 1
14 Abses Paru (3A) – S 3A 0.5 0 0 0 0
15 Angina pectoris stabil (3B) – SK 3B 2 2 1 1.25 2
16 Infark miokard (3B)– SK 3B 2 1.25 0.5 0 2
1.5 1.25 0.25 0 1
17 (3B) – SK 3B
18 Gagal jantung akut&kronik (3B) – K 3B 4.5 4 2 1.5 3
19 Cardiorespiratory arrest –(3B) SK 3B 0.5 0 0 0.25 0
20 Fibrilasi Atrial (3A) – SK 3A 1.75 0.75 0 0 2
21 Fibrilasi Ventrikular (3B) – SK 3B 1.5 0.75 0 0 0
0.25 0.25 0 0 0
22 (3B) – S 3B
24 Kor Pulmonale Kronik (3A) – S 3A 0.75 0.5 0 0 1
26 Hipertensi Sekunder (3A) – S 3A 3 3.25 2.25 3 2
27 Esofagitis Refluks (3A) – S 3A 1.5 0.5 0 0 1
28 Gastritis (4AA) – SK 4A 2.75 3.75 3.5 2.5 2
30 Refluks Gastroesofagus (4AA) – SK 4A 2 1 0.75 0.5 1
32 Perdarahan Gastrointestinal (3B) – SK 3B 1.75 1 0.5 0.5 1
33 Alergi Makanan (4AA) – SK 4A 0.25 0 0 0 0
35 Botulisme (3B) – S 3B 0 0 0 0 0
38 Askariasis (4AA) – SK 4A 0.75 0 0 0 0
40 Taeniasis (4AA) – SK 4A 0.5 0.5 0 0 0
41 Hepatitis A (4AA) – SK 4A 3.5 3 1 1 4
42 Hepatitis B (3A) – SK 3A 4 3.25 2 1.75 4
43 Abses Hepar Amoeba (3A) – SK 3A 0.5 0.25 0 0 0
44 Perlemakan Hepar (3A) – SK 3A 1.25 1 1 0 2
46 Kolitis (3A) – S 3A 0 0 0 0 0
Disentri basiler, disentri amuba (4AA) – SK 2 1 1 0.25 3
47 4A
48 Irritable Bowel Syndrome (3A) – S 3A 1 1 1 0.5 1
49 Infeksi Saluran Kemih (4AA) – SK 4A 3 2.5 2 2.25 3
50 Glomerulonefritis Akut (3A) – S 3A 1 0.75 0 0 1
51 Glomerulonefritis Kronik (3A) – S 3A 1 1 0 0 1
52 Kolik Renal (3A) – S 3A 1.25 0.5 0 0 0
1.25 1 0.75 0.5 2
54 Pielonefritis tanpa Komplikasi (4AA) – SK 4A 0 0 0 0.25 0
55 3B
56 Diabetes Mellitus Tipe 1 (4AA) – S 4A 2 2 1 0.75 2

57 Diabetes Mellitus Tipe 2 (4AA) – SK 4A 4.75 4 3.5 4.75 3

glukosa akibat penyakit lain atau obat- 0.75 0.25 0 0.25 1
1.75 1 0.75 0 0
59 – S
60 Hiperglikemi Hiperosmolar (3B) – SK 3B 0.25 0 0 0.25 0
61 Hipoglikemia Ringan (4AA) – SK 4A 1 0.5 0.5 0.75 1
62 Hipoglikemia Berat (3B) – SK 3B 3.25 1.75 0.75 1 5
64 Hipertiroid (3A) – SK 3A 1.5 1 0.5 0.5 3
65 Tirotoksikosis (3B) – SK 3B 1 0.75 0.5 0.5 3
66 Goiter (3A) – S 3A 0.75 1 0 0 1
67 Cushing’s Disease (3B) – S 3B 0 0 0 0 0
68 Krisis Adrenal (3B) – S 3B 0 0 0 0 0
69 Dislipidemia (4AA) – SK 4A 2.75 2.25 1 1.75 3
70 Hiperurisemia (4AA) – SK 4A 3.75 2 1.75 1.25 3
71 Obesitas (4AA) – SK 4A 2.25 1.75 1.25 1.75 1
72 Sindrom Metabolik (3B) – S 3B 1 0 0 0.25 2
73 Malnutrisi energy protein (4AA) – K 4A 1.25 0 0 0 0
74 Anemia Defiensi Besi (4AA) – SK 4A 2.5 2.25 1 1.75 2
75 Anemia Hemolitik (3A) – S 3A 1.75 0.5 0 0 2
76 Anemia Makrositik (3A) – S 3A 0.75 0 0 0 2
79 Bakteremia, sepsis (3B) – S 3B 2.5 0.75 1 0.25 3
80 Deman Dengue, DHF (4AA) – SK 4A 5 4 3 6 3
81 Dengue Shock Syndrome (3B) – S 3B 3 1.75 1.5 0.25 1
82 Demam tifoid (4AA) – SK 4A 4 3.25 2.25 4 3
83 Malaria (4AA) – SK 4A 1.75 0 0 0 2
3.5 2 1.25 1.75 3
85 SK 4A
86 Sepsis (3B) – S 2.25 0.75 0.25 0 3
87 Filariasis – K 4A 0.75 0.5 0 0 0
88 Lupus Eritematosus Sistemik (3A) – SK 3A 2 0.75 0.5 1 2
Polimialgia Reumatik (3A) – SK+B132 0.75 0.75 0.75 0.25 0

89 3A
90 Reaksi Anafilaktik (4AA) – SK 4A 1.25 0.5 0 0 0
92 Artritis Reumatoid (3A) – SK 3A 2 1 1 1.25 2
93 Arthritis Osteoarthritis (3A) – SK 3A 1 1 0.75 0.5 1
94 Osteoporosis (3A) – S 3A 2 1 0.5 0.25 2
95 Ulkus pada Tungkai (4AA) – SK 4A 3.5 2.75 2 2 3
Anggot
KETRAMPILAN (LEVEL) Nama : Yusr
1 2 3 4A 1
Kewaspadaan Standar
1 Cuci tangan 7 langkah (4A) - KP 4A 3 5 8 9 3
2 Alat pellindung diri (4A) – KP 4A 2 5 8 9 2
3 Prinsip aseptic & antiseptic (4A) – KP 4A 3 5 8 9 3
Ketrampilan komunikasi Dokter – Pasien – Sejawat/
0 0 0 0
Petugas Kesehatan
4 Identifikasi pasien dgn tepat– P 4A 3 5 8 9 3
5 Identifikasi pasien risiko jatuh – P 4A 2 5 8 9 2
6 Edukasi Individu/ kelompok – SK 4A 2 5 8 9.75 2
7 Menyampaikan kabar buruk – K 4A 3 5 8 9 3
8 Persetujuan tindakan medik –K 4A 3 5 8 10.75 3
Teman SejawaT/ Petugas Kesehatan Lain 4A 3 5 8 7.25 3
9
10 Meresepkan Obat (4A) –SPK 4A 3 5 8 8 3
11 Kewaspadaan High-Alert-Medication –P 4A 3 5 8 9.75 3
Penyakit Dalam
1 Penilaian Keadaan Umum (4A) – SK 4A 5 10 12 15 5
2 Penilaian habitus dan postur (4A) – SK 4A 3 9 10 12 3
3 Penilaian status gizi (4A) – SK 4A 3 9 10 12 3
4 trakea, palpasi fremitus taktil, perkusi 4A 8 8 12 15 8
– SK
5 Persiapan dan Pemeriksaan Sputum – SK 4A 2 2 1 0.25 2
6 Uji Fungsi Paru / Spirometri (4A) – SK 4A 2 2 1 0.25 2
7 Terapi okisgen & inhalasi – K 4A 5 4 2 3 5
20 palpasi apeks jantung, perkusi batas 4A 8 8 12 15 8
9 4A 8 6 12 15 8
Karotis (4A) – SK
10 Penilaian kardiovaskuler : Pengukuran 4A 3 8 15 20.25 3

11 4A 5 8 15 15 5
12 4A 3 10 12 18 3
SK
13 4A 3 8 12 15 3
kapiler (4A) –S
14 Deteksi Bruits (4A) – SK 4A 2 7 12 11.75 2
15 Tes (Brodie) Trendelenburg (4A) – SK 4A 2 2.25 2.75 0 2
16 Test Homan (Homan’s Sign) (4A) – SK 4A 2 2 1.75 0.25 2
17 Test Ankle-Brachial Index (4A) – S 4A 2 3 2.75 2 2

18 EKG (4A) – SK 4A 4 12 10 13.25 4

20 organ intraabdomen, perkusi (pekak hati 4A 8 8 12 15 8

21 4A 2 2 1.5 0.75 2
22 Palpasi Sacrum (4A) – S 4A 1.75 1.75 1.5 0.5 2
Persiapan dan Pemeriksaan Tinja (4A) –
23 SK 4A 1.75 1 1 0.5 2
24 Pemasangan Pipa Nasogastrik (NGT) (4A) 4A 1.75 1 0.75 0 2

– SK
25 Palpasi Prostat (4A) – S 4A 1.5 1 1 0 2
27 Penilaian Status Gizi (4A) – SK 4A 2.75 6.75 6.75 10.75 3
28 Mengatur Diet (4A) – SK 4A 3.25 7 5.5 6.25 3
29 Memberikan Insulin (4A) – SK 4A 4.25 2.75 2 1 5
30 Palpasi Kelenjar Limfe (4A) – SK 4A 4 7 7 7 4
31 Pengukuran Kadar Gula Darah (4A) – SK 4A 3 8 2 8.75 3

32 inspeksi fleksi & ekstensi punggung, 4A 2.5 5.5 4.25 7.5 3

33 ekstremitas, inspeksi bahu / ekstremitas 4A 4.5 4 4.25 7 5
34 4A 4.75 4.25 4.25 7 5
35 4A 3 4 5 6 3
36 4A 2.75 3 3.5 2.75 3
(4A) – SK
38 penilaian fleksi dorsal / plantar, inversi 4A 3 4 5 6 3
39 Punggung dan sendi serta untuk 4A 2.5 2.5 2.25 1.75 2
40 Perkusi Tenderness (4A) – S 4A 2.75 2 1.75 1.25 2
41 Penilaian range of motion sendi (4A) – S 4A 3.5 3.5 5 5.25 4
42 Tes Fungsi Otot dan Sendi Bahu (4A) – K 4A 2.75 2 2.75 3.5 3
43 Metacarpal dan Jari-Jari Tangan (4A) – K 4A 2.75 2 2.75 4.25 3
44 (4A) – S 4A 2.75 2 2 2 3
Lain-lain 0 0 0 0
45 Punksi Vena (4A) – SK 4A 2 5 2 1.5 2
46 Injeksi Intrakutan (4A) – SK 4A 3 5 3 2.5 3
47 Injeksi Intravena (4A) – SK 4A 3 5 2 3.25 3
48 4A 3 5 2 2.25 3
SK
50 Bantuan Hidup Dasar (4A) – SK 4A 3 5 2 1.75 3
51 Ventilasi Masker (4A) – SK 4A 4 5 3 3.75 4
52 Resusitasi Cairan (4A) – SK 4A 4 5 6 5.25 4
53 Dehidrasi (4A) – SK 4A 4 7 5 6.25 4

54 Kesehatan (4A)– S 4A 3 10 10 15 3

55 Pelaporan (4A) – S 4A 3 10 9 12 3


Nama : Yusril Iczana Nama : Ulfa Trimonika Nama : Choiria Mulyawati
2 3 4A 1 2 3 4A 1 2 3
0 0 4 0 0 0 4 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 2 0 0
2 2 2 1 2 2 0 1 2 2
2 0 1 2 3 0 0 2 1 0
0 0 0 1 0 0 0 3 1 0
2 0 1 2 4 0 1 2 2 0
0 0 0 1 1 0 0 1 1 0
0 0 0 0 0 0 0 2 1 0
0 0 0 0 0 0 0 1 1 0
0 0 0 0 0 0 0 1 1 0
1 0 0 1 0 0 0 1 3 3
2 0 1 1 2 0 1 1 3 1
0 0 0 1 0 0 0 1 0 0
2 1 2 2 2 1 1 2 2 1
1 0 0 2 1 0 0 2 1 1
1 0 0 2 2 0 0 2 2 1
4 2 1 5 4 2 1 5 4 2
0 0 0 0 0 0 0 2 0 0
0 0 0 2 1 0 0 2 1 0
0 0 0 2 1 0 0 2 1 0
0 0 0 0 0 0 0 1 1 0
0 0 0 1 0 0 0 1 0 0
2 0 0 0 0 0 0 1 0 0
1 0 1 6 4 2 5 6 4 2
4 4 6 3 3 1 2 3 2 2
0 0 0 2 1 0 0 2 1 0
3 3 2 3 4 3 3 3 4 4
0 0 0 0 0 0 0 0 0 0
1 1 1 2 1 0 0 3 1 1
0 0 0 3 1 1 0 2 1 1
0 0 1 2 1 0 0 2 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 1 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 1 1 0 0 0 0 0
3 1 1 4 3 1 1 3 3 1
2 2 1 4 4 2 2 4 4 2
0 0 0 1 0 0 0 1 1 0
1 1 0 1 1 1 0 1 1 1
1 0 0 3 2 1 0 2 1 1
0 0 0 0 0 0 0 0 0 0
1 1 1 2 1 1 0 2 1 1
1 1 1 1 1 1 1 1 1 1
2 2 1 3 2 2 1 3 4 2
0 0 0 1 1 0 0 1 1 0
1 0 0 1 1 0 0 1 1 0
0 0 0 2 1 0 0 2 1 0
1 1 1 1 1 0 0 1 1 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 1 1 2 3 1 1 2 1 1
3 2 6 6 5 4 4 4 3 4
1 0 0 1 0 0 1 1 0 0
0 0 0 3 1 1 0 2 2 1
0 0 1 0 0 0 0 0 0 0
2 2 3 1 0 0 0 1 0 0
3 1 1 4 2 1 3 3 2 1
1 1 0 1 1 0 0 1 1 0
2 2 1 1 1 0 0 1 1 0
3 2 2 0 0 0 0 0 0 0
2 0 0 1 1 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 1 3 3 2 1 1 3 2 1
2 2 2 5 2 2 0 4 2 1
2 1 2 3 1 1 1 3 2 1
0 0 1 1 0 0 0 1 0 0
0 0 0 3 0 0 0 2 0 0
3 1 2 3 2 1 2 3 2 1
0 0 0 2 1 0 0 2 1 0
0 0 0 0 0 0 0 0 0 0
1 1 2 3 1 0 0 2 1 1
0 0 0 4 1 0 0 3 1 1
1 1 1 3 1 1 0 3 1 1
3 3 6 5 4 3 6 6 4 3
1 0 0 4 2 2 0 4 2 2
3 2 5 5 3 2 3 3 3 2
0 0 0 2 0 0 0 2 0 0
0 0 0 2 1 1 0 2 1 0
2 1 0 3 1 1 1 4 1 1
1 0 0 3 1 0 0 2 1 1
0 0 0 1 1 0 0 2 1 0
0 0 1 2 1 0 0 2 1 1
0 0 0 0 0 0 0 1 1 1
0 0 0 2 1 0 0 2 1 0
0 0 0 0 0 0 0 1 0 0
1 1 2 2 1 1 1 2 1 1
1 1 1 1 1 0 0 1 1 1
1 1 1 2 1 0 0 2 1 0
3 2 2 5 3 2 2 4 3 2
2 2 1 1 0 0 0 1 0 0
Nama : Yusril Iczana Nama : Ulfa Trimonika Nama : Choiria Mulyawati
2 3 4A 1 2 3 4A 1 2 3
5 8 9 3 5 8 9 3 5 8
5 8 9 2 5 8 9 2 5 8
5 8 9 3 5 8 9 3 5 8
5 8 9 3 5 8 9 3 5 8
5 8 9 2 5 8 9 2 5 8
5 8 12 2 5 8 9 2 5 8
5 8 9 3 5 8 9 3 5 8
5 8 12 3 5 8 13 3 5 8
5 8 5 3 5 8 7 3 5 8
5 8 5 3 5 8 9 3 5 8
5 8 9 3 5 8 12 3 5 8
10 12 15 5 10 12 15 5 10 12
9 10 12 3 9 10 12 3 9 10
9 10 12 3 9 10 12 3 9 10
8 12 15 8 8 12 15 8 8 12
2 1 0 2 2 1 0 2 2 1
2 1 0 2 2 1 0 2 2 1
4 2 2 5 4 2 4 5 4 2
8 12 15 8 8 12 15 8 8 12
6 12 15 8 6 12 15 8 6 12
8 15 18 3 8 15 20 3 8 15
8 15 15 5 8 15 15 5 8 15
10 12 18 3 10 12 18 3 10 12
8 12 15 3 8 12 15 3 8 12
7 15 9 2 7 8 10 2 7 15
3 4 0 2 1 1 0 2 3 4
3 4 0 2 1 1 0 2 3 1
3 4 2 2 3 1 3 2 3 3
12 10 15 4 12 10 13 4 12 10
8 5 6 4 8 6 7 4 12 10
8 12 15 8 8 12 15 8 8 12
2 2 0 2 2 1 1 2 2 1
2 3 0 2 2 1 0 2 2 1
1 1 1 2 1 1 1 2 1 1
1 1 0 2 1 1 0 2 1 1
1 1 0 1 1 1 0 2 1 1
3 2 3 2 2 1 1 3 3 1
8 8 12 3 8 8 12 3 8 8
8 8 8 3 8 5 6 3 8 5
3 2 1 5 3 2 1 5 3 2
7 7 7 4 7 7 7 4 7 7
8 2 10 3 8 2 10 3 8 2
5 4 10 2 5 4 6 3 8 4
4 4 7 5 4 4 7 5 4 4
4 4 7 5 4 4 7 5 4 4
4 5 6 3 4 5 6 3 4 5
2 2 1 3 4 5 4 3 4 5
2 2 0 3 4 5 2 3 4 5
4 5 6 3 4 5 6 3 4 5
1 1 1 2 1 1 1 3 4 1
2 2 1 4 2 2 1 3 2 1
4 6 7 4 4 6 7 4 4 6
2 3 4 3 2 3 4 3 2 3
2 3 5 3 2 3 5 3 2 3
2 2 2 3 2 2 2 3 2 2
5 2 1 2 5 2 1 2 5 2
5 3 1 3 5 3 3 3 5 3
5 2 1 3 5 2 4 3 5 2
5 2 1 3 5 2 3 3 5 2
2 1 0 0 0 0 0 3 2 1
5 2 2 3 5 2 1 3 5 2
5 3 3 4 5 3 5 4 5 3
5 6 3 4 5 6 6 4 5 6
7 5 3 4 7 5 6 4 7 5
10 10 15 3 10 10 15 3 10 10
10 9 12 3 10 9 12 3 10 9
/2015 – IDI 2017
gota 3 Anggota 4
ria Mulyawati Nama : Sri Endah Eka Putri
4A 1 2 3 4A
8 0 0 0 4
0 1 0 0 0
0 2 0 0 0
0 1 2 2 2
0 2 1 0 1
0 1 1 0 0
3 2 2 0 1
0 1 1 0 2
0 1 0 0 0
0 1 1 0 3
0 0 0 0 1
1 1 0 0 2
1 1 0 0 0
0 0 0 0 0
1 2 2 1 1
0 2 2 1 0
0 1 0 0 0
2 5 4 2 2
0 0 0 0 1
0 1 1 0 0
0 2 1 0 0
0 0 0 0 0
0 1 0 0 0
0 1 0 0 0
3 4 3 2 6
1 4 4 2 3
0 1 0 0 0
3 3 4 4 2
0 0 0 0 0
0 2 1 1 1
0 2 1 1 0
0 2 2 2 1
0 1 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 0
0 0 0 0 0
0 1 0 0 0
0 0 0 0 0
0 1 1 0 0
1 3 3 1 1
2 4 3 2 2
0 0 0 0 0
0 1 1 1 0
0 2 1 0 0
0 0 0 0 0
0 1 1 1 0
0 1 1 1 0
3 3 2 2 4
0 1 1 0 0
0 1 1 0 0
0 1 0 0 0
0 1 1 1 1
0 0 0 0 1
0 0 0 0 0
0 2 2 1 1
5 6 5 4 4
0 0 0 0 0
0 2 1 1 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 1
0 1 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 2 2 1 2
0 3 2 2 3
3 2 2 2 1
0 0 0 0 0
0 0 0 0 0
2 2 2 1 1
0 1 0 0 0
0 1 0 0 0
0 0 0 0 0
0 2 0 0 1
0 1 0 1 0
6 6 5 3 6
0 3 2 2 1
3 5 4 3 5
0 1 0 0 0
0 1 0 0 0
1 4 4 2 5
0 1 0 0 0
0 0 0 0 0
1 2 1 1 2
0 2 2 2 1
0 1 0 0 0
0 2 1 1 1
1 2 1 1 1
1 1 1 1 0
0 2 1 1 0
2 2 2 2 2
0 1 0 0 0
gota 3 Anggota 4
ria Mulyawati Nama : Sri Endah Eka Putri
4A 1 2 3 4A
9 3 5 8 9
9 2 5 8 9
9 3 5 8 9
9 3 5 8 9
9 2 5 8 9
9 2 5 8 9
9 3 5 8 9
9 3 5 8 9
8 3 5 8 9
9 3 5 8 9
9 3 5 8 9
15 5 10 12 15
12 3 9 10 12
12 3 9 10 12
15 8 8 12 15
0 2 2 1 1
0 2 2 1 1
5 5 4 2 1
15 8 8 12 15
15 8 6 12 15
25 3 8 15 18
15 5 8 15 15
18 3 10 12 18
15 3 8 12 15
12 2 7 10 16
0 2 2 2 0
0 2 1 1 1
1 2 3 3 2
12 4 12 10 13
8 4 10 8 6
15 8 8 12 15
1 2 2 2 1
1 1 1 1 1
0 1 1 1 0
0 1 1 0 0
0 1 1 1 0
1 3 3 2 2
12 2 3 3 7
5 4 4 4 6
1 2 2 2 1
7 4 7 7 7
10 3 8 2 5
7 2 4 5 7
7 3 4 5 7
7 4 5 5 7
6 3 4 5 6
4 2 2 2 2
3 2 2 2 2
6 3 4 5 6
1 3 4 6 4
1 2 2 2 2
5 2 2 2 2
4 2 2 2 2
5 2 2 2 2
2 2 2 2 2
1 2 5 2 3
3 3 5 3 3
4 3 5 2 4
2 3 5 2 3
0 3 2 1 0
1 3 5 2 3
4 4 5 3 3
6 4 5 6 6
7 4 7 5 9
15 3 10 10 15
12 3 10 9 12
Keterangan :
A. PENYAKIT
Anggot
PENYAKIT (LEVEL) Nama : Gab
TENSI
1 2 3 4A 1
Paru
1 Influenza (4AA) – SK 4A 0 0 0 9.75 0
2 SARS (3B) – S 3B 0 0 0 0 0
3 Flu Burung (3B) – S 3B 0 0 0 0 0
7 TBC Paru tanpa Komplikasi (4AA) –SK 4A 0 6.5 0 0 0
0 6.5 6.5 0 0
13 Edema Paru (3B) – S 3B 0 9.75 3.25 0 0
14 Abses Paru (3A) – S 3A 0 0 0 0 0
16.25 9.75 3.25 0 5
17 (3B) – SK 3B
18 Gagal jantung akut&kronik (3B) – K 3B 16.25 13 6.5 0 5
19 Cardiorespiratory arrest –(3B) SK 3B 16.25 9.75 9.75 6.5 5
9.75 6.5 6.5 0 3
22 (3B) – S 3B
26 Hipertensi Sekunder (3A) – S 3A 16.25 16.25 6.5 6.5 5
27 Esofagitis Refluks (3A) – S 3A 0 3.25 3.25 0 0
28 Gastritis (4AA) – SK 4A 16.25 13 13 9.75 5
30 Refluks Gastroesofagus (4AA) – SK 4A 0 3.25 3.25 0 0
32 Perdarahan Gastrointestinal (3B) – SK 3B 13 13 6.5 3.25 4
35 Botulisme (3B) – S 3B 0 0 0 0 0
40 Taeniasis (4AA) – SK 4A 0 0 0 0 0
41 Hepatitis A (4AA) – SK 4A 13 9.75 3.25 3.25 4
42 Hepatitis B (3A) – SK 3A 13 13 6.5 3.25 4
43 Abses Hepar Amoeba (3A) – SK 3A 6.5 3.25 3.25 0 2
46 Kolitis (3A) – S 3A 13 6.5 3.25 0 4
47 4A
49 Infeksi Saluran Kemih (4AA) – SK 4A 9.75 13 6.5 9.75 3
52 Kolik Renal (3A) – S 3A 6.5 3.25 3.25 0 2
9.75 6.5 3.25 3.25 3
55 3B
56 Diabetes Mellitus Tipe 1 (4AA) – S 4A 13 13 9.75 6.5 4
57 Diabetes Mellitus Tipe 2 (4AA) – SK 4A 16.25 9.75 6.5 13 5

13 6.5 3.25 6.5 4
59 – S
60 Hiperglikemi Hiperosmolar (3B) – SK 3B 13 9.75 6.5 6.5 4
61 Hipoglikemia Ringan (4AA) – SK 4A 9.75 9.75 6.5 13 3
62 Hipoglikemia Berat (3B) – SK 3B 16.25 9.75 3.25 3.25 5
66 Goiter (3A) – S 3A 9.75 6.5 3.25 0 3
71 Obesitas (4AA) – SK 4A 16.25 9.75 6.5 6.5 5
74 Anemia Defiensi Besi (4AA) – SK 4A 13 9.75 6.5 9.75 4
75 Anemia Hemolitik (3A) – S 3A 13 6.5 6.5 3.25 4
76 Anemia Makrositik (3A) – S 3A 13 13 6.5 9.75 4
77 Limfadenopati (3A) – SK 3A 13 9.75 6.5 3.25 4
80 Deman Dengue, DHF (4AA) – SK 4A 19.5 13 9.75 19.5 6
81 Dengue Shock Syndrome (3B) – S 3B 16.25 6.5 6.5 3.25 5
82 Demam tifoid (4AA) – SK 4A 16.25 9.75 6.5 13 5
83 Malaria (4AA) – SK 4A 0 0 0 0 0
13 13 6.5 13 4
85 SK 4A
86 Sepsis (3B) – S 9.75 6.5 3.25 0 3
95 Ulkus pada Tungkai (4AA) – SK 4A 13 9.75 6.5 6.5 4
Anggot
KETRAMPILAN (LEVEL) Nama : Gab
1 2 3 4A 1
Kewaspadaan Standar
1 Cuci tangan 7 langkah (4A) - KP 4A 0 0 0 48.75 0
Ketrampilan komunikasi Dokter – Pasien – Sejawat/ 0 0 0 0
Petugas Kesehatan
4 Identifikasi pasien dgn tepat– P 4A 9.75 16.25 26 35.75 3
5 Identifikasi pasien risiko jatuh – P 4A 6.5 16.25 26 32.5 2
6 Edukasi Individu/ kelompok – SK 4A 6.5 16.25 26 26 2
7 Menyampaikan kabar buruk – K 4A 9.75 16.25 26 26 3
8 Persetujuan tindakan medik –K 4A 9.75 16.25 26 29.25 3
Teman SejawaT/ Petugas Kesehatan Lain 4A 9.75 16.25 26 29.25 3
9
10 Meresepkan Obat (4A) –SPK 4A 9.75 16.25 26 16.25 3
11 Kewaspadaan High-Alert-Medication –P 4A 9.75 16.25 26 16.25 3
Penyakit Dalam
1 Penilaian Keadaan Umum (4A) – SK 4A 16.25 32.5 39 48.75 5
2 Penilaian habitus dan postur (4A) – SK 4A 9.75 29.25 32.5 39 3
3 Penilaian status gizi (4A) – SK 4A 9.75 29.25 32.5 39 3
4 trakea, palpasi fremitus taktil, perkusi 4A 26 26 39 48.75 8
– SK
7 Terapi okisgen & inhalasi – K 4A 16.25 13 6.5 3.25 5
9 Karotis (4A) – SK 4A 26 19.5 39 48.75 8

10 4A 9.75 26 48.75 58.5 3
11 Penilaian kardiovaskuler : Pengukuran 4A 16.25 26 48.75 48.75 5

12 4A 9.75 32.5 39 58.5 3
SK
13 4A 9.75 26 39 48.75 3
kapiler (4A) –S
15 Tes (Brodie) Trendelenburg (4A) – SK 4A 6.5 9.75 13 6.5 2
16 Test Homan (Homan’s Sign) (4A) – SK 4A 6.5 9.75 13 9.75 2
17 Test Ankle-Brachial Index (4A) – S 4A 6.5 9.75 13 9.75 2
18 EKG (4A) – SK 4A 13 39 32.5 39 4

20 organ intraabdomen, perkusi (pekak hati 4A 26 26 39 48.75 8

21 examination) (4A) – SK 4A 0 0 0 0 0
22 Palpasi Sacrum (4A) – S 4A 6.5 6.5 9.75 13 2

SK
24 – SK 4A 6.5 3.25 3.25 0 2
27 Penilaian Status Gizi (4A) – SK 4A 9.75 26 26 39 3
29 Memberikan Insulin (4A) – SK 4A 16.25 16.25 9.75 9.75 5
30 Palpasi Kelenjar Limfe (4A) – SK 4A 13 22.75 22.75 22.75 4
31 Pengukuran Kadar Gula Darah (4A) – SK 4A 9.75 26 6.5 32.5 3

32 inspeksi fleksi & ekstensi punggung, 4A 9.75 26 13 32.5 3

33 ekstremitas, inspeksi bahu / ekstremitas 4A 16.25 13 13 22.75 5
34 4A 16.25 13 13 22.75 5
35 4A 9.75 13 16.25 19.5 3
36 4A 9.75 13 16.25 19.5 3
(4A) – SK
38 penilaian fleksi dorsal / plantar, inversi 4A 9.75 13 16.25 19.5 3
39 Punggung dan sendi serta untuk 4A 9.75 13 19.5 22.75 3
40 Perkusi Tenderness (4A) – S 4A 16.25 22.75 19.5 26 5
41 Penilaian range of motion sendi (4A) – S 4A 13 13 19.5 22.75 4
42 Tes Fungsi Otot dan Sendi Bahu (4A) – K 4A 9.75 6.5 9.75 13 3
43 Metacarpal dan Jari-Jari Tangan (4A) – K 4A 9.75 6.5 9.75 16.25 3
44 4A 9.75 6.5 6.5 6.5 3
(4A) – S
Lain-lain 0 0 0 0
45 Punksi Vena (4A) – SK 4A 6.5 16.25 6.5 9.75 2
46 Injeksi Intrakutan (4A) – SK 4A 9.75 16.25 9.75 9.75 3
47 Injeksi Intravena (4A) – SK 4A 9.75 16.25 6.5 13 3
48 4A 9.75 16.25 6.5 9.75 3
SK
50 Bantuan Hidup Dasar (4A) – SK 4A 9.75 16.25 6.5 9.75 3
51 Ventilasi Masker (4A) – SK 4A 13 16.25 9.75 9.75 4
53 4A 13 22.75 16.25 29.25 4
54 Kesehatan (4A)– S 4A 9.75 32.5 32.5 48.75 3

55 Pelaporan (4A) – S 4A 9.75 32.5 29.25 39 3


Nama : Gabrina Selvi Nama : Azkiya Rizki Nama : Sitiayu Anisa Gultom
2 3 4A 1 2 3 4A 1 2 3
0 0 3 0 0 0 3 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 2 1 0 2 2 1 0 2 2
1 0 0 0 1 0 0 0 1 0
1 0 0 0 1 0 0 0 1 0
2 0 0 0 2 0 0 0 2 0
1 0 0 0 1 0 0 0 1 0
1 0 0 0 1 0 0 0 1 0
1 0 0 0 1 0 0 0 1 0
1 0 0 0 1 0 0 0 1 0
2 2 0 0 2 2 0 0 2 2
3 1 0 0 3 1 0 0 3 1
0 0 0 0 0 0 0 0 0 0
2 1 1 3 2 1 1 3 2 1
3 1 1 3 3 1 1 3 3 1
3 1 0 5 3 1 0 5 3 1
4 2 0 5 4 2 0 5 4 2
3 3 2 5 3 3 2 5 3 3
2 2 0 3 2 2 0 3 2 2
2 2 0 3 2 2 0 3 2 2
2 2 0 3 2 2 0 3 2 2
0 0 0 1 0 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0
4 2 3 6 4 2 3 6 4 2
5 2 2 5 5 2 2 5 5 2
1 1 0 0 1 1 0 0 1 1
4 4 3 5 4 4 3 5 4 4
0 0 0 0 0 0 0 0 0 0
1 1 0 0 1 1 0 0 1 1
1 1 0 4 1 1 0 4 1 1
4 2 1 4 4 2 1 4 4 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 1 1 4 3 1 1 4 3 1
4 2 1 4 4 2 1 4 4 2
1 1 0 2 1 1 0 2 1 1
1 1 0 2 1 1 0 2 1 1
2 1 0 3 2 1 0 3 2 1
2 1 0 4 2 1 0 4 2 1
0 0 0 0 0 0 0 0 0 0
1 1 1 2 1 1 1 2 1 1
4 2 3 3 4 2 3 3 4 2
1 0 0 2 1 0 0 2 1 0
1 0 0 3 1 0 0 3 1 0
1 1 0 2 1 1 0 2 1 1
2 1 1 3 2 1 1 3 2 1
2 1 0 2 2 1 0 2 2 1
0 0 0 0 0 0 0 0 0 0
4 3 2 4 4 3 2 4 4 3
3 2 4 5 3 2 4 5 3 2
3 2 1 3 3 2 1 3 3 2
2 1 2 4 2 1 2 4 2 1
3 2 2 4 3 2 2 4 3 2
3 2 4 3 3 2 4 3 3 2
3 1 1 5 3 1 1 5 3 1
1 1 0 2 1 1 0 2 1 1
3 2 1 3 3 2 1 3 3 2
1 1 0 3 1 1 0 3 1 1
2 1 0 3 2 1 0 3 2 1
3 2 1 3 3 2 1 3 3 2
1 1 0 2 1 1 0 2 1 1
3 1 3 3 3 1 3 3 3 1
2 2 1 3 2 2 1 3 2 2
3 2 2 5 3 2 2 5 3 2
2 2 1 3 2 2 1 3 2 2
1 1 0 3 1 1 0 3 1 1
3 2 3 4 3 2 3 4 3 2
2 2 1 4 2 2 1 4 2 2
4 2 3 4 4 2 3 4 4 2
3 2 1 4 3 2 1 4 3 2
1 2 1 3 1 2 1 3 1 2
2 2 1 3 2 2 1 3 2 2
4 3 6 6 4 3 6 6 4 3
2 2 1 5 2 2 1 5 2 2
3 2 4 5 3 2 4 5 3 2
0 0 0 0 0 0 0 0 0 0
1 1 0 3 1 1 0 3 1 1
4 2 4 4 4 2 4 4 4 2
2 1 0 3 2 1 0 3 2 1
0 0 0 0 0 0 0 0 0 0
1 1 1 3 1 1 1 3 1 1
2 2 1 3 2 2 1 3 2 2
0 0 0 0 0 0 0 0 0 0
2 1 1 2 2 1 1 2 2 1
1 1 2 2 1 1 2 2 1 1
2 2 1 3 2 2 1 3 2 2
1 1 1 3 1 1 1 3 1 1
3 2 2 4 3 2 2 4 3 2
2 2 1 3 2 2 1 3 2 2
Nama : Gabrina Selvi Nama : Azkiya Rizki Nama : Sitiayu Anisa Gultom
2 3 4A 1 2 3 4A 1 2 3
0 0 15 0 0 0 15 0 0 0
0 0 10 0 0 0 10 0 0 0
0 0 10 0 0 0 10 0 0 0
5 8 11 3 5 8 11 3 5 8
5 8 10 2 5 8 10 2 5 8
5 8 8 2 5 8 8 2 5 8
5 8 8 3 5 8 8 3 5 8
5 8 9 3 5 8 9 3 5 8
5 8 9 3 5 8 9 3 5 8
5 8 5 3 5 8 5 3 5 8
5 8 5 3 5 8 5 3 5 8
10 12 15 5 10 12 15 5 10 12
9 10 12 3 9 10 12 3 9 10
9 10 12 3 9 10 12 3 9 10
8 12 15 8 8 12 15 8 8 12
2 1 1 2 2 1 1 2 2 1
2 1 1 2 2 1 1 2 2 1
4 2 1 5 4 2 1 5 4 2
8 12 15 8 8 12 15 8 8 12
6 12 15 8 6 12 15 8 6 12
8 15 18 3 8 15 18 3 8 15
8 15 15 5 8 15 15 5 8 15
10 12 18 3 10 12 18 3 10 12
8 12 15 3 8 12 15 3 8 12
7 15 18 2 7 15 18 2 7 15
3 4 2 2 3 4 2 2 3 4
3 4 3 2 3 4 3 2 3 4
3 4 3 2 3 4 3 2 3 4
12 10 12 4 12 10 12 4 12 10
12 10 12 4 12 10 12 4 12 10
8 12 15 8 8 12 15 8 8 12
0 0 0 0 0 0 0 0 0 0
2 3 4 2 2 3 4 2 2 3
1 1 1 2 1 1 1 2 1 1
1 1 0 2 1 1 0 2 1 1
0 0 0 0 0 0 0 0 0 0
3 2 2 3 3 2 2 3 3 2
8 8 12 3 8 8 12 3 8 8
8 8 8 3 8 8 8 3 8 8
5 3 3 5 5 3 3 5 5 3
7 7 7 4 7 7 7 4 7 7
8 2 10 3 8 2 10 3 8 2
8 4 10 3 8 4 10 3 8 4
4 4 7 5 4 4 7 5 4 4
4 4 7 5 4 4 7 5 4 4
4 5 6 3 4 5 6 3 4 5
4 5 6 3 4 5 6 3 4 5
4 5 6 3 4 5 6 3 4 5
4 5 6 3 4 5 6 3 4 5
4 6 7 3 4 6 7 3 4 6
7 6 8 5 7 6 8 5 7 6
4 6 7 4 4 6 7 4 4 6
2 3 4 3 2 3 4 3 2 3
2 3 5 3 2 3 5 3 2 3
2 2 2 3 2 2 2 3 2 2
5 2 3 2 5 2 3 2 5 2
5 3 3 3 5 3 3 3 5 3
5 2 4 3 5 2 4 3 5 2
5 2 3 3 5 2 3 3 5 2
2 1 0 3 2 1 0 3 2 1
5 2 3 3 5 2 3 3 5 2
5 3 3 4 5 3 3 4 5 3
5 6 6 4 5 6 6 4 5 6
7 5 9 4 7 5 9 4 7 5
10 10 15 3 10 10 15 3 10 10
10 9 12 3 10 9 12 3 10 9
/2015 – IDI 2017
gota 3 Anggota 4
u Anisa Gultom Nama : Zsa-zsa Ayu Laksmi
4A 1 2 3 4A
3 0 0 0 3
0 0 0 0 0
0 0 0 0 0
1 0 2 2 1
0 0 1 0 0
0 0 1 0 0
0 0 2 0 0
0 0 1 0 0
0 0 1 0 0
0 0 1 0 0
0 0 1 0 0
0 0 2 2 0
0 0 3 1 0
0 0 0 0 0
1 3 2 1 1
1 3 3 1 1
0 5 3 1 0
0 5 4 2 0
2 5 3 3 2
0 3 2 2 0
0 3 2 2 0
0 3 2 2 0
0 1 0 0 0
0 1 0 0 0
3 6 4 2 3
2 5 5 2 2
0 0 1 1 0
3 5 4 4 3
0 0 0 0 0
0 0 1 1 0
0 4 1 1 0
1 4 4 2 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 4 3 1 1
1 4 4 2 1
0 2 1 1 0
0 2 1 1 0
0 3 2 1 0
0 4 2 1 0
0 0 0 0 0
1 2 1 1 1
3 3 4 2 3
0 2 1 0 0
0 3 1 0 0
0 2 1 1 0
1 3 2 1 1
0 2 2 1 0
0 0 0 0 0
2 4 4 3 2
4 5 3 2 4
1 3 3 2 1
2 4 2 1 2
2 4 3 2 2
4 3 3 2 4
1 5 3 1 1
0 2 1 1 0
1 3 3 2 1
0 3 1 1 0
0 3 2 1 0
1 3 3 2 1
0 2 1 1 0
3 3 3 1 3
1 3 2 2 1
2 5 3 2 2
1 3 2 2 1
0 3 1 1 0
3 4 3 2 3
1 4 2 2 1
3 4 4 2 3
1 4 3 2 1
1 3 1 2 1
1 3 2 2 1
6 6 4 3 6
1 5 2 2 1
4 5 3 2 4
0 0 0 0 0
0 3 1 1 0
4 4 4 2 4
0 3 2 1 0
0 0 0 0 0
1 3 1 1 1
1 3 2 2 1
0 0 0 0 0
1 2 2 1 1
2 2 1 1 2
1 3 2 2 1
1 3 1 1 1
2 4 3 2 2
1 3 2 2 1
gota 3 Anggota 4
u Anisa Gultom Nama : Zsa-zsa Ayu Laksmi
4A 1 2 3 4A
15 0 0 0 15
10 0 0 0 10
10 0 0 0 10
11 3 5 8 11
10 2 5 8 10
8 2 5 8 8
8 3 5 8 8
9 3 5 8 9
9 3 5 8 9
5 3 5 8 5
5 3 5 8 5
15 5 10 12 15
12 3 9 10 12
12 3 9 10 12
15 8 8 12 15
1 2 2 1 1
1 2 2 1 1
1 5 4 2 1
15 8 8 12 15
15 8 6 12 15
18 3 8 15 18
15 5 8 15 15
18 3 10 12 18
15 3 8 12 15
18 2 7 15 18
2 2 3 4 2
3 2 3 4 3
3 2 3 4 3
12 4 12 10 12
12 4 12 10 12
15 8 8 12 15
0 0 0 0 0
4 2 2 3 4
1 2 1 1 1
0 2 1 1 0
0 0 0 0 0
2 3 3 2 2
12 3 8 8 12
8 3 8 8 8
3 5 5 3 3
7 4 7 7 7
10 3 8 2 10
10 3 8 4 10
7 5 4 4 7
7 5 4 4 7
6 3 4 5 6
6 3 4 5 6
6 3 4 5 6
6 3 4 5 6
7 3 4 6 7
8 5 7 6 8
7 4 4 6 7
4 3 2 3 4
5 3 2 3 5
2 3 2 2 2
3 2 5 2 3
3 3 5 3 3
4 3 5 2 4
3 3 5 2 3
0 3 2 1 0
3 3 5 2 3
3 4 5 3 3
6 4 5 6 6
9 4 7 5 9
15 3 10 10 15
12 3 10 9 12
Keterangan :
A. PENYAKIT
Anggot
PENYAKIT (LEVEL) Nama : Annis
TENSI
1 2 3 4A 1
Paru 0
1 Influenza (4AA) – SK 4A 0.6 0 0 0 2
2 SARS (3B) – S 3B 0.4 0 0 0 1
3 Flu Burung (3B) – S 3B 0.4 0 0 0 1
5 Bronkhitis Akut (4AA) – SK 4A 0.6 0.2 0 0 1
7 TBC Paru tanpa Komplikasi (4AA) –SK 4A 3 0.8 0.4 0 3
8 TBC Paru dengan HIV (3A) – SK 3A 0.4 0.8 0 0.2 1
9 Pneumothorax (3A) – SK 3A 0.6 0 0 0 1
10 Efusi Pleura Masif (3B) – S 3B 2.2 0.4 0.2 0.2 3
11 Emfisema Paru (3A) – S 3A 0.4 0.4 0 0 1
0.8 0.2 0.6 0.4 2
13 Edema Paru (3B) – S 3B 2 1.4 0.4 1.2 3
14 Abses Paru (3A) – S 3A 0.4 0.8 0 0 1
15 Angina pectoris stabil (3B) – SK 3B 2.8 0.4 0 0.2 3
16 Infark miokard (3B)– SK 3B 2 0.8 0.4 0.4 3
0.6 0 0.4 0.8 1
17 (3B) – SK 3B
18 Gagal jantung akut&kronik (3B) – K 3B 4.8 0.8 1.2 0.8 8
19 Cardiorespiratory arrest –(3B) SK 3B 0.4 0 0 0.4 1
20 Fibrilasi Atrial (3A) – SK 3A 1.2 0 0.4 0 2
21 Fibrilasi Ventrikular (3B) – SK 3B 0.6 0 0.4 0 1
0.6 0 0 0 1
22 (3B) – S 3B
24 Kor Pulmonale Kronik (3A) – S 3A 0.4 0 0.2 0 1
26 Hipertensi Sekunder (3A) – S 3A 1.6 0 0.4 1.2 1
27 Esofagitis Refluks (3A) – S 3A 0.4 0 0 0 1
28 Gastritis (4AA) – SK 4A 0.4 1.4 0.4 0 1
Gastroenteritis (termasuk Kolera, 0 0 0.4 0.2 0
30 Refluks Gastroesofagus (4AA) – SK 4A 0.4 0.4 0 0 1
32 Perdarahan Gastrointestinal (3B) – SK 3B 3.2 0.8 0.6 0 6
33 Alergi Makanan (4AA) – SK 4A 0.4 0 0 0 1
34 Keracunan Makanan (4AA) – S 4A 0.4 0 0 0 1
35 Botulisme (3B) – S 3B 0 0 0 0 0
40 Taeniasis (4AA) – SK 4A 0 0 0 0 0
41 Hepatitis A (4AA) – SK 4A 0.8 0.4 0.2 0 1
42 Hepatitis B (3A) – SK 3A 3.2 1 0.6 1.2 5
43 Abses Hepar Amoeba (3A) – SK 3A 0.4 0.4 0 0.4 1
45 Kolesisititis (3B) – SK 3B 1.8 0 0.4 0.6 3
46 Kolitis (3A) – S 3A 1.8 1 0.2 0.2 4
Disentri basiler, disentri amuba (4AA) – SK 0.4 0 0 0 1
47 4A
48 Irritable Bowel Syndrome (3A) – S 3A 0.4 0 0 0 1
49 Infeksi Saluran Kemih (4AA) – SK 4A 0.6 0 0 0 1
50 Glomerulonefritis Akut (3A) – S 3A 0.4 0 0 0 1
52 Kolik Renal (3A) – S 3A 0.4 0 0 0 1
0.4 0 0 0 1
54 Pielonefritis tanpa Komplikasi (4AA) – SK 4A 0.4 0 0 0 1
55 3B
56 Diabetes Mellitus Tipe 1 (4AA) – S 4A 0.8 0 0 0 1

57 Diabetes Mellitus Tipe 2 (4AA) – SK 4A 6 0 0.8 0.8 9

glukosa akibat penyakit lain atau obat- 0 0 0 0 0
0.6 0 0 0 1
59 – S
60 Hiperglikemi Hiperosmolar (3B) – SK 3B 0.2 0 0 0 0
61 Hipoglikemia Ringan (4AA) – SK 4A 1 0 0 0 1
62 Hipoglikemia Berat (3B) – SK 3B 1 0 0.2 0 1
63 Hipoparatiroid (3A) – S 3A 0 0 0 0 0
64 Hipertiroid (3A) – SK 3A 1.4 0 0.8 0 3
65 Tirotoksikosis (3B) – SK 3B 1.4 0 0 0 3
66 Goiter (3A) – S 3A 1.2 0 0 0 3
67 Cushing’s Disease (3B) – S 3B 0.4 0.6 0 0 1
68 Krisis Adrenal (3B) – S 3B 0.4 0.4 0 0 1
69 Dislipidemia (4AA) – SK 4A 1.6 0.8 0.8 0 4
71 Obesitas (4AA) – SK 4A 0.4 1
72 Sindrom Metabolik (3B) – S 3B 0.4 0 0 0 1
73 Malnutrisi energy protein (4AA) – K 4A 0.4 0 0 0 1
74 Anemia Defiensi Besi (4AA) – SK 4A 0.8 0.4 0.4 1 1
75 Anemia Hemolitik (3A) – S 3A 1 1
76 Anemia Makrositik (3A) – S 3A 0.6 0.4 0 0.4 1
77 Limfadenopati (3A) – SK 3A 1.4 0 0 0.2 3
78 Limfadenitis (4AA) – SK 4A 0.6 0 0 0 1
79 Bakteremia, sepsis (3B) – S 3B 1.4 0 0 0 3
80 Deman Dengue, DHF (4AA) – SK 4A 2.4 0.8 0.4 0 4
81 Dengue Shock Syndrome (3B) – S 3B 0.8 0 0 0 1
82 Demam tifoid (4AA) – SK 4A 0.8 0 0.4 0 1
83 Malaria (4AA) – SK 4A 1 0 0 0 1
84 Toksoplasmosis (3A) – S 3A 0.4 0 0 0 1
2.6 1 0 0.2 4
85 SK 4A
86 Sepsis (3B) – S 0.6 0 0 0.6 1
87 Filariasis – K 4A 0 0
Imunologi dan Reumatologi 0 0
88 Lupus Eritematosus Sistemik (3A) – SK 3A 2.2 0.4 0 0 4
89 Polimialgia Reumatik (3A) – SK+B132 3A 0.4 0 0 0 1
90 Reaksi Anafilaktik (4AA) – SK 4A 0.4 0 0 0 1
91 Demam Reumatik (3A) – S 3A 0.4 0 0 0 1
92 Artritis Reumatoid (3A) – SK 3A 0.4 0 0 0 1
93 Arthritis Osteoarthritis (3A) – SK 3A 0.4 0 0 0 1
94 Osteoporosis (3A) – S 3A 0.4 0 0 0 1
95 Ulkus pada Tungkai (4AA) – SK 4A 2 0.4 0 0.4 3
96 Osteomielitis (3A) – S 3A 0.6 0 0 0.2 1
Anggot
KETRAMPILAN (LEVEL) Nama : Annis
1 2 3 4A 1
Kewaspadaan Standar 0
3 Prinsip aseptic & antiseptic (4A) – KP 4A 0 0 0 0 0
Petugas Kesehatan
4 Identifikasi pasien dgn tepat– P 4A 0.2 0 0 5.8 0
5 Identifikasi pasien risiko jatuh – P 4A 0 0 0 4.6 0
6 Edukasi Individu/ kelompok – SK 4A 0 0 1.2 2 0
7 Menyampaikan kabar buruk – K 4A 0 0 1.4 0 0
8 Persetujuan tindakan medik –K 4A 0 0 1.6 0.2 0
Teman SejawaT/ Petugas Kesehatan Lain 4A 0 0 0.4 0.4 0
9
10 Meresepkan Obat (4A) –SPK 4A 0.2 0 0.4 0 0
11 Kewaspadaan High-Alert-Medication –P 4A 0 0 0 0 0
Ketrampilan Klinik Terkait Ilmu 0
Penyakit Dalam
1 Penilaian Keadaan Umum (4A) – SK 4A 0 0 0 88 0
2 Penilaian habitus dan postur (4A) – SK 4A 0 0 0 0.4 0
3 Penilaian status gizi (4A) – SK 4A 0 0 0 1 0
4 trakea, palpasi fremitus taktil, perkusi 4A 0.2 1.6 4 5.2 0
– SK
5 Persiapan dan Pemeriksaan Sputum – SK 4A 0 0 0 0.2 0
6 Uji Fungsi Paru / Spirometri (4A) – SK 4A 0 0 0 0 0
7 Terapi okisgen & inhalasi – K 4A 0 0 0 0 0
20 palpasi apeks jantung, perkusi batas 4A 0.2 1.6 3.4 5.2 0
9 Penilaian kardiovaskuler : Palpasi A. 4A 0 0 0 0.4 0
Karotis (4A) – SK
10 Penilaian kardiovaskuler : Pengukuran 4A 0 0 0 144.8 0

11 Penilaian kardiovaskuler : Pengukuran 4A 2 0.4 0.6 3.2 3

12 4A 0 0 0 60.8 0
SK
13 4A 0 0 0 0 0
kapiler (4A) –S
15 Tes (Brodie) Trendelenburg (4A) – SK 4A 0 0 0 0 0
16 Test Homan (Homan’s Sign) (4A) – SK 4A 0 0 0 0 0
17 Test Ankle-Brachial Index (4A) – S 4A 0.4 0 0 0.2 0
18 EKG (4A) – SK 4A 0.2 0.4 0 9.4 1

20 organ intraabdomen, perkusi (pekak hati 4A 0.4 1.4 4 5 1

21 examination) (4A) – SK 4A 0.4 0 0 0.2 1
22 Palpasi Sacrum (4A) – S 4A 0 0 0 0 0

SK
24 – SK 4A 0.4 0 0 0 1
25 Palpasi Prostat (4A) – S 4A 0.4 0 0 0 1
26 Palpasi Kelenjar Tiroid (4A) – SK 4A 0.2 0 0.2 0.6 1
27 Penilaian Status Gizi (4A) – SK 4A 0.4 0 0 0.8 1
29 Memberikan Insulin (4A) – SK 4A 0.4 0.4 0 0 1
30 Palpasi Kelenjar Limfe (4A) – SK 4A 0.4 0 0 0.4 1
31 Pengukuran Kadar Gula Darah (4A) – SK 4A 0.6 0 0 0.8 1

32 inspeksi fleksi & ekstensi punggung, 4A 0 0 0 0.6 0

33 ekstremitas, inspeksi bahu / ekstremitas 4A 0 0 0.6 0.6 0
34 4A 0 0 0 0.4 0
35 4A 0 0 0 0.6 0
36 4A 0 0 0 0 0
(4A) – SK
37 Penilaian Meniscus (4A) – S 4A 0 0 0 0 0
38 penilaian fleksi dorsal / plantar, inversi 4A 0 0 0 0.4 0
39 Punggung dan sendi serta untuk 4A 0 0 0 0.4 0
40 Perkusi Tenderness (4A) – S 4A 0 0 0 0.4 0
41 Penilaian range of motion sendi (4A) – S 4A 0 0 0 0.2 0
42 Tes Fungsi Otot dan Sendi Bahu (4A) – K 4A 0 0 0 0 0
43 Metacarpal dan Jari-Jari Tangan (4A) – K 4A 0 0 0 0.2 0
44 4A 0 0 0 0 0
(4A) – S
Lain-lain 0 0 0 0 0
45 Punksi Vena (4A) – SK 4A 0 0 0 0 0
46 Injeksi Intrakutan (4A) – SK 4A 0.4 0.4 0 0 1
47 Injeksi Intravena (4A) – SK 4A 0.2 0.8 0 0 1
48 4A 0.4 0 0 0.4 1
SK
50 Bantuan Hidup Dasar (4A) – SK 4A 0.2 0 0 0.2 1
51 Ventilasi Masker (4A) – SK 4A 0 0 0 0 0
52 Resusitasi Cairan (4A) – SK 4A 0.4 0 0 0 1
53 4A 0 0 0 2.2 0
54 Kesehatan (4A)– S 4A 0 0 0.6 2.8 0

55 Pelaporan (4A) – S 4A 0 0 0 3.6 0


Nama : Annisa Zakia W Nama : Andry Setiadharma Nama : Inria Astari Zahra
2 3 4A 1 2 3 4A 1 2 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2 0 0 1 0 2 0 0 0
0 0 0 0 1 0 0 1 0 0
0 0 0 0 1 0 0 0 0 0
2 1 0 3 0 0 0 6 0 0
2 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 1 0 0
1 0 0 2 0 0 1 4 0 1
1 0 0 0 0 0 0 0 0 0
0 1 1 0 1 0 0 0 0 1
3 1 2 3 1 0 2 1 0 0
2 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 6 0 0 1 2 0 0
2 1 1 4 0 0 0 0 0 0
0 1 3 1 0 0 0 0 0 0
2 2 2 1 0 0 0 7 0 2
0 0 1 0 0 0 0 0 0 0
0 1 0 1 0 0 0 1 0 0
0 1 0 1 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1
2 1 1 6 0 0 2 7 0 0
0 1 2 6 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 1 0 0 0 0 0 0 1 0
0 1 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
2 1 0 1 0 0 0 0 0 0
2 1 0 3 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 1 0 1 0 0
2 1 2 4 1 0 2 2 0 1
1 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1 1 1 0 0 1 2 0 0
2 0 0 1 1 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 1 0 0
0 2 1 4 0 0 2 8 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 2 0 0 0 1 0 0
0 0 0 2 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 2 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 1 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
2 2 0 0 0 0 0 0 0 0
2 2 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 1 1 1 0 0 2 1 0 0
1 1 0 0 0 0 0 3 0 0
1 0 0 0 0 0 1 1 0 0
0 0 0 0 0 0 1 1 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
2 1 0 1 0 0 0 3 0 0
0 0 0 1 0 0 0 1 0 0
0 1 0 1 0 0 0 1 0 0
0 0 0 2 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 2 0 0 0 3 1 0
0 0 0 1 0 0 3 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 2 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 2 3 0 0
0 0 0 1 0 0 1 0 0 0
Nama : Annisa Zakia W Nama : Andry Setiadharma Nama : Inria Astari Zahra
2 3 4A 1 2 3 4A 1 2 3
0 0 0 0 0 0 0 0 0 0
0 0 7 0 0 0 50 0 0 0
0 0 1 0 0 0 15 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 12 1 0 0 6 0 0 0
0 0 12 0 0 0 0 0 0 0
0 2 5 0 0 0 0 0 0 2
0 3 0 0 0 0 0 0 0 2
0 4 1 0 0 0 0 0 0 2
0 2 2 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 85 0 0 0 16 0 0 0
0 0 2 0 0 0 0 0 0 0
0 0 5 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 7 5 1 8 0 16 0 0 7
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 6 5 1 8 0 16 0 0 6
0 0 1 0 0 0 1 0 0 0
0 0 85 0 0 0 300 0 0 0
0 1 0 1 2 0 16 3 0 1
0 0 2 0 0 0 300 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1 0 1 2 0 16 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 2 0 0 1 0 0 0
2 0 8 0 0 0 25 0 0 0
0 2 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0
3 4 5 1 4 0 16 0 0 8
0 0 0 1 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0
0 0 4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 2 0 0 0 0 0 0 0
0 0 4 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 1
0 0 2 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 2 0 0 0 0 0 0 0
0 0 2 0 0 0 0 0 0 0
0 0 2 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 5 0 0 0 2 0 0 0
0 1 7 0 0 0 0 0 0 1
0 0 6 0 0 0 0 0 0 0
/2015 – IDI 2017
gota 3 Anggota 4
a Astari Zahra Nama : Patwi Purnamasari
4A 1 2 3 4A
0 0 0 0 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 3 0 2 0
0 1 0 0 0
0 1 0 0 0
0 3 2 1 0
0 1 2 0 0
0 1 0 0 0
0 2 1 0 0
0 1 1 0 0
0 2 0 1 1
0 3 3 1 2
0 1 2 0 0
0 0 0 0 0
0 3 1 0 0
0 3 2 1 1
0 1 0 1 1
0 8 2 2 2
0 1 0 0 1
0 2 0 1 0
0 1 0 1 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 6 2 1 1
0 1 0 1 2
0 0 0 0 0
0 1 0 0 0
0 1 3 1 0
0 0 0 1 1
0 1 1 0 0
0 2 2 1 0
0 6 2 1 0
0 1 0 0 0
0 1 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 1 0 0
0 5 2 1 2
0 1 1 0 1
0 2 0 0 0
0 3 0 1 1
0 4 2 0 0
0 1 0 0 0
0 1 0 0 0
0 0 0 0 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 0
0 9 0 2 1
0 0 0 0 0
0 1 0 0 0
0 0 0 0 0
0 1 0 0 0
0 1 0 0 0
0 0 0 0 0
0 3 0 2 0
0 3 0 0 0
0 3 0 0 0
0 1 1 0 0
0 1 1 0 0
0 4 2 2 0
0 4 2 2 1
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 0 0 0 0
0 1 1 1 2
0 1 1 1 2
0 1 1 0 1
0 3 0 0 0
0 1 0 0 0
0 0 0 0 0
0 3 0 0 0
0 4 2 1 0
0 1 0 0 0
0 1 0 1 0
0 1 0 0 0
0 1 0 0 0
1 4 2 0 0
0 1 0 0 0
0 0 0 0 0
0 0 0 0 0
0 4 1 0 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 3 1 0 0
0 1 0 0 0
gota 3 Anggota 4
a Astari Zahra Nama : Patwi Purnamasari
4A 1 2 3 4A
0 0 0 0 0
6 0 0 0 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 11
0 0 0 0 11
0 0 0 2 5
0 0 0 2 0
0 0 0 2 0
0 0 0 0 0
0 0 0 1 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
250 0 0 0 89
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
2 0 0 6 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 0 5 4
0 0 0 0 0
250 0 0 0 89
0 3 0 1 0
1 0 0 0 1
0 0 0 0 0
0 0 0 1 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 0 0 0 8
0 0 0 2 0
0 0 0 0 0
2 0 0 8 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 0
0 0 0 0 0
0 1 0 0 0
0 0 0 0 0
1 0 0 0 1
0 1 0 0 0
0 1 0 0 0
0 1 0 0 0
0 0 0 0 0
0 1 0 0 0
0 1 0 0 0
0 0 0 0 0
1 0 0 0 1
1 0 0 1 1
0 0 0 0 0
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 0
0 0 0 0 0
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1 0 0 0
0 0 0 0 4
1 0 0 1 6
6 0 0 0 6
Keterangan :
A. PENYAKIT
Anggot
PENYAKIT (LEVEL) Nama : OKTA HAR
TENSI
1 2 3 4A 1
Paru
1 Influenza (4AA) – SK 4A 0 0 0 0 0
2 SARS (3B) – S 3B 0 0 0 0 0
3 Flu Burung (3B) – S 3B 0 0 0 0 0
4 Asma Bronkhial (4AA) – SK 4A 0.4 0.8 0 0.4 1
5 Bronkhitis Akut (4AA) – SK 4A 0 0 0 0 0
6 Bronkhiektasis (3A) – SK 3A 0 0 0 0 0
7 TBC Paru tanpa Komplikasi (4AA) –SK 4A 2.4 1.2 1 0.8 2
8 TBC Paru dengan HIV (3A) – SK 3A 0.4 0.4 0 0 1
9 Pneumothorax (3A) – SK 3A 0.2 0 0 0 0
11 Emfisema Paru (3A) – S 3A 0 0 0 0 0
0.8 0.8 0 0.4 2
13 Edema Paru (3B) – S 3B 1.2 0.4 0 0 0
14 Abses Paru (3A) – S 3A 0 0 0 0 0
Jantung dan Pembuluh Darah
15 Angina pectoris stabil (3B) – SK 3B 1 0.8 0 0.4 1
16 Infark miokard (3B)– SK 3B 0.6 0.8 0 0 0
2.2 0.4 0 0 2
17 (3B) – SK 3B
18 Gagal jantung akut&kronik (3B) – K 3B 2.2 0.8 0.2 0 1
19 Cardiorespiratory arrest –(3B) SK 3B 0 0 0 0 0
20 Fibrilasi Atrial (3A) – SK 3A 1.4 0 0 0.4 1
21 Fibrilasi Ventrikular (3B) – SK 3B 1 0 0 0 0
1 0 0 0 0
22 (3B) – S 3B
26 Hipertensi Sekunder (3A) – S 3A 1.2 0 0 0.4 3
Gastroenterohepatologi
27 Esofagitis Refluks (3A) – S 3A 0 0 0 0 0
28 Gastritis (4AA) – SK 4A 0 0 0 0 0
30 Refluks Gastroesofagus (4AA) – SK 4A 0 0 0 0 0
31 Ulkus (gaster, duodenum) (3A) – S 3A 0.4 0 0 0 0
32 Perdarahan Gastrointestinal (3B) – SK 3B 2 0 0 0 3
35 Botulisme (3B) – S 3B 0 0 0 0 0
40 Taeniasis (4AA) – SK 4A 0 0 0 0 0
41 Hepatitis A (4AA) – SK 4A 1.6 0.4 0 0.4 3
42 Hepatitis B (3A) – SK 3A 3.2 0.4 0.4 0.6 3
43 Abses Hepar Amoeba (3A) – SK 3A 0.4 0 0 0 0
45 Kolesisititis (3B) – SK 3B 1.2 0.4 0.8 0.4 1
46 Kolitis (3A) – S 3A 0.8 0 0 0 0
47 4A
48 Irritable Bowel Syndrome (3A) – S 3A 0.4 0 0 0 0
49 Infeksi Saluran Kemih (4AA) – SK 4A 1.4 0 0 0.4 2
50 Glomerulonefritis Akut (3A) – S 3A 0.2 0 0 0 0
52 Kolik Renal (3A) – S 3A 0 0 0 0 0
0.4 0.4 0 0 1
54 Pielonefritis tanpa Komplikasi (4AA) – SK 4A 0 0 0 0 0
55 3B
56 Diabetes Mellitus Tipe 1 (4AA) – S 4A 0.8 0 0 0 2
57 Diabetes Mellitus Tipe 2 (4AA) – SK 4A 5.2 1.6 0.4 1.6 6

glukosa akibat penyakit lain atau obat- 0 0 0 0 0
1.2 0.4 0 0.4 2
59 – S
60 Hiperglikemi Hiperosmolar (3B) – SK 3B 1.2 0 0 0 2
61 Hipoglikemia Ringan (4AA) – SK 4A 1.2 0 0 0 2
62 Hipoglikemia Berat (3B) – SK 3B 0.8 0 0 0 1
63 Hipoparatiroid (3A) – S 3A 0 0 0 0 0
64 Hipertiroid (3A) – SK 3A 0.8 0 0 0 1
65 Tirotoksikosis (3B) – SK 3B 0.8 0 0 0 1
66 Goiter (3A) – S 3A 0.4 0 0 0 1
67 Cushing’s Disease (3B) – S 3B 0.4 0.8 0 0 1
68 Krisis Adrenal (3B) – S 3B 0 0 0 0 0
69 Dislipidemia (4AA) – SK 4A 1 0 0 0 1
70 Hiperurisemia (4AA) – SK 4A 0.4 0 0 0.4 1
71 Obesitas (4AA) – SK 4A 0.4 0 0 0 1
72 Sindrom Metabolik (3B) – S 3B 0.8 0 0 0 1
73 Malnutrisi energy protein (4AA) – K 4A 0 0 0 0 0
74 Anemia Defiensi Besi (4AA) – SK 4A 3.4 0.8 0 0.8 4
75 Anemia Hemolitik (3A) – S 3A 3 0.4 0 0 4
76 Anemia Makrositik (3A) – S 3A 3 0 0 0 4
77 Limfadenopati (3A) – SK 3A 1.2 0.4 0 0.4 3
78 Limfadenitis (4AA) – SK 4A 0.8 0 0 0 2
79 Bakteremia, sepsis (3B) – S 3B 0.4 0 0.4 0.4 1
80 Deman Dengue, DHF (4AA) – SK 4A 3.4 0 0 1.2 5
81 Dengue Shock Syndrome (3B) – S 3B 0.8 0 0 0 1
82 Demam tifoid (4AA) – SK 4A 1.4 0 0 0 2
83 Malaria (4AA) – SK 4A 0.8 0 0 0 2
84 Toksoplasmosis (3A) – S 3A 0 0 0 0 0
2.6 0 0 0 1
85 SK 4A
86 Sepsis (3B) – S 0.4 0 0.4 0.4 1
Imunologi dan Reumatologi 0
89 Polimialgia Reumatik (3A) – SK+B132 3A 0 0.4 0.4 0 0
91 Demam Reumatik (3A) – S 3A 0 0 0 0 0
92 Artritis Reumatoid (3A) – SK 3A 0 0.4 0.2 0 0
93 Arthritis Osteoarthritis (3A) – SK 3A 0.4 0.4 0 0 1
94 Osteoporosis (3A) – S 3A 0.8 0 0 0 2
95 Ulkus pada Tungkai (4AA) – SK 4A 1.4 0 0 0.4 1
96 Osteomielitis (3A) – S 3A 0.4 0 0 0 1
Anggot
KETRAMPILAN (LEVEL) Nama : OKTA HAR
1 2 3 4A 1
Kewaspadaan Standar
Ketrampilan komunikasi Dokter – Pasien – Sejawat/
Petugas Kesehatan
4 Identifikasi pasien dgn tepat– P 4A 0 0 0 11.2 0
5 Identifikasi pasien risiko jatuh – P 4A 0 0 0 0 0
6 Edukasi Individu/ kelompok – SK 4A 0 0 0 0 0
7 Menyampaikan kabar buruk – K 4A 0 0 0 0.4 0
8 Persetujuan tindakan medik –K 4A 0 0 0 4.8 0
Teman SejawaT/ Petugas Kesehatan Lain 4A 0 3.2 0 4.8 0
9
10 Meresepkan Obat (4A) –SPK 4A 0.4 0.8 0.4 0 1
11 Kewaspadaan High-Alert-Medication –P 4A 0 0 0 0 0
Penyakit Dalam
General Survey
1 Penilaian Keadaan Umum (4A) – SK 4A 0 0 0 14.2 0
2 Penilaian habitus dan postur (4A) – SK 4A 0 0 0 12.4 0
3 Penilaian status gizi (4A) – SK 4A 0 0 0 3.2 0
trakea, palpasi fremitus taktil, perkusi
4 4A 0 0 0 11.6 0
– SK
5 Persiapan dan Pemeriksaan Sputum – SK 4A 0.8 0 0 0 1
6 Uji Fungsi Paru / Spirometri (4A) – SK 4A 0.8 0 0 0 1
7 Terapi okisgen & inhalasi – K 4A 0 0 0 0.2 0
9 Penilaian kardiovaskuler : Palpasi A. 4A 0 0 0 11.2 0
Karotis (4A) – SK
10 Penilaian kardiovaskuler : Pengukuran 4A 0 0 0 57 0

11 Penilaian kardiovaskuler : Pengukuran 4A 1.2 0 0.8 2 1

12 4A 0 0 0 2.8 0
SK
13 4A 0 0 0 14 0
kapiler (4A) –S
14 Deteksi Bruits (4A) – SK 4A 0 0 0 0.4 0
15 Tes (Brodie) Trendelenburg (4A) – SK 4A 0 0 0 0 0
16 Test Homan (Homan’s Sign) (4A) – SK 4A 0 0 0 0 0
17 Test Ankle-Brachial Index (4A) – S 4A 1.6 0.8 0 0 2
18 EKG (4A) – SK 4A 1.8 0 0.4 14 2
19 Resusitasi Cairan (4A) – SK 4A 0.8 0 1 0.8 1
Gastrohepatologi / Abdomen

20 organ intraabdomen, perkusi (pekak hati 4A 0 0.2 0.2 11.4 0

21 examination) (4A) – SK 4A 0.8 0.8 0 0.4 1
22 Palpasi Sacrum (4A) – S 4A 0 0 0 0 0

SK
24 – SK 4A 0 0 0 0 0
26 Palpasi Kelenjar Tiroid (4A) – SK 4A 0 0 0 2 0
27 Penilaian Status Gizi (4A) – SK 4A 0 0 0 0.8 0
28 Mengatur Diet (4A) – SK 4A 0 0 0 0.8 0
29 Memberikan Insulin (4A) – SK 4A 0.8 0 0 0 1
30 Palpasi Kelenjar Limfe (4A) – SK 4A 0 0 0 2 0
31 Pengukuran Kadar Gula Darah (4A) – SK 4A 0 0 0 1.2 0

32 inspeksi fleksi & ekstensi punggung, 4A 0 0 0.2 0.8 0

33 ekstremitas, inspeksi bahu / ekstremitas 4A 0 0 1.6 1.6 0
34 4A 0 0 0 1.6 0
35 4A 0 1.6 0 0 0
36 4A 0 0 0 0 0
(4A) – SK
37 Penilaian Meniscus (4A) – S 4A 0 0 0 0 0
38 penilaian fleksi dorsal / plantar, inversi 4A 0 0 0 0 0
39 Punggung dan sendi serta untuk 4A 0 0 0 0 0
40 Perkusi Tenderness (4A) – S 4A 0 0 0 0 0
41 Penilaian range of motion sendi (4A) – S 4A 0 0.8 0 0 0
42 Tes Fungsi Otot dan Sendi Bahu (4A) – K 4A 0 0.8 0 0 0
43 Metacarpal dan Jari-Jari Tangan (4A) – K 4A 0 1.6 0 0.8 0
44 4A 0 0 0 0 0
(4A) – S
Lain-lain 0 0 0 0 0
45 Punksi Vena (4A) – SK 4A 0 0 0 0 0
46 Injeksi Intrakutan (4A) – SK 4A 0 0 0 0 0
47 Injeksi Intravena (4A) – SK 4A 0 0 0 0 0
48 4A 0 0 0 0 0
SK
50 Bantuan Hidup Dasar (4A) – SK 4A 0 0 0 0 0
51 Ventilasi Masker (4A) – SK 4A 0 0 0 2.4 0
53 4A 0 0 0.2 3.4 0
54 Kesehatan (4A)– S 4A 0 0 0 0 0

55 Pelaporan (4A) – S 4A 0 0 4 0.8 0


Nama : OKTA HARDIANTI PUTRI Nama : RARA ANDINI Nama : FADHLAN RAHMAN
2 3 4A 1 2 3 4A 1 2 3
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 2 1 4 0 1 0 2 1 0
1 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
1 0 0 1 0 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 1 0
1 0 0 0 0 0 0 3 0 0
0 0 0 0 0 0 0 0 0 0
1 0 1 1 0 0 0 1 1 0
0 0 0 1 0 0 0 1 2 0
1 0 0 1 0 0 0 3 0 0
1 0 0 7 2 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 1 0 0 0 2 0 0
0 0 0 1 0 0 0 2 0 0
0 0 0 1 0 0 0 2 0 0
0 0 0 1 0 0 0 3 0 0
0 0 0 1 0 0 0 0 0 0
1 0 1 5 0 1 0 0 0 0
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 2 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 1 1 0
0 0 1 2 0 0 1 4 1 1
0 0 0 0 0 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0
0 0 0 0 0 0 0 2 1 2
0 0 0 0 0 0 0 2 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 1 1 0 0 0 1 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 0 3 8 0 0 0 3 1 1
0 0 0 0 0 0 0 0 0 0
1 0 1 0 0 0 0 1 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 1 0 0
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
2 0 2 3 0 0 0 3 0 0
0 0 0 1 0 0 0 3 1 0
0 0 0 1 0 0 0 3 0 0
1 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1
0 0 3 3 0 0 0 2 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 1 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 3 0 0 0 4 0 0
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 3 0 1 1 2 2 0
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 1 0
0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 2 0 0
0 0 0 0 0 0 0 0 0 0
Nama : OKTA HARDIANTI PUTRI Nama : RARA ANDINI Nama : FADHLAN RAHMAN
2 3 4A 1 2 3 4A 1 2 3
0 0 20 0 0 0 20 0 0 0
0 0 10 0 0 0 8 0 0 0
0 0 10 0 0 0 8 0 0 0
0 0 15 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 24 0 0 0
4 0 0 0 0 0 24 0 4 0
0 0 0 0 0 0 0 0 2 1
0 0 0 0 0 0 0 0 0 0
0 0 15 0 0 0 9 0 0 0
0 0 15 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 15 0 0 0 2 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 15 0 0 0 2 0 0 0
0 0 15 0 0 0 0 0 0 0
0 0 50 0 0 0 25 0 0 0
0 1 1 0 0 0 0 2 0 1
0 0 1 0 0 0 4 0 0 0
0 0 15 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 2 1 0
0 0 15 1 0 2 14 2 0 0
0 1 1 0 0 1 0 1 0 1
0 0 15 0 1 1 1 0 0 0
1 0 1 0 0 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 2 0 0 0 2 0 0 0
0 0 1 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 2 0 0 0
0 0 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0
0 2 2 0 0 0 0 0 0 2
0 0 2 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 2 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 1 0
1 0 0 0 0 0 0 0 1 0
2 0 1 0 0 0 0 0 2 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 3 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 3
0 0 3 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 0
0 5 0 0 0 0 4 0 0 5
/2015 – IDI 2017

HLAN RAHMAN Nama: Evelyn Meiliani P P Nama : STEVANI
4A 1 2 3 4A 1 2 3 4A
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 1 1 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 2 2 2 1 2 1 0 1
0 1 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 1 0 0 1 1 0 0
0 0 0 0 0 0 0 0 0
1 2 1 0 0 0 1 0 1
0 0 1 0 0 3 0 0 0
0 0 0 0 0 0 0 0 0
0 1 1 0 1 1 1 0 0
0 0 0 0 0 1 2 0 0
0 2 1 0 0 3 0 0 0
0 1 1 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 1 2 0 0 0
0 0 0 0 0 2 0 0 0
0 0 0 0 0 2 0 0 0
0 0 0 0 0 3 0 0 0
0 1 0 0 0 0 0 0 0
0 2 1 0 1 0 0 0 0
0 3 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0
0 3 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 3 0 0 1 1 1 0 0
0 3 0 0 1 4 1 1 0
0 0 0 0 0 1 0 0 0
0 0 0 0 0 1 0 0 0
1 1 0 0 0 2 1 2 1
0 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0
0 2 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0
1 6 3 0 3 3 1 1 1
0 0 0 0 0 0 0 0 0
0 2 1 0 1 1 0 0 0
0 2 0 0 0 1 0 0 0
0 2 0 0 0 1 0 0 0
0 1 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 1 0 0 0
0 1 0 0 0 1 0 0 0
0 1 0 0 0 0 0 0 0
0 1 1 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 1 0 0 0
0 1 0 0 1 0 0 0 0
0 1 0 0 0 0 0 0 0
0 1 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0
0 4 2 0 2 3 0 0 0
0 4 0 0 0 3 1 0 0
0 4 0 0 0 3 0 0 0
0 3 1 0 1 0 0 0 0
0 2 0 0 0 0 0 0 0
1 1 0 0 0 0 0 1 1
0 5 0 0 3 2 0 0 0
0 1 0 0 0 1 0 0 0
0 2 0 0 0 1 0 0 0
0 2 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 4 0 0 0
1 1 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 0
0 0 8 0 0 2 2 0 0
0 0 0 0 0 0 1 1 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0
0 1 0 0 0 0 1 0 0
0 2 0 0 0 0 0 0 0
1 1 0 0 0 2 0 0 1
0 1 0 0 0 0 0 0 0
HLAN RAHMAN Nama: Evelyn Meiliani P P Nama : STEVANI
4A 1 2 3 4A 1 2 3 4A
20 0 0 0 20 0 0 0 20
10 0 0 0 10 0 0 0 10
13 0 0 0 10 0 0 0 13
13 0 0 0 15 0 0 0 13
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 4 0 0 0 4 0 0
0 1 0 0 0 0 2 1 0
0 0 0 0 0 0 0 0 0
16 0 0 0 15 0 0 0 16
16 0 0 0 15 0 0 0 16
7 0 0 0 1 0 0 0 7
0 0 0 0 0 0 0 0 0
13 0 0 0 15 0 0 0 13
0 1 0 0 0 1 0 0 0
0 1 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
13 0 0 0 15 0 0 0 13
13 0 0 0 15 0 0 0 13
80 0 0 0 50 0 0 0 80
4 1 0 1 1 2 0 1 4
4 0 0 0 1 0 0 0 4
20 0 0 0 15 0 0 0 20
1 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2 1 0 0 2 1 0 0
13 2 0 0 15 2 0 0 13
1 1 0 1 1 1 0 1 1
13 0 0 0 15 0 0 0 13
0 1 1 0 1 1 1 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2 0 0 0 2 0 0 0 2
1 0 0 0 1 0 0 0 1
1 0 0 0 1 0 0 0 1
0 1 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0
3 0 0 0 1 0 0 0 3
0 0 0 0 3 0 0 0 0
0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 2
2 0 0 2 2 0 0 2 2
2 0 0 0 2 0 0 0 2
0 0 2 0 0 0 2 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 1 0 0
0 0 1 0 0 0 1 0 0
1 0 2 0 1 0 2 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3 0 0 0 3 0 0 0 3
0 0 0 3 0 0 0 3 0
5 0 0 0 3 0 0 0 5
0 0 0 0 0 0 0 0 0
0 0 0 5 0 0 0 5 0

Rekap Kel B Interna

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Rekap Kel B Interna

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BAGIAN II : REKAP CAPAIAN KOMPETENSI

Sistem Endokrin dan Penyakit Metabolik 0 0 0 0 0

56 Diabetes Mellitus Tipe 1 (4AA) – S 4A 5.733333 5.2 3.816667 2.558333 15

57 Diabetes Mellitus Tipe 2 (4AA) – SK 4A 8.441667 4.45 3.183333 5.825 16.25

Diabetes Mellitus Tipe Lain (intoleransi

Kewaspadaan High-Alert-Medication –P 4A 4.316667 6.583333 11.06667 8.075 10.75

Penilaian abdomen : Inspeksi abdomen

Pemeriksaan Colok Dubur (digitas rectal

Penilaian muskuloskeletal : inspeksi gait,

Penilaian muskuloskeletal : inspeksi sendi

Menyusun Rencana Manajemen

Menulis Rekam Medik dan Membuat

- S : sesuai SKDI 2012

REGU 1 REGU 2 REGU 3

6.5 6.5 0 0 2.4 2.4 1.6 1.25 1 0.75

9.75 3.25 0 0 2.4 0.8 0.8 1 1.75 0.25

8.75 3.25 0 4 2.4 0.8 0 1.5 1.25 0.25

12 6.5 0 4 3.2 1.6 0 4.5 4 2

8.5 6.5 0 2.4 1.6 1.6 0 0.25 0.25 0

3.25 3.25 0 2.4 0.8 0.8 0 2 1 0.75

6.5 3.25 3.25 2.4 1.6 0.8 0.8 1.25 1 0.75

6.5 3.25 0 1.6 1.6 0.8 0 0 0 0

13 9.75 6.5 3.2 3.2 2.4 1.6 2 2 1

9.75 6.5 13 4 2.4 1.6 3.2 4.75 4 3.5

9.75 6.5 3.25 2.4 2.4 1.6 0.8 0.75 0.25 0

6.5 3.25 6.5 3.2 1.6 0.8 1.6 1.75 1 0.75

9.75 6.5 6.5 3.2 2.4 1.6 1.6 0.25 0 0

13 6.5 13 3.2 3.2 1.6 3.2 3.5 2 1.25

0 0 48.75 2.4 4 6.4 7.2 3 5 8

16.25 26 35.75 2.4 4 6.4 7.2 3 5 8

14.25 24 28.25 2.4 4 6.4 7.2 3 5 8

17.25 26 16.25 2.4 4 6.4 7.2 3 5 8

14.25 26 15.25 2.4 4 6.4 7.2 3 5 8

25 39 47.75 6.4 6.4 9.6 12 8 8 12

6.5 3.25 3.25 1.6 1.6 0.8 0.8 2 2 1

19.5 39 48.75 6.4 4.8 9.6 12 8 6 12

26 48.75 58.5 2.4 6.4 12 14.4 3 8 15

32.5 39 58.5 2.4 8 9.6 14.4 3 10 12

26 39 48.75 2.4 6.4 9.6 12 3 8 12

22.75 48.75 58.5 1.6 5.6 12 14.4 2 7 12

26 39 48.75 6.4 6.4 9.6 12 8 8 12

0 0 0 1.6 1.6 2.4 3.2 2 2 1.5

6.5 9.75 13 1.6 1.6 2.4 3.2 1.75 1.75 1.5

0 0 0 1.6 0.8 0.8 0 1.75 1 0.75

26 13 32.5 2.4 6.4 3.2 8 2.5 5.5 4.25

13 13 22.75 4 3.2 3.2 5.6 4.5 4 4.25

13 16.25 19.5 2.4 3.2 4 4.8 3 4 5

13 16.25 19.5 2.4 3.2 4 4.8 2.75 3 3.5

13 16.25 19.5 2.4 3.2 4 4.8 3 4 5

13 19.5 21.75 2.4 3.2 4.8 5.6 2.5 2.5 2.25

22.75 18.5 26 4 5.6 4.8 6.4 2.75 2 1.75

6.5 9.75 16.25 2.4 1.6 2.4 4 2.75 2 2.75

6.5 6.5 6.5 2.4 1.6 1.6 1.6 2.75 2 2

14.25 6.5 9.75 2.4 4 1.6 2.4 3 5 2

0 0 0 2.4 1.6 0.8 0 2.25 1.5 0.75

22.75 15.25 30.25 3.2 5.6 4 7.2 4 7 5

32.75 34.5 49 2.4 8 8 12 3 10 10

32.5 29.25 39 2.4 8 7.2 9.6 3 10 9

0.75 0 6.5 6.5 0 0.8 0.2 0.6 0.4 0.4

0.75 0 9.75 3.25 0 2 1.4 0.4 1.2 1.8

0 16.25 9.75 3.25 0 0.6 0 0.4 0.8 1.8

1.5 16.25 13 6.5 0 4.8 0.8 1.2 0.8 3

0 9.75 6.5 6.5 0 0.6 0 0 0 0.6