PENGURUS CABANG IKATAN BIDAN INDONESIA

KABUPATEN LEMBATA
Jl.Gong 2000 Tujuh Maret,Kelurahan Lewoleba Selatan
Telp.081239133274 – Email :ibi.lembata1@gmail.com

FORMAT REKAPITULASI KEGIATAN PRAKTEK PROFESI /PELAYANAN KEBIDANAN

Nama Bidan :
Nomor STR :
Nomor KTA :
Pelayanan : Imunisasi Pada Bayi Baru Lahir
Periode Kegiatan :

N HAR/TGL NAMA UMUR DIAGNOSA TINDAKAN KET

O PASIEN/KLIEN PELAYANAN
/ASUHAN
1 02-01-21 By Ny 02/02/21 NCB +lahir sc a/i kala 1 Imunisasi
Felensiana Ose memanjang+distosia HBO
4cm+CPD
2 03-01-21 By Ny Klarita 03-01-21 NCB +VIG Imunisasi
lamadoken BABY+Asfiksia sedang HBO
+caput succadenum
3 03-01-21 By Ny Sunarti 03-01-21 NCB +VIG BABY+ Imunisasi
Peni Asfiksia sedang+VE HBO
4 03-01-21 By Ny Maria 03-01-21 NCB +lahir sc a/i LMR Imunisasi
yasinta lena (BSC <1thn) HBO
5 06-01-21 By Ny Sofia Sua 06-01-21 NCB + SMK+lahir sc a/i Imunisasi
Letli+VE+ Asfiksia HBO
sedang
6 08-01-21 By Ny Maria Y. 08-01-21 NCB + VIG BABY Imunisasi
nogo HBO
7 09-01-21 By Ny Imelda 09-01-21 NCB + VIG BABY Imunisasi
B.Samon HBO
8 09-01-21 By Ny Veronika 09-01-21 NCB +lahir sc a/i Imunisasi
Bulu serotinus+KPD > 12 HBO
Jam+Anhidramion+caput
succadenum
9 10-01-21 By Ny Kristina H 10-01-21 NCB + SMK lahir sc a/i Imunisasi
Lawe insufisiensi placenta + HBO +HBig
anemia ringan+HBSAG
reaktif +neonatus
hepatitis
10 12-01-21 By Ny Fitriani 12-01-21 NCB +lahir sc a/i + Imunisasi
Tibul CPD+VE+makrosomia HBO
11 12-01-21 By Ny Tanggu 12-01-21 NCB + VIG BABY Imunisasi
sana HBO
13 13-01-21 By Ny Agustina 13-01-21 NCB +SMK+By lahir SC Imunisasi
Prada a/i Oligo HBO
+VE
14 15-01-21 By Ny Maria A 15-01-21 NCB + VIG BABY Imunisasi
Ude HBO
15 16-01-21 By Ny Maria 16-01-21 NCB +SMK + lahir sc a/i Imunisasi
marsela Boleng floting Hand HBO
16 16-01-21 By Ny Maria K 16-01-21 NCB +SMK By lahir sc Imunisasi
Lewerang a/i let oblig+ caput HBO
 succadenum
17 17-01-21 By Ny Rosa Tuto 17-01-21 NCB +SMK+lahir sc a/i Imunisasi
oligo HBO
18 22-01-21 By Ny Anastasia 22-01-21 NCB + VIG BABY Imunisasi
Erin HBO
19 By. Ny. Rofina 22-01- Bayi lahir SC a/i PEB + Imunisasi
B. Ola 2021 IUGR +BBLR + KMK HBO
20 By. Ny. Stefania 22-01- Bayi lahir SC a/i PEB + Imunisasi
H. Ina 2021 VE + PK I Fase laten HBO
memanjang + Premature
36-37 mgg + NCB +
SMK
21 24-01-2021 By. Ny Kamsia 24-01- Bayi Lahir SC a/i Kista Imunisasi
Ridwan 2021 Ovarium + NCB + SMK HBO
22 By. Ny. Katarina 24-01- Bayi Lahir SC a/i LMR Imunisasi
Saleh 2021 (BSC < 2 tahun) + NKB + HBO
Premature 36-38 mgg +
RDS
23 26-01-2021 By. Ny. 26-01- NCB + VIG Baby Imunisasi
Ambrosia 2021 HBO
Agustina Lou
24 28-01-2021 By. Ny Aloysia 28-01- Bayi lahir SC a/i Imunisasi
P. Luon 2021 Oligohidramnion + HBO
Ketuban Meconial + NCB
+ SMK + RDS + Resiko
Infeksi + Asfiksia Sedang
25 30-01-2021 By.Ny. Yuliana 30-01- NCB + Vig Baby + Imunisasi
D. Tolok 2021 BBLR HBO
26 31-01-2021 By. Ny. Sri 31-01- Bayi lahir SC a/i Imunisasi
Widiyanti 2021 LMR(BSC 1x) + VE + HBO
Abdullah NCB + SMK
27 01-02-2021 By. Ny. Maria 01-02- NCB + VIG Baby Imunisasi
Sisilia Gelole 2021 HBO
28 By. Ny. Marsiana 01-02- NCB + SMK+ Capput Imunisasi
P. Dasong 2021 Succadenum + Hipotermi HBO
29 02-02-2021 By. Ny. Yosefina 02-02- NCB + VIG Baby Imunisasi
G. Lamak 2021 HBO
30 By. Ny. Aida 02-02- Bayi Lahir SC a/i Imunisasi
Alwan 2021 Oligihidramnion + NCB + HBO
SMK
31 02-01-2021 By. Ny. Maria 02-01- Bayi lahir SC a/i PK I Imunisasi
E.B Bataona 2021 memanjang, NCB + SMK HBO
32 03-01-2021 By. Ny. Sesilia 03-01- NCB + SMK, Infeksi Imunisasi
Sati Letek 2021 Neonatal + Asfiksia HBO
sedang + Hipotermi +
BBLR
33 03-01-2021 By. Ny. Maria 03-01- NCB + Vig Baby + Imunisasi Hbig
M. Wuwur 2021 Hepatitis Kongenital
34 06-01-2021 By.Ny. Rosalia A 06-01- NCB + SMK Bayi lahir Imunisasi
Timu 2022 SC a/i gawat janin + HBO
Oligohidramnion + gagal
OD
35 06-01-2021 By.Ny. Avlina 06-01- NCB + SMK + Capput Imunisasi
Pulo Uran 2021 Succadaneum + HBO
Hipotermi + Asfiksia
sedang
36 20-02-2021 By. Ny. 20-02- NCB + SMK Lahir SC a/i Imunisasi
Fransiska Kewa 2021 LMR (BSC I x) HBO
37 22-02-2021 By. Ny. Helena 22-02- NCB + Asfiksia Berat + Imunisasi
H. Lewuk 2021 Lahir SC a/i gagal OD + HBO
KPD ≥ 24 jam
38 26-02-2021 By. Ny. Gradiana 26-02- NCB + SMK + Hipotermi Imunisasi
W. Lajar 2021 HBO
39 05-03-2021 By. Ny. Germana 05-03- NCB + SMK Lahir SC a/i Imunisasi
Gerida 2021 LMR (BSC 2 x) HBO
40 05-03-2021 By. Ny. Maria 05-03- NCB + SMK Lahir SC a/i Imunisasi
Nini Hokeng 2021 LMR (BSC 1 x) + VE HBO
41 07-03-2021 By. Ny. Elisabeth 07-03- NCB + SMK + BBLR Imunisasi
Abo 2021 Lahir SC a/i Sekunder HBO
Primitua + VE
42 08-03-2021 By. Ny. Maria 08-03- NCB + SMK Imunisasi
Oriyanti Barek 2021 HBO
43 14-03-2021 By. Ny. Rosdiana 14-03- NCB + Vig Baby Imunisasi
Laosana 2021 HBO
44 14-03-2021 By. Ny. Yohana 14-03- NCB + Vig Baby Imunisasi
N. Tuto 2021 HBO
45 17-03-2021 By. Ny. 17-03- NCB + SMK + Bayi Imunisasi
Valensiana Tuto 2021 Lahir SC a/i Primimuda + HBO
Bean VE
46 18-03-2021 By. Ny. Yovita 18-03- NCB + SMK Lahir SC a/i Imunisasi
Maria Ose 2021 LMR (BSC 1 x) HBO
47 18-03-2021 By. Ny. Elisabeth 18-03- NCB + SMK Imunisasi
Pega 2021 HBO
48 21-03-2021 By. Ny. Kornelia 21-03- NCB + SMK + Capput Imunisasi
Nimanuho 2021 Succadaneum HBO

Catatan:Total Nilai Kredit per 5 tahun (Tanpa Minimal,Maksimal 15 untuk 7 Kegiatan )