KODE : FORM-PoltekkesTjk/C.002/..........

POLTEKKES TANJUNGKARANG KEMENKES RI

TGL : Januari 2021
Formulir REVISI : 0
Berita Acara Praktik Klinik / Lapangan HALAMAN : 1 dari 1 Halaman

BERITA ACARA PRAKTIKKLINIK / LAPANGAN

TAHUN AKADEMIK................./ ..................

: PK KMB 1&2 : RPD DAN BEDAH

Mata Kuliah Ruangan
.............................................................................. ................................................................
: Senin s.d Sabtu/ 08.00 s.d
: WT4A. 406
Kode / SKS Hari / Jam 14.00 WIB
..............................................................................
................................................................
: Ns. Ririn Sri Handayani,
: Tingkat 2, Reguler 2
Pj. Mata Kuliah M.Kep,Sp.KMB ................................................. Kelas
................................................................
.............................
: Ns. Sary Febriyati, S.Kep.M.M
Dosen Pembimbing Semester / Prodi : ST Keperawatan / Ners
..............................................................................

Hari/ Pukul Jml Paraf Ket

Tanggal Materi Bimbingan Praktik Mhs
Mulai Berakhir Hadir Wakil Dosen
Mhs Pembim
Senin/1 08.00 10.00 Bimbingan askep (kelompok 1) 4 Dar
maret ing
2021
Selasa/2 14.00 15.00 Revisi askep (kelompok 1) 4 Dar
maret ing
20201
Rabu/3 08.00 14.00 Praktik klinik (kelompok 1&2) 8 Lur
maret ing
2021
Kamis/4 08.00 10.00 Bimbingan Askep (kelompok 2) 4 Dar
maret ing
2021
Jumat/5 14.00 15.00 Revisi Askep (kelmpok 2) 4 Dar
maret ing
2021
Sabtu/6 08.00 14.00 Praktik klinik RS (kelompok 1&2) 8 Lur
maret ing
2021
Bandar Lampung, ........ / ........................ / 20.......

Prodi STR Keperawatan Tanjungkarang

Ketua,

Dr. Anita, M.Kep., Sp.Mat

NIP 196902101992122001
 KODE : Format/PKTjk/J.Kep/03.2/1/2015
POLITEKNIK KESEHATAN TANJUNGKARANG KEMENKES RI TGL : Maret2015
Formulir REVISI :
Daftar Hadir Bimbingan Klinik / Lapangan HALAMAN : 1 dari 1 Halaman

DAFTAR HADIR MAHASISWA

BIMBINGAN PRAKTIK KLINIK / LAPANGAN
Mata Kuliah : PK KMB 1&2 Ruangan : RBD&RPD ...................................................................................................................
.................................................................................................................
Kode Mata Kuliah / Sks : WT4A.406 Kelas : Tingkat 2. Regiler 2
................................................................................................................. ...................................................................................................................
Pj. Mata Kuliah : Ns. Ririn Sri Handayani, M.Kep,Sp.KMB Semester / Prodi : 4 ............ / STr / Ners
.................................................................................................................
Dosen Pembimbing : Ns. Sary Febriyati, S.Kep.M.M Kelompok : 5...................................................................................................................
.................................................................................................................

No Nama Mahasiswa Tanggal

1 Mardhatillah Heriyani

2 Rara Suci Ariyati

3 Tasya Dwinta

4 Aldo Angga Putra

5 Amri Wijaya Rahman

6 Ilham Adiansyah

7 Sanoval Aji Pandwi

8 Putra Zulfijar Febiantoni

10

11

12

Paraf Dosen Pembimbing

Mengetahui Bandar Lampung, ........ / ........................ / 20.......

Prodi ST Keperawatan Tanjungkarang Dosen Pembimbing
Ketua,

.......................................................................................
 Dr. Anita, M.Kep., Sp.Mat NIP .........................................................................
NIP 196902101992122001