LAPORAN BIMBINGAN PRAKTEK LABORATORIUM ONLINE

KEPERAWATAN MATERNITAS
MAHASISWA TK.III SEMSESTER VI PRODI SARJANA KEPERAWATAN
INSTITUT TEKNOLOGI DAN KESEHATAN BALI
TAHUN AJARAN 2020/2021

KEGIATAN: LEVEL INDIVIDU

JENIS KEGIATAN :.....................................................................................................

HARI/TANGGAL/JAM :.....................................................................................................
KELOMPOK :.....................................................................................................
NAMA PEMBIMBING :.....................................................................................................

NO NAMA MAHASISWA NIM TANDA TANGAN WAKTU

MHS PEMBIMBING BIMBINGAN
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
LAPORAN KEGIATAN :
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PERMASALAHAN DAN SOLUSI

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Mata Ajar Kep. Maternitas Denpasar,

Koordinator Pembimbing

Ns. Ida Ayu Ningrat Pangruating Diyu,S.Kep.,M.S ..............................................

NIR.13114 NIR

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 FORM BUKTI FISIK
PRAKTIK LABORATORIUM KEPERAWATAN MATERNITAS ONLINE
MAHASISWA TK.III SEMSESTER VI PRODI SARJANA KEPERAWATAN
INSTITUT TEKNOLOGI DAN KESEHATAN BALI
TAHUN AJARAN 2018/2019

NAMA MAHASISWA :................................................................................

NIM :...............................................................................
TANDATANGAN MAHASISWA :...............................................................................

N KEGIATAN LEVEL INDIVIDU LEVEL MANDIRI

O TGL TTD PBB TGL TTD PBB
1 Pemfis Ibu Hamil
2 APN
3 Pemfis Ibu Nifas
4 Memandikan Bayi
5 Pemasangan Kontrasepsi
6 Perawatan Payudara
7 Senam Hamil & Senam Nifas
8 Pijat Bayi

Catatan untuk Koordinator Kep Maternitas dari hasil rekapitulasi bukti fisik:

Mahasiswa a/n ................................................ dinyatakan:

Tercapai Tidak tercapai

Sehingga

Bisa ujian Tidak bisa ujian

Keterangan: .................................................................................
.................................................................................

***Lembar ini diserahkan ke Koordianator Kep. Maternitas sehari sebelum ujian praktek
untuk mencari pengesahan.

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