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Bulan : Juni 2022 ::
JENIS KELAMIN TINDAKAN (CEK LIST)

JAMINAN (BPJS/TUNAI/ PINDAH/
JAM MASUK TGL KELUAR/ RUANGAN POLA NAFAS ASAL/TEMPAT TINDAKAN LAIN JIKA
NO NAMA TANGGAL LAHIR USIA NO RM ASURANSI/ DIAGNOSA MASUK TGL MASUK RS TGL MASUK IPI BED HARI RAWAT DI IPI ASAL RUJUKAN RUANGAN ASAL MENINGGAL/DIRU TGL INTUBASI TGL EXTUBASI DPJP UTAMA
IPI MENINGGAL PINDAH: SAAT MASUK IPI INTUBASI HFNC/ ADA ( SEBUTKAN)
L P PERUSAHAAN) JUK/PULANG: RE INTUBASI CVC CDL HD CRRT ECHO ICON
OPTIFLOW
BOUGENVILE
1 AN. KANE NAUFAL ALFARI 19 June 2021 11 BULAN L 2588517 BPJS DADB, KEJANG DEMAM 4/06/2022 4/06/2022 20.16 11/06/2022 214.00 IGD PINDAH ATAS NASAL KANUL 04/06/2022 ICU 08/06/2022 V V Dr. Ernita,Sp.An.KIC
2 NY. MARGADIENI HERA 11 February 1940 82 TAHUN P 2585886 BPJS POST LAPARATOMY
TIMOMA EC ULKUS OBSTRUKTIF
DENGAN MYASTENIA GRAVIS POST 02/06/2022 06/06/2022 13.25 07/06/2022 30.00 GP V
BOUGENVILE PINDAH GP V
BOUGENVILE VENTILATOR 06/06/2022 IBS 07/06/2022 V Dr. Navy
Dr. Ernita,Sp.An.KIC
3 AN. KARTIKA PUTRI 22 June 2014 7 TAHUN P 2586951 BPJS STERNOTOMY TIMOMECTOMY 05/06/2022 06/06/2022 12.45 08/06/2022 61.00 BAWAH
BOUGENVILE PINDAH BAWAH VENTILATOR 06/06/2022 IBS 07/06/2022 V Lulung,Sp.An.KIC
Dr. Navy
4 AN. SALSA PUTRI E 7 May 2010 12 TAHUN P 2588188 BPJS POST VP SHUNT 07/06/2022 10.30 SISA #VALUE! BAWAH
BOUGENVILE SISA BOUGENVILE VENTILATOR 07/06/2022 IBS V Lulung,Sp.An.KIC
5 AN. MUHAMMAD FADILLAH 14 May 2015 7 TAHUN L 2588313 BPJS EDH PARIETAL
POST BC tumorSINISTRA
mediastinumPOSTanterior
KLL ec timoma dd 01/06/2022 03/06/2022 17.00 04/06/2022 31.00 BAWAH PINDAH BAWAH 03/06/2022 IBS 04/05/2022 V Dr. Ernita,Sp.An.KIC
6 NY. SRI KASIYANI 2 October 1947 74 TAHUN P 2582231 BPJS limfoma maligna 03/06/2022 03/06/2022 17.00 04/06/2022 31.00 GP IV PINDAH GP IV VENTILATOR 03/06/2022 IBS 03/06/2022 V dr. Thariq,
Dr. Navy Sp.An.KIC
7 NY. TRIYANI UTAMININGSIH 3 November 1984 38 TAHUN P 2588426 BPJS POST PARTUM,
Salphingo SYOK SEPSIS,
Ovarectomi DextraAKIECDD/ON
BenignCKD, DM, HT 2/06/2022
Ovarian 3/06/2022 12.00 13/06/2022 #VALUE! RS.ANDIKA PINDAH CEMPAKA ATAS
ANGGREK VENTILATOR 13/06/2022 RS ANDIKA 13/06/2022 V V CRRT CRRT, CDL Lulung,Sp.An.KIC
8 NY. EKO SETIYOWATI 2 October 1975 46 TAHUN P 2583774 BPJS Cyst Mioma
POST uteri intraligamenter
LAPARATOMY HARTMAN PROSEDUR EC CA 31/05/22 02/06/2022 12.10 03/06/2022 -88.00 ANGGREK LANTAI 2
PINDAH LANTAI 2 VENTILATOR 02/06/2022 IBS 03/06/2022 dr. navy, Sp. An. kic
9 NY. SRI ENDANG 25 May 1964 53 TAHUN P 2581513 BPJS SIGMOID
GAGAL NAPAS. MATA ORBITA, HIPOALBUMINEMIA, 31/05/22 02/06/2022 12.45 6/6/2022 4.00 ANGGREK LANTAI 2
PINDAH GP V VENTILATOR 02/06/2022 IBS 03/06/2022 Dr.Ernita,Sp.An.KIC
10 TN. CIPURWANTO 26 April 1972 50 TAHUN L 2586113 BPJS SYOK SEPSISKesadaran ec Susp. Sepsis, CVD
Penurunan 17/05/22 01/06/2022 23.30 06/06/2022 5.00 GP V PINDAH GP V NRM V CVC, INTUBASI, Dr.Ernita,Sp.An.KIC
11 TN. WAHYUDIN 26 April 1972 50 TAHUN L 2588276 BPJS Hemorrhagic 31/05/22 01/06/2022 07.00 13/06/2022 12.00 IGD MENINGGAL Venti 1/6 ICU v VENTILATOR, NGT, DC Dr.Ernita,Sp.An.KIC
12 Ny Lenny Halim 16 April 1964 58 tahun p 2586314 BPJS Ca cervix st IB2.laparatomi bilateral 06/06/2022 08/06/2022 14.30 09/06/2022 90.00 IBS/GP 5 PINDAH GP V Venti 8/6 ibs 09/06/2022 ada drain abd,drain vagina dr thoriq,sp an kic
13 Tn Sahlan 05 May 1961 61 tahun L 2569650 BPJS Ca Sigmoid Post Laparatomi Reverse Hartman 07/06/2022 08/06/2022 15.00 10/06/2022 120.00 IBS/Anggrek Lt 2
PINDAH Venti 8/6 IBS ada dr ernita , sp an kic
14 Ny Elly minarni 31 July 1993 29 tahun p 2588545 BPJS Syok hipovelemik,post
BATU URETRA, BULI,URETER,laparatomi.KET
BATU CETAK BILATERAL, 05/06/2022 08/06/2022 16.00 13/06/2022 #VALUE! kebidanan kls 3PINDAH KEBIDANAN 2 NRM>Venti 8/6 icu ada dr ernita , sp an kic
15 Tn Kawit 31 December 1968 54 tahun L 2588200 BPJS CKD ON HD 31/05/2022 08/06/2022 16.45 09/06/2022 90.00 IBS/ Dahlia Atas
PINDAH DAHLIA ATAS nk ada NGT, INTUBASI,
CVC, CVC, DC, drain dr ernita, Sp an kic
16 Ny. iyoh 01 /12/1963 58 tahun P 2516807 BPJS CAP, ASMA AKUT, CHF, HHD, EFUSI PLEURA 09/06/2022 0:20 6/20/2022 11.00 dahlia atas MENINGGAL nrm 09-06-2022 icu TRAKEOSTOMY ada VENTILATOR, NGT, DC dr. navy, Sp. An. kic
17 Tn. Ude Suryana 18-04-1974 48 tahun L 2588866 BPJS Susp GBS 08/06/2022 09/06/2022 02.00 13/6/2022 4.00 IGD PINDAH HCU Room air dr. Thariq,
Dr. Navy Sp.An.KIC
18 Tn. Wanto 15 April 1982 41 TAHUN L 2588312 BPJS ABSES
Post opMANDIBULA
LaparatomyPOST INSISI DRAINAGE
Adheolisis, debulking partial 08/06/2022 13.50 9/6/2022 1.00 DAHLIA BAWAH PINDAH DAHLIA BAWAH VENTILATOT 08/06/2022 IBS 09/06/2022 V NGT, CVC, DC, drain di Lulung,Sp.An.KIC
19 Ny.Nilam Sari 08/05/1973 49 Tahun P 2582815 BPJS ovarektomi ec Ca Endometrium,NOK, susp Maligna 8/6/2022 09/06/2022 12.00 13/06/2022 #VALUE! IBS PINDAH KEBIDANAN 3 ventilator 9/6/2022 IBS 10/06/2022 ADA abdomen dextra dr. Thariq,Sp.An,KIC
20 Tn.Nurdin 29/12/1962 59 tahun L 2310209 BPJS post laparatomy eksplorasi,hernia inguinalis,hep B 8/6/22 09/06/2022 16.00 10/6/2022 1.00 anggrek lt 2 MENINGGAL MENINGGAL venti 9/6/22
21 Ny. Ernawati 29/12/1967 54 tahun P 2588965 BPJS DMEndometrium
CA tipe 2 , Vt postpost
kardioversi
laparatomy,DM tipe II,HT 10/6/22 10/06/2022 13.20 10/06/2022 118.00 IGD PINDAH ICCU NK DC, ivfd dr. Ernita, Sp.An, KIC
22 Ny. siti Rukmini 05/10/1952 69 tahun P 1304135 BPJS terkontrol
Syock kardiogenik dd/ sepsis, Efusi pleura pasca 08/06/22 10/06/2022 17.00 11/06/2022 149.00 kebidanan lantai 3
PINDAH venti 10/06/22 IBS dr. Navy, Sp.An, KIC
23 Tn. Suparman 15/07/1964 58 tahun L 2586191 BPJS IPC,CAD
Penurunan 2 vd post stentaki
kesadaran, onddLADon (2015)
ckd, sepsi, DM tipe 2, 9/5/2022 10/06/2022 12.42 10/6/2022 0.00 GP Lantai 4 MENINGGAL NRM 15LPM,
NRM 10 Lpm 10/6/2022 ICU ada NGT,DC,CVC, ETT dr. Navy, Sp.An, KIC
24 Ny. Muawanah 11/02/1956 66 Tahun P 25888855 BPJS susp intraabdomen inceftion 08/06/2022 11/06/2022 11.50 6/25/2022 14.00 IGD MENINGGAL Venti 11/06/2022 ICU ADA Iya NGT, DC, IVFd dr. Navy, Sp.An, KIC
25 Tn.Paryadi 17/10/1969 57 Tahun L 2589057 BPJS Penurunan kesadaran, DM Tipe 2, CVD Hemoragic 11/06/2022 11/06/2022 13.55 15/06/2022 4.00 IGD MENINGGAL Bougenville 11/06/2022 IGD ada NGT, DC, CVC dr.Navy Sp.An, KIC
26 An. Alviena Apriliyani Gunawan 18/04/2012 10 tahun P 2589089 BPJS suspek
POST OPENmeningo encefalitis
RADICAL , aki dd ckd
NEFRECTOMY EC TUMOR 12/06/2022 12/06/2022 10.00 17/06/2022 5.00 IGD PINDAH Bawah NK ADA NGT, DC, ivfd dr. Ernita, Sp.An, KIC
27 Tn. Rinbo Budinata Jusuf Podo 27-11-1989 32 tahun L 2588161 BPJS GINJAL
post KIRI
laparatomy, HTSOB, kista ovarium bordeline, 08/06/2022 13/06/2022 12.00 14/6/2022 1.00 GP Lantai 4 PINDAH GP Lantai 4 Venti 13/06/2022 OK 14/06/2022 ADA NGT, DC, ETT, CVC dr. Ernita, Sp.An, KIC
28 Ny. Sri martha damayan 11/09/1975 46 tahun P 2580217 BPJS mioma
post SC,uteri
post laparatomy eksplorasi 12/06/2022 14/06/2022 14.30 15/6/2022 1.00 KEB Kel 3 PINDAH NK ada NGT, DC,
NGT, DC, ETT,
ETT, CVP
CVP, dr. Navy
29 Ny. Mira Jumiati 5/5/1985 35 tahun P 2587926 BPJS adhenolisis,salpigektomi 12/6/2022 13/06/2022 13.20 15/06/2022 #VALUE! KEB KEL 3 PINDAH venti 13/6/22 IBS ada DRAIN dr. Thariq
30 TN dadang 11/11/1969 52 TAHUN L 2587267 BPJS multiple ganggren radiks, KSS, 16/06/2022 17/06/2022 10/13/2022 19/06/2022 2.00 GP lantai 4 PINDAH GP Lantai 6 venti 17/06/2022 IBS ada
INFUS NGT,DC,CVP, ETT dr. Thariq
31 NY. SAMAH 8 June 1952 70 TAHUN P 2374698 BPJS Closed reduction and internal fixation using PFNA 16/06/2022 16/06/2022 14.27 17/06/2022 #VALUE! CEMPAKA ATAS PINDAH CEMPAKA ATAS NRM PERIFER DC Dr. Navy,Sp.An.KIC
32 Tn. Soeyatno 23/3/1963 59 Tahun L 2589343 BPJS post debridement hecting pedis dextra , riw. SAH , KLL 14/06/2022 16/06/2022 16:00 17/06/2022 #VALUE! IGD PINDAH Anggrek lt.2 NK ada DC, INFUS,NGT
DC, NGT, CVC, Dr. Thariq ,Sp.An KIC
33 TN. NARKAM 23 December 1956 65 TAHUN L 2585587 BPJS POST LAPARATOMY,
POST ILEUSTOMY ECECLAR
CRANIOTOMY DECOMPRESI TUMOR 14/06/2022 15/06/2022 18.00 20/6/2022 5.00 MAWAR BAWAH PINDAH MAWAR ATAS VENTILATOR 14/06/2022 IBS 19/06/2022 Ada DRAIN,ETT
DC, NGT, CVC, Dr. Ernita,Sp.An.KIC
34 NY.SURTI 26 May 1983 39 TAHUN P 2586492 BPJS CEREBRI SUSPECT MENINGIOMA
POST LAPARATOMY HARTMAN PROCEDURE EC. CA 15/06/2022 16/06/2022 17.03 19/6/2022 3.00 ANGGREK LANTAI 2
PINDAH Anggrek Lt.2 VENTILATOR 16/06/2022 IBS ADA DRAIN,ETT
35 TN. STANISLAUS 2 August 1969 52 TAHUN L 2572774 BPJS KLS 1 RECTY 15/06/2022 16/06/2022 16.00 18/06/2022 2.00 GP IV PINDAH GP IV VENTILATOR 16/06/2022 IBS ADA DRAIN,ETT
36 NY. SUGINAH 31 December 1958 63 TAHUN P 2589350 BPJS KLS 3 POST CRANIOTOMY EC EDH, CKS 15/06/2022 15/06/2022 19.30 6/22/2022 7.00 IGD PINDAH VENTILATOR 15/06/2022 IBS ADA
TIDAK DRAIN,ETT Dr. Ernita,Sp.An.KIC
Dr. Navy Lolong
37 NY. ERNI APRILIA 4 August 2004 17 TAHUN P 2585420 BPJS KLS 3 POST BC EC TB ENDOBRONCHIAL 16/06/2022 17/06/2022 12.10 18/06/2022 1.00 SOKA ATAS PINDAH SOKA ATAS NK 5 LPM ADA
TIDAK IVFD, DC Wulung,Sp.An.KIC
Dr. Navy Lolong
38 NY.LENI MARNI 18 April 1972 50 TAHUN P 2011064 BPJS KLS 3 POST LAPARATOMY
WIDE EKSISI DAN REKONSTRUKSI
VC HTSOBEC NOK SIAP MALIGNA 16/06/2022 16/06/2022 14.52 17/6/2022 1.00 KEBIDANAN 3 PINDAH KEBIDANAN 3 NK 5 LPM ADA IVFD, DC Wulung,Sp.An.KIC
MEGAPROTESIS GCT DISTAL FEMUR ec NEOPLASMA Dr. Navy Lolong
39 TN.PARYADI 17 October 1969 52 TAHUN L P 2589057 BPJS KLS 2 CVD HEMORRHAGIC, DM TIPE 2
UNCERTAIN BEHAVOUR OF BONE AND ARTICULAR 11/06/2022 11/06/2022 13.55 15/6/2022 4.00 IGD MENINGGAL MENINGGAL VENTILATOR 11/06/2022 IGD 11/06/2022 ADA DC,
DC, NGT,
NGT, CVC,ETT
CVC, Wulung,Sp.An.KIC
Dr. Navy Lolong
40 TN. MUHAMAD ABROR 20 December 1982 39TAHUN L 2569261 BPJS KLS 1 CARTILAGE
POST STERNOTOMY EKSPLORASI EC TUMOR 06/06/2022 07/06/2022 19.30 10/6/2022 3.00 GP V PINDAH GP V VENTILATOR 07/06/2022 IBS 09/06/2022 ADA DRAIN,ETT
DC, NGT, CVC, Wulung,Sp.An.KIC
Dr. Navy Lolong
41 NY. MARLYN LUSYE PAATH 31 October 1963 58 TAHUN P 2578776 BPJS KLS 2 MEDIASTINUM SUPERIOR 12/06/2022 13/06/2022 16.00 17/6/2022 4.00 DAHLIA ATAS PINDAH HCU VENTILATOR 13/06/2022 IBS 17/06/2022 ADA ADA TPE DRAIN,ETT,CDL Wulung,Sp.An.KIC
42 TN.UDE SURYANA 18 April 1974 48 TAHUN L 2588866 BPJS KLS 1 SUSPECT
MENINGITIS GUILLANE BARE SYNDROME
BAKTERIALIS DD/ TB PNEUMONIA 08 JUNI 2022 09/06/2022 02.55 13/6/2022 4.00 IGD PINDAH HCU NK 5 LPM ADA DC, NGT, CVC Dr. Thariq ,Sp.An KIC
43 BY. AISYAH AILAH SYAHBANI 16 March 2022 3 BULAN P 2588523 BPJS KLS 3 EDEMA CEREBRI, HIDROCEPHALUS 04/06/2022 04/06/2022 23.30 8/6/2022 4.00 RSUD BUDI ASIH PINDAH PICU NK 0,5 LPM ADA DC, NGT, CVC Dr. Thariq ,Sp.An KIC
44 TN. MARADONA QHULUBY AL
TN. M.ZHULFIQRI 22 January 1980 42 TAHUN L 2504902 BPJS KLS 1 ABSES PARAFARING POST INSISI DRAINAGE 01/06/2022 01/06/2022 00.05 2/6/2022 1.00 IGD/OK IGD PINDAH MAWAR BAWAH VENTILATOR OK IGD 02/06/2022 ADA
TIDAK CVC,DC,NGT,ETT,DRAIN Dr. Thariq ,Sp.An KIC
POST LAPARATOMY HARTMAN PROCEDURE,
45 'AHSANU 31 March 2005 17 TAHUN L 2585488 BPJS KLS 3 POST
POST BC, TTNA,OPEN
LAPARATOMY
HEMIKOLECTOMY BIOPSI EC
ECADHESIOLISIS
ADENO TUMED
SALPINGO
CARSINOMA RECTI 14/06/2022 15/06/2022 06.30 16/06/2022 #VALUE! IBS/SOKA
IBS/MAWAR ATAS PINDAH SOKA ATAS NK 5 LPM ADA IVFD, DC Dr. Thariq ,Sp.An KIC
46 NY. MUNAWAROH 4 March 1959 63 TAHUN P 2589041 BPJS KLS 1 OVARECTOMY
T4N1Mx SINISTRA HISTERECTOMY 10/06/2022 14/06/2022 15.00 15/6/2022 1.00 BAWAH PINDAH MAWAR BAWAH VENTILATOR 14/06/2022 IBS 15/06/2022 ADA CVC,DC,NGT,ETT,DRAIN Dr. Ernita,Sp.An.KIC
POST LAPARATOMY, HEMICOLECTOMY
SALPINGECTOMY DEXTRA APPENDICTOMY EC TUBO EC ADENO CA
47 TN. BAHARUDIN 3 July 1957 64 TAHUN L 2579120 BPJS KLS 1 COLON ASCENDEN T4bN1M1b
ABSES KIRI DGN ADHESI GENETALIA INTERNA, 02 June 2022 03/06/2022 13.36 6/6/2022 3.00 IBS/GP V PINDAH GP V VENTILATOR 03/06/2022 IBS 04/06/2022 ADA CVC,DC,NGT,ETT,DRAIN Dr. Ernita,Sp.An.KIC
48 NY. YALIYANTI 5 June 1978 44 TAHUN P 2585204 BPJS KLS 1 OMENTUM
POST DAN GIT HISTERECTOMY TOTAL EC KISTA 05/06/2022
LAPARATOMY, 06/06/2022 13.48 7/6/2022 1.00 IBS/GP V PINDAH GP V VENTILATOR 06/06/2022 IBS 07/06/2022 ADA CVC,DC,NGT,ETT,DRAIN Dr. Ernita,Sp.An.KIC
49 NY. SUPRIYATIN 30 December 1972 49 TAHUN P 2584701 BPJS KLS 3 ENDOMETRIUM
POST LAPARATOMY EKSPLORASI EC OBSTRUKTIF 06/06/2022 07/06/2022 9/13/2022 8/6/2022 1.00 IBS/KEBIDANAN 3 PINDAH
IBS/BOUGENVILE KEBIDANAN 3
BOUGENVILE NK 5 LPM ADA CVC,DC,NGT,DRAIN Dr. Ernita,Sp.An.KIC
50 AN.AIZZA NAIFA ISKANDAR 23 March 2018 4 TAHUN P 2576495 BPJS KLS 3 ILLEUS 09/06/2022 09/06/2022 17.00 13/6/2022 4.00 BAWAH PINDAH BAWAH VENTILATOR 09/06/2022 IBS 10/06/2022 ADA CVC,DC,NGT,ETT,DRAIN Dr. Ernita,Sp.An.KIC
51 AN.AIDAN MARCH PUTRA 24 March 2022 2 BULAN L 2587013 BPJS KLS 3 PNEUMONIA, DADRS 12/06/2022 12/06/2022 14.47 16/6/2022 4.00 ICU PINERE PINDAH PICU VENTILATOR 12/06/2022 ICU PINERE ADA CVC,DC,NGT,ETT Dr. Ernita,Sp.An.KIC
52 NY. PARMITA WAHMI 8 February 1964 58 TAHUN P 2589051 BPJS KLS 3 CVD, KETOSIS DM, SEPSIS 10/06/2022 11/06/2022 12.01 15/6/2022 4.00 IGD
IBS/ANGGREK PINDAH DAHLIA
ANGGREKATAS NK 5 LPM ADA CVC,DC Dr. Ernita,Sp.An.KIC
53 TN. TEDI SUPRIYADI 20 April 1982 40 TAHUN L 2585040 BPJS KLS 3 POST TUTUP STOMA, ILLEUSTOMY 12/06/2022 13/06/2022 13.12 14/6/2022 1.00 LANTAI 2 PINDAH LANTAI 2 SM 10 LPM ADA CVC,DC, IVFD Dr. Ernita,Sp.An.KIC
54 NY.LISTAWATY 17 October 1936 85 TAHUN P 2588756 BPJS KLS 1 POST EKSISI LUAS, REKONSTRUKSI BIBIR 13/06/2022 14/06/2022 13.25 15/6/2022 1.00 IBS/GP LANTAI 5 PINDAH GP V SM 10 LPM ADA
TIDAK CVC,DC, IVFD Dr. Ernita,Sp.An.KIC
55 TN.EKO WAHYUDIANTORO 11 February 1974 48 TAHUN L 2589099 BPJS KLS 3 POST PASANG CDL, CKD, DM 12/06/2022 15/06/2022 14.29 16/6/2022 1.00 IBS/GP IV PINDAH GP IV NK 5 LPM ADA ADA IVFD, DC,CDL Dr. Ernita,Sp.An.KIC
56 NY. ELLY MINARNI 31 July 1993 28 TAHUN P 2588545 BPJS KLS 2hu POST SC, KET, SEPSIS, GAGAL NAPAS 05/06/2022 08/06/2022 16.05 13/6/2022 5.00 KEBIDANAN 2 PINDAH KEBIDANAN 2 NRM 15 LPM ICU ADA
TIDAK CVC,DC,ETT,NGT Dr. Ernita,Sp.An.KIC
57 NY.LISBETH SIGALINGGI 15 January 1972 50 TAHUN P 2584976 BPJS KLS 3 POST WIDE EKSISI HEMIARTROPLASTY, 19/06/2022 13/06/2022 15.07 14/6/2022 1.00 IBS/DAHLIA BAWAH PINDAH DAHLIA BAWAH NK 5 LPM ADA IVFD, DC Dr. Ernita,Sp.An.KIC
58 TN. RAMLI 17 July 1960 61 TAHUN L 2589102 BPJS KLS 1 POST BC RIGID CRYO EC TUMOR TRACHEA 12/06/2022 14/06/2022 16.02 15/6/2022 1.00 IBS/GP IV PINDAH GP IV VENTILATOR 14/06/2022 IBS 15/06/2022 ADA CVC,DC,ETT,NGT Dr.
Dr. Ernita,Sp.An.KIC
Navy Lolong
59 TN.SUPARNO 23 June 1975 46 TAHUN L 2588319 BPJS KLS 2 CVDH, HIPERTENSI 02/06/2022 02/06/2022 06.57 6/6/2022 4.00 RS.BINA HUSADA PINDAH DAHLIA ATAS NK 3 LPM ADA CVC,DC, IVFD Wulung,Sp.An.KIC
Dr. Navy Lolong
60 TN. YUSRINO 6 July 1964 57 TAHUN L 2588220 BPJS KLS 3 CVD 31/05/2022 31/06/2022 17.13 8/6/2022 7.00 IGD
IBS/ANGGREK MENINGGAL ANGGREK VENTILATOR 31/05/2022 IGD ADA CVC,DC,ETT,NGT Wulung,Sp.An.KIC
Dr. Navy Lolong
61 NY.SAMAH 2 May 1964 58 TAHUN P 2583185 BPJS KLS 3 POST HEMIGLOSEKTOMY, DISEKSI LEHER 30/05/2022 01/06/2022 12.08 2/6/2022 1.00 LANTAI 2
IBS/ANGGREK PINDAH LANTAI 2
ANGGREK VENTILATOR 01/06/2022 IBS ADA CVC,DC,ETT,NGT Wulung,Sp.An.KIC
Dr. Navy Lolong
62 NY. LILIS 13 May 1979 43 TAHUN P 2571919 BPJS KLS 3 PUNGSI PLEURA EC.EFUSI PLEURA 12/06/2022 13/06/2022 17.09 14/6/2022 1.00 LANTAI 2 PINDAH LANTAI 2 SM 8 LPM ADA CVC,DC, IVFD Wulung,Sp.An.KIC
Dr. Navy Lolong
63 NY.SRI MARTHA DAMAYANTI 11/09/2022 46 TAHUN P 2580217 BPJS KLS 3 POST LAPARATOMY EC KISTA OVARIUM 12/06/2022 14/06/2022 15.18 15/6/2022 1.00 IBS/KEBIDANAN 3 PINDAH KEBIDANAN 3 NK 5 LPM ADA
TIDAK CVC,DC, IVFD Wulung,Sp.An.KIC
Dr. Navy Lolong
64 NY. ESTER BR KARO 6 June 1966 56 TAHUN P 2581194 BPJS KLS 3 POST LAPARATOMY VC SURGICAL STAGING 12/06/2022 15/06/2022 14.40 16/6/2022 1.00 IBS/KEBIDANAN 3 PINDAH KEBIDANAN 3 NK 3 LPM ADA DC, IVFD Wulung,Sp.An.KIC
post debridement, ckb, fraktur femur sin, trauma
65 An. Muhamad Al-Fathir Arabian 18 September 2012 9 Tahun L 2588010 BPJS Raharja
Jasa KLS 3 dan BPJS KLS MENINGO
tumpul abd,ENSEPALITIS
trauma tumpul TB Hidrocepalus on vp
thorax, fraktur shunt 28/5/2022
digiti2 19/06/2022 02.00 20/6/2022 1.00 bougenvile atas PINDAH PICU TT 15 lpm Ada DC,NGT,CVC dr. Ernita Sp.AN KIC,
66 Tn. Muhammad Ilham 5 October 1998 23 tahun L 2589691 3 PBI pedis sin, multiple vl ADHESIOLISIS, VC, HTSOD EC
POST LAPARATOMY 19/06/2022 20/06/2022 00.00 24/6/2022 4.00 IGD PINDAH MAWAR BAWAH NK 5 LPM 19/06/2022 OK IGD 21/06/2022 ada CVC,DC,ETT,NGT dr Navy Sp.An
67 NN. AGUSTINA EKA YANTI 8 August 1980 41 TAHUN P 2584214 BPJS KLS 3 NOK BILATERAL
POST PCNL KIRI DANSUSPECT MALIGNA
INSERSI DJ STENT KIRI, 17/06/2022 20/06/2022 14.20 21/06/2022 #VALUE! IBS/ KEBIDANAN 3 PINDAH KEBIDANAN 3 VENTILATOR 20/06/2022 IBS 21/06/2022 - - ada CVC,DC,ETT,NGT dr. Ernita
Dr. Sp.AN KIC,
Navy Lolong
68 NY. SRI HIDAYATI 4 May 1955 67 TAHUN P 2589033 BPJS KLS 1 NEFROSTOMY KIRI
POST BC RIGID, CRYO LASER TBNA EC TUMPAR 10/06/2022 20/06/2022 11.18 21/06/2022 #VALUE! IBS/ GP IV PINDAH GP IV NK 5 LPM ada V V CVC,DC,NGT, DRAIN Wulung,Sp.An.KIC
Dr. Navy Lolong
69 NY.NURHAYATI 28 August 1974 47 TAHUN P 2589637 BPJS KLS 1 KANAN
Post angiografi, Angioplasty (ballooning), PAD, Ulkus 17/062022 20/06/2022 16.19 22/06/2022 #VALUE! MAWAR ATAS PINDAH MAWAR ATAS VENTILATOR 20/06/2022 IBS ada CVC,DC,ETT,NGT Wulung,Sp.An.KIC
70 Tn. Pambagyo Fitriyanto 28 November 1970 51 thn L 2586038 BPJS KLS 1 DM cruris
POST dextra, DM tipe
THORACOTOMY 2
EKSPLORASI EC Tumor paru 16/6/2022 20/06/2022 18.30 21/6/2022 1.00 CATHLAB/ GP V
IBS/MAWAR PINDAH GP V NK 4 LPM 30/05/2022 ivfd, DC dr. Ernita Sp.AN KIC,
CKB, Trauma tumpul thoraks, Trauma tumpul
71 TN.AAN SUPRIYADI 17 July 1967 53 TAHUN L 2579086 BPJS KLS 1 kanan
abdomen,dd/ Fraktur
tuberkuloma
femurparu
sinistra, Closed fraktur 30/05/2022 30/05/2022 18.30 4/6/2022 5.00 BAWAH PINDAH MAWAR BAWAH VENTILATOR 30/05/2022 IBS 03/06/2022 ada CVC,DC,ETT,NGT,WSD dr.
dr. Ernita Sp.AN Wulung
Navy Lolong KIC,
72 Tn. Muhammad Ilham 5 October 1998 24 th L 2589691 femur digiti pedis sinistra 19/6/2022 20/06/2022 24.00 6/24/2022 4.00 IGD PINDAH Ventilator 19/6/2022 IGD 22/06/22 ada ETT, NGT, DC, CVC SpAn, KIC
73 An. Adam Surya 01 February 2016 6 th L 2589824 Tunai/ Sdg urus BPJS Status epileptikus 20/6/2022 21/06/2022 01.00 22/06/2022 #VALUE! IGD PINDAH bougenvil bawah Simple Mask Tidak ada NGT, DC, Infus perifer dr. Ernita, Sp.An, KIC
74 tn. amat Nur raharjo 3 July 1942 80 L 2584697 BPJS KLS 1 skin tumor maksilaris post eksisi 20/06/2022 21/06/2022 13.00 22/6/2022 1.00 GP 4 PINDAH GP 4 ventilator 21/06/2022 IBS 22/06/2022 v condom kateter dr. Ernita, Sp.An-KIC
75 Tn. FX Rullyadi 2 October 1952 69th L 2588809 BPJS KLS 1 massalaminektomi
post hipofaring, post MLC biopsi
dekompresi disektomi e.c HNP 20/06/2022 21/06/2022 14.15 22/6/2022 1.00 GP 5 PINDAH Ventilator 21/06/2022 IBS v NGT,,DC,
NGT DC venplon
, Vemplon , dr. Ernita, Sp.An-KIC
76 Tn . Lim Tjiton 29 December 1961 60 th L 912785 BPJS KLS 1 lumbal 4 - 5 20/06/2022 21/06/2022 17.50 23/6/2022 2.00 GP 6 PINDAH GP 6 Ventilator 21/06/2022 IBS 22/6/22 ada CVC , Arteri line di taki , dr navy sp an KIC
77 Ny. Sulastri 12 March 1975 47 th p 2589235 BPJS kls 3 post BC,open biopsi EC tumor mediastinum 14/6/2022 21/06/2022 14.55 22/6/2022 1.00 Gsb PINDAH Gsb NK 6/22/2022 IBS tidak ivfd di kaki kanan dr. Ernita spAnkic
78 Tn. Drs, M Natsir 01 January 1959 63 th L 2256443 BPJS KLS 1 Bronkietasis, probable mikosis paru 21/06/2022 22/06/2022 13.40 23/6/2022 1.00 GP lt 6 PINDAH GP lt 6 NK 22/06/2022 IBS 23/6/2022 Ivfd di ta-kiri dr. Ernita Sp.An(KIC)
79 Tn. Darsan 02 October 2022 62 th L 2526289 BPJS KLs 1 Tumor endobrachial post BC riqid 22/06/2022 22/06/2022 12.30 23/6/22 1.00 GP lt 4 PINDAH G4 4 ventilator 22/06/2022 IBS 23/6/2022 Ivfd di ta-ka, kaki-kanan dr. ERnita Sp. An
80 Tn. SUKOCO 06 September1963 58 th. L 2589314 BPJS KLS 1. Post BC,TBNA.dd/tumor mediastinum 18/06/2022 23/06/2022 09.50 6/24/2022 1.00 Mawar Bawah. PINDAH Mawar Bawah NK. Epidural, WSD, NGT,
DC,
DC ,Arteri
NGT , Line
DrainTangan
di DC.
81 Ny. Sarunih 22 April 1959 63 th. P 2074638 BPJS KLS 3 Post debridement,
Pnemothoraks kananulkus
on dekubitus
WSD post sakrum.
repair WSD POD- 13/06/2022 23/06/2022 13.50 6/25/2022 2.00 Cempaka
IBS Atas
/ Bougenvile PINDAH Cempaka atas
BOUGENVILE NK 2 lpm ada IVFD
Kanan,Tangan
IV linekanan,
Tangan dr. Navy,sp.an.kic
abdomen sinistra , IV
82 An. Islamy Rasya Fauzy 27 April 2007 15 th. L 2588962 BPJS KLS 3 13,
PostBulla lobus superior
Laparatomy parureseksi
adhsiolisis kanan. anastomosis 20/06-2022 23/06/2022 15.00 24/6/2022 1.00 atas PINDAH ATAS NK 3 LPM 23-06-2022 IBS 24/06/2022 Ada Kanan dan Kaki
Line tangan Kanan
kanan dan dr. Ernita, Sp. An.KIC
83 Ny Mursidah 8 November 1981 41 th p 1846429 BPJS KLS 1 ileoileal ,dan miomektomi , Hepatitis B 18/6/2022 23/06/2022 17.20 6/25/2022 2.00 GP LT 5 PINDAH GP 5 ventilator 23/6/2022 IBS 24/06/2022 Ada tangan kiri dr Ernita Sp An KIC
EMPIEMA THORAX DESTROYED LUNG KANAN POST
84 NN. SYARAH DWI A 24 January 1998 24 TAHUN P 2586693 BPJS KLS 3 THORACOTOMY TORACOPLASTY DEXTRA 20/06/2022 22/06/2022 15.58 6/24/2022 2.00 ANGGREK LANTAI 2 PINDAH BEDAH KELAS VENTILATOR 22/06/2022 IBS 24/6/2022 Ada CVC,DC,ETT,NGT,WSD dr Ernita Sp An KIC
85 Ny. Rusna NGadimin 13/6/1961 61th p 2585369 bpjs kls 3 post tiroidektomi 23/6/2022 24/06/2022 11 6/26/2022 2.00 ANGGREK LANTAI 2 PINDAH bedah kelas spontan TT ibs ada cvc. dc. ngt. dr Ernita Sp An KIC
86 Ny. Novi Nr aini 03 April 1994 28 th P 2589210 BPJS Kelas 1 post sc 21/06/2022 24/06/2022 13.50 27/6/2022 3.00 OK IGD PINDAH GP 4 NK 4 Lpm ada cvc,dc,
DC,NGT , Arteri line di dr,Navy,sPAn KIC
87 Ny.Rotua Odor M 29/09/1943 69 thn P 2590157 BPJS 1 Post laparatomy
Penkes, Hartman
Edema Cerebri, Prosedure
SAH, SDH, Riw. Hiperglikemi, 24/06/2022 24/06/2022 13.30 6/28/2022 4.00 OK IGD/ GP 5 PINDAH VENTILATOR 24/06/2022 IBS ada taki dr.Navy SpAn KIC.
88 Tn. MR.X 24/06/1997 25th L 2590230 DinSos SyokSepsis
Syok hipovolemik dd sepsis colic rennal ec 24/06/22 25/06/2022 01.30 6/26/2022 1.00 IGD MENINGGAL Ventilator 24/06/2022 IGD ada cvc, ngt, dc, arteri line Dr. Ernita Sp.An KIC
89 Tn. AAS Asmanullah 06 May 1959 63 th L 2555149 BPJS 1 nefrolitiasis,DM tipe 2,HAP,RIw DJ stent kanan 23/6/2022 25/06/2022 13.15 6/27/2022 2.00 GP 5 PINDAH NRM 29/6 infus,DC,NGT dr Ernita Sp An KIC
90 Ny. Sugiyem 16 October 1948 73 th P 2590244 BPJS 2 Syok hipovolemik,hemel,DM tipe 2,Anemia 25/06/2022 25/06/2022 12.15 10 SISA #VALUE! IGD SISA NK s/d Infus,DC,NGT
DC,NGT , Arteri line di dr Navy
91 Ny. Sulastri 30 July 1959 62 P 2590260 BPJS 2 penkes susp SOL DM tp II HT hematemesis 25/06/2022 25/06/2022 16.15 3 SISA #VALUE! IGD SISA VENTILATOR 25/06/2022 IGD ada taki Dr. Ernita Sp.An KIC
92 Ny. Nia 07 May 1991 31 p 2586410 bpjs 3 tumor regio parieta sinistra post craniotomi ec tumor 23/6/2022 24/06/2022 10.30 25/06/2022 1.00 bedah kelas PINDAH bedah kelas nk 3 lpm ada dr. ernita
93 Ny, Sumarni 21 May 1961 61 th p 2590266 bpjs 3 penurunan kesadaran suspek intrakranial 25/6/2022 25/06/2022 23.30 6/27/2022 2.00 igd MENINGGAL Kamar Jenazah ventilator 25/06/2022 igd 27/06/22 ada cvc,dc,ngt, dr Ernita Sp An KIC
94 Ny. Mariana 5 December 1953 69 th p 2590277 bpjs 3 icteric ec hepatitis b akut 25/06/2022 25/06/2022 24.00 9 SISA #VALUE! igd SISA NK tidak infus ,ngt dr navy spankic
95 Ny. Imelda Kurniati 31/5/1980 42th P 2575919 bpjs 4 CKD, Ca Ovarium, HT Emergency 24/6/2022 26/06/2022 08.20 6/26/2022 0.00 HCU MENINGGAL Ventilator 26/06/2022 26-6-2022
96 tn Eko wahyudiantoro 11/02/1974 48th L 2589099 bpjs 5 Penkes ec cuniga ensefalopati sepsis 12/6/22 26/06/2022 16.45 6/28/2022 2.00 PINDAH nk
97 NY. Siti Badriyah 26/04/1982 40 th P 2589807 BPJS 3 Post Debridement , Repair AV shunt, CKD on HD 25/6/2022 26/06/2022 22.00 5 6/28/2022 2.00 Anggrek lantai 2 PINDAH bedah kelas
bedah thorax, Ventilator 26/06/2022 OK IGD dr. Ernita Sp. AN KIC
98 Ny. Yesi Oktaviani 17/10/1989 32 thn P 2589510 BPJS 3 efusi peritonial
post operasi kanan, radikal
kraniotomy nefektomi
, eksplorasi kanan
tumor , 26/06/2022 27/06/2022 12.30 4 6/30/2022 3.00 Anggrek lantai 2 PINDAH (anggrek lantai 2) Ventilator 27/06/2022 IBS ada DC,
DC, NGT,
NGT, CVC,
CVC, drain
drain dr. Ernita Sp. AN KIC
99 Ny. Puji Sulastri 25-03-1965 57 th P 4499564 BPJS 1 rekonstruksi tulang 14/06/22 27/06/2022 13.00 1 SISA #VALUE! Mawar Bawah SISA Ventilator 27/06/2022 IBS ada kepala dr. Ernita Sp. AN KIC
100 Ny. Restiza Oktaviana 12/10/1999 23 th p 2586745 BPJS 1 Post BC 24/06/2022 27/06/2022 14.30 8 6/28/2022 1.00 GP 5 PINDAH Gp 5 NK 3 LPM INFUS, DC dr. Navy Sp.An. Kic
101 Ny. Anita bagus 16/09/1972 49 P 2590453 BPJS 3 Abses Parafaring post trakeostomi post BC
pasca laparatomi a/i peritonitis ec. susp apendikitis 28/6/2022 28/06/2022 10.00 8 30/6/2022 2.00 IGD PINDAH Bedah Kelas ventilator 6/28/2022 ok cito ada DC, NGT, dr. navy
102 ny. Novia Ariska 15/11/1995 26 th P 2590467 BPJS 3 perforasi 28/6/2022 28/06/2022 16.30 2 29/6/2022 1.00 IGD PINDAH BEDAH THORAX NK 3lpm Ada DC,NGT, drain dr. Ernita Sp.An KIc
103 Tn. Supriyadi 15/06/1959 63 th L 2379854 BPJS 1 Post Sistoscopy evaluasi ec TCC Buli, CAD 28/6/2022 27/06/2022 13.00 7 29/6/2022 2.00 GP 6 PINDAH GP 6 NK 3 lpm tidak DC, dr. Navy Sp.An. Kic
104 Ny. Irawati 05/02/1993 29 th P 2590608 BPJS 1 Post Laparatomy,
Post Salfingectomy,
Laparatomy eksplorasi ec KETabses TB TB
, drainase 29/6/2022 29/06/2022 10/7/2022 5 SISA #VALUE! RSUD Jati padang OK IGD SISA VENTILATOR 29/6/2022 OK IGD ada DC, NGT,
NGT, DC, IV line taka dr. Ernita Sp.An KIc
105 Tn. Septian Herdiyanto 07/09/1994 27 th L 2590089 BJPS 3 bulanTorakotomi
Post Pertama anterior, open biopsi ec susp tumor 23/6/2022 29/06/2022 11.45 7 6/30/2022 1.00 Bedah Thorax PINDAH bedah kelas nk 3 lpm tidak dan taki, Drain, stoma dr. Navy Sp.An. Kic
106 Tn. Chanakya Carmentin 30/5/2003 19 th L 2588732 BPJS 3 mediastinum dd limpoma non-hodkin 28/6/2022 29/06/2022 11.20 2 3-7-2022 #VALUE! Bedah Thorax SISA bedah kelas ventilator 29/6/2022 IBS 30-6-2022 ada NGT, DC, WSD dr. Ernita Sp. AN KIC
107 tn. muhammad yusuf 23/3/1986 36 th L 2135411 BPJS 3 post repair AV graft Aneurisma + CDL 29/6/2022 30/6/2022 13.45 4 SISA #VALUE! bedah thorax SISA BEDAH KELAS nk. 5lpm ada NGT, D/C dr. Ernita SpAn. KIC
108 ny. zubaidah 11/3/1966 56 p 2582721 bpjs3 post be ec ca paru 23/6/22 30/06/2022 15.20 7 SISA #VALUE! RSUD dahlia atas SISA DAHLIA ATAS nk 5 lt/mt RSUD INFUS, WSD, DC dr. Navy Sp.An. Kic
109 Ny. Sofi Anggi 23-3-1999 23 P 2588008 BPJS 27-5-2022 27/05/2022 11 6/6/2022 10.00 Pademangan PINDAH Bedah Kelas Ventilator Pademangan 3-6-2022 ada dr. Thariq
110 Ny. Lim Elizabeth Ester 28-10-1962 59 P 2587885 BPJS 25-5-2022 31/05/2022 6 6/1/2022 1.00 Dahlia Atas Meninggal Ventilator 31-5-2022 ICU 1-6-2022 ada ada
111 Tn. Rudi Gunawan 6-6-1970 52 L 2586173 BPJS 24-5-2022 31/05/2022 6/1/2022 1.00 GSB PINDAH GSB SM dr.Navy Sp.An.KIC
112 Ny. Sutiri 12-3-1964 58 P 2570893 BPJS 24-5-2022 31/05/2022 6/6/2022 6.00 Bedah Kelas Pindah Bedah Kelas Ventilator 31-5-2022 OK ada dr.Navy Sp.An.KIC
113 Tn. Maradona 22-1-1980 42 L 2504902 BPJS 30-5-2022 31/05/2022 6/2/2022 2.00 IGD Pindah Mawar Bawah Ventilator 31-5-2022 OK 2-6-2022 ada dr. Thariq
114 Ny. Samah 2-5-1964 58 P 2583185 BPJS 30-5-2022 31/05/2022 6/2/2022 2.00 Bedah Kelas Pindah Bedah Kelas Ventilator 31-5-2022 OK 1-6-2022 dr.Navy Sp.An.KIC
115 Tn. Yusrino 57 L 2588220 BPJS 31-5-2022 31/05/2022 6/8/2022 8.00 IGD Meninggal Ventilator 31-5-2022 IGD 8-6-2022 ada dr.Navy Sp.An.KIC
116 Ny. Widiyanti 27-4-1981 41 P 2577774 BPJS 30-5-2022 31/05/2022 6/1/2022 1.00 Gp 4 pindah Gp 4 Ventilator 31-5-2022 IGD 1-6-2022 ada
117 Ny. Suryati 17 January 1961 61 th P 2590753 BPJS Tumpar 13/7/2022 14/7/2022 WK lt2 ventiator 14/07/2022 ICU ada dr, Navy Sp.An
118 ny marijah 28/05/1971 51 th p 2588913 bpjs kss hipofaring on kemo, hipoglikemi,cap 22/9/2022 22/9/2022 17.30 7 IGD ventilator
119 Ny. Rusmi Limbong 06/07/1967 55 thn P 2598630 BPJS Kls 3 penkes, nefrolitiasis bilateral, anemia, hipertensi 25/09/2022 25/09/2022 17.25 4 IGD Ventilator 25/09/2022 IGD Tidak NGT Dan DC dr. Ernita Sp.An-KIC
120 Ny. Nur Apriyanti 23 April 1992 30 thm P 2597220 BPJS kelas 3 Post laminektomi dekompresi 31/10/2022 09/11/2022 17.00 7 09/11/2022 1 Bedah Kelas Pindah Bedah KElas Nasal Kanul Ada DC dr. Navy
121
122
120 51 69 4 95 73 74 42 2 1 99 5 1 3 0 3
13
9
REKAPAN
NO KATEGORI JUMLAH %TASE 117
1 TOTAL PASIEN 120
2 LAKI-LAKI 51 42.50%
3 PEREMPUAN 69 57.50%
4 BPJS 115 95.83%
5 TUNAI 1 0.83%
6 HARI RAWAT ≤ 4 HARI 93 86.11%
7 HARI RAWAT > 4 HARI 16 14.81%
8 PASIEN RUJUKAN 4 3.33%
9 PASIEN MENINGGAL 13 12.04%
10 PASIEN PINDAH 95 87.96%
11 TOTAL PASIEN KELUAR 108
12 SISA PASIEN AKHIR BULAN 9
13 INTUBASI 73 60.83%
14 EXTUBASI 42 57.53%
15 RE INTUBASI 2 2.74%
16 HFNC/ OPTIFLOW 1
17 CVP 99 82.50%
18 CDL 5
19 HD 1 ?
20 CRRT 3 l
21 ECHO 0
22 ICON 3
llĺ
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DPJP LAINNYA
Dr.Lilis, Sp.A
Dr. Wahyu, Sp.B.KBD
Dr.Agung W,Sp.BTKV
Dr.Lilis, Sp.A
Dr. Chandra,Sp.BS dan Dr. Saad, Sp.A
Dr. Ginanjar Arum,Sp.P
Dr. Syafiq, Sp.PD
RAHARDJO,
Sp.OG(K)-Onk
Dr. Seno, Sp.BS
Dr. Hayatun Nufus,Sp.PD
Dr. Agung,Sp.BS
dr tri appriliawan,spog
dr widi
dr lucky,spog
dr. hendy, Sp.U
dr. Dwi Sp.S

Drg. Addys,Sp.
dr. Tri Apriliana,Sp.Og
dr. Imy,Sp.JP
dr.Oni Sp.Og
dr. Fatiyah, sp. P
dr. Andi sp.PD
Dr. dwi Sp.S
Dr. saad SpA
Dr.NUGROHO
PURNOMO,Sp.U
dr. iqra
dr. iqra
dr. adis
Dr. Budimansyah,Sp.Ot
Dr Budimansyah
Dr. Sp.Ot
Wahyu Sriningsih,
Sp.B.KBD
Dr.Agung Heri Wahyudi,
Sp.BS
Dr. Wahyu Sriningsih,
Sp.B.KBD
Sp.BS
Dr.Tri Apriliawan
Dr.Mia
Bendarto Elhidsi,Sp.P (K)
Rahardjo,Sp.OG
Sp.BS
Dr. Sigit Daru Cahayadi,
Sp.OT
Dr. (K) KOKOHANA
I PUTU
ARISUTAWAN,Sp.BTKV
Dr. TAN YOSEPHIN, Sp.S
Dr. Saad,
Dr. Sp.A
YULVINA,Sp.THT-KL
(K)
Dr. Heidy Agustin, Sp.P
(K)
Dr.Tri Apriliawan
Bendarto
Sp.B.KBD
Dr. Seno Budi dan Dr.
Rahardjo,Sp.OG
Santoso,Sp.B.KBD
Seno Budi
Santoso,Sp.B.KBD
Dr. Ni
ANINDHITA,Sp.OG
Dr. Made Rika
(K).Onk
Trismayanti, Sp.B
(K)finacs
Dr. Saad
Dr. Khalik,
Ade Putri Sp.A
Tanesha
Idhayu,Sp.PD
Sp.B.KBD
Dr.Erythrina Permata
Dr. I Putu Kokohana,
Sari.Sp.BP-
Sp.BTKV danREDr.
(K)Maulana
Suryamin, Sp.PD-KGEH
Dr. Lucky
Dr. Savitri,Sp.OG
Budi Harapan Siregar,
Sp.B(K)Onk
Dr. Fariz Nurwidya, Sp.P
(K).,Ph.D
Dr. Teuku Reyhan,Sp.S
Dr. Dwi Astini,Sp.S
Dr.Yulvina,Sp.THT
Dr.Ratna Wati, Sp.P
Dr. Anindhita,Sp.OG
Dr. Saad
dr. Oni Khonsa,Sp.OG
Sp.A,dr. Chandra
Sp.BS
dr Agung Sp.BS, dr Sigit
Sp.OT
Dr. Anindhita,Sp.OG
Dr. Andika Afriansyah,
Sp.U
Dr.Mia Elhidsi, Sp.P
Dr.KOKOHANA, Sp.BTKV
dr. Agung SpBS, dr. Sigit
Dr.Susan
SpOT, dr.H, Sp.BTKV
Wahyu Sri
SpBD
Dr. Saad,
Ddr. Sp.A
Rachmawati,
Sp.B.onk
dr agungSPP.
dr.dicky sp BSdr agung
spbtkv
dr. Ginanjar Arum Sp.P
sr. Dicky S Sp. P
dr. Ery,
dr. SP.BP
Arman, Sp. BTKV,
Dr.Sàad,Sp.A
Dr Widi Sp BD , Dr Farhan
Djamal Sp OG
Dr.Susan H, Sp.BTKV
dr.haris sp.b.onk
dr.Made,spObg
Dr. Perwira Widianto
SpB.KBD
Dr. Chandra Sp.Bs
dr Eppy
drLucie Sp.S
dr. chandra spbs
dr. Arman Sp. BTKV

dr. Nugroho, SpBU
dr. Chandra Sp. BS
dr. MIa. sp.P
dr. deasy Sp.THT
dr. Perwira widianto
dr. Nugroho, SpBU
dr. Iqra
dr. widi Sp.
sp. OG
B
dr. ali sp. OT
dr Koko Sp. BTKV
dr. Arman Sp. BTKV
Dr. Mia Elhidsi,Sp.P
Dr Dicky S Sp. P
dr. Yasir Sp.PD

Dr. Agung. Sp.Bs
BULAN: JULI 2022 ::
JENIS KELAMIN TINDAKAN (CEK LIST)

JAMINAN (BPJS/TUNAI/ PINDAH/
TGL MASUK JAM MASUK TGL KELUAR/ RUANGAN POLA NAFAS ASAL/TEMPAT TINDAKAN LAIN JIKA
NO NAMA TANGGAL LAHIR USIA NO RM ASURANSI/ DIAGNOSA MASUK TGL MASUK IPI BED HARI RAWAT DI IPI ASAL RUJUKAN RUANGAN ASAL MENINGGAL/DIRUJUK/PUL TGL INTUBASI TGL EXTUBASI HFNC/ DPJP UTAMA
RS IPI MENINGGAL PINDAH: SAAT MASUK IPI INTUBASI ADA ( SEBUTKAN)
L P PERUSAHAAN) ANG: RE INTUBASI OPTIFLO CVC CDL HD CRRT ECHO ICON
W
post operasi kraniotomy , eksplorasi tumor , DC, NGT, CVC, drain
1 Ny. Puji Sulastri 25/03/1965 57 th P 4499564 BPJS 1 rekonstruksi
Post tulang
Torakotomi anterior, open biopsi ec 14/06/2022 27/06/2022 13.00 1 7/3/2022 6 IBS/ Mawar Bawah MENINGGAL Ventilator 27/06/2022 IBS √ v v kepala dr. Ernita Sp. AN KIC
susp tumor mediastinum dd limpoma non-
2 Tn. Chanakya Carmentin 30/05/2003 19 th L 2588732 BPJS 3 hodkin 28/06/2022 29/06/2022 11.20 2 7/3/2022 #VALUE! IBS/Bedah Thorax PINDAH BEDAH KELAS Ventilator 29/6/2022 IBS 30/06/2022 √ NGT,
DC,NGTDC,, WSD
Arteri line di dr. Ernita Sp. AN KIC
taki, DSA TGL
3 Ny. Sulastri 30/07/1959 62 P 2590260 BPJS 2 penkes susp SOL DM tp II HT hematemesis 25/06/2022 25/06/2022 16.15 3 7/2/2022 7 IGD MENINGGAL VENTILATOR 25/06/2022 IGD √ 28/06/2022 Dr. Ernita Sp.An KIC
4 Tn. Muhammad Yusuf 23/03/1986 36 th L 2135411 BPJS 3 post repair AV graft Aneurisma + CDL 29/06/2022 30/6/2022 13.45 4 1/7/22 #VALUE! BEDAH KELAS PINDAH BEDAH KELAS nk. 5lpm √ v NGT, D/C dr. Ernita SpAn. KIC
5 Ny. Irawati 05/02/1993 29 th P 2590608 BPJS 1 Post Laparatomy, Salfingectomy, ec KET 29/06/2022 29/06/2022 07.15 5 01/07/2022 2 RSUD Jati padang OK IGD PINDAH MAWAR ATAS VENTILATOR 29/6/2022 OK IGD 30/06/2022 √ DC, NGT, dr. Ernita Sp.An KIc
BOUGENVILE BOUGENVILE Dr. Navy
6 AN. SALSA PUTRI E 07/05/2010 12 TAHUN P 2588188 BPJS POST VP SHUNT 07/06/2022 10.30 6 15/07/2022 38 BAWAH PINDAH BAWAH VENTILATOR 07/06/2022 IBS √ Lulung,Sp.An.KIC
7 ny. zubaidah 11/03/1966 56 p 2582721 bpjs3 post be ec ca paru 23/06/2022 30/06/2022 15.20 7 01/07/2022 1 dahlia atas PINDAH DAHLIA ATAS nk 5 lt/mt √ INFUS, WSD, DC dr. Navy Sp.An. Kic
(29/6/202
8 Ny. Mariana 05/12/1953 69 th p 2590277 bpjs 3 icteric ec hepatitis b akut 25/06/2022 25/06/2022 24.00 9 01/07/2022 6 igd MENINGGAL NK 2 s/d infus ,ngt dr navy spankic
02/07/20
9 Ny. Sugiyem 16/10/1948 73 th P 2590244 BPJS 2 Syok hipovolemik,hemel,DM tipe 2,Anemia 25/06/2022 25/06/2022 12.15 10 02/07/2022 7 IGD MENINGGAL NK √ v 22) Infus,DC,NGT dr Navy
Tumor Regio Oksipital Dextra Post Explorasi DC , CVC . Infus perifer
10 Ny Rohmah 12/05/1981 41 TAHUN p 2584282 BPJS KLS 1 tumor + Decortikasi + Debridement 30/06/2022 01/07/2022 14.00 8 02/07/2022 1 GP Lt 5 PINDAH GP5 NK 3 Lpm ada di Kaki kanan dr Navy Sp An KIC
CLOSE FRAKTUR OF RIGHT LT FEMUR POST Dr. Navy Lolong,
11 NY. DEWI MOELATI 22/04/1939 83 TAHUN P 4499297 BPJS KLS 1 ORIF PFNA 25/06/2022 01/07/2022 12.00 7 05/07/2022 4 IBS/ GP 5 PINDAH GP 5 NK √ NGT, CVC Sp.An.KIC
NOK Susp Maligna Post Laparatomi VC , DC, NGT, ETT, Drain,
12 Ny Sri Rahmawati 20/05/1981 41 TAHUN p 2586974 BPJS KLS 3 HTOB , SOB , Surgical Staging 30/06/2022 01/07/2022 17.05 4 04/07/2022 4 Anggrek L3 PINDAH anggrek 3 Ventilator 2/7/22 √ IVFD, CVC dr. Ernita Sp. An-KIC
penkes susp urosepsis, HT, DM2, post Rsud
13 Tn. Legijo 21/11/1962 59 TAHUN L 2590949 Bpjs kls 3 amputasi digiti I pedis sinistra 02/07/2022 02/07/2022 12.20 9 04/07/2022 2 Rsud Kembangan IGD PINDAH RICU Ventilator 30-06-2022 Kembangan DC,NGT,ETT, Iv line taki dr.Navy Sp.An-KIC
Infus Perifer TAKI ,
14 Tn Poeji Yatin 27/02/1959 63 TAHUN L 2590976 BPJS KLS 3 CVD Iskemik , AFRVR , CHF 03/07/2022 03/07/2022 23.50 3 06/07/2022 3 IGD PINDAH wk NK 3 Lpm Condom cateter , NGT Dr Ernita Sp An KIC
Pasang CVC Infus Perifer, DC, NGT,
di ICU VP Shunt Tanggal
15 Tn. Suhartoyo 03/07/1979 43 tahun L 2590993 BPJS kls 3 Penkes. Riwayat kejang. Hipernatremia 04/07/2022 04/07/2022 01.49 5 08/07/2022 5 RSUD Sawah besar IGD PINDAH Anggrek lt 2 NK 3 lpm 04/07/2022 07/07/2022 dr. Ernita Sp. An-KIC
16 Tn. Hasyirwan 02/07/1953 69 TAHUN L 2538754 BPJS kelas 1 CKD on HD, gagal nafas tipe 2 04/07/2022 04/07/2022 03.00 8 08/07/2022 4 IGD PINDAH GP 6 Ventilator 04/07/2022 IGD 06/07/2022 ✔ Infus Perifer, DC, NGT dr. Navy sp.an.kic
Post hemiarthroplasty fx collum femor sin
17 Ny. Mintarsih 08/12/1940 81 TAHUN P 2365262 Tunai S72, fracture of neck of femur 30/06/2022 04/07/2022 11.20 1 05/07/2022 1 IBS/mawar atas PINDAH mawar atas NK Infus Perifer, DC, NGT dr. Ernita SpAn
abses renal post laparatomy nefrektomy
18 Ny. Surip 21/07/1962 60 TAHUN P 2582419 BPJS KELAS 3 ginjal kiri, repair ruptur diafragma 03/07/2022 04/07/2022 13.45 2 06/07/2022 3 bedah thorax PINDAH WK ventilator 4/7/22 OK 05/07/2022 ✔ ogt, dc, infus perifer dr. ernita Sp. an
Dr. Ernita Akmal,
19 Ny.Asni 21/07/1973 49 TAHUN P 2560632 BPJS Post op laparatomy, tutup stoma 03/07/2022 04/07/2022 15.00 4 05/07/2022 1 GP4 PINDAH NASAL KANUL IBS/GP IV ✔ CVC, DC, NGT, DRAIN Sp.An.KIC
INFUS PERIFER,
20 Ny. RIKA ATMAJA 16/01/1961 61 TAHUN P 2588321 BPJS 3 Post op laparatomi NOK, surgical staging 04/07/2022 05/07/2022 14.00 10 06/07/2022 1 IBS/ KEBIDANAN 3 PINDAH KEBIDANAN 3 NK DC ,DRAIN Dr. Navy Sp. AN. KIC
FEMORALIS
21 Tn. ALAN NUARI 18/01/2001 21 TAHUN L 2589995 BPJS 3 craniotomi, + orif Zigomatikum 22/06/2022 05/07/2022 14.40 4 06/07/2022 1 ANGGREK LT 2 PINDAH ANGGREK LT 2 NK DEX DC, NGT, DRAIN Dr. ernita Sp. AN. KIC
DC, DRAIN,
22 Tn. ARH SETYONO 04/10/1958 63 TAHUN L 2576229 BPJS 1 PCNL kanan + insersi DJ stan Bilateral 04/07/2022 05/07/2022 15.30 1 06/07/2022 1 GP 5 PINDAH GP 5 NK NEFROSTOMI
Draii kepala sinistra . Dr. ernita Sp. AN. KIC
DC , Infus perifer , ateri
23 Tn Bunito 11/12/1969 53 Tahun L 2590159 BPJS KELAS 1 Post craniotomy 24/06/2022 06/07/2022 12.30 3 07/07/2022 1 Mawar Bawah PINDAH mawar bawah NK 3 Lpm ada line TAKI , NGT Dr Ernita Sp An KIC
dc treeway spoolin,
24 ny .Eha Julaeha 07/06/1994 28 tahun p 2590844 bpjs kelas 3 post open radikal nefrektomi kanan 01/07/2022 06/07/2022 15.40 4 12/07/2022 7 dahlia atas PINDAH bedah kelas ventilator 06/07/22 IBS 08/07/2022 V drain, ett, ngt,dc
ETT,drain,3 way dr ernita span kic
kebidanan 2 kmr catheter,NGT ,CVC
25 Ny.Esti Agustin 07/08/1983 38 Tahun P 2581149 BPJS 1 Post SC Histerektomy 05/07/2022 06/07/2022 15.15 2 10/07/2022 4 Kebidanan PINDAH 4 Ventilator 6/7/22 IBS 8/7/22 ada jugularis sinistra dr Ernita
Drain ,ETT,NGT,DC,CVC
26 Ny. Yuni Supriatin 29//6/1980 42 tahun P 2587384 BPJS 3 NOK susp maligna,Post laparatomy 05/06/2022 06/07/2022 16.30 9 08/07/2022 2 Kebidanan PINDAH kebidanan 3 Ventilator 06/07/2022 IBs jugularis sin X jugularis sinistra dr NAvy
Post laparatomy adesiolisis anastomosis subclavia
27 Tn Desanto Timbul 06/12/1977 44 Tahun L 2576674 BPJS 3 usus 05/07/2022 06/07/2022 17.15 1 07/07/2022 1 Wijaya kusuma PINDAH Wijaya Kusuma Ventilator 06/07/2022 IBS sinistra ETT,NGT,Drain,DC dr ERnita Sp AN
28 Ny. Rohani 20-10-1960 61 Tahun P 2591246 BPJS 6-7-2022 6-7-2022 10.00 7 24-7-2022 18 RSUD SAwah Besar MENINGGAL Ventilator 6-7-2022 ICU 24-7-2022 v v v
29 Ny.Setiawati 26/01/1971 51Tahun p 2586794 BPJS 3 post Laparatomy SOS VC,omenektomy 06/07/2022 07/07/2022 14.30 10 08/07/2022 1 kebidanan 3 PINDAH kebidanan 3 d ETT,CVC,NGT,Drain,DC Dr Ernita Sp An KIC
ETT, Drain, 3 way
30 Ny.Vivi Iriani 24/09/1970 52 Tahun p 2590759 BPJS 3 post laparatomy ec massa retro peritonial 01/07/2022 07/07/2022 16.00 3 08/07/2022 1 Wk 2 PINDAH Wijaya Kusuma Ventilator 07/07/2022 IBS ✔ catheter, NGT, CVC , UK Dr Ernita Sp An KIC
post laparatomi ec ileus paralitik,massa
31 Ny.Nur Kholipah 27/12/1982 40 Tahun p 2589561 BPJS 1 colonLaparatomy
Post transfersumVC SOD, sistektomi 01/07/2022 07/07/2022 16.30 1 10/07/2022 3 GP 4 PINDAH GP4 Ventilator 07/07/2022 IBS 8-7-2022 ✔ Dr. ernita Sp. AN. KIC
ovarium kiri ec bilateral kista dermoid anggrek
32 Ny. Kristina Natalia 13/12/1985 37 Tahun P 2588728 BPJS 3 ovarium 7/7/22 08/07/2022 13.00 9 09/07/2022 1 IBS/Anggrek 3 PINDAH 3(kebidanan) NK 3 Lpm Perifer dc, ivfd dr. Navy Sp. An-KIC
33 Tn. Yusuf Nur Hidayah 14/09/1981 41 tahun L 2588795 BPJS 3 orbitotomi anterior, tumor sinonasal 07/07/2022 08/07/2022 13.40 10 09/07/2022 1 cempaka atas PINDAH Cempaka atas simple mask v DC dr. Navy Sp.An.KIC
ETT, DC, NGT, DRAIN,

34 Ny. Sumarni 09/08/1976 45 tahun P 2591000 BPJS 3 Post Laparotomy eksplorasi, Illeustomy 05/07/2022 08/07/2022 18.15 3 09/07/2022 1 Nggrek lantai 2 MENINGGAL Ventilator 08/07/20222 IBS 9/7/2022 ada CVC dr. Ernita, Sp.An.KIC
femoralis
35 Tn, R endang saputra 03/05/1969 53 tahun L 2591519 BPJS kelas 3 CVD iskemik, penurunan kesadaran 08/08/2022 08/07/2022 03.00 8 10/07/2022 2 IGD MENINGGAL ventilator 08/07/22 IGD dextra ETT, DC, NGT, CVC dr navy span KIC
Syok sepsis e.c selulitis pedis sinistra e.c
36 Tn. Helmi 16/04/1968 54 tahun L 2591404 BPJS 3 CAP, DM 07/07/2022 09/07/2022 16.20 10 14/07/2022 5 cempaka atas PINDAH dahlia bawah Nasal kanul dr. Navy, Sp.An. KIC.
subklavia ett, ngt, dc, cvp, vacum
37 Ny. Rochatun 29/07/1960 61 th p 2591520 BPJS Kelas 3 open fraktur tibia fibula trantibia amputasi 09/07/2022 09/07/2022 20.18 5 13/07/2022 4 IGD PINDAH CEMPAKA ATAS ventilator 09/7/22 IBS 12/07/2022 sinistra drain kaki di kiri dr ernita, spANKIC
Syok sepsis e.c selulitis pedis dextra e.c, IGD rujukan RS
38 Tn. Ibrahim 28/08/1971 52 th L 2591555 BPJS 3 hiperkalemi, AKI dd CKD 09/07/2022 10/07/2022 01.50 9 15/07/2022 5 evasari MENINGGAL - NK 5lpm ETT, IVFD dr. Navy Sp.an
39 Tn. Adi Susilo 08/07/1999 23th L 2296381 Dinkes DKI fraktur kompresi regional frontal, edh 10/07/2022 10/07/2022 16.30 2 11/07/2022 1 IGD PINDAH Bedah Kelas NK 3 Lpm infus perifer, dc, dr. Ernita Sp.An KIc
Post op Laparatomy hartman prosedure ec ETT no 7,5 No 20 Subclavia
40 Tn. Agus Nurmata 10/10/1950 71 th L 423226 BPJS 2 Adeno CA Recti 08/07/2022 11/07/2022 12.45 3 12/07/2022 1 WK 3 PINDAH WK 3 cm 11/7/2022 IBS Sinistra CVC, NGT, DC, Drain dr. Ernita, Sp.An KIC
jugularis
41 Ny. Tafricha 09/11/1969 53 th P 2589184 BPJS KLS 3 adenoca rectisigmoid infiltrasi vagina 10/07/2022 11/07/2022 16 8 13/07/2022 2 angrek lt 3 PINDAH Bedah Kelas ventilator 11/7/22 ibs 12/07/2022 dextra ETT, CVC, NGT DC dr. Navy. sp. an ,kic
42 TN. IR Binsar P Panggabean 3-12-1943 78 L 2590989 BPJS 1 Post Bipolar Herniatoplasty 4-7-22 11/07/2022 15.15 1 12/07/2022 1 GP LT.4 PINDAH gp 4 NK dr. Ernita, Sp.An.KIC
43 Tn. untung mulyana 5-10-1967 55 L 2591239 BPJS 3 post crniotomy decompresi + VP-shunt 6/7/2022 11/07/2022 5/15/2022 2 12/07/2022 1 dahlia atas PINDAH dahlia atas ventilator 7/11/2022 IBS ada dr. Ernita, Sp.An.KIC
44 Tn. Agus Nurmata 10-10-1950 72 L 423226 BPJS 2 post op Hardman prosedure 10/7/2022 11/07/2022 12.45 3 12/07/2022 1 WK lt. 3 PINDAH wk lt 3 ventilator 11/7/2022 IBS ada dr. Ernita, Sp.An.KIC
cvc, drain abdome, ngt,
45 Ny. LInda 15/07/1974 48 P 2584762 BPJS 1 post thymothymentomy 11/07/2022 12/07/2022 12.30 1 13/07/2022 1 GP lt. 5 PINDAH GP lt. 5 NK IBS ada infus,wsd,ngt,dc,cvc
dc, tampon vagina, dr ernita Sp.An KIC
colostoma di abdomen
46 ny. Agustina Rohmayanti 17/08/1973 49 P 2047292 BPJS 1 adeno ca Recty post laparatomy miles 11/07/2022 12/07/2022 14.30 2 14/07/2022 2 GP lt.6 PINDAH GP lt.6 Ventilator 12/7/2022 IBS 13/07/2022 ada kiri dr. ernita
47 Tn. Fahrudin bin sean 11/04/1958 64 L 39373 BPJS 1 post urethrosistografi bipolar + sache 09/07/2022 12/07/2022 15.15 3 13/07/2022 1 mawar bawah PINDAH Mawar Bawah NK Perifer Infus, DC dr. ernita
48 Ny. Sri hidayati 04/05/1955 63 thn P 2589033 BPJS 1 Post laparascopy , PCNL on DJ stand kiri 08/07/2022 13/07/2022 12.15 4 14/07/2022 1 GP 4 PINDAH GP 4 NK IBS Perifer
Perifer dan Infus, DC dr. ernita sp.an.kic
CVC jugularis Infus, , DC, Jugularis
49 Tn. H. Moh Tamim Azhary 29/ 11/1949 72 thn L 2591534 BPJS 1 Post amputasi digiti 2,3 08/07/2022 13/07/2022 11.45 3 14/07/2022 1 mawar bawah PINDAH Mawar Bawah NK IBS dextra dextra dr. ernita sp.an.kic
50 Ny. Holilah 10/12/1982 39 p 2586048 BPJS 3 post laparatomi adesiolisis 12/07/2022 13/07/2022 13.40 5 14/07/2022 1 kebidanan 3 PINDAH kebidanan 3 venti 13/07/2022 ibs 14/07 ivfd, dc, dr ernita
51 NY. maryani 13/09/1954 68 p 2591436 BPJS 2 post debridement ulkus pedis dextra 07/07/2022 13/07/2022 15.30 1 14/07/2022 1 cempaka atas PINDAH Cempaka Atas NK CVC CVC, DC DR ernita
52 Tn. Muhamad Ali 22/02/1951 71 th 4 bln L 2568950 BPJS KLS 3 HERNIA INGUINALIS DEXTRA+PPOK+CAD 13/07/2022 14/07/2022 14.50 1 15/07/2022 1 Anggrek Lt 2/WK PINDAH Bedah Kelas NK IVFD Taka, DC dr. Ernita
53 Tn. Jamhari 09/01/1964 58Th 6bln L 2588202 BPJS kls 2 kanker paru kanan 13/07/2022 14/07/2022 16.00 3 15/07/2022 1 Mawar Bawah PINDAH Mawar Bawah NK IVFD taki dr. Ernita
CVC
subclavia CVC, NGT, DC, Drain
54 Ny. Opy Maulidiar 01/02/1947 75th 5 bln P 1165507 Tunai Adeno Ca colon Sigmoid 13/07/2022 14/07/2022 12.00 4 15/07/2022 1 GP lt 6 VIP PINDAH GP lt 6 NK sinistra abdomen kiri dr. Ernita
CVC
Loculated Pleural Effusion, Riwayat subclavia
55 Tn. Wiriadi Tunggal Dinata 01/12/1962 59th 7bln L 2589483 PT. AJ Central Asia Raya tiroidektomi total, Hipertensi, DM tipe 2 13/07/2022 14/07/2022 12.45 5 15/07/2022 2 GP lt 5 PINDAH GP lt 5 SM dextra CVC, WSD, DC dr. Ernita
CVC Jugularis
56 Ny. Hj. Suryati 17/01/1961 61Th 5bln P 2590753 BPJS kls 3 Kanker Paru Kanan 13/07/2022 14/07/2022 15.00 10 17/07/2022 4 Anggrek Lt 2 MENINGGAL - NRM 14/7/2022 Jam 15.15 ICU 17/07/2022 Dextra ETT, CVC, NGT, DC dr. Ernita
CVC
57 Tn. Hamadan Nabhani 16/07/2004 18 thn L 2585156 BPJS kls 3 Post Eksterpasi, angiofibroma 11/07/2022 13/07/2022 14.40 8 14/07/2022 2 anggrek lt 2 PINDAH Bedah Kelas venti 13/07/2022 IBS 14/07/2022 femoralis ETT, CVC, OGT, DC dr. Navy
T-piece subclavia
58 Ny. sugiaharti 06/06/1944 78 th P 2586839 BPJS keas 1 status epileptikus, CVD lama 15/07/2022 15/07/2022 00.50 2 16/07/2022 1 GP lt 4 PINDAH GP lt 4 tracheostomie sinistra dr. Ernita
adeno ca colon ascenden, post laparatomi Jugularis ETT, CVC, DC, NGT,
59 Tn. Hasanudin 01/04/1966 56 thn L 2582971 BPJS kelas 3 eksplorasi, hemikolektomi kanan 14/07/2022 15/07/2022 12.00 8 18/7/2022 3 Bedah Kelas PINDAH Cempaka atas Ventilator 15/07/2022 IBS 17/07/2022 Dekstra Drain abdomen dekstra dr. Navy Sp. An-KIC
Post insisi drainage abses submandibula SubClavia
60 Tn. edi Sunardi 15/10/1985 36 thn L 2592057 BPJS kls ec.Abses Radix 15/07/2022 15/07/2022 13.15 9 18/7/2022 3 IBS/Bedah Kelas PINDAH Bedah Kelas Ventilator 15/07/2022 IBS 15/07/2022 Dextra ETT, CVC, DC, NGT Dr.Navy Lolong,Sp.An.KIC
post BC+orchidektomiligasi tinggi EC tumor
61 Tn Ali Nurrohman 13 December 1966 25 Tahun L 2591525 BPJS Kelas 1 testis sinistrasusp maligna dd ca paru kanan 08/07/2022 15/07/2022 14.00 3 16/07/2022 1 Mawar atas PINDAH Mawar atas SM Perifer Infus, DC Dr.Ernita,Sp.An.KIC
ca serviks, hematuri post sistokpi, biopsi
62 ny. indriati 11 April 1959 63 th P 2416147 bpjs kelas 1 buli, nefrostomi 13/07/2022 16/07/2022 12.00 6 17/07/2022 2 kebidanan 3 PINDAH GP 5 nrm Perifer ivfd taki, dc, sitoskopi dr. Navy Sp. An-KIC
Subcalvia DC, Traceosmtomy,
63 Tn. Rantio Roso 19 October 1951 71 tahun L 2570531 BPJS kelas 3 Kanker laring, post mikrolaringoscopy 14/07/2022 15/07/2022 15.00 1 17/07/2022 2 Cempaka atas PINDAH GP lt 5 Spontan TT Dekstra IVFD, CVC dr. Ernita Sp.An-KIC
Subclavia ✔ ✔
Stemi Uremi, CKD stage V, Ensefalopati, Rs. Sentosa dextra di rs (18/07/20 (18/07/20
64 Tn. Ahmad Sutanto 1 March 1978 44 Tahun L 2592150 BPJS sepsis, tumor manus sinistra 17/07/2022 18/07/2022 03.00 3 Siloam Sentosa IGD SISA Ventilator siloam siloam 22) 22) v NGT, DC, CVC dr. Ernita Sp.An-KIC
Acut lung oedem, CAP, CHF, Akut dd acute
65 Ny. Uliati 4 October 1955 66 P 2592130 BPJS on CKD
penurunan kesadaran susp sepsis, KAD 18/07/2022 7/18/2022 07.00 10 19/07/2022 1 IGD PINDAH ICCU NRM Perifer ivfd, ngt, dc dr. Navy Sp. An-KIC
dengan asidosis metabolik berat,
66 Ny. Icha Ratih 28 May 2022 20 P 2591891 BPJS leukositosis susp infektif, abortus komplit 14/07/2022 15/07/2022 15.15 5 18/07/2022 3 IGD PINDAH MAWAR ATAS Ventilator 15/07/2022 IBS 17-7-2022 CVC V ETT, CVC, DC, NGT Dr.Ernita Akmal,Sp.An.KIC
67 Tn. Handika Saputra 11 January 2002 20 L 2589959 BPJS Post Odontektomy, PJB 14/07/2022 18/07/2022 10.40 2 19/07/2022 1 IBS/WK PINDAH Bedah Kelas Nasal Kanul IBS/WK Perifer Infus, DC Dr.Ernita Akmal,Sp.An.KIC
jugularis ivfd, ngt, drain, dc,ngt,
59 p
68 ny Am elvi elisawaty 03 August 1962 2572622 bpjs kls 1 Post hardman procedur, ca recti 17/07/2022 18/07/2022 12.30 1 19/07/2022 1 ibs bedah kelas PINDAH Gp 5 venti 18.7.22 ibs 18-7-2022 sinistra stoma bag dr ernita, spANKIC
Post laparatomi nefrektomi,tumor 19/07/2022 jam clavicula CVC, DC, NGT, ETT,
57 L
69 Tn. Hasanudin 14 September 1965 2578756 bpjs kls 2 ginjal,ckdon hd
KAD post protokol, asidosis metabolik,ulkus 09/07/2022 18/07/2022 14.00 8 14.00 1 ibs dahlia atas MENINGGAL venti 18/07/2022 ibs 19/07/2022 dextra v Drain dr. Navy, sp. An,KIC
dd gangren digiti 2,3 kaki kiri, CHF syok femuralis
70 Ny. Prapti 6 October 1962 59 P 2568865 bpjs kls 3 sepsis 18/07/2022 18/07/2022 19.45 5 30/07/2022 12 IGD PINDAH cempaka atas venti 18/07/2022 igd sinistra 20-7-2022 22/7/22 v CVC, DC, NGT, ETT dr. Ernita, Sp. An KIC
CVC di ICU Tgl
71 Tn. Nurhadi 27-7-1979 42 L 2592267 BPJS KELAS 3 ENSEFALITIS, AKI, KAD PERBAIKAN, PNEUMONIA 18-7-2022 19-7-2022 01.40 6 28-7-2022 9 RS PELNI IGD MENINGGAL Ventilator 19-7-2022 ICU 26/7/22 Perifer 20/07/2022 dr. Navy, sp. An,KIC
21 P femoral
72 Nn. Nabilah Cahaya 25 February 2001 2588840 bpjs kls 3 Craniotomy dekompresi+Vpshunting 18/07/2022 19/07/2022 13.30 1 20/07/2022 1 ibs BEDAH KELAS PINDAH BEDAH KELAS NK sinistra Dc dr Agung Sp.BS
Timor Sinonasal post op Maksilektomi dan Femoralis
73 Tn. Paolus Marthinus 25 October 1952 69 th L 2588840 BPJS kls 2 orbitotomi 18/07/2022 19/07/2022 13.10 wib 9 20/07/2022 1 IBS Mawar Bawah PINDAH MAWAR BAWAH Venti 19/7/2022 IBS 20/7/2022 Sinistra NGT, DC, CVC dr. Navy, sp. An,KIC
74 Tn. Darmaji 05 April 1967 55 TH L 2566775 BPJS 2 stricture colone ec. colitis ulceratif 18/07/1967 19/07/2022 16.10 3 21/07/2022 2 Mawar Bawah PINDAH MAWAR BAWAH venti 19/07/2022 IBS 19/7/2022 subclaf dex NGT, DC, CVC dr. Ernita, Sp. An KIC
jugularis NGT, DC+ insersi UK,
75 Tn. Sofingatun 29 September 1970 52 Tahun P 2587171 BPJS 3 Neoplasma Ovarium Kistik Susp Maligna N83.2 19/07/2022 20/07/2022 12.00 8 21/07/2022 1 Anggrek lt 3 PINDAH Anggrek 3 SM dextra Drain abdomen kanan dr. Navy, sp. An,KIC
76 Ny. Maemunah 6 December 1962 60 Tahun P 2591866 BPJS 3 Post debridement fascitiis nekrotikans regio 13/07/2022 20/07/2022 14.45 1 21/07/2022 1 WK 3 PINDAH Wk 3 NK Perifer dc, iufd dr ernita
Angifibroma nasofaring pasca ekstirpasi Femoralis
77 An. fadli yansyah 23 April 2006 16 tahun L 2587192 BPJS kls 2 angiofibroma 18/07/2022 20/07/2022 14.35 5 21/07/2022 1 anak atas PINDAH Anak atas NK Sinistra dc,cvc dr ernita
leukemia akut,trombositopeni,massa
78 An . Yoiko Muzaki 9/7/2010 12 th L 2592259 BPJS kls 3(PBI) mediastinum 18/07/2022 20/07/2022 23.30 9 05/08/0222 IGD RUJUK DARMAIS NK 21/07/2022 icu 26/7/22 v v IV line perifer ta-ki dr. Navy sp.An,KIC
post tiroidektomi sternotomi ec. Struma Subclavia WSD, DC, NGT, Drain
79 ny. Chonkordi Florensi 11 March 1968 54 tahun p 2591201 BPJS kls 1 nodosa intra torakal 20/07/2022 21/07/2022 13.40 1 22/07/2022 1 GP 5 PINDAH GP 5 NK dextra
CVC vacum dr. Ernita
Ulkus DM tungkai kiri post necrotomi clavicula
80 Tn Helmi 16/04/1968 54 tahun L 2591404 BPJS kls 3 debridement 07/07/2022 21/07/2022 14.45 5 22/07/2022 1 IBS Cempaka atas PINDAH dahlia bawah NK kanan DC dr ernita
IV line tangan kanan
81 Ny Susanthy 02/03/1986 36 Tahun P 2590862 BPJS kls 1 Post laparatomy reseksi uterus 20/07/2022 21/07/2022 15.00 10 22/07/2022 1 IBS GP 5 PINDAH GP 5 NK dan kiri,DC dr Navy
Post op Laparatomy + Biopsi (Terduga TB
82 Nn.Siti Nurul Hidayah 19 July 2001 20 Tahun P 2584698 BPJS kls 3 Usus) 21/07/2022 21/07/2022 13.15 8 22/07/2022 1 IBS WK 3 PINDAH wk NK Iv Line, DC, NGT Dr.Navy Lolong,Sp.An.KIC
Penkes Asidosis metabolik hiponatremi DC , NGT, IV line ta
83 Tn. Andika Ramadhan 5 December 2000 21 tahun L 2592452 BPJS kls 3 berat 21/07/2022 21/07/2022 23.50 2 23/07/2022 2 IGD PINDAH Cempaka Atas NK kanan dr Ernita. Sp AN KIC
POST ETHMODECTOMY,FRONTAL
hidronefrosis bilateral, massa intra DC,NGT,IV LINE KAKI
84 NY Surti 26 -5- 1983 39 P 2586492 BPJS kls 3 SINUSECTOMY,LCS
abdomen susp neuroleakege repair
endocrine tumor post 21/07/2022 22/07/2022 14.20 8 24/07/2022 2 IBS ANGREK LT 2 PINDAH bedah kelas VENTI 22/07/2022 IBS 23-7-2022 KANAN dr Navy SpAn KIC
sistoskopi+ RPG kanan + insersi DJ stent+
85 Tn Fatkan 01 May 1969 53 L 2590623 BPJS kls 3 ganti dj stent kiri 18/7/2022 22/07/2022 16.05 1 23/07/2022 1 IBS dahlia atas PINDAH Dahlia Atas NK DC, stoma bag dr ernita Sp.An KIC
abses sub mandibula, mediasinitis post op subclavia
86 Tn edi sunardi 15 October 2022 36 L 2592057 BPJS kls 3 insisifrontal
EDH drainase,sternotomi
sinistra, epidural hemoragik 15/7/2022 22/07/2022 14.00 5 26/07/2022 4 IBS anggrek lt 2 PINDAH bedah kelas venti 22/07/2022 IBS 25/07/22 sinistra WSD, DC, NGT,TT, dr ernita Sp.An KIC
post op kraniotomi eksplorasi+kraniotomi subclavia NGT, DC, drain
87 Tn. Adam rizaldi 17 May 2003 19 tahun L 2591761 BPJS kls 1 rekontruksi 12/07/2022 22/07/2022 18.00 10 25/07/2022 3 IBS GP 5 PINDAH HCU lt 5 venti 22/07/2022 IBS 23-7-2022 dekstra eksternal, dr Navy SpAn KIC
Susp tumor tulang, Susp CVD, Susp Subclavia
88 NY mindarti 1/10/1949 82 tahun P 2592739 BPJS kls 1 metastasis, CHF, Sepsis 23/7/2022 23/07/2022 23.40 1 29/07/2022 6 igd IGD PINDAH GP 6 nk Dextra NGT dr Ernita SpAn KIC
Post insisi drainase,abses mandibula,post FEMORALIS
89 Tn Ahmad Yani 09/12/1987 35 tahun L 2592733 BPJS kls 1 BC 23/7/22 24/7/22 02.30 2 25/07/2022 2 IGD IGD PINDAH GP 5 VENTI 7/24/2022 IBS 25/07/20222 dekstra ngt,dc,cvc dr Ernita SpAn KIC
post laparatomy repair defek hernia jugularis
90 Ny. Munafah 11/4/1968 54 tahun P 2590762 BPJS KLS 3 umbilikus 24/07/2022 25/07/2022 14.00 8 27/07/2022 2 WK Lat.2 PINDAH WK 2 NRM dextra NGT, DC, CVC dr. Navy sp.An,KIC
Post URS evaluasi kanan + aff DJ stent kiri +
91 Ny. Asminem 01-07-1951 71 tahun P 2591722 BPJS KLS 3 ECIRS kanan
pasca H+0 reseksi anastomosis ileum 20/07/2022
laparotomi 25/07/2022 14.16 10 27/07/2022 2 Anggrek lat. 2 PINDAH Anggrek 2 Venti 25/07/2022 IBS NGT, DC, Iv line dr. Navy Sp.An.KIC
e to e subclavia
92 Tn. Sudarjo 18/7/1951 71 tahun P 2576484 BPJS KLS 3 dan anastomosis colon ke rectum e to e 24/07/2022 25/07/2022 16.15 7 26/07/2022 1 Anggrek lat. 2 PINDAH bedah kelas Venti 25/07/2022 IBS 26/7/22 sinistra NGT, DC, CVC, Drain dr. Navy Sp.An.KIC
93 Ny. Angelia Nurmala 22/11/1984 38 P 2581176 BPJS KLS 1 pasca laparatomi ec ca endometrium 25/7/2022 26/07/2022 14.30 2 27/07/2022 1 GP 4 GP4 PINDAH GP 4 NK epidural dr. Ernita Sp.An. KIC
94 Tn. M Hasan 28/8/1958 63 Th L 2575238 BPJS KLS 3(PBI) Ca laring,pasca Laringektomi 25/7/2022 26/07/2022 16.00 7 27/07/2022 1 bedah kelas bedah kelas PINDAH Bedah kelas venti 26/7/22(trakeostomi) ibs NGT,DC,cvc dr. Navy Sp.An. KIC
95 Ny. M retno Rundyati 26/05/1956 66 P 2592005 BPJS KLS 1 close fr femur 15/7/2022 26/07/2022 17.22 5 27/07/2022 1 mawar atas mawar atas PINDAH Gp 5 NK dr. Ernita Sp. AN. KIC
96 Tn Ferdy Trinandau 7-2-1981 41 L 2590146 BPJS KLS 3 POST laparascopy NEFREKTOMY 26-7-22 27-7-22 14.00 8 29/7/22 2 IBS BEDAH KELAS PINDAH Dahlia Bawah venti 27-7-22 IBS jugularis Sin ngt.dc,cvc dr Navy SpAN KIC
97 Tn Irwan Firdaus 17/05/1959 63 L 2574979 bpjs kls 1 post laparatomy rseksi anastomosis 26-7-22 27-7-22 13.30 4 28/07/2022 1 IBS gp 4 PINDAH Gp 4 venti 27-7-22 IBS jugularis Sin
subclavia
98 NY Winda Arisusanti 15/09/1992 29 P 2588955 bpjs syok sepsis , trombositopenia 27/7/2022 27/07/2022 23.30 7 28/07/2022 1 ugd ugd MENINGGAL venti 7/27/2022 ugd 27/7/22 dextra ngt, dc , cvc Dr navy Span kic
99 Ny. Heni Daryanti 19/11/1970 52 P 2586525 BPJS kelas 3 Post Laparatomy HTSOB, CAD, HHD 27/7/2022 28/7/2022 14.30 5 29/07/2022 1 IBS Anggrek Lt. 3 PINDAH Anggrek 3 NK NGT, DC IVFD dr. Ernita Sp.An KIC
100 tn. M. Syach Mudawali 17/4/1998 24 L 2592785 bpjs 3 resiko gagal nafas, susp pneumotho 25/07/22 28/07/22 23.00 7 29/07/2022 1 mawar atas PINDAH RICU nrm ngt,dc,iv line taka-taki dr.navy
101 Ny. Isnaeni BT H.M Haris 23/9/1968 53 P 1413566 BPJS 3 post laparatomy hemicolectomy 27/7/22 28/07/2022 11.35 2 29/07/2022 1 IBS/Cempaka Atas PINDAH Bedah Kelas Venti 28-7-2022 IBS 29/7/2022 v dr. ernita
102 Tn. Endri Darman 02/10/1966 56 L 2571560 BPJS KLS 3 post tiroidektomi 28/7/22 29/07/2022 12.35 5 31/07/2022 2 WK LT 3 PINDAH Bedah Kelas NK iv line, dc, drain dileher dr. ernita
Mioma uteri intramural multiple post op Jugularis NGT, DC, Drain
103 Ny. Nanih 03/01/1974 48 P 2589980 BPJS kls 1 Laparatomi
ICH, HTSOB
Contusio, SHA, SDH akut, oedema 28/7/2022 29/07/2022 14.00 1 30/07/2022 1 IBS Mawar Bawah PINDAH Mawar bawah Venti 29/7/2022 IBS 30/7/2022 Sinistra Abdomen dr. ernita
cerebri temporoparietal dekstra, Post Subclavia
104 Tn. Zyahrul 02/12/1980 41 L 2593079 BPJS kls 3 Craniotomi tgl 27/7/2022
syok 26/7/2022 29/07/2022 17.45 8 RICU SISA Venti 27/7/2022 IBS Sinistra NGT, DC, Drain kepala dr. Navy
hipovolemik,gea,hipoglikemia,hiponatremia
105 Ny. Sumarni 25 December 1952 69 P 2593293 BPJS KLS 3 ,hipokalemia 29/7/22 29/07/2022 22.00 2 29/07/2022 0 wk lt 3 wk lt 3 MENINGGAL nrm 29/7/22 icu 29/7/22 dr. Ernita Sp.An KIC
Jugularis NGT, DC, Drain, arteri
106 Tn. Sukim 12 August 1933 89 L 1046928 BPJS KLS 2 post laparatomy ec peritonitis umum 30/07/22 30/07/22 11.50 7 IGD SISA Ventilator 30/07/22 IBS sinistra line dr. Navy Sp. An-KIC
107 Ny. Sri Ngatun 06/03/1951 71 P 2266570 BPJS kls 1 Post Tyroidektomy ec struma nodusa 28/7/22 29/07/2022 10.45 10 30/7/22 1 GP 6 PINDAH Mawar Atas Nasal Kanul Drain,DC dr Navy Span kic
108 Ny. Soliner BR Banjarnahor 17/03/1964 58 P 2507306 BPJS kelas 3 Post Total Tyroidektomy 27/7/22 28/07/2022 6 30/7/22 2 WK lt 2 PINDAH WK lt 2 Venti 28/07/22 IBS 29/7/22 Drain,dc,NGT dr Navy Span kic
CVC, CDL, drain
abdomen kanan dan
109 Tn. Lioe Kin Fen 19/01/1970 52 L 2593388 BPJS kls 3 post laparatomy ec perforasi gaster 31/7/2022 31/07/2022 04.00 2 31/07/2022 1 rs siloam karawaci ugd MENINGGAL T. mask kiri Dr. Ernita
109 109 109 51 58 32 52 58 33 3 0 77 5 1 2 1 8
REKAPAN
NO KATEGORI JUMLAH %TASE
1 TOTAL PASIEN 109
2 LAKI-LAKI 51 46.79%
4 BPJS 105 96.33%
5 TUNAI 2 1.83%
ASURANSI LAIN 2 1.83%
8 PASIEN RUJUKAN 32 29.36%
13 INTUBASI 52 47.71%
14 EXTUBASI 33 63.46%
16 HFNC/ OPTIFLOW 0
17 CVP 77 70.64%
18 CDL 5
19 HD 1 ?
20 CRRT 2 l
21 ECHO 1
22 ICON 8
llĺ
b@
34344:4333443:
::::4343333
DPJP LAINNYA
dr. Chandra Sp. BS
dr Koko Sp. BTKV
drLucie Sp.S
dr. Arman Sp. BTKV
dr. Iqra Sp. OG
Dr.Lilis, Sp.A
Dr. Mia Elhidsi,Sp.P

dr. HAYATUN NUFUS, Sp.PD-
KHOM, FINASIM
dr Eppy
dr Chandra Sp BS
Dr. Ali, Sp.OT
dr. Ony Sp. OG
dr. Adep. Sp.PD
dr Aswin Sp S , dr Acil Sp JP
Dr. yassir sp.pd
Dr. yassir sp.pd
dr. Sigit SpOT

dr Nugroho spbu, dr agung sp
btkv
Dr. Wahyu Sriningsih, Sp.B.KBD
dr. wael oemar al jaidi. Sp.OG

dr. Chandra Sp. BS, dr Yantoko
Sp. BP
dr Doddy Sp.U
Dr Chandra Sp BS
dr Nugroho spbu
dr Ony konsa SpOG,dr Andika
SpBu
dr TRi SpOG
dr Wahyu sri Sp BD
Dr.Wahyu Sriningsih,Sp.B.KBD
Dr.Perwira Widianto,Sp.B.KBD,
Dr.Nugroho,Sp.U
Dr.Wahyu Sriningsih,Sp.B.KBD
dr. Oni Khonsa Sp. OG
dr. Yulvina sp. tht
dr. Perwira Widi, Sp.B.KBD
dr Aswin Sp S
dr wahyu, spBk bd
dr Ade p. Sp. PD
dr. Chandra Sp.BS
dr. Seno Budi, Sp.BD
dr. wahyu sp.B.KBD, Dr. Tri Apriliawan,Sp.OG

dr. Sigit, Sp.Ot
dr. agung, sp,BS
dr.Seno. Sp.BD
dr agung SpBTKV
dr. wahyu sri, Sp.BD, dr. oni, sp. K, dr. Andar, Sp U
dr. Moamar Andar, Sp.U, dr. Nana, Sp.Jp, dr. Anindita, Sp.PD
dr. wahyusri sp.bd. dr. Andika sp.U
dr. ali sp. ot
dr tri spog
dr ERY sp BP
dr. Prawira Widianto SpBD
dr. Dicky SpP

dr. Susan SpBTKV
dr. Dicky SpP
dr. Ervin, spTHT
dr. Reyhan SpS , dr Nana Spjp
Dr.Dody,Sp.THT
dr Wahyu Ani SPP, dr Moammar
Andar SpU
dr. ONI KHONSA, Sp.OG(K)-Onk
dr. YULVINA, Sp.THT-KL(K)
Dr. Syafiq,Sp.PD, Dr.Tan

Yosephin,Sp.S
Dr. Irwan, Sp, JP
Dr.Oni Khonsah,Sp.OG
Dr.Addys, Sp.BM
dr seno, spB(k)Bd
dr. nugroho, sp. U
dr. aninditha sp, pd
Dr. Tan,Sp.S dan Dr. Ichsan,Sp.PD
dr. Doddy SpTHT
dr.widi Sp.BD
dr. Saad Sp. A
Dr. Tri Apriliawan, Sp.OG
dr. SENO BUDI SANTOSO, Sp.B-KBD
dr doddy spTHT
dr. Saad Sp. A
dr. Agung BTKV
dr M Budiman,drg Addys
drWael Uemar AlJaidy SpOG
dr.Seno. Sp.BD
dr Ade p. Sp. PD
dr Agungs SpBS, dr Deasy SpTHT
dr. andika SpU

dr. Doddy SpTHT, dr Arman Sp
BTKV
dr agung Sp.BS
Dr.Sigit Sp.OT
dr. Widi Sp.B (K)BD
dr. Doddy Sp.U
dr. Wahyu Sri Sp.B(K)BD
dr. Oni sp.og
dr. doddy sp.THT
dr. Ali sp.ot
dr Nugroho SpU
dr hayatun Nufus SPPD
dr. Botefilia Sp.OG
dr.al kaff
dr. Seno
dr. haris
dr. Iqro SpOG
dr. Chandra
dr. Eppy sp.pd
dr. Wahyu Sp. B (K) BD
dr. Haris maruli
dr.Budi Harapan Sp B ONK

BULAN: AGUSTUS 2022 ::
JENIS KELAMIN PINDAH/ TINDAKAN (CEK LIST)

JAMINAN (BPJS/TUNAI/
TGL MASUK JAM MASUK TGL KELUAR/ ASAL MENINGGAL/ RUANGAN POLA NAFAS ASAL/TEMPAT TINDAKAN LAIN JIKA
NO NAMA TANGGAL LAHIR USIA NO RM ASURANSI/ DIAGNOSA MASUK TGL MASUK IPI BED HARI RAWAT DI IPI RUJUKAN/OPERASI RUANGAN ASAL TGL INTUBASI TGL EXTUBASI HFNC/ DPJP UTAMA
RS IPI MENINGGAL DIRUJUK/ PINDAH: SAAT MASUK IPI INTUBASI ADA ( SEBUTKAN)
L P PERUSAHAAN) PULANG RE INTUBASI OPTIFLO CVC CDL HD CRRT ECHO ICON
W
An . Yoiko Muzaki 9/7/2010 12 th L 2592259 BPJS leukemia akut,trombositopeni,massa 18/07/2022 20/07/2022 9 05/08/2022 16 IGD PINDAH Rs Dharmais NK 21/07/2022 ICU 26/7/22 v ✔v v IV line perifer ta-ki dr. Navy sp.An,KIC
1 v
Stemi Uremi, mediastinum
CKD stage V, Ensefalopati, Rs. Sentosa Subclavia dextra di rs
✔
2 Tn. Ahmad Sutanto 1 March 1978 44 Tahun L 2592150 BPJS ICH, Contusio, SHA,manus
SDH akut, oedema 17/07/2022 18/07/2022 03.00 3 08/08/2022 21 Siloam Sentosa IGD PINDAH Gp 4 Ventilator (18/07/20 (18/07/20 v v NGT, DC, CVC dr. Ernita Sp.An-KIC
sepsis, tumor sinistra siloam siloam 22) 22)
3 Tn. Zyahrul 02/12/1980 41 L 2593079 BPJS kls 3 cerebri temporoparietal dekstra, Post 26/7/2022 29/07/2022 17.45 8 04/08/2022 6 RICU PINDAH Anggrek 2 Venti 27/7/2022 IBS Subclavia Sinistra NGT, DC, Drain kepala dr. Navy
Craniotomiectglperitonitis
27/7/2022umum NGT, DC, Drain, arteri
4 Tn. Sukim 12 August 1933 89 L 1046928 BPJS KLS 2 post laparatomy 30/07/22 30/07/22 11.50 7 10-8-2022 11 IGD PINDAH mawar bawah Ventilator 30/07/22 IBS Jugularis sinistra v line dr. Navy Sp. An-KIC
Tn. Ahmad Yusuf S 06/10/1973 51 L 2592396 BPJS kls 1 post multiple clipping costae(sept 2019) ec 31/08/2022 01/08/2022 13.10 5 8/2/2022 1 IBS PINDAH GP 4 NK iv line perifer, DC dr.Ernita SP. An KIC
5 fracture costae multiple hemitoraks sinistra
Ny. Diana F 04/01/1978 44 P 2568506 Bpjs kls 3 (PBI) ca serviks, post laparatomy vc 31/08/2022 01/08/2022 13.10 10 02/08/2022 1.00 IBS/ANGGREK 3 PINDAH ANGGREK 3 NK iv line perifer, DC dr. Navy sp.An,KIC
6
Post Laparatomy Reverse Hartman ec
7 Tn. H. Musdir Sulaeman 06-12-1947 74 L 2563263 BPJS KELAS 1 Adeno Ca Recty 31-8-2022 1-8-2022 15.56 3 2-8-2022 1 IBS/GP 5 PINDAH Gp 5 NK V.Jugularis Dextra dr.Ernita SP. An KIC
L MENINGOENSEFALITIS, PNEUMONIA, RS AQIDAH dr.Ernita SP. An KIC
8 AN. RAHMAN NUGROHO 02/04/2009 13 TAHUN 2593438 BPJS KELAS 3 HIPONATREMIA 01/08/2022 01/08/2022 16.00 1 TANGERANG SISA VENTILATOR 01/08/2022 IGD Subclavia Sinitra CVC, ETT, DC
L POST RADIKAL SISTEKTOMY ILEAL CONDUIT Urostoma, NGT, Drain,

9 Tn. Sudiono 27/07/1957 65 thn 1845926 BPJS Kelas 3 EC KSS BULI 21-7-2022 1-8-2022 19.00 6 8-8-2022 7 Anggrek 2 PINDAH Anggrek 2 VENTILATOR 1-8-2022 6-8-2022 ETT, CVC dr Navy Sp An KIC
Post Thoracotomy lobektomy lobus
L superior paru kiri, diseksi kelenjar, dan post Nasal kanul 3
10 Tn Herbert Sihombing 27/09/1967 54 2583279 BPJS KLS 3 BC 01/08/2022 02/08/2022 14.50 2 3/8/22 1.00 Bedah Kelas PINDAH Bedah Kelas LPM Subclavia Sinistra WSD , CVC , DC dr Ernita Sp An KIC
Post hartman prosedure ai adenoca CVC , Drain Abdomen
11 Tn Juni Marsudiyono 10/06/1955 67 L 2570409 BPJS KELAS 1 rectum ,Riwayat Hipertensi 01/08/2022 02/08/2022 17.15 3 04/08/2022 2 GP4 PINDAH Gp 4 Ventilator 2/8/20225 IBS kanan , NGT, DC dr Ernita Sp An KIC
Jugularis Dextra
CVC , STOMA , DRAIN ,
12 Tn Suyoko 03/03/1982 40 L 2592148 BPJS KELAS 3 Maligna CA colon. Laparatomi eksplorasi 17/07/2022 02/08/2022 18.00 5 05/08/2022 3 Bedah Kelas PINDAH Bedah Kelas Ventilator 02/08/2022 IBS NGT . DC dr Navy Sp An KIC
Juguklaris Sinistra
P
13 Ny. Fatimah Abdullah 20/12/1952 70 2591039 BPJS kelas 1 post Nefrectomy uretrectomy kiri 31/07/2022 02/08/2022 16.30 10 04/08/2022 2 IBS GP IV PINDAH Gp 4 VENTILATOR 02/08/2022 GP 5 Jugularis Dextra ETT, CVC, DC, NGT dr Navy Sp An KIC
14 ny. Sri Mulyani 24/09/1985 37 thn P 2587215 BPJS kelas 1 post laparatomy VC surgical staging 02/08/2022 03/08/2022 13.50 2 04/08/2022 1 IBS GP V PINDAH Gp 5 Ventilator 3-8-2022 IBS 4-8-2022 ETT, CVC, DC, NGT dr Ernita Sp An KIC
V. Jugularis Sinistra
Hernia Insisional Residif Post Laparatomy CVC , Drain vacum
15 Ny ETI 17/09/1955 67 P 2316692 BPJS KLS 3 Repair Hernia Defek
pieonephrosis tumorInsisional
ginjal kanan, post 02/08/2022 03/08/2022 15.55 3 25/08/2022 22 IBS Dahlia Bawah MENINGGAL Ventilator 03/08/2022 IBS 25-8-2022 Jugularis Dextra abdomen kiri , NGT , DC dr Ernita Sp An KIC
laparatomi reseksi anatomosis ileo
mioma uteri , kista endometriosis bilateral,
L
16 Tn. Mahir 02/05/1967 55th 2591562 BPJS kls 3 transversostomi
post laparatomi adhesiolisis, insersi UK 01/08/2022 04/08/2022 14.10 8 05/08/2022 1 IBS Dahlia Bawah MENINGGAL ventilator 4/8 IBS Subclavia kiri CVC, NGT, DC dr.Navy Sp.An (KIC)
bilateral, appendiktomy, kuretage Ivfd perifer, DC, drain
17 Ny. Wiwiek Setyaningsi 20/01/1981 41th P 2588259 BPJS kls 1 endometrium 03/08/2022 04/08/2022 16.45 10 05/08/2022 1 IBS GP V PINDAH GP V SM abdomen kiri dr. Navy Sp. An(KIC)
Hydatidiform post Laparatomy histerektomi
18 Ny Sri Setiti 01/02/1980 42 P 2593081 BPJS KLS 3 02/08/2022 04/08/2022 2020 2 05/08/2022 1 IBS Anggrek Lt 2 PINDAH KEB 3 Ventilator 04/08/2022 IBS CVC NGT , DC dr Ernita Sp An KIC
total Jugularis Sinistra
✔
L Hidronefro on nefrostomi, CKD on HD luts NK (18/07/20
19 Tn. Ratam 01/12/1955 67 Th 2560677 BPJS Kls 3 ec ca prostat 04/08/2022 05/08/2022 12.40 12 06/08/2022 1 IBS Anggrek Lt 2 PINDAH Anggrek Lt 2 V.Femoralis Dextra 22) DC dr.thariq sp.An.KIC
L
20 Tn. R Nurachman 19/06/1954 68 2593945 Bpjs kls 3 CAP, CVD ischemic, HT 05/08/2022 06/08/2022 20.15 8 12/08/2022 6 IGD PINDAH CEMPAKA ATAS NRM V.Subclavia Dextra NGT,DC,Ivfd perifer dr.Navy Sp. An(KIC)
meningioma, isk, urosepsis, penkes, obs
L
21 Tn. Agus Sugeng 02/09/1963 59 2534610 Bpjs kls 3 kejang, hemiparise sisnistra 02/08/2022 06/08/2022 22.15 9 09/08/2022 3 IGD PINDAH WK NK NGT,DC,Ivfd perifer dr.Navy Sp. An(KIC)
22 Ny. Sugiharti 06/06/1944 78 P 2586839 Bpjs kls 1 Stroke iskemik, sepsis, retensi sputum 13/07/2022 06/08/2022 21.40 2 15/08/2022 9 Gp 4 PINDAH GP 5 Spontan TT CVC,NGT,DC dr.Ernita Sp.AN (KIC)
Subclavia Sinistra
P Dr. Ernita
23 Ny. Mariyanah 02/03/1977 45 2150230 BPJS Kelas 2 CVD H, ICH, IVH, POST KARDIOVERSI 3X 6-8-2022 6-8-2022 17.15 5 11/08/2022 5 IGD MENINGGAL NK 06/08/2022 ICU V.Subclavia Dextra ETT, CVC, DC, NGT Akmal,Sp.An.KIC
Fracture Pelvis multiple Vl frontalis dan
24 Tn. Jaenudin 20/08/1977 45 L 2593969 BPJS 06/08/2022 07/08/2022 02.00 10 08/08/2022 1 IBS IBS/GP4 PINDAH GP 4 NK Ivfd perifer,DC dr. Navy Sp.An (KIC)
femoralis anterior,posterior
CVC< NGT, DC Arteri
25 ny. Asni Hardianti 11/03/1983 39 P 2592055 Bpjs kls 3 post sc, ec plasenta akreta 07/08/2022 08/08/2022 12.00 6 09/08/2022 1 IBS Kebidanan PINDAH Kebidanan NK dr. Navy Sp.An (KIC)
Jugularis dextra line
L cvc,dc,ngt,arteri line,iv
26 tn.Edi sunardi 15/10/1985 36 2592057 bpjs post resternotomy, ganti canul trakeostomy 15/07/2022 08/08/2022 15.00 12 09/08/2022 1 IBS bedah kelas PINDAH Bedah kelas venti subclavia sinistra line, wsd dr.thariq sp.An.KIC
27 Ny. Hadidjah 23/02/1964 58 th P 1248509 BPJS Post Laparoskopy reimplantasi ureter kanan 05/08/2022 08/08/2022 15.00 4 09/08/2022 1 IBS Anggrek lt 3 PINDAH Bedah kelas NK Jugularis dextra
Tumor regio parietal sinistra + destruksi DC,Drain Dr.Ernita
28 Ny. Fauziah 30/07/1972 50 P 2588341 BPJS 3 tulang curiga meningosarcoma 08/08/2022 8/9/2022 15.30 4 10/08/2022 1 IBS Bedah kelas PINDAH Bedah Kelas NK 2 Lpm di kepala dr. Ernita Sp An-KIC Akmal,Sp.An.KIC
Post laparascopy konversi open extended
L
29 Tn. Martoni S Simamora 19/07/1977 45 2592347 bpjs 3 hemicolectomy 08/08/2022 09/08/2022 16.20 12 10/08/2022 1 IBS Bedah kelas PINDAH Dahlia Bawah Ventilator 09/08/22 IBS 10/08/2022 Jugularis dekstra drain, DC, CVC, NGT dr. Thariq Sp. An-KIC
post thoracotomi ec tumpar kiri, wedge
30 Tn Hadi Santony 06/05/1948 74 L 2592569 TUNAI reseksi lobus 08/08/2022 09/08/2022 10.30 9 10/08/2022 1 IBS GP 6 PINDAH GP 6 SM CVC, DC, WSD, NGT DR navy SPAN KIC
subclavia Sinistra
31 Ny. Nurmika Manurung 7 March 1955 67 P 1221995 BPJS post laparatomi eksplorasi 07/08/2022 08/08/2022 15.30 10 10/08/2022 2 IBS GP 6 PINDAH GP 6 Venti NGT,DC,CVC dr Navy SpAn
jugularis dextra
V. Jugularis
V.Subclavia Dextra Dx Tanggal
L
32 Tn. Yogo Dwi Antoro 30 2594157 BPJS 1 CKD, SIDA ON ARV 9-8-2022 9-8-2022 23.00 6 15/08/2022 6 IGD PINDAH GP V NK Tanggal 10/08/2022 11/05/2022 v Infus, CVC, DC. HD, CDL Dr.Navy.Sp.An.KIC
33 Tn. Bambang Paminto 10-5-1952 72 L 1245603 BPJS Post repair hernia dengan mesh 9-8-2022 10-8-2022 09.30 4 11-8-2022 1 IBS WK PINDAH Anggrek 2 NK - Infus, DC dr. Ernita SpAn
Dr. Navy Lolong,
34 Ny. Yuliana 17/02/1979 43 P 2593511 BPJS kelas 3 P2 Post SC + Ayudi dengan PEB 10/08/2022 10/08/2022 18.43 2 12/08/2022 2 OK IGD PINDAH Kebidanan 3 NRM 8LPM Infus, DC Sp.An.KIC
-
NGT, DC, CVC, ivfd
L
35 Tn. Nuryanto 12/04/1986 36 2594344 BPJS kl 3 CKB 11/08/2022 11/08/2022 10.00 12 16/08/2022 5 igd igd MENINGGAL venti 11/08/2022 IBS Femoralis dextra perifer, dr. thariq, sp. An. KIC
NGT, CVC, WSD, DC,
36 Ny. Tintin 15/02/1958 64 P 2571186 bpjs kls 3 post timotimektomi 10/8/22 11/08/2022 12.50 11 13/08/2022 2 ibs Anggrek lt 2 PINDAH BEDAH KELAS Venti 11/8/2022 ibs Arteri line dr. thariq, sp. An. KIC
Jugularis dextra
NGT, DC, IV line dan
37 Ny Hanifah Muyasaroh 19/08/1976 46 P 406788 BPJS kls 1 post Surgicalstaging NOK 10/08/2022 11/08/2022 14.30 10 12/08/2022 1 IBS/ GP lt 5 PINDAH GP V NK IBS Drain DR Navy dan DR Tri spog
-
P Riwayat ROSC, KNF, ADHF, DM Tipe 2, CEMPAKA Dr. Ernita

38 Ny. Atmah 21/12/1949 72 2422801 BPJS Kls 3 Hipertensi 11/08/2022 11/08/2022 23.00 4 13/08/2022 2 IGD IGD MENINGGAL BAWAH Venti 11/08/2022 IGD 13/8/2022 Femoralis dextra CVC, ETT, DC, NGT Akmal,Sp.An.KIC
L Jugularis dextra TGL dr. Ernita

39 Tn.Supangat 24/04/1965 57 2584342 BPJS KLS 3 Post transferal amputation 09/08/2022 12/08/2022 12.50 5 15/08/2022 3 IBS Cempaka Bawah PINDAH Cempaka bawah NK 13/08/22 IBS 12/8/22 cvc, dc Akmal,Sp.An.KIC
V.Subclavia Dextra infus ferifer taka-taki, Dr. Navy Lolong,
40 Ny. Sukmawati 01/01/1977 45 P 2594585 BPJS KLS 3 cvd hemoragic. aki. HT emergency 13/08/2022 13/08/2022 06.00 9 14/08/2022 1 rs duta indah igd MENINGGAL venti 14/8/22 igd 14/8/22 ngt, dc, ett Sp.An.KIC
Tanggal 13/08/2022
P Post SC e.c ITP, riwayat laparatomi Dr. Navy Lolong,

41 Ny. Ati Sugiarti 28/05/1983 39 2594602 BPJS KLS 1 miomektomi, cenderung bradikardia 13/08/2022 14/08/2022 09.15 7 15/08/2022 1 IGD kebidanan IGD kebidanan PINDAH KEBIDANAN 1 NK infus taka/taki, DC Sp.An.KIC
P V.Jugularis Dextra
42 An. Sonia 25/10/2005 16 2593636 BPJS KLS 3 Meningoensepaliti, Pneumonia, riwayat TB 13/08/2022 13/08/2022 11.44 4 13/08/2022 0 Bougenvile atas Bougenvile atas MENINGGAL NRM 13/8/2022 ICU 13/8/2022 13/08/2022 Infus Perifer, DC, NGT dr. ernita
P V.Subclavia Dextra
43 Ny. Sintaria Panjaitan 09/01/1964 58 2594599 BPJS KLS 3 post Apendektomi 13/08/2022 14/08/2022 10.30 9 15/08/2022 1 OK IGD BEDAH KELAS PINDAH BEDAH KELAS NK 14/8/22 IGD 14/08/2022 ETT, CVC, DC, NGT Dr. navy
P subklavia dextra
44 Ny. Yolanda Vergina 6-10-1991 31 2594607 BPJS KLS 3 Penurunan kesadaran, ec kad , dd hhs, DHF 13-8-22 13/08/2022 21.30 8 15/08/2022 2 IGD IGD MENINGGAL NK 14/8/22 ICU 13/8/22 13/8/22 dr. navy
45 Ny.Siti Arumi 24-4-1989 33 P 2594621 BPJS post Craniotomy , ec EDH frontal sinistra 14/8/2022 15/08/2022 24.00 11 15/08/2022 0 IGD OK Cyto IGD PINDAH BEDAH KELAS NK 15/08/2022 OK IGD V.Jugularis Sinistra
46 Ny. Parsiah 1-8-1973 49 P 2591053 BPJS KLS 3 post laparascopy diagnostik 15/8/2022 15/08/2022 13.00 4 16/08/2022 1 IBS anggrek lt 3 PINDAH KEBIDANAN 3 NK 2 Lpm 15/08/2022 DC, drain Dr. ernita
Post Thorakotomy, Post BC, Hepatitis C, WSD dgn Redax, CVC,
47 NY. YUNIARSIH 24/06/1968 54 P 2588219 BPJS KLS 3 Tumor Mammae dextra 14/08/2022 15/08/2022 13.30 8 16/08/2022 1 IBS Anggrek Lt. 2 PINDAH BEDAH KELAS NK 3 Lpm NGT, DC Dr. Navy, Sp.An KIC
48 Ny. Laraswati 06/02/1994 28 P 1809883 BPJS kls 1 post SC G3P3A0 15/08/2022 15/08/2022 13.00 5 16/08/2022 1 ibs GP 6 PINDAH GP V NK 3 lpm DC dr Ernita
15/08/22
Post Repair Defect Hernia Umbilicus, CKD,
49 NY. MANIS 25/06/1969 53 TAHUN P 2552532 BPJS KLS 3 CHF 14/08/2022 15/08/2022 19.23 6 16/08/2022 1 IBS BEDAH KELAS PINDAH BEDAH KELAS NK 3LPM Infus Perifer, DC Dr.Navy Lolong,Sp.An.KIC
L DC, NGT, CVC, Tampon
50 Tn. Tatang 12/06/1955 67 2592316 BPJS kl 3 Post eksterpasi papiloma inverted sinobasal 15/08/2022 16/08/2022 14.00 8 19/08/2022 3 ibs bedah kelas lt. 2 PINDAH BEDAH KELAS Venti 16/8/2022 ibs 16/8/2022 dihidung dr. navy, sp. an. kic
51 Ny. Rosmawati 17/08/1970 52 P 970988 BPJS kls 3 post debridement eksisi necrotomi 16/08/2022 16/08/2022 15.30 5 18/08/2022 2 ibs dahlia atas PINDAH dahlia atas NK 3 LPM Infus perifer, DC dr Ernita
P
52 Ny. Sri susiana 19/03/1968 54 2590217 bpjs kls 3 post lapratomie uteri 16/08/2022 16/08/2022 14.00 4 17/08/2022 1 ibs kebidanan lantai 3 PINDAH anggrek lantai 3 NK 3 LPM Infus perifer, DC dr. ernita
P CVC, NGT, DC, Drain
53 Ny. Lestari 26/12/1973 49 2590857 bpjs kls 1 post laparotomy, apendictom 14/08/2022 16/08/2022 16.50 9 17/08/2022 1 ibs gp 4 PINDAH GP 4 Venti 16/8/22 ibs 17/8/22 16/8/22 abdomen dr. navy, sp.an kic
54 Ny. Sainah 10/06/1980 42 P 2566409 BPJS kls 3 Tummor
Adeno CAColli
recti post op 15/08/2022 16/08/2022 11.05 7 18/08/2022 2 IBS WK LT 2 PINDAH WK 2 Venti 16/8/2022 IBS Drain di leher dr. Navy
laparatomyeksplorasi,end colostomy,repair DRain,stoma,NGT,DC,E
55 Tn. Achmad HN 28/12/1954 67 L 2582160 BPJS kls 3 laserasi ileum appendiktomy 15/08/2022 16/08/2022 15.20 6 18/08/2022 2 bedah kelas PINDAH bedah kelas venti 16/8/22 IBS TT dr Navy
16/8/22
infus
P perifer,DC,cvc,NGT,drai
56 Ny. Eti sulistini 07/01/1962 60 2586656 Bpjs kls 1 adeno ca rectosigmoid on stoma 15/08/2022 16/08/2022 17.30 2 18/08/2022 2 ibs GP 5 PINDAH GP 5 venti 16/8//2022 ibs 17/8/0222 16/8/2022 n,ETT dr.ernita
L
57 Tn. Dadi Setiadi 23/09/1965 56 2269602 BPJS Kelas 3 CVD H, HT, Penurunan kesadaran 16/08/2022 17/08/2022 01.00 11 IGD SISA Venti 16/08/2022 IGD 17/08/2022 ETT, CVC, DC, NGT dr. Thariq Sp.An.KIC
Hernia inguinalis lateral sinistra post NGT , DC , Drain
58 Tn. Sapii 06/02/1961 61 L 2105394 BPJS Kelas 3 17/08/2022 17/08/2022 20.00 4 18/08/2022 1 Ok cito IGD PINDAH WK 2 NK 5 Lpm NK, NGT, DC,
herniatomy aminektomy + pasang mess abdomen dgnIVFD
vacum , dr. Ernita Sp. An-KIC
P Fistela enteracutan dgn TB Usus post drain dengan cateter
59 Ny Adinda Lestiana 30/06/2000 22 2593552 BPJS KLS 3 laparatomi explorasi 16/08/2022 18/08/2022 12.30 9 19/08/2022 1 IBS Bedah kelas PINDAH Bedah kelas Ventolator 18/08/2022 IBS 18/8/2022 tip , cvc , ETT, Perifer dr Navy Sp An KIC
P
60 Ny Endang 28/12/1975 47 2586968 BPJS KLS 3 NOK, post Laparatomi VC 16/08/2022 18/08/2022 12.25 7 19/08/2022 1 IBS Kebidanan lt 3 PINDAH kebidanan lt 3 NK 3 Lpm 18/8/2022 NGT , DC , CVC dr Navy Sp An KIC
Pseudoaneurisma arteri femoralis post
61 Ny UMI 03/06/1959 63 P 2584645 BPJS KLS 3 repair pseudoanerisma femoralis kanan 16/08/2022 18/08/2022 13.30 12 19/8/2022 1 IBS GP4 PINDAH GP 4 NK 3 Lpm NGT , DC , Perifer dr Thariq Sp An KIC
P NGT, GC, DRAIN. ETT,
62 Ny.Noviani Eka Putri 11/6/19999 23 2536204 BPJS KLS Obstruktif Usus Mekanik, E.C Ca Cervix 14/08/2022 18/08/2022 14.45 4 22/8/2022 4 IBS MENINGGAL ETT/Venti 18/08/2022 IBS 14/8/2022 INFUS dr.Ernita Sp,An KIC
Infus perifer, DC, drain
P
63 Nn. Nabilah Cahaya 25 February 2001 21 2582581 bpjs kls 1 post defek craniotomy, riw kejang 16/06/2022 19/08/2022 07.55 6 23/08/2022 4 WK LT 2 PINDAH WK 2 NK 5 Lpm kepala dr. ernita
post thorakotomi anterior ( open window), subclavia sinistra DC, IV line, Arteri line
64 Ny. Amintir 1 March 1980 42 P 2232595 bpjs kelas 2 open biopsi, pasang IPC 15/08/2022 19/08/2022 11.15 7 24/08/2022 5 IBS ANGGREK 2 PINDAH ANGGRek 2 NK 5 LPm IPC dr. Navy Sp.An.KIC
19/8/22
Adeno Ca rekti post laparatomy reseksi IV Line, DC, NGT, Drain,
L
65 Tn. Usri 9 March 1963 59 2566437 BPJS 1 anastomosis ileoilleal 18/08/2022 19/08/2022 13.30 12 20/08/2022 1 IBS GP 5 PINDAH GP 5 NK 5 LPm Jugularis Sinistra CVC dr. Thariq Sp.An.KIC
66 Ny. Tati Risnawati 11/05/1975 47 thn P 2595723 BPJS 3 19-8-2022 19-8-2022 23.00 8 IGD SISA
L
67 Tn. Oto Iskandar 3 October 1985 37 2302391 BPJS kels 1 vertigo,penkes,pingkatan ot/pt,TIK 12/8/22 20/8/22 16.45 2 22/8/2022 2 GP 4 MENINGGAL NRM 12 lpm 21/8/2022 ICU Jugularis Dextra NGT, DC, IV Line,CVC dr. Ernita Sp. An-KIC
68 Tn. Jimmy Copa 4 October 1968 63 L 2595787 BPJS 22/08/2022

CKS, Rhinorea, Hematom mata kanan, Susp trauma abdomen,22/08/2022
hematuri, Susp.Fr Pelvis13.20 5 22/08/2022 0 IGD MENINGGAL Venti 22/08/2022 IGD Subclavia Dextra NGT, DC, ETT dr. Ernita Sp. An-KIC
P Lacakge anastomosis colon, Post NGT, ETT, IV Line,
69 Ny. Henddelina silitonga 6 September 1954 67 2091469 TUNAI Laparatomy + Stoma 23/08/2022 06.20 5 24/08/2022 1 ibs GP6 PINDAH Gp 6 Venti 23/8/2022 IBS 24/8/2022 Jugularis Sinistra Drain, CVC dr. Ernita Sp. An-KIC
59 P
70 Tn. handojo soesilo 28 March 1963 2595927 BPJS susp sepsis pasca urodinamik 24/08/2022 24/8/22 18.00 12 26/08/2022 2 IGD ICU TULIP PINDAH Mawar Atas NK 3 lpm perifer, DC dr. Thariq Span KIC
71 Tn. Safrudin Samaniri 4 September 1979 43 L 2595773 BPJS Post covid 19, CVD, CKD on HD 21/08/2022 24/8/22 17.45 5 icu pinere SISA ventilator 21/08/2022 icu pinere taki dr. Ernita Sp. An-KIC
klavikula dextra
L
72 Tn. Angki septi 10 July 1971 51 2593543 bpjs kls 2 batu CBD post laparotomy eksplorasi 24/08/2022 25/08/2022 14.00 4 26/08/2022 1 IBS WK lt 3 PINDAH WK 3 NK 3 lpm perifer, DC, dr. Ernita Sp. An-KIC
L urosepsis, hematemisis, lekopenia bberat, perifer, DC, rectal tube,
73 Tn. Muchlis 27-12-1955 66 2586885 bpjs kls 3 fistula recto vesika post PCNL 22-8-2022 25-8-2022 20.30 5 29-8-2022 4 bedah kelas PINDAH GP 6 Nk 5 lpm 26-8-2022 OK IGD 27/8/2022 NGT dr. Ernita Sp. An-KIC
74 Ny. yuni supriatin 29 June 2980 42 P 2587384 bpjs 3 asidosis metabolik, ca cerviks 16/08/2022 24/08/2022 4 25/08/2022 1 igd igd MENINGGAL venti 8/25/2022 igd 25/8/22 v ngt, ett, dc, iv line dr. ernita, Sp. an. KIC
jugularis dextra
L
75 Tn. Amiludin 12 April 1967 55 2594838 BPJS post BC, BAL, TBLB 24/08/2022 23/08/2022 2 24/08/2022 1 ibs ibs MENINGGAL NIV 24/8/2022 icu 25/8/2022 jugularis dextra v dc de. ernita, Sp, An, KIC
post laparatomi hemikolektomy kanan, dc,cvc,drain,colostomy,
P
76 Ny. Sumiyati 24 March 1962 60 2591364 bpjs 3 tumor kolon kanan 21/08/2022 22/08/2022 14.30 9 26/08/2022 4 ibs bedah kelas PINDAH bedah kelas venti 22/08/2022 ibs 23/8/2022 jugularis dextra ett dr. Navy, Sp. An, KIC
77 tn. supoyo 02 March1962 60 L 2522251 bpjs 26/08/2022 26/08/2022 16.00 7 05/09/2022 10 IGD SISA NK 27/08/22 V ngt, DC, perifer dr. Navy, Sp. An, KIC
cvd berulang
L Carsinoma Gallblader. Post laparatomi
78 Tn. Lukas Lagar 14 /09/1956 66 2590743 BPJS 1 eksplorasi PTBD. 19/08/2022 26/08/2022 15.00 4 29/08/2022 3 IBS GP 5 PINDAH GP 5 Ventilator 26/8/22 IBS 27/8/2022 Femuralis dextra NGT, DC, Drain, ETT dr. ernita sp.an kic
L Post amputasi humerus (dextra), anemia,
79 Tn. I. Made Adnyana 5 August 1970 52 2595385 BPJS 3 hipoalbumin, AKI dd acute on CKD, DM 2 17/08/2022 26/08/2022 16.45 6 27/08/2022 1 IBS WK LT 2 PINDAH WK 2 ventilator 26-08-2022 IBS Subclavia sinistra NGT, Drain, DC, ETT dr. ernita sp.an kic
80 tn .agen sitorus 27 December 1948 74 L 274786 BPJS 3 kolesistolitiasis dengan kolesisitis akut 25/08/2022 26/08/2022 10.30 2 27/08/2022 1 ibs GP 6 PINDAH GP 6 NK DC , PERIFER DR ERNITA sp.an kic
L
81 Tn Kusnadi 16 August 1977 43 2596071 Bpjs 3 Hernia skrotalis strangulata 23/08/2022 26/08/2022 22.45 12 27/08/2022 1 ibs Bedah kelas PINDAH bedah kelas NK Jugularis dextra ngt,dc, cvc dr. Thariq Span KIC
L
82 Tn. Masrudin & februari 1993 29 2596449 bpjs 1 CVD hemoragiiic, ICH 26/08/2022 27/08/2022 19.30 9 IGD IGD SISA nk ngt,dc, cvc dr NAvy SpAN KIC
83 ny. lina agustina 21/08/1984 38 P 2567885 bpjs kelas 1 hemetemesis, melena 27/08/2022 27/08/2022 18.25 2 30/08/2022 3 mawar bawah PINDAH Mawar bAwah NRM 15 lpm DC, NGT, perifer dr. Ernita Span KIC
P
84 ny.suminem 31 December 1948 73 2249918 bpjs 3 cvd iskemik,hipokalemia,riw penkes 27/08/2022 28/08/2022 12.00 12 30/08/2022 2 igd igd PINDAH GP 5 nRM 10lpm dc,ngt,iv line perifer dr.thariq
L Asidosis metabolik, syok hipovolemik, gagal
85 An. Muh Azril Maulana 4 November 2019 2 thn 2596468 BPJS napas 27/08/2022 28/08/2022 07.40 6 28/08/2022 0 iGD IGD PINDAH PICU Bed 3 Ventilator 27/08/2022 IGD Jugularis Sinistra DC, NGT, CVC, ETT dr. Navy, Sp. An, KIC
tumor ginjal kiri, post open nefrotektomy DC, NGT, Deain abd kiri,
86 Tn. Jeffry Ninkeula 15 June 1974 48 th L 2593160 BPJS kls 1 kiri 28/08/2022 29/08/2022 13.16 4 30/08/2022 1 ibs GP 6 PINDAH GP 6 ventilator 29/08/2022 ibs 30-8-2022 arteri line dr. ernita, Sp. an. KIC
jugularis dextra
Close fracture of left Intertrochanteric
P
87 Ny. Marhani 03 December 1943 78 th 2594586 BPJS kls 3 femur post op bipolar hemiarthoplasty 13/8/2022 30/08/2022 14.30 12 30/08/2022 0 ibs Bedah kelas MENINGGAL ventilator 30/08/2022 ibs jugularis dextra DC, NGT, drain dr thariq Sp.An KIC
Post kraniatomy dekompresi + eksplorasi DC, NGT, ETT, CVC,
P
88 Ny. Junengsih 12 April 1955 67 th 2588717 BPJS kelas 1 tumor 29/8/2022 30/08/2022 17.42 2 IBS GP 5 SISA Ventilator 30/08/2022 IBS Femoralis dekstra Drain dr. ernita Sp. An-KIC
89 Ny. Turiyah mustakim 28 August 1956 86 thn P 2593924 TUNAI syok sepsis,ISK, HAP 10/08/2022 13/08/2022 15.30 10 GP 6 SISA NRM 15 lpm dr.Navy SpAn-KIC
P
90 Ny. Wuryaningsih 50 thn 2595643 BPJS 19/08/2022 18.30 9 22/08/2022 3 RS AGUNG PINDAH WK 2 dr.Navy SpAn-KIC.
P
91 Ny. Melly 59 thn 2588793 BPJS 22/8/22 13.30 12 23/08/2022 1 GP 4 PINDAH GP 4 dr.Thariq SpAn-KIC
92 Ny. Sri Setiti 1/2/1980 42 thn P 2593081 BPJS 30/08/2022 5 CEMPAKA BAWAH SISA
P 30/08/2022
93 Ny. Kartini 21/4/1985 37 thn 2593503 BPJS 10.37 4 IGD SISA
L
94 Tn.Nicholas 7/9/2001 21 thn 2545954 TUNAI 31/08/2022 12 GP 6 SISA
94 91 94 43 52 94 4 88 88 94 89 94 84 84 88 69 70 88 46 46 16 1 0 62 5 1 2 1 8 83 88
90 14
REKAPAN 11
1 TOTAL PASIEN 94 94
2 LAKI-LAKI 43 45.74%
4 BPJS 90 95.74%
5 TUNAI 4 4.26%
ASURANSI LAIN 0.00%
8 PASIEN RUJUKAN 0.00%
13 INTUBASI 46 48.94%
14 EXTUBASI 16 34.78%
16 HFNC/ OPTIFLOW 0
17 CVP 62 65.96%
18 CDL 5
19 HD 1
20 CRRT 2
21 ECHO 1
22 ICON 8
DPJP LAINNYA
dr. Saad Sp. A

Dr. Syafiq,Sp.PD, Dr.Tan
Yosephin,Sp.S
dr. Chandra. Sp.BS
dr. Wahyu Sp. B (K) BD
dr. I Putu Kokohana Sp.BTKV
dr. Tri Sp.OG
Dr.Seno, Sp.B.KBD
Dr. Aldilla,Sp.A
Dr. Andika, Sp.U

dr Arman Sp BTKV, dr Ginanjar
Arum Sp P
dr Widi Sp BD , dr Alkaf Sp PD
dr Wahyu Sri Sp BD
Dr.Hendi Mirza, Sp.U

dr. TRI APRILIAWAN BENDARTO
RAHARDJO, Sp.OG(K)-Onk
dr Widi Sp BD
dr. Seno Budi Sp.BD
dr. Ni Made Desy Sp.OG
dr Oni Khonza Sp OG
Dr.Moammar Andar,Sp.U
dr. Galuh Sp.P, dr. Irwan Sp.JP
dr. Chandra Sp.BS
dr. Reyhan SP.S
Dr. Agung,Sp.BS
dr. Budiman Sp.Ot, dr. Widi Sp.B

dr. purnawan, Sp. OG, dr. Tri, Sp.
OG
dr.Arman sp.BTKV, dr
Doddy,Sp.THT
dr Hendy Sp. U
dr. Wahyu Sri
dr agung SP BTKV
dr Tri SpOg
Dr. Yassir,Sp.PD
dr Seno SpB(K)BD
DR. dr. YUYUN LISNAWATI, Sp.OG(K)-KFM
dr, Agung, Sp. Bs
dr. agung BTKV

dr. TRI APRILIAWAN BENDARTO
RAHARDJO, Sp.OG(K)-Onk
dr. DODY WIDODO, Sp.THT-KL(K)
dr. Sigit Sp. OT
dr.ashwin sp.s
dr. ony, Sp. OG
Dr.Lilis,Sp.A
dr. Wahyu Sri
dr. ade putri, SP.PD
dr. nugroho SPBU

dr. Agung, Sp.BTKV
dr. IQRA ANUGERAH, Sp.OG
Dr.Wahyu Sriningsih,Sp.KBD
dr. dody wibowo, sp. THT
dr sigit SpOT
dr luki spOG
dr ony, sp. Og
dr. Budi H SpB.Onk
dr Wahyusri
dr.perwira widi SP.B(K)
dr. Catur Sp.S
dr. Hadi Sp. BD
dr Seno Sp BD
dr Tri Apriliawan Sp OG
dr Imi Sp JP , dr Koko Sp BTKV
dr.Perwira Widiianto Sp.B (K) BD
dr. agung heri, sp.BS
dr.Agung Sp.BTKV
dr.Perwira Widiianto Sp.B (K) BD
DR. Hasan sp.pd
dr.candra Sp.BS
dr.Seno Sp.BD (K)
dr andika SPU
dr seno Sp.BD
dr doddy Sp.U
dr. oni, Sp.OG
dr. Andika, Sp,P
dr. widi sp.bd
dr. andi sppd. dr reyhan SpS
dr. widi sp.bd
dr. Sigit sp. ot
dr. seno budi santoso SP bd
dr. seno budi santoso SP bd
dr Agung SpBS
dr. agung SpBS
dr.reyhan,Sp.S
dr. Aldila Sp. A
dr. Andar, Sp. U
dr. Sigit Sp.OT
dr. Agung Sp. BS
84
BULAN: OKTOBER 2022
TANGGAL JENIS KELAMIN

NO NAMA USIA
LAHIR
L
1 TN. BAMBANG HERYADI 3/5/57y 65 L
2 TN. NASRIL SAWIR 15/8/53y 69 L

3 TN. MUSTOFA AL GANI 13/1/98y 24 L
4 TN. RENDRA JANUARTA 22/1/03y 19 L
5 TN. SALIM 12/1/75y 47 L
6 TN. AFRIZAL 2/4/76y 46 L
7 TN. VICTOR TJIOE 8/2/59y 63 L

8 NY. AGUSTINA 17/8/73y 49
9 NY. ROSMALINDA 28/7/60y 62
10 NN. CINDI IRAWATI LUBIS 6/6/07y 15
NN. BRIGITTA AILEEN

11 SEPTRIASA H 5/9/10y 12
12 TN. SOFYAN FAUZI 22/2/81y 41 L
13 TN. DEFRIANSYAH 16/5/84y 38 L
14 TN. MUH. RAKA SEPTIAN 12 /09/1996 26 L
15 NY. MISNI 7/11/59y 62 L
16 NY. LINAWATI NINGSIH 10/5/88y 33
17 TN. ZYAHRUL 2/10/22y 42 L
18 NY.
TN. SIMAR
MAHMUDMONDANG
LOMY 22/10/22y 57
19 NASUTION 1/1/46y 76 L
20 NY. IIM MUDAIMAH 16/2/48y 75
21 NY. SUMARNI 16/8/72y 51
22 NY. HJ PUTRI ROSMAKAWA 18/6/43y 79
23 NY. SRI WINARNI 10/9/69y 53
24 NY. YUSMAINI 8/3/76y 46
25 NY. ELISABETH GOANNIO 2/1/67y 55
26 TN. MIHARJA 16/10/63y 59 L
27 NY. ADLINA 4/5/65y 57
28 TN. WARNERY RASSOEL 6/12/50y 72 L
29 TN. EFFENDI 11/4/58y 64 L
30 TN. RUDY CHRISTIAN 10/5/79y 43 L
31 NY. SITI RAHMAH 25/3/73y 49
32 TN. MOCHIDAN NOOR 23/10/73y 48 L
33 TN. SAINDANG 24/8/89y 33 L
34 NY. ANIS 12//07/1960 62
35 TN. SURYONO 8/2/58y 64 L
36 TN. HERMAN LATIEF 21/8/50y 72 L
37 NY. IROH MUNAWAROH 6/5/76y 46
38 NY. HALIMAH 2/6/70y 52
39 Tn. AGUS DOLI 27/8/80y 42 L
40 TN. RUDI SANTOSO AGUS 27/9/62y 60 L
41 TN. HERY KHAIRUL KALAM 13/6/65y 57 L
42 NY. SUSANTI 25/3/75y 47
43 TN RUDY SETIAWAN 19/7/82y 40 L
44 NY. SULISTYANI 23/1/76y 46
45 NY. INDRIANA 15/6/81y 41
AN. FATHINA HUSNA

46 ALTHAFUNNISA 25/1/10y 12
47 NY. TURMIYATI 22.7.1976 46
48 TN. RUSTAMADJI 10/2/22y 73 L
49 NY. PANIKEM 30/12/68y 53

50 NY. DARYANI 11/1/78y 44
51. TN. SUTRISNO 25/8/56y 66 L
52. TN. I NOVA WIDIYANTO 24/11/83y 39 L
53. TN. ST SUPARMIN 8/8/62y 60 L
AN. HABIBIE HAFIZ ADNAN

54. AIRLANGGA SATRIADHI 19/11/21y 11 BULAN L
55. TN . M. HASAN 8/7/59y 41 L
56. AN. AQILA ZHAFIRAH.K 1/4/22y 6 bln
57 AN. HAIDAR 4/12/21y 10 bln L
58 TN.FARIED JULIUS 14/7/85y 37 L
59 Ny VIVI IRIANI 24/9/70y 52
60 NY. NING HERAWATI 5/5/47y 75
61. NY. TATI 11/5/75y 47
62. AN. WILLIAM OCTO SUNCE 29/10/05y 17 L
63 TN. THUFAIL MAMDUUDASS 03/ 12/2001 20 L
64 NY. MUDJIRAH BT MADIO 8/4/68y 54
65 TN. DRS. YAN WALTER 19/8/53y 69 L
66 TN. ZAGI ARANGGI 10/9/01y 21 L

67 NY. MARPUAH HS 24/2/48y 74
68 TN. DANA 17/8/86y 36 L
69 NY. ELSI SEFIYANTI 20/7/88y 34
70 NY. YULIA IRIANI 20/10/76y 46
71 NY. ACIH SUMIARSIH 17/1/80y 42
72 NY. SUPARMIAH 1/1/51y 71
73 NY. SUDARNINGTYAS 12/10/65y 57
74 TN. SUBANDRI 15/09/1961 60 L
75 NY. NUNUNG 24/6/76y 46
76 NY. HETTY EKA 4/10/70y 52
77 TN. SANUSI 2/2/0946 76 L
78 TN. M. SOLEHUDIN 29/3/04y 18 L
79 TN. SUBANDRI 15/9/62y 60 L
80 TN. M. RIZKI RAMADHAN 5/11/03y 18 L
81 NY. NGADINAH 25/12/52y 69
82 NY. ITA SUARNA 6/10/54y 68
83 NY. SUPIANA 10/12/70y 51

83 83 83 43
S
1 TOTAL PASIEN 83
2 LAKI-LAKI 43 51.81%
4 BPJS 83 100.00%
5 TUNAI 0 0.00%
ASURANSI LAIN 0.00%
13 INTUBASI 83 100.00%
14 EXTUBASI 81 97.59%
16 HFNC/ OPTIFLOW 0
17 CVP 83 100.00%
18 CDL 3
19 HD 1
20 CRRT 2
21 ECHO 9
22 ICON 13
7
JAMINAN
JENIS KELAMIN (BPJS/TUNAI/
NO RM
ASURANSI/
P PERUSAHAAN)
2598094 BPJS 3
2598615 BPJS 1
2598641 BPJS 1
2598899 BPJS 3
2589104 BPJS 3
2598325 BPJS 3
2599078 BPJS 3
P 2047292 BPJS 1
P 2599013 BPJS 3
P 2599155 BPJS 3
P 2597609 BPJS
2599216 BPJS 3
2599231 BPJS 3
2234453 BPJS 3
2599097 BPJS 3
P 2599235 BPJS 3
2593079 BPJS 3
P 2592363 BPJS 3
1196074 BPJS 3
P 2594289 BPJS 1
P 2569176 BPJS 3
P 2592786 BPJS 1
P 2591824 BPJS 3
P 2521154 BPJS 3
P 2596787 BPJS 3
2596722 BPJS 3
P 2288383 BPJS 3
1282124 BPJS 3
2599617 BPJS 3
2573589 BPJS 3
P 2592899 BPJS 2
2598576 BPJS 3
2599461 BPJS 1
P 2591173 BPJS 3
2383370 BPJS 3
2595507 BPJS 3
P 2591815 BPJS 1
P 2585557 BPJS 3
2594143 BPJS 3
2420191 BPJS 3
2597022 BPJS 1
P 2595879 BPJS 3
2545064 BPJS 3
P 2595225 BPJS 3
P 2577030 BPJS 3
P 2329644 BPJS 1
P 2600117 BPJS 3
2598042 BPJS 1
P 2592776 BPJS 3
P 2600234 BPJS 3
2243185 BPJS 3
1164526 BPJS 1
2592322 BPJS 1
2600388 BPJS 3
2596629 BPJS 3
P 2584151 BPJS 3
2600499 BPJS 3
2600510 BPJS 1
P 2590759 BPJS 3
P 2594174 BPJS 3
P 2595723 BPJS 3
2598301 BPJS 1
2591274 BPJS 1
P 1142694 BPJS 3
2600818 BPJS 1
2600811 BPJS
P 2600844 BPJS 1
2600841 Dinkes DKI
P 2600126 BPJS 1
P 2597131 BPJS 1
P 2594519 BPJS 3
P 2570548 BPJS 1
P 2600824 BPJS 3
2569404 BPJS 3
P 2108969 BPJS 1
P 2595914 BPJS 3
2110529 BPJS 3
2577254 BPJS 3
2569404 BPJS 3
2601455 BPJS 3
P 2299892 BPJS 1
P 2598061 BPJS 1
P 2590435 BPJS 3
40 83 0
83
DIAGNOSA MASUK
post open fr. cruris dan close fr. femur

CVD HEMORAGIK, post Craniotomy
Syok sepsis, edema paru, ARDS, Pneumonia
ckb, multiple trauma drawing air way , fraktur mandibula
Ca Caput Pankreas, Post Biopsi tanggal 21/9/22
post craniotomi ec edh
CKB, post Craniotomy

Post Laparatomy eksplorasi adhesiolosis iliestomy
Penurunan kesadaran, cvd iskemik, CHF, HHD, CAP
Hematothorax ec trauma tumpul post insersi WSD
Post WSD tgl 15/9/22 AFF tgl 25/9/22, TB paru klinis kasus baru DILI on OAT, Sepsis perbaikan, Efusi Pleura b
Penurunan kesadaran, cvd iskemik,HT ec HHD
penurunan kesadaran ec susp meningoencepalitis
Abses sub mandibula dextra , Syok hipovolemik dd Sepsis
DM T2, Riw. KAD, CVD
DM T2, KAD, CAP
Post cranioplasty ec craniotomy
Post Op Laparatomy, NOK, HT Surgical Satging
Post TURP, Ca paru pro kemoterapi, DM tipe 2
Post laparatomi VC, NOK Suspek Maligna
Post laparatomy explorasi ec. ca rektum
Post ORIF, CAD
post laparatomy HTSOB , karsinoma ovarium st 111 c
post laparatomy tutup defek
post torakotomy ,lobektomy, tb paru on OAT, DM t2
Ca musinosum post laparatomi tutup stoma
Post laparatomy reapair defek
Post Reimplantasi ureter kiri + augmentasi Bladder
CVD hemoragic, pneumonia, syok sepsis, Hipokalemi
CA Lidah perdarahan masif, Syok hipovolemik dd sepsis
CA Ovarium post laparatomi VC
post BC, Ca paru dextra Stage 4 A PS 1
post laparascopy abses hepar
post ekstended ec timoma
Post ORIF dan bone graft fx tibia plateau, fx distal radius sinistra
post Op Laparatomi eksplorasi, adhesiolisis, low anterior reseksi, colostomi sigmoid ( Hartman Prosedure )
Post laparotomi SOU VC dilanjutkan dengan HTSOB dan omentektomi atas indikasi kista ovarium kiri jinak
Post Laparatomy eksplorasi Fistula Enterokutan, AKI dd Acute on CKD
Pasca Selective Neck Desection, Hemiglosektomi, VC pada KSS lidah
Post Laparatomy dd suspect peritonitis TB
Post Thorakotomy,
nok susp malignan, POST op HTSOB
Post laminektomi, spondilitis TB, Riwayat TB, SIDA ON ARV, Hepatitis C
tumor dinding dada dd TB, sternotomi resesksi tumor dinding dada
post laparatomi adhesiolosis + ileustomy double barrel reseksi ileum ec TB usus
tb on oat bln ke 2 , ME TB,hidrocephalus on vpshunt, hiponatermi
ketosis dm, dm tipe 2febris hr ke 2
CAP, Probable mycosis paru, CVD iskemik, CHF, Syok sepsis
CVD Iskemik
CKB Post KLL
ALO. HHD, ppok, ekserbasi
CKB Post Craniotomy
Tumor Ginjal kanan Post Laparoskopic Partial Nefrectomy Kanan
Penurunan kesadaran ec. metabolik, dd infeksi intrakranial, syok sepsis ec. pneumonia, kejang demam komp
Gagal Nafas, Pneumonia pada PPOK eksaserbasi akut, Anemia dd MDS, LGK
Post Laparatomi ec Omphalocele ec post tutup defek
Supek Pnemonia
Penurunan kesadaran ec TB Usus ON OAT proses metabolik
Syok sepsis e.c ILO dd/ syok hipovolemik
ca endometriosis, post laparatomy eksplorasi surgical staging, HTSOB
POST CRANIOPLASTY+REKONTRUKSI EC DEFEK KRANIOTOMI
POST OP RESEKSI TIMUS
LIMFOMA NONHODGKIN EFUSI PLEURA KANAN
Dispneu dd ALO ,sepsis hiperglikemi, dm tipe 2 , aki dd ckd
NSTEMI
CKB, Tension pneumothorax

Penkes ec Metaboklik berat , iskemik lateral , gagalnapas tipe 1 < acute on CKD
Open pneumothoraks, syok hipovolemik
Post sc dan insersi IUD, plasenta adhesiva fokal
CA Cervix III B+ susp ca ovarium. Post Laparatomy kistektomi s.d so debalking masa ovarium
Post Extended simple Mastektomi + VC e.c Tumor pyloides mamae dextra
Post orif
CKR, Vertigo, Riw Penkes , Dm Type 2
hiponatremi,dm,aki
UAP dd NSTEMI, Syok sepsis dd kardiogenik, CAD post PCI di LAD, DM II
Ca ovarium, post laparatomy HTBSO
AKI dd CKD, HT Emergency, Penkes dd Intrakranial, Hematemesis, Hematuri, post ROSCH
Post rekontruksi + cranioplasty
Syok sepsis ec Urosepsis, AKI dd Akur on CKD, LBP, hiponatremi perbaikan, hipoalbumin
CKB, Kontusio paru, Close fraktur of right femoral
CKR, SDH temporal dextra,
post laparatomy tutup stoma ec ca recti
Post TCC buli, Radikal Sistectomy, histerectomy, Ileal Konduid

83
TGL KELUAR/ HARI RAWAT DI
TGL MASUK RS TGL MASUK IPI JAM MASUK IPI BED
MENINGGAL IPI
18/9/22y 18/9/22y 17.00 1 07/10/2022 19

25/9/22y 25/9/22y 02.00 10 02/10/2022 7
26/9/22y 26/9/22y 03.30 5 01/10/2022 5
28/9/22y 28/9/22y 15.10 8 04/10/2022 6
16/9/22y 29/9/22y 06.00 4 16/10/2022 17
28/9/22y 28/9/22y 13.00 7 3/10/2022 5
29/9/22y 29/9/22y 19.00 9 11/10/2022 12

29/9/22y 29/9/22y 23.00 11 3/10/2022 4
29/9/22y 30/9/22y 00.15 12 11/10/22 11
30/9/22y 30/9/22y 16.10 6 01/10/2022 1
12/9/22y 30/9/22y 20.20 2 3/10/22y 3

1/10/22y 2/10/22y 00.15 6 2/10/22y 0
2/10/22y 2/10/22y 05.45 3 7/10/22y 5
2/10/22y 2/10/22y 23.50 10 5/10/2022 3
30/9/22y 3/10/22y 02.30 6 7/10/2022 4
2/10/22y 2/10/22y 19.30 5 10/10/2022 8
2/10/22y 3/10/22y 15.00 11 4/10/2022 1
30/9/22y 3/10/22y 13.30 7 4/10/2022 1
2/10/22y 3/10/22y 15.45 2 4/10/2022 1
2/10/22y 4/10/22y 14.30 7 6/10/2022 2
30/9/22y 4/10/22y 11.45 2 5/10/2022 1
3/10/22y 4/10/22y 15.20 11 5/10/2022 1
4/10/22y 5/10/22y 15.30 10 6/10/2022 1
4/10/22y 5/10/22y 16.40 2 6/10/2022 1
4/10/22y 5/10/22y 18.45 11 7/10/22y 2
5/10/22y 6/10/22y 12.15 7 7/10/2022 1
5/10/22y 6/10/22y 15.00 8 9/10/22y 3
1/10/22y 6/10/22y 17.30 10 13/10/2022 7
6/10/22y 7/10/22y 01.45 2 18/10/2022 11
8/10/22y 8/10/22y 18.20 1 14/10/2022 6
6/10/22y 10/10/22y 14.00 7 11/10/22y 1
10/10/22y 10/10/22y 16.00 8 11/10/22y 1
5/10/22y 10/10/22y 13.30 6 16/10/2022 6
9/10/22y 10/10/22y 12.30 5 11/10/22y 1
29/9/22y 10/10/22y 17.30 3 11/10/22y 1
10/10/22y 11/10/22y 12.15 3 13/10/22y 2
9/10/22y 11/10/22y 15.00 8 14/10/2022 3
22/9/22y 11/10/22y 16.45 7 19/10/2022 8
10/10/22y 11/10/22y 21.30 5 14/10/2022 3
8/10/22y 11/10/22y 10.30 11 31/10/2022 20
11/10/22y 12/10/22y 11.00 9 13/10/2022 1
6/10/22y 12/10/22y 13.50 12 13/10/2022 1
12/10/22y 13/10/22 14.20 9 14/10/2022 1
12/10/22y 13/10/22y 16.25 10 14/10/2022 1
7/10/22y 14/10/22y 12.15 3 21/10/22 7
13/10/22y 14/10/22y 16.30 1 22/10/22 8
13/10/22y 14/10/22y 17.30 10 17/10/2022 3
16/9/22y 14/10/22y 17.55 8 20/10/2022 6
15/10/22y 15/10/22y 03.20 5 ON

16/10/22y 16/10/22y 16.05 6 27/10/2022 11
16/10/22y 16/10/22y 22.00 4 18/10/2022 2
16/10/22y 16/10/22y 17.10 9 17/10/2022 1
16/10/22y 17/10/22y 14.30 10 18/10/2022 1
17/10/22y 18/10/22y 03.10 9 19/10/2022 1
18/10/22y 18/10/22y 18.00 2 20/10/2022 2
17/10/22y 18/10/22y 11.10 10 20/10/2022 2
19/10/22y 19/10/22y 02.50 4 19/10/2022 0
19/10/22y 19/10/22y 22.30 4 06/11/22 19
17/10/22y 20/10/22y 00.30 9 24-10-2022 4
19/10/22y 20/10/22y 13.20 7 21/10/2022 1
19/10/22y 20/10/22y 12.30 11 21/10/2022 1
21/10/22y 21/10/22y 13.30 2 23/10/22 2
22/10/22y 22/10/22y 16.30 10 ON
22/10/22y 22/10/22y 19.30 3 25/10/22 3
22/10/22y 22/10/22y 23.00 1 24/10/2022 2
22/10/22y 21/10/22y 01.50 7 31/10/2022 10

23/10/22y 24/10/22y 02.30 2 ON
23/10/22y 24/10/22y 04.30 8 1/11/22
23/10/22y 24/10/22y 11.15 11 25/10/2022 1
21/10/22y 24/10/22y 15.10 9 25/10/2022 1
24/10/22y 25/10/22y 14.30 1 26/10/22y 1
24/10/22y 25/10/22y 14.15 11 26/10/22y 1
22/10/22y 25/10/22y 23.40 9 27/10/2022 2
24/10/22y 26/10/22y 9.35 3 28/10/2022 2
23/10/22y 26/10/22y 19.10 1 ON
24/10/22y 26/10/22y 17.40 11 28/10/2022 2
27/10/22y 28/102022 09.30 6 ON
27/10/22y 28/10/22y 16.10 9 29/10/2022 1
24/10/22y 29/10/22y 10.30 2 ON
30/10/22y 30/10/22y 11.00 9 06/11/22 7
29/10/22y 30/10/22y 12.05 11 ON
31/10/22y 31/10/22y 16.00 7 1/11/22
28/10/22y 31/10/22y 17.30 1 4/11/2022 3

83 83 83 83 83 74
::
ASAL PINDAH/ POLA NAFAS

RUANGAN MENINGGAL/DI RUANGAN
RUJUKAN/OPE SAAT MASUK TGL INTUBASI
RASI ASAL RUJUK/ PINDAH IPI
PULANG
IGD OK IGD PINDAH BEDAH KELAS Ventilator 18/9/22y

IGD
RS Hermina IGD MENINGGAL --- NK 25/9/22y
Cibinong IGD PINDAH DAHLIA ATAS Ventilator 24/9/22y
IGD IGD PINDAH BEDAH KELAS Ventilator 28/9/22y
Anggrek lt 2 Anggrek lt 2 PINDAH WK LT.2 NRM 1/10/22y
IBS Anggrek lt 2 PINDAH Anggrek lt 2 Ventilator 28/9/22y
OK IGD IGD PINDAH Angrek lt. 2 Ventilator 28/9/22y

OK IGD IGD PINDAH Mawar Bawah Ventilator 29/9/22y
IGD IGD PINDAH Cempaka Atas Ventilator 29/9/22y
OK IGD IGD PINDAH CEMPAKA ATAS NK --
Bougenville Bougenville Bougenville

Atas Atas PINDAH Atas Room Air --
IGD IGD MENINGGAL -- Ventilator 1/10/22y
IGD IGD PINDAH cempaka bawah Ventilator 2/10/22y
IGD IGD PINDAH Bedah Kelas NK --
Dahlia Atas Dahlia Atas PINDAH Dahlia Atas NK --
IGD IGD MENINGGAL -- NK 2/10/22y
IBS Anggrek lt 2 PINDAH Anggrek lt 2 NK --
IBS Mawar Bawah PINDAH mawar bawah Ventilator 4/10/22y
IBS WK 2 PINDAH CB Ventilator 4/10/22y
IBS mawar bawah PINDAH mawar bawah NK --
IBS kebidanan 3 PINDAH kebidanan 3 Ventilator 5/10/22y
IBS Cempaka Atas PINDAH cempaka atas NK --
IBS anggrek lt 2 PINDAH Bedah kelas Ventilator 5/10/22y
IBS Anggrek
Cempaka lt 2 PINDAH Anggrek lantai 2
Cempaka NK --
IBS bawah PINDAH Bawah Ventilator 6/10/22y
IBS Cempaka Atas PINDAH cempaka atas Ventilator 6/10/22y
IGD IGD PINDAH Dahlia
CempakaAtas Ventilator 6/10/22y
IGD IGD PINDAH Bawah Ventilator 8/10/22y
kebidanan kebidanan PINDAH Kebidanan 3 Ventilator 10/10/22y
Anggrek lt 2 Anggrek lt 2
Cempaka PINDAH Angrek lt. 2 NRM --
IBS bawah
Cempaka MENINGGAL --
Cempaka Ventilator 10/10/22y
IBS bawah PINDAH Bawah NK --
IBS Anggrek L 2 PINDAH Bedah Kelas Ventilator 10/10/22y
IBS Anggrek Lat.2 PINDAH Bedah Kelas Ventilator 11/10/22y
IBS Mawar Atas PINDAH Mawar Atas Ventilator 11/10/22y
IBS Bedah Kelas PINDAH Bedah Kelas Ventilator 11/10/22y
IBS Bedah Kelas PINDAH Bedah Kelas Ventilator 11/10/22y
Cempaka
IBS Bawah MENINGGAL --- Ventilator 11/10/22y
IBS Mawar Atas PINDAH Mawar Atas NRM --
IBS Anggrek 3 PINDAH Anggrek 3 Ventilator 12/10/22y
IBS Anggrek 2 PINDAH Anggrek lt 2 NK --
IBS Cempaka Atas PINDAH Cempaka atas NK --
IBS Cempaka Atas PINDAH Cempaka Atas Ventilator 14/10/22y
IGD IGD PINDAH ANAK ATAS Spontan TT --
Cempaka
IGD IGD PINDAH Bawah NK --
Mawar Bawah Mawar Bawah PINDAH Mawar Bawah Spontan TT --
IGD IGD SISA ON NRM 15 lpm 15/10/2022

IGD IGD PINDAH Dahlia Atas NK --
IGD IGD MENINGGAL --- Ventilator 16/10/22y
IBS WK lantai 3 PINDAH Mawar Atas Ventilator 17/10/22y
--- IGD PINDAH PICU Ventilator 17/10/22y
--- WK lt. 2 MENINGGAL --- NK 18/10/22y
IBS Anak Bawah PINDAH ANAK BAWAH Ventilator 18/10/22y
IGD IGD PINDAH PICU NK --
IGD IGD Meninggal 151 Ventilator 19/10/22y
--- Cempaka Atas PINDAH anggrek 2 NK --
IBS Kebidanan 3 PINDAH Kebidanan 3 Ventilator 20/10/22y
IBS ANGGREK. LT 2 PINDAH ANGGREK. LT 2 NK --
MAWAR
IBS BAWAH PINDAH Mawar Bawah NK --
REINTUB TGL
15/10/22 DR RS
-- IGD SISA ON Ventilator MMC
RS Matraman IGD PINDAH Dahlia Atas NRM 15 lpm --
-- IGD PINDAH WK 3 NK --
IGD IGD MENINGGAL --- Ventilator 21/10/22y

RSCM IGD SISA ON Ventilator 22/10/22
OK CYTO IGD SISA Bedah Kelas Ventilator 24/10/22y
OK IBS Anggrek L 3 PINDAH Anggrek L 3 Ventilator 24/10/22y
-- Anggrek lt 3 PINDAH Anggrek lt 3 Ventilator 24/10/22y
IBS Cempaka Bawah PINDAH Cempaka Bawah NK --
IBS Mawar Bawah PINDAH Mawar Bawah NK --
-- Dahlia Bawah PINDAH Dahlia Atas NK --
CEMPAKA
-- Dahlia Bawah PINDAH BAWAH NK --
-- WK Lt 3 SISA ON NK --
IBS Anggrek lt 3 PINDAH Kebidanan 3 Ventilator 26/10/22y
IGD SISA Ventilator 28/10/22y
IBS Angrek 2 PINDAH BEDAH KELAS NK ---
CB SISA NK ---
IGD IGD SISA NK 30/10/22y
Mawar bawah SISA Ventilator 31/10/22y
IBS PINDAH CEMPAKA ATAS Ventilator 31/10/22y

81 65 79 83 83
9
9
83
ASAL/TEMPAT TINDAKAN (CE
TGL EXTUBASI
INTUBASI HFNC/
RE INTUBASI CVC
OPTIFLOW
OK IGD 28/9/2022 (TT) Jugularis Dekstra
RS.OK IGD
Hermina 2/10/22y Jugularis Dekstra
Cibinong 28/9/22y Jugularis Sinistra
IGD 1/10/22y Subklavia dekstra
ICU 11/10/2022 (TT) Jugularis dekstra
ICU 1/9/22y Femoralis dekstra
OK IGD 5/10/2022 (TT) Subklavia sinistra

OK IGD 1/10/22y Jugularis Sinistra
IGD 5/10/2022 (TT) Subklavia dekstra
-- -- Jugularis sinistra
-- -- Subklavia dekstra
IGD 2/10/22y 0
IGD 5/10/2022 (AE) Femoralis sinistra
-- -- 0
ICU 10/10/2022 Femoralis dekstra
-- -- 0
IBS 4/10/2022 Jugularis sinistra
IBS 3/10/22y 0
IBS 5/10/22y Jugularis sinistra
-- -- 0
IBS 5/10/22y Subklavia dekstra
-- -- 0
IBS 6/10/22y Jugularis dekstra
-- -- Jugularis sinistra
IBS 7/10/22y 0
IBS 10/10/22y Subklavia sinistra
IGD 14/10/2022 (TT) Subklavia dekstra
IGD 13/10/2022 Femoralis dekstra
IBS 11/10/22y Jugularis dekstra
-- -- 0
IBS 16/10/2022 Jugularis dekstra
IBS 11/10/22y Jugularis Sinistra
IBS 12/10/2022 Jugularis Sinistra
IBS 13/10/2022 Jugularis sinistra
IBS 13/10/2022 Subklavia dekstra
IBS 25/10/2022 (TT) Jugularis sinistra
-- -- Femoralis dekstra
IBS 13/10/2022 Jugularis Dekstra
-- -- 0
IBS 17/10/22 Subklavia dekstra
ICU 21/10/2022 (TT) Jugularis sinistra

IGD 24/10/2022 (TT) Subklavia sinistra
-- -- 0
IBS 17/10/22y Femoral kanan
IGD --- Jugularis dekstra
ICU RR 20/10/2022 Jugularis dekstra
IBS 19/10/22y 0
-- -- 0
IGD 06/11/22 Subklavia dekstra
-- -- Jugularis dekstra
IBS 21/10/22y Subclavia Dextra
-- -- 0
-- -- Jugularis dekstra
RS MMC ON Subklavia Dextra
-- -- 0
Subclavia dekstra
(aff); Subklavia
IGD 28/10/2022 29/10/2022 sinistra
RSCM ON Venocet (fem.dx); Subklavia sinistra
IGD 30/10/22 Subklavia dekstra
-- -- 0
-- -- 0
-- -- 0
-- -- 0
-- -- Subklavia sinistra
IBS 27/10/2022 Jugularis dekstra
IGD Subklavia dekstra
--- --- 0
--- --- Jugularis dekstra
IGD 3/11/22y Subklavia dekstra
ICU Subklavia sinistra
IBS 2/11/22y Subclavia Sinistra

82 81 1 0 83
TINDAKAN (CEK LIST)
CDL HD CRRT ECHO ICON
1/10/2022
4/10/22y 2/10/2022
Jugularis 4/10/2022
dekstra ( Prisma ) 5/10/22y 5/10/22y
7/10/22y
10/10/22
dekstra
13/10/22 11/10/22
Jugularis
Dekstra
23/9/22 23/09/22 28/09/22
17/10/22
12/10/22
19/10/22 17/10/22 (2)

19/10/22;
20/10/22 20/10/22
19/10/22 18/10/22
23/10/22
24/10/22
22/10/22 (1);
23/10/22 (3);
29/11/2022 (Aqua ) 24/10/22 (1)
); Subklavia sinistra 26/10/22
25/10/22
ETT, DC, NGT,
ETT, NGT, DC, Drain
ETT, NGT, Drain, Ur

0 3 1 2 9 13
TINDAKAN LAIN JIKA
DPJP UTAMA DPJP LAINNYA
ADA ( SEBUTKAN)
ETT, CVC, NGT, DC dr. Ernita Sp. An-KIC dr. Ali, Sp.OT
DC,NGT,
NGT,PERIFER
ETT, Infus dr. Navy Sp.An-KIC dr. Catur, Sp.S
Perifer dr. Ernita Sp. An-KIC dr. Eppy, Sp.PD., KPTI
ETT,DC,
CVC, NGT, DC,Drain
NGT, CVC dr. Navy Sp.An-KIC dr. Yantoko, Sp.BP-RE, dr. Chandra, Sp.BS; dr.
abdomen kanan dr. Ernita Sp. An-KIC dr. Perwira Widianto, Sp. B(K)BD
ETT,NGT,DC dr. Navy Sp.An-KIC dr. Agung, Sp.BS
ETT, CVC, NGT, DC,
Tracheostomi dr. Navy Sp.An-KIC dr. Agung, Sp.BS
ETT, CVC, NGT, DC dr. Thariq, Sp.An-KIC dr. Wahyu, Sp.B(K)BD
IVFD perifer, DC,
NGT, Trakeostomi dr. Thariq, Sp.An.KIC dr. Dwi, Sp. S
Infus perifer, WSD
sinapi dr. Navy Sp.An-KIC dr.Arman Sp.B, Sp. BTKV
ETT,Infus
NGT,perifer
DC, Infus dr. Ernita Sp. An-KIC dr. Fauzi, Sp.A
perifer dr. Navy Sp.An-KIC dr. Dwi Sp.S
ETT, CVC, NGT, DC dr. Ernita Sp. An-KIC dr. Dwi Sp.S
DC dr. Navy Sp.An-KIC drg. Arfan Sp.BM
NGT,
NGT,DC,DC,Infus
ETT,Perifer
CVC, dr. Navy Sp.An-KIC dr. Ikhsan, Sp.PD
CDL dr. Ernita Sp. An-KIC dr. Ikhsan, Sp.PD
DC, Infus Perifer dr. Thariq, Sp.An-KIC dr. Chandra, Sp.BS
NGT, DC, ETT, CVC dr. Navy Sp.An-KIC dr. Tri, Sp.OG
NGT, DC, ETT, Perifer dr. Ernita Sp. An-KIC dr. Andika, Sp. U
NGT,
ETT, DC,Stoma,
Drain, CVC dr. Navy Sp.An-KIC dr. Oni, Sp.OG
DC, ETT, CVC, Perifer dr. Navy Sp.An-KIC dr. Perwira Widianto, Sp. B(K)BD
Perifer ta-ka/ta-ki,
DC, NGT, DC
ETT, Infus dr. Thariq, Sp.An-KIC dr. Budimansyah, Sp.OT
Perifer
vacum drain dr. Navy Sp.An-KIC dr tri spog
abdomen dr. Navy Sp.An-KIC dr widi spB(k)Bd
ETT,CVC,DC,WSD
PERIFER TAKA TAKI, dr. Thariq, Sp.An-KIC dr. I putu Kokohana Sp.BTKV
Drain abdomen
DC, NGT, ETT, Infus dr. Navy Sp.An-KIC dr Wahyusriningsih Sp BD
DC,ETT,Perifer
NGT, DRAIN dr. Navy Sp.An-KIC dr Wahyusriningsih Sp BD
BULLI dr. Navy Sp.An-KIC dr Hendy Sp.U
CVC, DC, NGT, Drain dr. Navy Sp.An-KIC dr. Candra, Sp. BS
CVC, DC, ETT dr. Navy Sp.An-KIC dr. Doddy, Sp.U
CVC,DC,DRAIN, dr. Navy Sp.An-KIC Dr. Anindita Sp.OG
IV line perifer
ETT,CVP,NGT.DC<.dra dr. Navy Sp.An-KIC Dr. Dicky spp
in dr. Navy Sp.An-KIC dr seno
NGT,
DC, NGT,DC, WSD
ETT, CVC, dr. Navy Sp.An-KIC dr Arman btkv
Drain, Perifer dr. Navy Sp.An-KIC dr. Sigit Sp. OT
ETT, CVC, NGT, DC,

Drain, stoma bag dr. Navy Sp.An-KIC dr. Wahyu Sri, Sp.B(K)BD
ETT, CVC, NGT, DC, IV

Line dr. Navy Sp.An-KIC dr. Anindita Sp.OG
ETT, NGT, DC, CDL,
CVC, Drain di
abdomen kiri, Stoma
bag di abdomen
kanan dr. Navy Sp.An-KIC dr. Widi, Sp.BD
ETT, NGT, DC, CVC,

Drain leher kiri dr. Navy Sp.An-KIC dr. Yulfina Sp. THT
ETT, NGT, DC, CVC,
Drain abdomen
kanan dr. Thariq Sp.An KIC dr. Wahyusri Ningsih Sp. BD
D/C, Iv Line, dr. Navy Sp.An-KIC Dr.Susan Sp.BTKV
ETT, D/C, NGT, CVC dr. Thariq Sp.An KIC dr. TRI Spog
DC/ DRAIN Vacum

Tulang Belakang Atas dr. Navy Sp.An-KIC dr. Didiet, Sp. OT
ngt, dc, arteri line,
wsd, cvp, epidural,
vemplon dr. Navy Sp.An-KIC dr susan spBTKV
ETT, DC, NGT, CVC,
Drain, Stoma bag
kanan kiri dr. Navy Sp.An-KIC dr. Widi, Sp.BD
ngt, dc, wsd dr. Navy Sp.An-KIC dr. febrini,Sp.A
DC dr. Navy Sp.An-KIC
NGT, DC, IV Line dr. Navy Sp.An-KIC dr. Acil SpJP: dr. Fani SpP
NGT, DC, Perifer dr. Navy Sp.An-KIC Dr. Fatiah Sp P

OGT,DC dr. Navy Sp.An-KIC Dr. chandra sp.bs
dc, vemplon dr. Ernita Sp. An-KIC
ETT, CVC, NGT, DC,

Drain kepala dr. Navy, Sp. An.KIC Dr. chandra sp.bs
ETT, CVC, NGT, DC,

Drain abdomen dr. Navy, Sp. An.KIC dr. Hendy, Sp. U
ETT, IV line, NGT, DC dr. Navy, Sp. An.KIC dr. Aldilla, Sp.A
Iv Line, DC dr. Ernita Sp. An-KIC dr.Diana,Sp.PD-KHOM
ETT, IV line ,NGT dr. Navy Sp.An-KIC Dr. Rika Sp.BA
DC, iNFUS PERIFER dr. Ernita Sp. An-KIC dr. Jully, Sp.A
ETT, NGT , DC dr.Ernita SpAn-KIC dr.Hayatun SpPD
Perifer , DC , NGT ,
Stoma dr Navy SpAn KIC dr Widi Sp Bd , Dr Irwin Sp PD
ETT, DC, NGT,CVC dr. Navy Sp.An-KIC dr. Tri Sp.Og, dr. Seno Sp.BD
IVFD PERIFER,NGT,
DC Dr. Thariq, Sp.An.KIC Dr. Agung, Sp.BS
NGT, DC, WSD dr. Ernita Sp. An-KIC dr. Agung, Sp.BTKV
NGT, IPC. DC,ETT dr. Navy Sp.An-KIC dr. Elfriadi Sp.P
NGT, DC, IV Line dr. Ernita Sp. An-KIC dr. irwan spjp
DC, IV line dr. Ernita Sp. An-KIC dr. Nana, Sp.JP
IV line, DC dr. Ernita Sp. An-KIC dr. Nana, Sp.JP

ETT, NGT, DC, IV line dr. Ernita Sp. An-KIC dr. Risky Sp.PD; dr. IMY, Sp.JP
ETT,NGT,DC dr. Navy Sp.An-KIC dr. Kokohana, Sp.BTKV

ETT, NGT, DC, IV Line,
CVC dr. Thariq Sp. An-KIC dr. Iqro Sp. OG
ETT, NGT, DC, Drain,

IV Line, CVC dr. Navy Sp.An-KIC dr. Tri, Sp.OG
DC , Drain vacum , IV
Line dr. Ernita Sp. An-KIC dr rachmawati sp B(K) Onk
DC, DRAIN, PERIFER dr. Thariq Sp. An-KIC dr. Budiman, Sp.OT
DC, NGT, IV Line dr. Navy Sp.An-KIC dr. Chandra Sp.Bs
DC, NGT, IV Line dr. Ernita Sp. An-KIC dr.irwin,spd
DC, IV line dr. Ernita Sp. An-KIC dr. Imy sp.jp
ETT, NGT, DC, Drain,

IV Line, CVC dr Thariq Sp.An.KIC dr. Tri, Sp.OG
ETT, DC, NGT, PERIFER dr. Navy SpAN KIC dr Andi SpPD
DC, IV Line dr. Navy, Sp. An. KIC dr. Agung, Sp.BS
CVC, DC, IV line dr. Ernita, sp.An.KIC dr. maulana Sp. KGEH
ETT, NGT, DC, CVC dr. Navy, Sp.An.KIC dr. Candra, Sp.BS
ETT, NGT,DC dr. Thariq, Sp.An.KIC dr. Agung, Sp.BS
ETT, NGT, DC, Drain, IV Line, CVC dr. navy dr wahyu sri spbd
ETT, NGT, Drain, Urostoma, CVC dr. Ernita, sp.An.KIC dr. Andar Sp.U
82 0 82 80
BULAN: SEPTEMBER 2022 ::
JENIS KELAMIN JAMINAN PINDAH/ TINDAKAN (CEK LIST)

(BPJS/TUNAI/ JAM MASUK TGL KELUAR/ ASAL MENINGGAL/ RUANGAN POLA NAFAS ASAL/TEMPAT
NO NAMA TANGGAL LAHIR USIA NO RM DIAGNOSA MASUK TGL MASUK RS TGL MASUK IPI BED HARI RAWAT DI IPI RUJUKAN/OPERASI RUANGAN ASAL TGL INTUBASI TGL EXTUBASI HFNC/
ASURANSI/ IPI MENINGGAL DIRUJUK/ PINDAH SAAT MASUK IPI INTUBASI
L P PERUSAHAAN) PULANG RE INTUBASI OPTIFLO CVC CDL HD CRRT
W
RS AQIDAH Bougenville 30/08/2022
1 An. Rahman Nugroho 02/04/2009 13 TAHUN L 2593438 BPJS KELAS 3 MENINGOENSEFALITIS, PNEUMONIA, HIPONATREMIA 01/08/2022 01/08/2022 16.00 1 15/09/2022 45 IGD PINDAH Ventilator 01/08/2022 IGD
TANGERANG bawah (TT) Subclavia Sinitra
L 29/08/2022
2 Tn. Dadi Setiadi 23/09/1965 56 2269602 BPJS Kelas 3 CVD H, HT, Penurunan kesadaran 16/08/2022 17/08/2022 01.00 11 10/09/2022 24 IGD IGD MENINGGAL -- Ventilator 16/08/2022 IGD (TT) Femoralis Dekstra
P
3 Ny. Tati Risnawati 11/05/1975 47 thn 2595723 BPJS 3 Penurunan kesadaran, cvd hemoragic, HT tidak terkontrol 19-8-2022 19-8-2022 23.00 8 01/09/2022 13 RS Royal Progres IGD PINDAH Mawar Atas NRM 19/08/2022 ICU 31/08/2022 Jugularis Dekstra
01/09/2022
4 Tn. Safrudin Samaniri 4 September 1979 43 L 2595773 BPJS Post covid 19, CVD, CKD on HD 21/08/2022 24/8/22 17.45 5 07/09/2022 14 ICU Pinere - PINDAH CEMPAKA ATAS Ventilator 21/08/2022 ICU Pinere (TT) Subklavia dextra taki
5 Tn. Supoyo 02 March1962 60 L 2522251 BPJS CVD berulang 26/08/2022 26/08/2022 16.00 7 5-9-2022 10 IGD IGD MENINGGAL -- NK 27/08/22 ICU 05/09/2022 Jugularis Dekstra
L
6 Tn. Masrudin February 1993 29 2596449 BPJS CVD hemoragiiic, ICH 26/08/2022 27/08/2022 19.30 9 01/09/2022 5 IGD IGD PINDAH Mawar Bawah NK -- -- -- Jugularis Dekstra
7 Ny. Junengsih 12 April 1955 67 th P 2588717 BPJS kelas 1 Post kraniatomy dekompresi + eksplorasi tumor 29/8/2022 30/08/2022 17.42 2 02/09/2022 3 IBS GP 5 PINDAH Mawar Bawah Ventilator 30/08/2022 IBS 31/08/22 Femoralis dekstra
29/08/2022
8 Ny. Turiyah mustakim 28 August 1956 86 thn P 2593924 TUNAI syok sepsis,ISK, HAP 10/08/2022 13/08/2022 15.30 10 03/09/2022 21 GP 6 GP 6 MENINGGAL -- NRM 13/08/2022 ICU (TT) Jugularis Dekstra
P 2593081 30/08/2022 -- -- --
9 Ny. Sri Setiti 1/2/1980 42 thn BPJS Poat Histerectomi total ,riwayat Radiotherapi 1x 5 01/09/2022 2 IBS CEMPAKA BAWAH PINDAH Cempaka Bawah NK Jugularis sinistra
10 Ny. Kartini 21/4/1985 37 thn P 2593503 BPJS Post SC ,Histerectomi total ec HAP plasenta akreta 30/08/2022 10.37 4 01/09/2022 2 IBS IGD PINDAH anggrek 3 NK -- -- -- Jugularis Dekstra
11 Tn.Nicholas 7/9/2001 21 thn L 2545954 TUNAI Poat VATS dekortikasi , ec Evakuasi Hematoma 31/08/2022 12 01/09/2022 1 IBS GP 6 PINDAH GP 6 NK -- -- -- Jugularis Dekstra
P
12 Ny. Sorta Tampubolon 01/02/1963 59 th 2257959 Bpjs kls 1 Post Repair Hernia Insisional, LMNH 31/08/2022 01/09/2022 12.00 4 02/09/2022 1 IBS Mawar atas PINDAH mawar atas NK -- -- -- Jugularis Dekstra
13 Tn. Lim Tjiton 29/12/1961 61 th L 912785 Bpjs kls 1 HNP L4-5 post relamitwkromi, tutup leaxage 23/08/2022 01/09/2022 17.35 5 03/09/2022 2 IBS GP 5 PINDAH ICCU Ventilator 01/09/2022 IBS 02/09/2022 subclavia sinistra
14 Tn. Sumadi 22/11/1952 70 th L 48160 BPJS 1 tumor ginjal kanan post open radikal nefrektomi kanan 25/08/2022 01/08/2022 15.00 9 02/09/2022 32 IBS WK 3 PINDAH WK 3 Ventilator 1-9-2022 IBS 02/09/2022 jugularis sinistra
L PINDAH
15 Tn. Kemis Riyadi 02/03/1983 37 th 2386382 BPJS 1 cholelithiasis post laparatomy 31/08/2022 01/09/2022 15.30 8 03/09/2022 2 IBS mawar bawah Mawar Bawah Ventilator 01/09/2022 IBS Jugularis dextra
16 Tn. Pujo Sumedi 40 thn L 2591321 BPJS 1 post kardiostomi via sternotomin,pemasangan IPC 30/08/2022 01/09/2022 11.30 6 03/09/2022 2 IBS IGD PINDAH WK 3 NK subclavia sinistra
17 An. Raina Nur Abidah 4 Th P 2413023 BPJS 3 Post Reimplantasi Ureter 30/08/2022 01/09/2022 13/15 12 02/09/2022 1 IBS Anggrek 2 PINDAH Bedah Kelas
P PINDAH
18 Ny. Rukiyah 20/10/1959 63 thn 2591969 BPJS 3 Hidronefrosis kiri ec batu cetak ginjal kiri, post PCNL kiri + insersi DJ stent per anegrade 02/09/2022 11.20 12 03/09/2022 1 IBS Cempaka Atas Cempaka Atas NK
L
19 Tn. Helmi soemantri 01/09/2001 21 2596905 Tunai EDH Supra dan Infra tentorial sinistra post craniotomi 01/09/2022 02/09/2022 21.00 9 07/09/2022 5 IBS IGD MENINGGAL -- Ventilator 2/9/2022 IBS subclavia sinistra
P
20 Ny. Rumesta 06/08/1936 86 th 2150149 bpjs kls 1 syok sepsis, cvd lama, aki dd akut on ckd, ulkus dekubitus, hipoalbumin, dm tipe 2 31/08/2022 03/09/2022 16.30 12 06/09/2022 3 Tulip lt 1 MENINGGAL -- NK jugularis dextra
L PINDAH
21 Tn. Abdul Rouf 08/08/1972 50 2592479 BPJS 3 POST laparatomy suspek GIST colon tranversum infiltrasi jejenum 29/08/2022 02/09/2022 14.20 4 04/09/2022 2 IBS BEDAH KELAS Cempaka Atas Ventilator 2/9/2022 IBS 3-9-22 jugularis sinistra
22 Ny. Wahyu 14/01/1965 57 P 2595854 bpjs kls 1 post laparatomi hemicolectomy 28/08/2022 02/09/2022 14.00 2 04/09/2022 2 IBS Mawar AtaS PINDAH MAWAR ATAS Ventilator 2/9/2022 IBS 3-9-22 jugularis Dextra
P Vena Femoralis
CVVHDF 10-
dextra
23 Ny. Anita Trisnawati 22/06/1983 39 2597030 BPJS Post op laparatomy eksplorasi 4-9-2022 4-9-2022 22.46 2 16/09/2022 12 OK IGD IGD MENINGGAL -- Ventilator 04/09/2022 OK IGD 06/09/2022 08/09/2022 jugularis dextra 10/09/2022 13/09/2022
P Vena Femoralis
24 Ny. Sekartaji Handayani 22/07/1962 60 2597019 BPJS 2 CAP, PSI, efusi pleura kanan, asidosis metabolik, sepsis, Hiperkalemi, AKI 04/09/2022 04/09/2022 16.50 5 05/09/2022 1 IGD IGD MENINGGAL -- Ventilator 04/09/2022 ICU subclavia Dextra dextra
25 Ny. Sumiati 8-8-1962 60 P 2597035 BPJS 3 sepsis bilier, cholelitiasis, DM tipe 2 , pneumonia 04/09/2022 04/09/2022 23.00 6 08/09/2022 4 IGD IGD PINDAH Dahlia Atas NK femoral
26 Tn. Yules Tampubolon 11/07/1975 47 L 2597017 BPJS 1 Sepsis ec Gallstone pankreatitis 04-09-2022 04-09-2022 13.00 8 08/09/22 4 IGD IGD PINDAH Mawar Atas NK 04/09/22 IGD
27 Tn. Agus Sugeng 59 L 2534610 BPJS 3 1-9-2022 5-9-2022 10 10-9-2022 5 Anggrek 2 MENINGGAL --
28 Ny. Lorika 31/12/1956 66 P 2597067 BPJS KLS 3 Anemia e.c Susp leukemia , DM Tp 2 , Obs Dyspnew e.c CHF 05/09/2022 06/09/2022 24.00 5 08/09/2022 2 IGD IGD PINDAH DAHLIA ATAS NK
Vena Jugularis
P Dextra Tanggal CVVHDF 7-
29 Ny. Waskinih 19/03/1974 48 2596825 BPJS kls 3 Celulitis pedis dekstra, CAP, HT terkontrol, Akute on CKD 01/09/2022 06/09/2022 17.45 7 09/09/2022 3 Dahlia Atas Dahlia Atas MENINGGAL -- NRM 06/09/2022 ICU Femoralis Sinistra 07/09/2022 10/09/2022
P
30 Ny. Yeni Herdiani 03/05/1984 38 2596201 BPJS kls 1 Post SC g3P2 H 32 mg, ht, hipoalbumin 25/08/2022 9/6/2022 19.10 4 17/09/2022 11 Mawar Bawah Mawar Bawah MENINGGAL -- NRM 7-9-2022 ICU
31 Tn. Sudirman 49 L 2035973 BPJS 3 06/09/2022 23.59 12 10/09/2022 4 IGD MENINGGAL --
32 Tn. Hidayat Arpan 01/02/1965 57 L 2588882 bpjs kls 1 post timotimektomy 7-9-2022 7-9-2022 13.05 9 9-9-2022 2 IBS mawar atas PINDAH mawar atas Ventilator 7/9/2022 ibs subclavia sinistra
P
33 Ny. Siti Nur Hutagalung 6-3-1964 58 1281701 BPJS 3 post Laparatomy colostomy e.c ca servix obstruksi ileus 1-9-2022 8-9-2022 15.35 3 9-9-2022 1 IBS Anggrek Lt.3 MENINGGAL -- Ventilator 8-9-2022 IBS Femoralis dextra
34 Tn. Sujadin 59 L 2582591 BPJS 1 05/09/2022 8-9-2022 6 09/09/2022 1 Mawar Atas PINDAH Mawar Atas
P PINDAH
35 Ny. Rosade 05/12/1969 52 2592606 bpjs 3 post thymothymectomy per sternotomy 08/09/2022 09/09/2022 12.45 8 10/09/2022 1 IBS Bedah Kelas Bedah Kelas sm subclavia sinistra
36 Tn. Namin 31/12/1954 68 L 2575616 BPJS KLS 3 Post sistoscopy + evakuasi clot ca buli cT3N00M0 30/8/22 09/09/2022 15.10 5 15/09/2022 6 IBS bedah kelas PINDAH CEMPAKA ATAS NK
37 Ny. Siti Rocmani 24/04/1961 61 p 2144100 BPJS KLS 3 POST DEBRIDEMENT , diabetic ulcer of righ foot L97, ULCER OF LOWER LIMB 04/09/2022 09/09/2022 15.20 6 10/09/2022 1 IBS DAHLIA ATAS PINDAH Dahlia Atas NK
p
38 Ny. Hani Sofiani 02/11/1998 24 2590846 BPJS kls 3 post radikal kuratase ai odontogenic fibroma mandi bula 08/09/2022 09/09/2022 16.10 3 10/09/2022 1 IBS Bedah Kelas PINDAH Bedah Kelas Ventilator 09/09/2022 ibs 10/9/2022 Femoralis sinistra
L
39 An. Mohamad Riyan Sauri 15/05/2006 16 2597492 BPJS 1 Tumor Mediastinum, SVKS 09/09/2022 10/09/2022 02.00 7 14/09/2022 4 IGD PINDAH WK LT.2 NK
osteosarcoma stadium 4,anemia normositik normokrom,gizi buruk tipe marasmik,hipoalbuminea,efusi pleura
40 An. Saefulloh 19/12/2010 12 L 2588593 BPJS 3 bilateral,imbalance elektrolit 10/09/2022 10/09/2022 16.30 9 11/09/2022 1 CEMPAKA BAWAH MENINGGAL -- NK
L
41 Tn. Rano Laksono 21/10/1975 47 1812267 BPJS 1 Hipoglikemi on protokol, CKD on HD, Selulitis pedis bilateral, ulkus pedis dextra 10/09/2022 11/09/2022 01.30 3 13/09/2022 2 IGD PINDAH Mawar Atas NK
P PINDAH
42 Ny. St Nadiroh 07/11/1938 84 2597549 Bpjs kls 3 Riw penurunan
Penurunan kesadaran,
kesadaran bronkospasme,
ec metabolic efusi pleura
dd intracranial kanan, cap. hypoglikemi, asidosis metabolik
Asidosis 11/09/2022 11/09/2022 11.15 8 26/09/2022 15 IGD WK 2 NRM 12/9/2022 ICU 19/9/2022 Jugularis Dextra
Hiperkalemia
L
43 Tn. Dede Kusnadi 08/10/1966 56 2597562 BPJS kls 3 Gangren pedis dekstra 11/09/2022 12/09/2022 00.14 6 13/09/2022 1 IGD MENINGGAL -- Ventilator 11/9/22 IGD 13/09/2022
P
44 Ny. Fauziah 30-7-1972 50 2588341 BPJS kls 3 Post kraniotomy dekompresi + masteidektomi, eksisi tumor 11/09/2022 12/09/2022 13.00 9 13/09/2022 1 IBS anggrek lt 2 PINDAH Mawar Bawah NK femoralis dextra
45 Ny. Konaeni 14-9-1970 51 P 2591368 BPJS kls 3 post laparatomy eksplorasi adhesiolisis 11/09/2022 12/09/2022 13.00 10 16/09/2022 4 IBS anggrek lt 3 PINDAH KEB.3 Ventilator 12/09/2022 IBS 15/09/2022 subclavia dextra
46 Ny. Martina 11-3-1967 55 P 2588346 BPJS kls 3 post bc, thoracotomy eksplorasi, debulking tumor 9/9/2022 12/09/2022 14.40 11 13/09/2022 1 IBS wijaya kusuma lt 2 PINDAH WK lt.2 NK jugularis dextra
47 ny. Sonti 25/07/1952 70 P 2546622 BPJS kls 1 batu ureter kiri, post URS sd RIRS 08/09/2022 12/09/2022 14.50 12 13/09/2022 1 IBS Mawar Bawah PINDAH mawar bawah SM
48 Tn Muhammad Rafli 10/01/2001 21 L 2595783 BPJS KLS 3 Post craniotomy dekompresi + ekplorasi tumor 03/09/2022 13/09/2022 15.15 9 24/09/2022 11 IBS Cempaka Atas PINDAH Bedah Kelas Ventilator 13/9/2022 IBS 14/09/2022 Subclavia Sinistra
P
49 Ny Fitria Darma Yanti 10/08/1981 41 2569736 BPJS KLS 1 Post torakotomi explorasi bulektomi 12/09/2022 13/09/2022 14.42 11 14/09/2022 1 IBS Mawar Atas PINDAH Mawar Atas NK Jugularis Dextra
50 Ny. Sa'ani 02/12/1973 49 P 2590353 BPJS KLS 3 Post Laparatomi explorasi salpingooverektomi 12/09/2022 13/09/2022 16.45 12 14/09/2022 1 IBS Kebidanan LT 3 PINDAH ANGGREK 3 Ventilator 13/9/2022 IBS 14/09/2022 Jugularis Sinistra
51 Tn . Jajang 11/08/1985 37 L 2597379 BPJS 1 POST BC Stenosis trakea paca dilatasi balon (13/9/22) ec prolonged ventilator, Pleuropneumonia, Bronkitis kronis 08/09/2022 13/09/2022 18.40 6 16/09/2022 3 IBS Mawar Atas PINDAH Mawar Atas
P PINDAH
52 Ny. Kartika Febriana 20/02/2022 42 2593003 BPJS 2 Post laparatomi kistektomi adesiolisis , HTSOU 13/09/2022 14/09/2022 16.45 2 15/09/2022 1 ibs Anggrek lantai 3 anggrek lt 3 Ventilator 14/09/2022 IBS 15/09/2022
53 Ny. Salami 15/03/1951 71 P 2581040 BPJS 3 post Left Total Hip Replacement 13/09/2022 14/09/2022 14.40 11 15/09/2022 1 IBS WK lantai 2 PINDAH WK lt.2 NK - WK 2 -- Perifer
54 Ny. Supiyah BT Sumadi 19/03/1945 77 P 980059 BPJS 1 Closed Fracture of right femoral neck post Bipolar Hemiarthroplasty 08/09/2022 14/09/2022 16.11 12 15/09/2022 1 IBS Tulip lt 1 PINDAH Mawar Bawah NK - Mawar Bawah -- Perifer
L PINDAH
55 Tn. Henedi 05/03/1973 49 2591637 BPJS 3 Post Laparascopy + post Laparatomy Hemicolectomy ec tumor colon 14/09/2022 15/09/2022 16.05 5 16/09/2022 1 IBS cempaka atas CEMPAKA ATAS Ventilator 15/9/22 IBS 16/09/2022 Jugularis sinistra
P
56 Ny. Maemunah 12/05/1986 36 2589371 BPJS 3 Susp. Trali 15/09/2022 15/09/2022 20.30 1 16/09/2022 1 Kebidanan LT 3 MENINGGAL -- NRM 15/9/2022 ICU subklavia sinistra
L
57 Tn. Amir Hamzah 20/09/1943 79 2597968 BPJS 3 penkes, ec metabolik dd intrakranial, hipoglikemia 15/09/2022 15/09/2022 22.45 11 27/09/2022 12 IGD IGD MENINGGAL -- Ventilator 15/09/2022 IGD 27/09/2022 Subklavia dekstra
L
58 Tn. Muhammad Adjie Purnomo 24/12/1997 24 2595591 BPJS Post Thorakotomy eksplorasi anterior, Biopsi insisi 16/09/2022 16/09/2022 12.30 6 17/09/2022 1 IBS WK lantai 2 PINDAH WK lt 2 SM -- -- Perifer
P PINDAH
59 Ny. Sri sutami 28/12/2022 56 2597285 BPJS 3 Post orif join repair 07/09/2022 16/09/2022 17.00 5 20/09/2022 4 IBS Cempaka atas cempaka atas NK -- -- Subklavia sinistra
L
60 Tn. Sarmo 10/07/1959 63 2597971 BPJS 3 Pnemonia, kardiomegali 15/09/2022 16/09/2022 16.25 12 26/09/2022 10 IGD IGD MENINGGAL -- Ventilator 16/9/22 IGD 26/9/2022 Jugularis Sinistra
61 Tn. Lukman 13 / 11/ 1958 64 L 2598071 BPJS 3 penurunan kesadaran CVD berulang 17/09/2022 17/09/2022 07.30 3 21/9/2022 4 IGD MENINGGAL -- NRM 17/09/2022 ICU Subkalvia sinistra
P IGD PINDAH
62 Ny Ngadiyah 3/5/1955 67 2598079 BPJS 3 Susp CVD Non Hemoragic , DM , CAP , HT , AKI 17/09/2022 17/09/2022 22.55 4 22/9/2022 5 Cempaka atas NK -- -- Subklavia dekstra
L
63 Tn. Bambang Heryadi 3 May 1957 65 2598094 BPJS 3 post open fr. cruris dan close fr. femur 18/09/2022 18/09/2022 17.00 1 OK IGD SISA Ventilator 18/09/2022 OK IGD Jugularis Dextra
64 TN. Septi Wahyu P 20 September 2002 19 L 2330778 BPJS 3 CKB. SDH AKUT LUAS POST CRANIOTOMI 14/09/2022 14/09/2022 00.41 7 20/09/2022 6 OK IGD OK IGD MENINGGAL -- Ventilator 14/09/2022 OK IGD 20/09/2022 Jugularis Dextra
L
65 TN. Arya Daffani 11 June 2000 22 2598087 BPJS 1 Relaparatomi ec syok hemoragik, fr clavicula sin multiple trauma pasca laparatomi 17/09/2022 17/09/2022 02.55 2 22/09/2022 5 OK IGD OK IGD PINDAH WK lt.2 Ventilator 17/09/2022 OK IGD Jugularis Dextra
L
66 Tn. Pambagyo Fitriyant 28/11/1970 52 2586038 BPJS 1 Post debridement & NPWT ec diabetic ulcer ofright foot, CAD, EF 17%, stroke iskemik, Hemiparise dextra 7-9-2022 19-9-2022 15.30 10 20/09/2022 1 IBS WK lt 3 PINDAH WK lt 3 NK -- -- -- Perifer Ta-Ka
L PINDAH
67 Tn. Whereson Helpme 23 May 1985 37 2596652 BPJS 1 post operasi maksilektomi 19/9/22 19/9/22 17.40 6 20/9/2022 1 IBS WK lt 3 WK lt 3 SM 19/9/2022 IBS 20/9/2022 Perifer taka
68 Tn. Harest Bakhtiani 1 December 1967 55 L 2596411 BPJS 1 Post maksilektomi subtotal atas indikasi ca sinonasal sinistra 19/09/2022 20/09/2022 12.45 6 21/09/2022 1 IBS Mawar bawah PINDAH Mawar Bawah Ventilator 20/09/2022 IBS 21/09/2022 Perifer TAKA dan TAKI
L PINDAH
69 Tn. Ivan Johannes 16 September 1997 25 2598007 BPJS 1 Post open nefrektomi ginjal kiri + eksplorasi kolon kiri 19/09/2022 20/09/2022 14.30 5 21/09/2022 1 IBS Mawar bawah Mawar Bawah ventilator 20/9/2022 IBS 21/9/2022 Jugularis Sinistra
70 Tn. Abdul Rauf 08 August 1972 50 L 2592479 BPJS 3 Burst abdomen ,Post laparatomy Eksplorasi reheacting skunder 16/09/2022 21/9/22 10.00 7 22/09/2022 1 OK IGD Dahlia Bawah PINDAH DAHLIA BAWAH Ventilator 21.9.22 OK IGD 22-9-2022 Jugularis Sinistra
Ca ovarium dengan nonvital ileum post laparatomi adhesiolisis, reseksi anastomosis ileoileal side to side,
71 Ny. Wiwiek Nurwiasih 17 August 1957 65 P 2126119 BPJS 1 appendektomi POD 0 20/09/2022 21/9/22 13.45 10 22/09/2022 1 IBS Mawar Atas PINDAH MAWAR BAWAH Ventilator 21/09/2022 IBS 22/9/2022 Jugularis Dekstra
L wijaya kusuma periver tangan
72 Tn. Fafan Fadyar 21 November 1974 47 th 2591058 BPJS 3 masasinonasal post op maksilektomi 20/09/2022 21/09/2022 16.35 6 22/09/2022 1 IBS lantai 2 PINDAH WK lt 2 Ventilator 21/09/2022 IBS kanan,kaki kiri
73 Tn. Hengkie Hendrik 19-3-1970 52 L 2586668 BPJS 1 Tumor Recti susp ganas postlaparatomi 20-9-2022 21-9-2022 15.00 5 22-9-2022 1 IBS mawar atas PINDAH MAWAR ATAS Ventilator 21-9-2022 IBS 22/9/2022 Jugularis Dekstra
74 Ny. Pipin 20 April 1977 45 P 2593582 BPJS 1 post laporatomy NOK HT SOB 21/09/2022 22/09/2022 13.30 5 25/09/2022 3 IBS Mawar bawah PINDAH Mawar Atas Ventilator 9/22/2022 IBS 23/9/22 Jugularis Sinistra
P PINDAH Dahlia Atas
75 Ny. Risnina 28 October 1958 64 2597387 BPJS 2 post laminektomy 21/09/2022 22/09/2022 11.40 3 23/09/2022 1 IBS Bedah Kelas NK 23/9/2022 IBS 23/09/2022 Perifer Taka
P
76 Ny. Marijah 28 May 1971 51 2588913 BPJS 3 KSS Hipofaring on kemo, Hipoglikemi, Obs konvulsi, CAP 22/09/2022 22/09/2022 17.30 7 27/09/2022 5 IGD IGD MENINGGAL -- TT on venti -- -- Jugularis Sinistra
77 Tn. Kubil 15 July1963 59 L 2594149 BPJS 3 23/09/2022 23/09/2022 14.00 6 26/9/2022 3 IBS Bedah Kelas PINDAH Soka Atas Ventilator 23/09/22 IBS 24/9/2022
Post lapparatomy, miles prosedur, ec ca recti Jugularis Sinistra
p 23/09/2022
78 Ny. Herjati Puji. W 7/12/1953 69 2116458 BPJS 3 CAP, CVD Berulang , Ulkus dekubitus 22/09/2022 16.30 4 24/09/2022 1 IGD IGD MENINGGAL -- NRM 23/09/22 ICU Jugularis Sinistra
79 Tn. Narisah 12/6/1951 71 P 2598470 BPJS 3 23/09/2022 24/09/2022 02.30 2 26/09/2022 2 IGD IGD PINDAH CA NK -- -- -- Subklavia dekstra
Penkes Hypoglikemia , DM , AKI , Anemia , Pneumonia
80 Nn. Aina Shara 7 March 1998 24 P 2598607 BPJS 3 Hepatitis Ensefalopati dd ensefalitis TB 24/09/2022 24/09/2022 15.20 3 27/09/2022 3 IGD IGD PINDAH WK LAT.2 NK Perifer taki
L Jugularis Dekstra
81 Tn. Nasril Sawir 15 August 1953 69 2598615 BPJS 1 CVD HEMORAGIK 25/09/2022 25/09/2022 02.00 10 IGD IGD SISA -- NK 25/9/2022 RS.OK IGD
Hermina
82 Tn. Mustofa Al Gani 13 January 1998 24 thn L 2598641 BPJS 1 Syok sepsis, edema paru, ARDS, Pneumonia 26/9/22 26/9/22 03.30 5 RS Hermina Cibinong IGD SISA Ventilator 24/9/22 Cibinong 28/9/2022 Jugularis Sinistra
P Femoral
83 Ny. Rusmi Limbong 06/07/1967 55 2598630 BPJS 3 Penkes, Nefrolitiasis bilateral, Anemia, HT. 25/09/2022 25/09/2022 17.00 4 28/09/2022 3 RS Ananda Babelan IGD MENINGGAL - Ventilator 25/9/22 IGD 28/9/2022 Jugularis Dekstra dekstra
P
84 Ny. Misnati 10 May 1983 39 2598540 TUNAI Kejang berulang ec susp metabolik, Penurunan kesadaran, Asidosis metabolik, Leukositosis, Hiperglikemia 23/09/2022 24/09/2022 13.45 10 24/09/2022 0 IGD IGD APS - Ventilator 23/09/2022 ICU -- Jugularis Dekstra
L Femoral
85 Tn. Rusmono 12 December 1962 59 2597116 BPJS 3 Post TURBT tidak habis, Sistoskopi, nefrostomi kanan, DM Tipe 2 25/0/22 26/09/2022 16.00 9 29/09/2022 3 Cempaka Atas Cempaka Atas PINDAH Cempaka Atas NK -- -- -- Subclavia Sinistra dekstra
86 Ny. Yulia P 28 July 1998 25 P 2554758 BPJS 1 Post partus ruptur portio 26/09/2022 26/09/2022 20.15 2 28/09/2022 2 OK Cyto ICU TULIP PINDAH Mawar Bawah Ventilator 26/09/2022 OK IGD 28-9-2022 Subclavia Dextra
P PINDAH
87 Ny. Tusiyati 10 August 1958 64 2595602 BPJS 3 Post Laparascopy Colesistectomy 26/09/2022 27/09/2022 11.25 8 28/09/2022 1 IBS Wijaya kusumaLt.2 WK LT.2 Ventilator 27/09/2022 IBS 27/09/2022 Jugularis sinistra
88 Nn. Daffa Eka Putri 30 mey 2003 19 P 2587287 BPJS 3 post thoracostomie explorasi bilateral air plambag 27/9/22 27/9/22 14.17 6 28/09/2022 1 IBS bedah kelas PINDAH anggrek lt2 nk 3 lpm Jugularis sinistra
89 Ny. Ngatmi 4 Feb 1982 40 P 2317640 BPJS 3 kss parafaring c13 26/9/22 27/9/22 13.55 12 28/9/2022 1 IBS WK LT.2 PINDAH WK LT.2 Ventilator 27/9/2022 IBS 28/9/2022 Femoralis dekstra
L
90 Tn. Rendra Januarta 22 January 2003 19 2598899 BPJS 3 ckb, multiple trauma drawing air way , fraktur mandibula 28/9/2022 28/09/2022 15.10 8 IGD IGD SISA Ventilator 28/09/2022 IGD Subklavia dekstra
P PINDAH
91 Ny. Ambarini 31/12/1978 44 2587014 BPJS 1 post reseksi endomiosis 27/9/22 28/9/22 14.30 12 29/09/2022 1 IBS mawar bawah Mawar Bawah venti 9/28/2022 IBS 29/09/2022 Jugularis dekstra
92. Tn. Suroto 24/07/1957 65 L 2598517 BPJS 3 post nefrostomy bilateral 24/09/22 28/09/2022 16.00 11 29/9/2022 1 IBS Dahlia Atas PINDAH Dahlia Atas NK -- -- -- Perifer
93. Tn. Salim 12 / 01/ 1975 47 L 2589104 BPJS 3 Ca Caput Pankreas, Post Biopsi tanggal 21/9/22 16/9/22 29/9/22 4 Anggrek lt 2 anggrek lt 2 SISA NRM Jugularis dekstra
94. Ny. Mudji Rahayu 07/08/1972 50 P 2423183 BPJS 1 Post revese hartman a.i ca ovarium infiltrasi rectum 27/9/22 28/9/22 17.00 2 29/9/2022 1 IBS Mawar bawah PINDAH Mawar bawah Ventilator 28/9/2022 IBS 29/9/2022 Jugularis dekstra
95 Ny. Rohani 24/10/1965 56 P 2100587 BPJS 3 cholesistolitiasis,post colesistektomi 27/9/22 28/9/22 16.00 7 29/9/2022 1 IBS bedah kelas PINDAH Bedah Kelas NK -- -- -- Perifer taka taki
96 Tn. Afrizal 02/04/1976 46 L 2598325 BPJS 3 post craniotomi ec edh 28/9/22 28/9/22 13.00 7 IBS anggrek SISA ventilator 28/9/22 IBS Femoralis dekstra
97 Tn. Jamhari 069/01/1964 58 L 2588202 BPJS 3 post torakotomi eksploeasi posterolateral kanan + BC 28/9/2022 28/9/2022 14.40 6 29/9/2022 1 IBS Cempaka Atas PINDAH Cempaka Atas NK 28/9/2022 IBS 28/9/2022 Jugularis dekstra
98 Tn. Trasmono 04/06/1950 72 L 2571710 BPJS 1 post uretrosistoskopi & TURP, CHF, Tumpar 21/9/2022 29/9/2022 13.40 3 30/9/22 1 IBS mawar atas PINDAH Mawar Atas NK -- Perifer
PT asuransi
mandiri inhealth
99 Ny. Rudiyati 13/03/1959 63 P 2597539 indonesia Post Lubektomi ec Tumpar kiri, Riwayat DM 28/09/2022 29/09/2022 14.00 2 30/9/22 1 IBS Mawar Bawah VIP PINDAH Mawar Bawah Ventilator 29/09/2022 IBS 30/09/2022 Subklavia sinistra
100 Tn. Victor Tjioe 08/02/1959 63 L 2599078 BPJS CKB 29/09/2022 29/09/2022 19.00 9 OK Cyto IGD SISA Ventilator 28/9/2022 OK IGD Subklavia sinistra
101 Ny.Agustina 17/08/1973 49 P 2047292 Bpjs 1 Post Laparatomy eksplorasi adhesiolosis iliestomy 29/9/2022 29/9/2022 23.00 11 OK Cyto IGD SISA Ventilator 29/09/2022 OK IGD Jugularis Sinistra
102 Ny. Rosmalinda 28/07/1960 62 P 2599013 BPjs 3 penuruna kesadaran, cvd iskemik, CHF, HHD, CAP 29/09/2022 30/09/2022 00.15 12 IGD SISA Ventilator 29/9/2022 IGD Perifer
103 Nn. Cindi Irawati Lubis 06/06/2007 15 P 2599155 BPJS Kls 3 Hemato thorax ec trauma tumpul post insersi WSD 30/09/2022 30/09/2022 16.10 6 OK Cyto IGD SISA O2 5 Lpm NK Perifer
Post WSD tgl 15/9/22 AFF tgl 25/9/22, TB paru klinis kasus baru DILI on OAT, Sepsis perbaikan, Efusi
104 Nn. Brigitta Aileen Septriasa H 05/09/2010 12 P 2597609 BPJS Pleura bilateral, Pansitopenia 30/09/2022 20.20 WIB 2 Bougenvile Atas SISA Room Air
1
104 99 104 50 54 104 4 88 98 104 99 104 93 93 90 103 70 94 99 79 78 54 1 0 86 6 0 2
100 22
REKAPAN 11
1 TOTAL PASIEN 104 104
2 LAKI-LAKI 50 48.08%
4 BPJS 100 96.15%
5 TUNAI 4 3.85%
ASURANSI LAIN 0.00%
11 APS 1
12 TOTAL PASIEN KELUAR 93 89.42%
13 SISA PASIEN AKHIR BULAN 11 10.58%
14 INTUBASI 79 75.96%
15 EXTUBASI 54 68.35%
17 HFNC/ OPTIFLOW 0
18 CVP 86 82.69%
19 CDL 6
20 HD 0
21 CRRT 2
22 ECHO 4
23 ICON 5
7
TINDAKAN LAIN JIKA
ADA ( SEBUTKAN)
ECHO ICON
### CVC, ETT, DC dr.Ernita SP. An KIC Dr. Aldilla,Sp.A
ETT, CVC, DC, NGT dr. Thariq Sp.An.KIC dr. Catur Sp.S
TT (1/9/22) dr. Ernita Sp. An-KIC
### ngt, DC, perifer dr. Navy, Sp. An, KIC dr. andi sppd. dr reyhan SpS
ngt,dc, cvc dr NAvy SpAN KIC dr Agung SpBS

DC, NGT, ETT, CVC,
Drain dr. ernita Sp. An-KIC dr. Agung Sp. BS
### ETT, CVC, DC, NGT, TT dr.Navy SpAn-KIC
DC, CVC, Drain vacum dr. ernita, sp. an kic dr. Seno, sp. B
DC, NGT. Drain
punggung dr. ernita, sp. an kic dr. Agung heri, sp. bs
DC,NGT,ETT,DRAIN,NG
T,CVC dr.navy sp.an kic dr.nugroho sp.u
DC,NGT,CVC,nasal
kanul,Drain dr.navy sp.an KIC dr.wahyu sri
DC, NGT, NK, DRAIN dr. Thariq Sp. An-KIC dr. Hendy Sp. U
DC, Nefrostomy, nk dr. Thariq Sp. An-KIC dr. Dody Sp. U
OGT, DC, drain kepala dr. Navy Sp. An KIC dr. Agung Sp.BS
DC, NGT, CVC dr. Thariq Sp. An-KIC dr. Andi, sp. PD
DC, NGT, CVC,epidural dr ernita SpAN KIC dr widi SpBD
DC, NGT, CVC,epidural dr ernita SpAN KIC dr Seno SPBD
NGT, DC, ETT, Drain dr. ernita, Sp.An KIC dr. Iqra, Sp.OG
NGT, DC, ETT, dr. ernita, Sp.An KIC dr yasir SpPD
dr. Navy Sp. An KIC dr david sPPD
NGT , DC , Perifer TAKA dr Ernita Sp An KIC dr ichsan Sp Pd , dr Irwan Sp JP
CVC, ETT, dc, ngt, dr. Navy Sp. An KIC dr. Andi Sp. PD
NGT, DC, IVFD Perifer dr. ernita, Sp.An KIC dr. Sri Sp. OG
NGT, DC, CVC, WSD dr. navy, sp.An. KIC dr. Arman, sp. BTKV
NGT, DC, ETT, IVFD
perifer, Stoma dr. Ernita
dc,wsd,arteri line,iv line
iv line , dc + spoling dr. ernita dr. andika sp u
IV LINE ,DC DR. NAVY DR. SGIT SPOT

cvc, ngt, dc, drain
vacum dimandibula
dextra , ett dr. ernita dr. arfan badages spBM
iv PERIFER DR. NAVY DR. ALDILLAH. SP.A
iv perifer dr. ernita dr. hasan raber dr. syafiq
Iv perifer, NGT, DC,CVC dr. navy, sp. an. kic dr. yasir, sp. PD
CVC, NGT, DC dr. Navy, Sp.An.KIC dr. Hayatun Sp.PD
CVC, DC dr. Navy, Sp.An.KIC dr. Chandra

CVC,
CVC, DC,DC. NGTline,
Arteri dr. Navy, Sp.An.KIC dr. tri apriliati
WSD dr. Thariq, Sp.An.KIC dr. Agung Sp.BTKV
DC,,IVFD
NGT , DC Arteri line dr. Thariq, Sp.An.KIC dr. Doddy Sp. U
TAKI, vemplon , Drain di
kepala , ETT , CVC dr Navy Sp An KIC dr Agung Sp BS
DC, Vemplon , Chest
Drain . Arteri line TAKA dr Thariq Sp An KIC dr Arman Sp BTKV
NGT , DC . Vemplon ,
Drain Abdomen kanan ,
CVC . ETT dr Thariq Sp An KIC dr Oni Sp OG
ETT, NGT, DC, IV LINE
PERIFER dr. Navy Sp. An-KIC
NGT, DC, Venflon, Drain
abdomen dr. Ni made desy sp.obg dr. Wahyusri sp.bd
DC, Venflon dr. Ali sp.ot dr. Thariq,Sp.An KIC
DC, Venflon dr. sigit, Spo.Ot dr.Thariq, Sp.An KIC

DC, NGT, drain
abdomen dr. ernita sp.an kic dr. Wahyusri sp.bd
DC, NGT, Venflon

tangan kiri dr. Ernita, Sp. An. KIC dr. Ni Made Desy, Sp.OG
DC, NGT, IVFD ta-ki dr. Thariq, Sp. An. KIC dr. M. Alkaf
WSD, DC, CVC femoralis
kanan dr. Navy, Sp.An KIC dr. Agung, Sp.BTKV
IVFD taki, DC, NGT dr. ernita sp.an kic
VENFLON,ETT,DC,NGT dr. Thariq, Sp. An. KIC dr.rizky, dr. acil
17/09 ETT, CVC, NGT, DC dr Ernita dr lucie
NGT , DC , PERIFER dr ernita sp an kic dr lucie , dr epy , dr heidy
ETT, CVC, NGT, DC dr ernita sp an kic dr ali spot
ETT, CVC, NGT, DC dr navy sp. An. KIC dr. Chandra Sp. Bs
ETT, CVC, NGT, DC dr ernita sp an kic dr Budiman SP OT
DC, NGT, Drain vacum dr. Navy, Sp.An KIC dr. Budiman, Sp. Ot
perifer, DC, netcell dr. Navy, Sp.An KIC dr. Desy SpTHT
DC , NGT , PERIFER dr navy sp An KIC

DC, NGT, DRAIN,
Perifer, ETT dr. Ernita Sp. An (KIC) dr. Nugroho Sp.U
DC,NGT, dr Navy ,SpAn dr WIdi SpBU

DC, NGT, ETT, Arteri
line, drain dr. Navy Sp. An-KIC dr. Tri Sp. OG
OGT,DC,ETT,perifer dr.navy sp.an KIC dr.ervin spTHT
ETT,NGT,DC,CVC,Drain dr.ernita akmal sp.an KIC

ETT , CVC, DC , NGT ,
Vemplon dr ernita sp an kic dr Tri Sp OG , dr Seno Sp BD
Perifer, NGT, DC dr. Ernita, Sp.An.KIC dr. Didiet Sp.OT
TT, NGT, DC dr. Navy, Sp.An.KIC dr. Diana, Sp.PD. K-Hom

DC, NGT, ETT,
VEMPLON,CVC dr. Navy sp.an KIC dr. Seno, Sp. BD
DC,NGT, ETT, IUFD,CVC dr. Navy sp.an KIC DR Andika SPP
DC, NGT , IUVD dr. Navy sp.an KIC dr Iskandar Agung SP.PD
DC, NGT dr. ernita sp.an kic
DC,NGT,PERIFER
NGT, ETT, Infus dr. Navy. SpAn dr. catur Sp. S, dr. chandra,sp.BS
Perifer dr. Ernita Sp. An (KIC) dr. Navy Sp. An-KIC
1 1 ETT, NGT, DC, CVC, CDL dr Ernita Sp.An Kic
ETT, NGT, DC, CVC dr. navy, Sp.An.KIC
1 NK, NGT, DC dr. navy, Sp.An.KIC dr. Andar, Sp.U
ETT, NGT, DC, CVC dr. ernita, sp.an.kic dr. Muhammad Farhan, Sp.OG
ETT, NGT, DC, CVC dr. navy, Sp.An.KIC dr. Widi Sp.B(K)BD
NGT,DC,WSD,arteri line dr. navy, Sp.An.KIC dr. agung SP.BTKV
TT, NGT, DC, DRAIN dr. Thariq Sp.An.KIC
ETT, NGT, DC, CVC dr. navy, Sp.An.KIC
1 ett, ngt,dc, cvc dr.thariq sp.an kic dr. zakia Sp.OG

IVCVC,
line,DC,
DC,NGT,
Nefrostomy
Drain dr.thariq sp.an.kiv dr. dody sp.u
30/9/22y abdomen kanan
ETT, NGT, DC, CVC dr Ernita Sp.An Kic
iv line, DC dr. Ernita sp. an KIC dr. widi sp.bd
ETT,NGT,DC dr.navy dr.agung
NGT, DC, CVC dr. Navy Sp. An KIC dr. Arman BTKV
dc 3way, perifer, nk dr. Ernita Sp. An KIC dr. Andhika Sp. U
ETT, NGT, DC, CVC, dr. Ernita Sp. An. KIC dr. Agung Sp. BTKV
Ett, Cvc, NGT, DC
IVFD perifer, DC, NGT dr. thariq, sp. An.kic dr. Dwi, Sp. S
IVFD perifer dr. Navy Sp.An-KIC dr.Arman Sp.B, Sp. BTKV
Infus perifer dr. Ernita, Sp.An KIC dr. Fauzi, Sp.A

4 5 92 80 68
BULAN: NOVEMBER 2022
JENIS KELAMIN
NO NAMA TANGGAL USIA

LAHIR
L
1 TN. THUFAIL MAMDUUDASS 03/ 12/2001 20 L
2 NY. MARPUAH HS 24/2/48y 74
3 TN. DANA 17/8/86y 36 L
4 NY. NUNUNG 24/6/76y 46
5 TN. SANUSI 2/2/0946 76 L
6 TN. SUBANDRI 15/9/62y 60 L
7 TN. M. RIZKI RAMADHAN 5/11/03y 18 L
8 NY. NGADINAH 25/12/52y 69
9 NY. ITA SUARNA 6/10/54y 68
10 TN. FARIED JULIUS 14/7/85y 37 L
11 NY. PANIKEM 30/12/68y 53

12 NY. RISMA PUJIANTI 31/8/90y 32
13 NY. FRIDA MANUHUTU 24/4/40y 82
14 TN. BAMBANG WALUYO 13/12/61y 60 L
15 NY. ELFA JUWITA 22/8/52y 70
16 TN. MANSUR 5/8/63y 59 L
17 TN. NYOMAN BUDJANA 4/5/49y 73 L
18 NY. HARTINI 22/9/22y 56
19 NY. PARIYEM 10/9/65y 57
20 TN. AWAL SANTOSA 1/2/65y 57 L
21 NY. LISTIN KATARINA 19/4/76y 46
22 NY. PARLINA 23/9/74y 48
23 TN. USRI 9/3/63y 59 L
24 NY. JACOMINA WELMINCER 1/12/65y 56
25 TN. DADANG SULAEMAN 20/1/61y 61 L
26 TN. JUSRIZAL SAIDI 16/4/54y 68 L
27 NY. CARMAH 15/6/56y 66
28 TN. SADERI 27/2/57y 65 L
29 NY. HILDA 23/3/04y 18
30 NY. NUR APRIYANTI 23/4/92y 30
31 NY. SUMINI 21/12/57y 65
32 TN. SOLEH 11/5/64y 58 L
33 TN. OPAN 13/2/77y 45 L
34 NY. FATIMAH 15/6/58y 64
35 NY. MARTINI 2/12/46y 75
36 NY. EMI ARIANI 17/10/64y 58
37 TN. WASIN 15/10/60y 62 L
38 TN. M RIZKY RAMADHAN 5/11/03y 19 L
39 AN.NAFIS MIRZA UKAIL 17/11/13y 9 L
40 TN. ACO SURYADI 20/10/71y 51 L
41 TN. HAMZAH SAPUTRA 7/9/90y 32 L
42 NY. SUNARTI 17/10/71y 51
43 Tn . JONI 8/10/58y 62 L
44 NY. SARINI 25/3/61y 61
45 NN. AZZARA NURFITRI 13/10/95y 27
46 TN. SAPTO ADI BATISTA 14/11/22y 57 L
47 TN. UCE 10/8/72y 50 L
48 TN. SUGENG 8 /5/1965 57 L
49 NY. MASANIH 1/7/76y 46
50 NY. SAENAH 16/10/55y 67
51 TN. TALIH BIN CAPANG 25/8/59y 63 L
52 TN. HENGKIE HENDRIK 19/3/70y 52 L
53 NY. ANGGRI ARYANI 22/3/91y 31
54 NY. SARIAMAN TOGATORUP 20/12/51y 70
55 NY. ALIAH 6/2/69y 53
56 AN. ARAZKA GIBRAN TANJUNG 4/10/21y 1 L
57 AN. DANIEL YEHEZKIEL 14/10/2006 16 L
58 NY. MARTINI 2/12/1946 76
59 NY. KUNELI 17/8/86y 46
60 NY. SARKIYAH 8/5/72y
61 NY. NELY HERAWATI 21/4/63y 59
62 NY. JULAEHA 25/4/74y 48
63 BY. NY. FITRI FABIOLA 24/9/22y 0th 2bln L
64 NY. ENI HERYANI 21/6/75y 47
65 NY. KARYATI 2/10/55y 67
66 NY. ANDAYANI 7/3/78y 44
67 NY. PUDJIAWATI 1/8/76y 42
68 TN. MOCH HASAN FADELI 28/3/46y 76 L
69 NY. MEI KRISTINA 9/5/84y 38
70 NY. AGUSTINA ROCHMAYANI 17/8/73y 49
71 NY. TINI RUSTINI 62
72 NY. SITI ROCHANI 12/12/58y 63
73 TN. TERANG RAJA PINEM 1/11/38y 84 L
74 TN. DARIUS ANAS 21/1/67y 55 L
75 TN. ADJIS 13/6/63y 59 L
76 TN. JAMI 17/8/45y 77 L
77 TN. REGI PRATAMA 24/12/05y 17 L
78 NY. SUPRIHATIN 15/8/74y 48
79 TN. IBNU ATHO 15/8/73y 49 L
80 NY. NASAH 14/4/63y 59
81 NY. KRISTINA 7/9/78y 44
82 BY NY. CHELI BELASA 21/110/2022 1bln 4 hari L
83 NY. NOVITA 5/10/80y 42
84 NY. SRI PURWANTI 23/3/68y 54
85 NN. RAYSHA AK 6/8/04y 18
86 NY. PIPIT TARMILAH 28/1/95y 27
87 NY. VIVI IRIANI 24/09/ 1970 52
88 TN. SUHARDI 12/4/57y 65 L
89 TN. SATRIYOWIBOWO 4/5/97y 25 L
90 NY. HJ.LANI 8/6/1979 43
91 TN. MULYADI 18/4/76y 46 L
92 TN. HAPOSAN SINAGA 21/6/70y 52 L
93 TN. ROBI HABIL 3/9/82y 40 L
94 NY. AMAROH 18/7/81y 41
95 NY. SRI WAGIARTI 4/12/80y 42
96 NY. ROTIFAH 13/1/70y 52
97 TN. SAPRUDIN 3/3/64y 58 L
97 96 96 44
REKAPAN
31/12/99y TOTAL PASIEN 97
1/1/00y LAKI-LAKI 44 45.36%
2/1/00y PEREMPUAN 53 54.64%
3/1/00y BPJS 97 100.00%
4/1/00y TUNAI 0 0.00%
ASURANSI LAIN 0 0.00%
5/1/00y HARI RAWAT ≤ 4 HARI 67 76.14%
6/1/00y HARI RAWAT > 4 HARI 21 23.86%
7/1/00y PASIEN RUJUKAN 0.00%
8/1/00y PASIEN MENINGGAL 13 14.77%
9/1/00y PASIEN PINDAH 75 85.23%
10/1/00y TOTAL PASIEN KELUAR 88
11/1/00y SISA PASIEN AKHIR BULAN 9
12/1/00y INTUBASI --- #VALUE!
13/1/00y EXTUBASI --- #VALUE!
14/1/00y RE INTUBASI 0 #VALUE!
15/1/00y HFNC/ OPTIFLOW 0
16/1/00y CVP 0 0.00%
17/1/00y CDL 0
18/1/00y HD 0
19/1/00y CRRT 0
20/1/00y ECHO 0
21/1/00y ICON 30/12/99y
JENIS KELAMIN
JAMINAN
NO RM (BPJS/TUNAI/
ASURANSI/
P PERUSAHAAN)
2591274 BPJS 1
P 2600844 BPJS 1
2600841 Dinkes DKI
P 2108969 BPJS 1
2110529 BPJS 3
2569404 BPJS 3
2601455 BPJS 3
P 2299892 BPJS 1
P 2598061 BPJS 1
2600510 BPJS 1
P 2592776 BPJS 3
P 2599156 BPJS 1
P 1022936 BPJS 2
2600431 BPJS 2
P 2600384 Tunai
2302319 BPJS
2598585 BPJS 3
P 2600980 BPJS 3
P 2601926 BPJS 3
1417235 BPJS 3
P 2588441 BPJS 3
P 2599586 BPJS 3
2566437 BPJS 1
P 2593094 BPJS 3
2602061 BPJS 3
2602054 BPJS 1
P 2594432 BPJS 3
2602268 BPJS 3
P 2599694 BPJS 3
P 2597220 BPJS 3
P 2598191 BPJS 3
2587566 BPJS 3
1844009 BPJS 1
P 2602418 BPJS 3
P 2584682 BPJS 1
P 2303314 BPJS 1
2581838 BPJS 3
2601455 BPJS 3
2407697 BPJS 3
2562796 BPJS 1
2602546 BPJS
P 2602341 BPJS 2
2600827 BPJS 1
P 2269617 BPJS 3
P 2598346 BPJS 1
2598743 BPJS 3
2601080 BPJS 1
2602534 BPJS 1
P 2598586 BPJS 3
P 2587495 BPJS 3
2602249 BPJS 3
2586668 BPJS 1
P 2589387 BPJS 3
P 2144154 BPJS 3
P 2602063 BPJS 3
2602927 BPJS
2602029 BPJS 3
P 2584682 BPJS 1
P 2598918 BPJS 3
P 2599646 BPJS 3
P 2601039 BPJS 1
P 2516026 BPJS 3
2602937 BPJS 1
P 2582101 BPJS 3
P 2603199 BPJS 3
P 2603299 BPJS 3
P 2603280 BPJS 3
2602803 BPJS 3
P 1816557 BPJS 3
P 2047292 BPJS 1
P 2562884 BPJS 1
P 211796 BPJS 1
2598192 BPJS 2
2601586 BPJS 1
2601448 BPJS 3
2590385 BPJS 3
2596279 BPJS 2
P 2300476 BPJS 1
2603666 BPJS 1
P 2132579 BPJS 3
P 2600274 BPJS 3
2600808 BPJS 3
P 2603298 BPJS 3
P 2600090 BPJS 3
P 2600806 BPJS 3
P 2603493 BPJS 3
P 2590759 BPJS 3
2603881 BPJS 3
2603315 BPJS 1
P 2599152 BPJS 1
2602047 BPJS 1
2268847 BPJS 3
2604117 BPJSTK
P 2604123 BPJS 3
P 2389217 BPJS 1
P 2604100 BPJS 3
2304363 BPJS
53 97 97
DIAGNOSA MASUK TGL MASUK RS TGL MASUK IPI
LIMFOMA NONHODGKIN EFUSI PLEURA KANAN 22/10/22y 22/10/22y
Penkes ec Metaboklik berat , iskemik lateral , gagalnapas

tipe 1 < acute on CKD 23/10/22y 24/10/22y
Open pneumothoraks, syok hipovolemik 23/10/22y 24/10/22y
UAP dd NSTEMI, Syok sepsis dd kardiogenik, CAD post PCI di

LAD, DM II 23/10/22y 26/10/22y
AKI dd CKD, HT Emergency, Penkes dd Intrakranial,

Hematemesis, Hematuri, post ROSCH 27/10/22y 28/10/22y
Syok sepsis ec Urosepsis, AKI dd Akur on CKD, LBP,

hiponatremi perbaikan, hipoalbumin 24/10/22y 29/10/22y
CKB, Kontusio paru, Close fraktur of right femoral 30/10/22y 30/10/22y
CKR, SDH temporal dextra, 29/10/22y 30/10/22y
post laparatomy tutup stoma ec ca recti 31/10/22y 31/10/22y
Penurunan kesadaran ec TB Usus ON OAT proses metabolik 19/10/22y 19/10/22y
CVD Iskemik 15/10/22y 15/10/22y

Post laparatomy biliodigestif ec leakage billier 26/10/22y 1/11/22y
Post kraniotomi dekompresi VP shunt 23/10/22y 1/11/22y
Tumpar, CVD iskemik, CAD Post BC +TBLB 1/11/22y 2/11/22y
Post Laparatomy resesi colon,DM Tipe 2 1/11/22y 2/11/22y
Ganggren pedis sinistra, DM 2/11/22y 2/11/22y
Post
CovidLaparatomy,
19, CHF ec CAD,biopsi hepar ec
Anemia, AKIadeno ca rekti
dd/ Acute on CKD, Syok 2/11/22y 3/11/22y
Kardiogenik dd/ Sepsis 25/10/22y 3/11/22y
CVD
post Iskemik,
laparatomie HT emergency's
hemicolektomy kanan,ec tumor colon 4/11/22y 4/11/22y
transversum susp ganas 2/11/22y 3/11/22y
Post PCNL kiri 3/11/22y 4/11/22y
post surgical staging NOK 6/11/22y 7/11/22y
post peritonitis laparatomi 29/10/22y 7/11/22y
post open nefroktomi kiri 4/11/22y 7/11/22y
peritonitis umum ec perforasi jejunum ec susp perforasi 6/11/22y 7/11/22y
Penkes
CA servixe.cIIA,
metabolik dd/ intrakranial,
POST LAPARATOMY CVDPLND
HTSOB, Iskemik
BILATERAL, 6/11/22y 6/11/22y
HERNIOPLASTY 7/11/22y 8/11/22y
Penkes, e.c Proses
Post laparatomy Intracranial,
eksplorasi, CVDanastomisis,
reseksi Hemoragik, HT stitoskopi 8/11/22y 8/11/22y
evaluasi 3/11/22y 9/11/22y
Post laminektomi dan disektomi ec stenosis kanalis 31/10/22y 8/11/22y
Post Relaparatomi subobtimal debulking 9/11/22y 9/11/22y
Post ileostomy ca colon ascenden, stoma 8/11/22y 9/11/22y
anemia gravis, hipokalemia, aki sepsis 9/11/22y 9/11/22y
stroke
Post hemoragiceksplorasi adesiolisis, tutup stoma dan
laparotomi 9/11/22y 10/11/22y
reseksi anastomosisi
post laparatomy kolon
surgical staging (HTSOB) ec ca 3/11/22y 4/11/22y
endometrium clinically stage III 9/11/22y 10/11/22y
Post
Post PCNL
orif a.ikanan ecfemur
fraktur batu cetak
kanan,ginjal
postkanan
orif a.i fraktur ZMC 9/11/22y 10/11/22y
kanan dan kiri 30/10/22y 10/11/22y
DSS
pasca ekstirpasi massa rinotomi lateral atas indikasi massa 9/11/22y 11/11/22y
sinonasal sinistra suspek ameloblastoma 10/11/22y 11/11/22y
post kraniotomi dekompresi ec EDH frontal dekstra 11/11/22y 11/11/22y
Multiple Abses leher dalam,ganggren pulpa gigi 37 10/11/22y 11/11/22y
BEKAS TB, BE TERINFEKSI 31/10/22y 13/11/22y
cvd,penurunan kesadaran 13/11/22y 14/11/22y
Post sternotomy timectomy ec tumed anterior 13/11/22 14/11/22y
post Radikal Nefrektomy,Tumor Ginjal Kanan 13/11/22y 14/11/22y
post torakotomi, laparaskopi 4/11/22y 14/11/22y
HAP
Post terduga tumor paru,stemi
Op laparatomy Suboptimalcaddebulking (HTSOB, 12/11/22y 14/11/22y
Omentektomi, Reseksi nodul peritoneum) 14/11/22y 15/11/22y
post VATS ec tumor mediastinum 14/11/22y 15/11/22y
Post Colostomy+anuskopi biopsi ec ca recti 10/11/11y 15/11/22y
Post op laparatomi anastomosis, hartman prosedure 11/11/22y 16/11/22y
Post HDLO polipektomi, kistektomi 15/11/22y 16/11/22y
Total knee
Gastric replacement
outlet obstrctionkanan
ec tumor tail pancreas post 15/11/22y 16/11/22y
laparotomi gastrojejunosotmy,
Susp Giant Bullae dd/ Congenital biopsi
LobarKGB
Emfisematous, 6/11/22y 16/11/22y
Pneumonia
Ke 1, post Appendiktomi Laparatomi, Hiponatremi, 15/11/22y 16/11/22y
Hipoalbumin, Hipokalemi 5/11/2022 13/11/2022
post Relaparatomi tutup stoma 3/11/22y 17/11/22y
post laparatomi NOK surgical staging 16/11/22y 17/11/22y
Post laparatomi histerektomi 16/11/22y 17/11/22y
Hernia diafragma, post Torakotomy, Lobektomy sinistra 14/11/22y 17/11/22y
CKD on HD, HEP-C
Critical Congenital Heart Disease (pulmonary atresia 17/11/22y 17/11/22y
venticular Septal Defect)
Fistel encterocutan , Post Op Fistula Enterocutan 16/11/22y 17/11/22y
(Laparatomi eksplorasi,e.c
penurunan kesadaran Wedge eksisi hipokalemia,
metabolik, ileumj) DM, 16/11/22y 18/11/22y
sepsis 18/11/22y 19/11/22y
TB PARU, curiga meningitis 19/11/22y 19/11/22y
Post TT, BC, Insisi drainase abses dan multipel ekstraksi 19/11/22y 20/11/22y
post craniotomi exsplorasi tumor,sol dd metas,tumpar 14/11/22y 21/11/22y
post SC MOW g3alp1 18/11/22y 21/11/22y
Adeno ca recti post op reseksi tutup defect 12/11/2022 21/11/2022
Post laparatomi sub optimal debulking 20-11-2022 21-11-2022
Post Hemiarthoplasti Fx Colum Femur sin 17/11/20022 22/11/2022
Neglected Closed Fr Of Right Intertrochanter Femur 21/11/2022 22/11/2022
CA Larring 21/11/2022 22/11/2022
Hernia
Post opscorotalis
SBES (PCNL bilateral postkanan),
kiri + RIRS op Herniotomi
Batu ginjal kiri & batu 22/11/22 23/11/22
sisa ginjal kanan 21/11/2022 23/11/2022
post op angin fibroma
endometrium nasofaring
dd/ sarkoma juvenfil on DJ stent
Hidronefrosis 21/11/2022 23/11/2022
bilateral 22/11/2022 23/11/2022
PPOK, HT 23/11/2022 24/11/2022
Spinal
POD II,stenosis L4-5, post opbilateral,
Kista Endometriosis laminektomi
post L4
histerektopi, 23/11/2022 24/11/2022
laparaskopy kistektomi 21/11/2022 24/11/2022
Post VP Shunt e.c Hidrocefallus + dandy walker
endometriosis terinfeksi, AUB-L ec. mioma uteri dd/ sydrome 25/11/2022
adenomiosis, perlekatan genitalia interna 24/11/2022 25/11/2022
Mioma UteriTemporoparietal
SOL Cerebri kista endometriosis postCuriga
Dextra laparatomi HTSOBpost 24/11/2022
Neoplasma, 25/11/2022
kraniotomi
konstipasi kronik ec obstruksi massa intra abdomen, ca 18/11/2022 25/11/2022
serviks 3b/sedang 24/11/2022 26/11/2022
syok hipovolemik dd sepsis 26/11/2022 27/11/2022
post
Tumor laparatomy,
Testis postkolektomy, herniatomykiri,
Radical orchidectomy ec hernia scrotalis
metastasis 27/11/2022 27/11/2022
tumor paru dengan cap 20/11/2022 28/11/2022
post op sternotomie 27/11/2022 28/11/2022
sepsi
Post Laparatomy Eksplorasi, On Stoma, Ca Rectum, Hepatitis 26/11/2022 28/11/2022
B on ARV 28/11/2022 29/11/2022
CKB, Fraktur OS frontal, open fraktur OS genue dan patella 30/11/2022 30/11/2022
Syok sepsis, DM
Post laparatomy HTSOB Adhesiolisis, Histerektomi total, 30/11/2022 30/11/2022
Salpingektomi bilateral 30/11/2022 30/11/2022
DM
posttipe
insisi2,drainase
CVD iskemik, Hipoglikemi,hiponateri,TB
dan kestraksi on OAT
gigi, ekxplorasi abses leher 29/11/22 30/11/22
ec multiple abses leher, post bc, dm type 2 30/11/22 30/11/22
ASAL
JAM MASUK IPI BED TGL KELUAR/ HARI RAWAT RUJUKAN/OPE RUANGAN
MENINGGAL DI IPI ASAL
RASI
16.30 10 11/11/22y 20 -- IGD
02.30 2 3/11/22y 10 RSCM IGD
04.30 8 1/11/22y 8 OK CYTO IGD
19.10 1 1/11/22y 6 -- WK Lt 3
09.30 6 13/11/22y 16 IGD IGD
10.30 2 3/11/22y 5 -- CB
11.00 9 6/11/22y 7 IGD IGD
12.05 11 1/11/22y 2 IGD IGD
16.00 7 1/11/22y 1 IBS Mawar Bawah
22.30 4 6/11/22y 18 IGD IGD
03.20 5 7/11/22y 23 IGD IGD

12.00 12 2/11/22y 1 IBS Mawar Atas
14.30 7 3/11/22y 2 IBS Dahlia Atas
12.41 1 3/11/22y 1 IBS WK Lt 3
18 11 8/11/22y 6 IBS IGD
15.00 8 8/11/22y 5 IBS Anggrek LT.2
21.30 12 5/11/22y 2 -- ICU Pinere
01.30 2 6/11/22y 2 -- IGD
16.00 1 4/11/22y 1 IBS Anggrek LT.2
12.30 7 7/11/22y 3 IBS Bedah Kelas
13.15 1 8/11/22y 1 IBS keb 3
13.40 4 10/11/22y 3 IBS Mawar bawah
Cempaka
14.30 3 9/11/22y 2 IBS Bawah
16.40 12 12/11/22y 5 IBS IGD
22.15 2 10/11/22y 4 -- IGD
13.10 5 9/11/22y 1 IBS ANGGREK LT3
19.30 8 ON IGD
12.45 3 10/11/22y 1 IBS Dahlia Bawah
17.00 7 9/11/22y 1 IBS BEDAH KELAS
16.00 11 10/11/22y 1 IBS ANGGREK LT 3
13.30 5 10/11/22y 1 IBS ANGGREK LT 2
20.15 1 15/11/22y 6 -- IGD
06.45 7 14/11/22y 4 -- IGD
13.30 3 6/11/22y 2 IBS Mawar atas
13:28 9 12/11/22y 2 IBS Mawar
CempakaAtas
15.00 3 11/11/22y 1 IBS Bawah
18.00 6 12/11/22y 2 -- ICCU
03.00 2 12/11/22y 1 -- IGD
12.00 10 13/11/22y 2 IBS MAWAR ATAS
11.20 5 25/11/22y 14 IBS IGD
15.00 11 16/11/22y 5 IBS ICU TULIP
10.00 12 15/11/22y 2 RICU RICU
00.00 9 ON IGD
14.40 10 15/11/22y 1 MAWAR ATAS
19.00 6 16/11/22y 2 --- Mawar atas
16.30 10 17/11/22y 2 IBS Anggrek LT3
12.30 7 16/11/22y 1 IBS anggrek lt 2
14.11 1 17/11/22y 1 IBS Mawar bawah
14.30 4 17/11/22y 1 IBS Anggrek
cempakaLat.3
14.30 11 17/11/22y 1 IBS Bawah
14.50 12 18/11/22y 2 IBS Dahlia Bawah
15.15 7 22/11/22y 6 IGD IGD
07.00 2 17/11/2022 4 --- RICU
14.40 11 22/11/22y 5 IBS mawar atas
14.50 3 18/11/22y 1 IBS keb 3
15.40 10 18/11/22y 1 IBS keb 3
16.16 2 18/11/22y 1 IBS Mawar Atas
18.55 4 22/11/22y 5 IGD IGD
23.30 1 18/11/22y 1 IGD IGD lat
Anggrek
11.50 6 20/11/22y 2 IBS 2(Bedah Kelas)
01.50 2 21/11/22y 2 --- IGD
23.00 12 ON IGD
19.00 1 23/11/22y 3 WK LAT.3 OK IGD
14.30 3 30-11-2022 9 IBS Dahlia BAwah
09.45 6 22/11/22y 1 IBS anggrek lt 3
21.45 2 24/11/22y 3 ICCU Mawar Bawah
14.00 10 23/11/22y 2 IBS Mawar Bawah
12.10 6 24/11/22y 2 IBS mawar atas
cempaka
16.00 11 23/11/22y 1 IBS Bawah
12.20 11 24/11/22y 1 IBS Bedah kelas
12.00 4 26/11/22y 3 IBS Bedah kelas
13.50 7 25/11/22y 2 IBS Wk Lat 3
15.45 10 24/11/22y 1 IBS Mawar Bawah
02.10 1 28/11/22y 4 RS GMC IGD
12.00 11 25/11/22y 1 IBS Cempaka Atas
14.50 2 04/12/2022 10 - Anggrek lt 3
11.00 5 26/11/22y 1 IBS Bugenvil Bawah
15.00 10 28-11-2022 3 IBS Anggrek Lt. 3
15.00 6 27-11-2022 2 IBS Anggrek
Cempaka lt 3
16.45 11 30-11-2022 5 IBS Bawah
17.00 7 ON - cempaka atas
06.20 4 28/11/22y 1 IGD
19.40 5 29/11/22y 2 OK CITO IGD
11.15 6 ON IBS Mawar bawah
13.30 1 29/11/22y 1 IBS mawar atas
18.00 4 29/11/22y 1 IGD
Cempaka
12.00 10 30/11/22y 1 IBS Bawah
00.30 1 ON IGD IGD
07.40 4 30/11/2022 0 IGD IGD
16:15 10 ON IBS mawar atas
23:45 11 ON IGD IGD
17.15 5 ON OK CITO IGD
::
PINDAH/ POLA NAFAS

MENINGGAL/D RUANGAN SAAT MASUK TGL INTUBASI ASAL/TEMPAT
IRUJUK/ PINDAH INTUBASI
PULANG IPI
REINTUB TGL
15/10/22 DR RS
MENINGGAL -- Ventilator MMC RS EMC
MENINGGAL -- Ventilator 22/10/22 RSCM
PINDAH Bedah Kelas Ventilator 24/10/22y IGD
PINDAH WK Lt 3 NK -- --
MENINGGAL -- Ventilator 28/10/22y IGD
Cempaka
PINDAH Bawah NK --- ---
PINDAH Bedah Kelas Ventilator 30/10/22y IGD
MENINGGAL -- NK 30/10/22y ICU
PINDAH Mawar Bawah Ventilator 31/10/22y IBS
MENINGGAL -- Ventilator 19/10/22y IGD
PINDAH Dahlia Atas TT 5 lpm 15/10/2022 ICU

PINDAH Mawar
Cempakaatas Ventilator 1/11/22 IBS
PINDAH Bawah Ventilator 01/11/2022 IBS
PINDAH mawar bawah NK -- --
PINDAH wk 3 Ventilator 02/11/2022 IBS
MENINGGAL -- NRM 10 3/11/2022 ICU
PINDAH BEDAH KELAS Ventilator 3/11/22 IBS
PINDAH Dahlia Bawah NK --- ---
PINDAH Dahlia Bawah NK -- --
PINDAH Anggrek LT.2 NK -- --
PINDAH cempaka atas NK --- ---
PINDAH mawar bawah
Cempaka Ventilator 7/11/22 IBS
PINDAH Bawah Ventilator 7.11.22 IBS
PINDAH Cempaka Atas Ventilator 7/11/2022 IBS
PINDAH Mawar Bawah
KEBIDANAN NK -- --
PINDAH KELAS 3 NK --- ---
ON Ventilator 8/11/2022 IGD
PINDAH dahlia bawah Ventilator 9/11/22 IBS
PINDAH BEDAH KELAS NK --- ---
PINDAH ANGGREK LT 3 NK --- ---
PINDAH bedah kelas Ventilator 9/11/22 IBS
MENINGGAL NK --- ---
PINDAH cempaka atas NK --- ---
PINDAH Mawar atas Ventilator 04/11/2022 IBS
PINDAH WK 3
cempaka NK --- ---
PINDAH bawah Ventilator 10/11/22 IBS
PINDAH Bedah kls NK --- ---
PINDAH WK LT 2 NK --- ---
PINDAH Mawar Atas Ventilator IBS
MENINGGAL Cempaka Ventilator IBS
PINDAH bawah Ventilator 11/11/2022 IBS
PINDAH Dahlia Bawah TT SPONTAN
ON ventilator 20.11.22 IBS
PINDAH Mawar Bawah NK
PINDAH Bedak Kelas Ventilator 14/11/22 IBS
PINDAH MAWAR ATAS Ventilator 14/11/22 icu
MENINGGAL --- ventilator 14/11/22 icu
PINDAH KEBIDANAN 3 Ventilator 15/11/2022 IBS
PINDAH Anggrek lt. 2 SM --- IBS
PINDAH Mawar Bawah ventilator 16/11/2022 IBS
PINDAH Anggrek
cempaka lt 3 NK --- IBS
PINDAH bawah NK --- IBS
PINDAH BEDAH KELAS ventilator 16/11/2022 IBS
PINDAH ANAK ATAS NK 18/11/2022 IBS
PINDAH ANAK ATAS NK
PINDAH MAWAR ATAS ventilator 17/11/22 IBS
PINDAH ANGGREK LT 3 NK
PINDAH ANGGREK LT 3 NK
PINDAH Mawar Bawah Ventilator 17/11/2022 IBS
MENINGGAL --- NK 18/11/22 icu
MENINGGAL --- Ventilator 16/11/2022 IGD
PINDAH BEDAH KLS NK --- ---
PINDAH RICU NK 19/11/22 ICU
ON NRM
PINDAH BEDAH KELAS Ventilator dg TT 20/11/22 IBS
PINDAH Bedah Kelas Ventilator 21/11/22 IBS
PINDAH KEB.3 NK ---
PINDAH Mawar Bawah 21/11/2022 IBS
PINDAH mawar bawah Ventilator 21/11/22 IBS
PINDAH mawar
Cempaka atas NK
PINDAH Bawah NK ---
PINDAH Mawar Bawah Ventilator 22/11/2022 IBS
PINDAH BEDAH KELAS NK
PINDAH Bedah
Cempakakelas Ventilator 23/11/2022 IBS
PINDAH Bawah Ventiltor 23/11/22 IBS
PINDAH Mawar atas Ventilator 23/11/2022 IBS
PINDAH Mawar
tgl atas
25.11.22 HNFC
PINDAH jam 11.30 .
04/12/2022 NK
PINDAH jam 12.00 nasalNK
kanul 1 24/11/2022 ICU
PINDAH Bugenvil Bawah Lpm
PINDAH Anggrek Lt. 3
tgl 27.11.22 Ventilator 25/11/2022 IBS
PINDAH jam 13.30
CEMPAKA - -
PINDAH BAWAH Ventilator 25/11/2022 IBS
ON NRM 28/11/2022 ICU
PINDAH cempaka atas NK
PINDAH Anggrek 2 NK
ON NK 28/11/2022 ICU
PINDAH mawar atas NK ICU
MENINGGAL _
Cempaka Ventilator 28/11/2022 ICU
PINDAH Bawah NK
ON Ventilator 29/11/2022 IGD
MENINGGAL Ventilator 30/11/2022 ICU
ON NK
ON NK 30/11/22
ON Ventilator Nasotracheal OK CITO
75
13
9
TINDAKAN (CEK LIST)
TGL EXTUBASI
RE INTUBASI HFNC/ CVC
OPTIFLOW
28/10/2022
(TT) Subklavia Dextra
Venocet (fem.dx);
3/11/22y Subklavia sinistra
31/10/2022 Subklavia dekstra
-- Subklavia sinistra
8/11/2022 (TT) Subklavia dekstra
--- Jugularis dekstra
1/11/22y Subklavia sinistra
1/11/2022 Jugularis sinistra
6/11/22y Subklavia dekstra
21/10/2022
(TT) Jugularis sinistra
2/11/2022 Jugularis Dekstra
2/11/22 0
-- 0
8/11/22y Subklavia dekstra
04/11/2022 Jugularis Sinistra
--- Subclavia sinistra
-- 0
-- Jugularis dekstra
11/11/2022 Jugularis dekstra
-- Jugularis dekstra
--- Jugularis dextra
Subklavia sinistra
--- 0
--- 0
--- Subklavia sinistra
--- Jugularis sinistra
11/11/2022 0
--- 0
--- 0
0
Subclavia sinistra
15/10/2022 Femoralis dextra
Jugularis dekstra
15/11/22 subclavia sinistra
Jugularis dekstra
16/11/2022 Subclavia Sinistra
subclavia dextra
16/11/2022 Jugular Dextra
subclavia sinistra
---
Jugularis sinistra
jugularis sinitra
Jugularis sinistra
---
Jugularis sinistra
subclavia dextra
21/11/2022 ---
Subklavia sinistra
---
Jugularis Dextra
---
23/11/2022 ---
Jugularis Sinistra
24/11/2022 Femorali Sinistra
Subclavia dextra
HNFC Perifer TaKa
Jugularis dekstra
Jugularis dextra
-
subclavia sinistra
Subklavia sinistra
Jugularis Dekstra
Subklavia dekstra
CVC
Subklavia sinistra
Femoralis dekstra
Perifer
Subclavia sinistra
Perifer
Femoralis dekstra
TINDAKAN (CEK LIST)
CDL HD CRRT ECHO ICON
26/10/22;
1/11/22
25/10/22
23/10/22
10/11/22
7/11/22;
8/11/22
9/11/22
5/11/22
TINDAKAN LAIN JIKA ADA DPJP UTAMA
( SEBUTKAN)
NGT, IPC Pericard, DC, CVC, ETT,

Pigtail pleura dr. Navy Sp.An-KIC
ETT, NGT, DC, IV line dr. Ernita Sp. An-KIC
ETT,NGT,DC dr. Navy Sp.An-KIC
DC, IV line dr. Ernita Sp. An-KIC
ETT, DC, NGT, PERIFER dr. Navy SpAN KIC
CVC, DC, IV line dr. Ernita, sp.An.KIC
ETT, NGT, DC, CVC dr. Navy, Sp.An.KIC
ETT, NGT,DC dr. Thariq, Sp.An.KIC
ETT, NGT, DC, Drain, IV Line, CVC dr. Navy, Sp.An.KIC
ETT, NGT , DC dr.Ernita SpAn-KIC
NGT, DC, Perifer dr. Navy Sp.An-KIC

NGT, DC, CVC, ETT dr. Thariq, Sp.An.KIC
IV Line, NGT, DC dr. Navy Sp.An-KIC
ETT,NGT,DC,Drain,IV Line dr. ernita Sp.An-KIC

NGT, DC, IVFD, ETT, CVC dr thariq SPAN
ETT, DC, NGT, STOMA, DRAIN, IVFD dr. Navy Sp. An-KIC
KIT
IVFD, NGT, DC DR Ernita span KIC
NGT, IVFD, Nefrostomy, Dj Stent kiri dr. navy, Sp. An. Kic
ETT,
ETT, NGT, DC, NGT,2,DC
stoma drain vacum, dr ernita kic
drain abdomen dr ernita kic
ETT, NGT, DC, Drain abdomen dr ernita spANKIC
ETT, NGT,DC,Drain abdomen,cvc dr Ernita Sp.AN (KIC)
NGTT,DC Dr. Ernita Sp. An, KIC
NGT, DC, Epidural, CVC, dr. Ernita, Sp.An.KIC
ETT, NGT, CVC, DC dr.Navy Sp.AN (KIC)
ETT, NGT, DC, DRAIN. CVC dr. ernita Sp,. An-KIC
IV LINE, DC dr. navy, Sp. An. Kic
NGT, DC, CVC dr. Thariq sp.an .kic
NGT, DC, CVC dr. ernita sp.an kic
DC, IV LINE
NGT,DC,IV line dr.Navy Sp.An (KIC)
DC, NGT, CVC dr. Navy Sp. An-KIC

DC, ETT, Drain, dr. Ernita SpAn-KIC
DC, NGT, Perifer dr. Navy Sp. An-KIC
ETT, NGT, DC dr. Navy, Sp.AN.KIC

ETT,NGT,DC dr. Thariq Sp.An .Kic
ETT, NGT, DC DR. THARIQ, SP.AN KIC
ett,ngt,DC dr navy spAnKIC
WSD, DC, CVC dr. Ernita, Sp.An.kic
NGT<DC<DRAIN
ETT, NGT,DC,DRAIN PERUT, DRAIN Dr. Ernita sp.An KIC
WSD SINAPI dr. Navy Sp.An KIC
EET, NGT, DC dr. Navy, Sp.AN.KIC
DC, WSD, Arteri line, epidural dr. Navy Sp.An.KIC
ETT, DC, NGT, STOMA BAG dr. Ernita, Sp.An.KIC
ETT, DC, NGT, DRAIN, STOMA BAG dr. Ernita, Sp.An.KIC
CVC, DC, ARTERI LINE, IV LINE dr. Ernita, Sp.An.KIC
IV LINE, DC dr. Thariq, Sp.An.KIC
ETT, NGT, DC, DRAIN dr. Thariq, Sp.An.KIC
IV LINE, ETT, NGT, DC, WSD dr. Navy Sp.An.KIC
DC,ETT,
CVC NGT, DC,Drain spuit, drain dr. Prasenohadi sp.p
vacum dr. Thariq, Sp.An.KIC
NGT, DC, drain, CVC, arteri line Dr ernita span kic
NGT, CVC,NGT,
WSDDC, IV line
REDAX, Arteri Line, Dr Navy span KIC
dc dr.ernita Sp.AN KIC
NGT, DC, IV line Dr ernita span kic
ETT,NGT, DC,CVC dr. Ernita Sp.An (KIC)
NGT,CVC Dr Navy span KIC
NGT, DC dr. ernita sp. an
NGT, IV line, DC dr thoriq span kic
TT, NGT, DC, IV line dr Ernita SpAn KIC
Drain,DC,NGT,Arteri Line Dr. Ernita sp.an KIC
Drain, NGT, DC Dr. Ernita sp.an KIC
ETT, NGT, DC, DRAIN, STOMA Dr Navy span KIC

Drain, NGT, DC Dr Navy span KIC
DC. IV LINE TANGAN kANAN dr. Thariq, Sp.An.KIC
ETT, NGT, DC, IV LINE dr. navy, Sp. An. kic
DC,IV
ETT, LINEDCtangan
NGT, dengan kanan,tangan kiri
UK, Nefrostomi, dr.thariq sp.an.KIC
CVC, dr. Ernita, Sp.An KIC
ETT, NGT, CVC, DC dr. navy, Sp. An. kic
ETT, NGT, DC, DRAIN ABDOMEN dr. navy, Sp. An. kic
iv line di taka, dr Ernita SpAn KIC
IV line taka, DC, NGT dr. Thariq, Sp.An.KIC
Perifer IV
di line
tangantaki,kanan
DC, NGT
, perifer di dr. Ernita, Sp.An KIC
kaki kiri
Perifer di taka, NGT, DC, Drain dr Ernita Sp An KIC
abdomen kiri. dr. Navy SpAn KIC
Perifer di Taka dan Taki dr. Navy SpAn KIC
Drain Kepala, NGT, DC dr. Thoriq SpAn KIC
DC, NGT, stoma der ernita span kic
DC, NGT, STOMA, DRAIN, NK, Perifer dr. ernita Sp. An-KIC
DC, Infus Perifer Taka dr. Navy, Sp. An. Kic
DC, NGT, Epidural, Drain WSD dr.ernita, Span KIC
perifer, DC, NGT dr. ernita Sp. An-KIC
NGT, DC, Stoma, Drain dr. Navy, Sp. An. Kic
CVC, DC dr. Navy, SP. An. Kic

DC,NGT.Infus perifer taka- taki dr. Navy Sp. an. (KIC)
ETT, DC, NT, Perifer, CVC dr. Ernita Sp. An-KIC
DPJP LAINNYA
dr. Elfriadi Sp.P
dr. Risky Sp.PD; dr. IMY, Sp.JP
dr. Kokohana, Sp.BTKV
dr. Imy sp.jp
dr Andi SpPD
dr. maulana Sp. KGEH
dr. Candra, Sp.BS
dr. Agung, Sp.BS
dr wahyu sri spbd
dr.Hayatun SpPD
Dr. Fatiah Sp P
dr. Wahyu Sri Sp. BD
Dr agung spbs
dr.Seno SpBd
dr. Wahyu Sri Sp. BD
DR dwi sps
dr. Dody, Sp. U

dr anandita spog
dr widi spbd
dr andar spU
dr. Widi Sp.BD
Dr. Yassir Sp. PD
dr. Oni, Sp.OG
dr.Ahswin Sp.S
dr. Andika Sp. U
dr. Agung Sp.BS
dr. tri sp.og
dr. widi sp.bd
dr. Aswin Sp.S
dr. Tri Apriliawan SpOG

dr.Dody SpU
dr. sigit Sp. OT
dr. Yulvina Sp.THT

dr. Agung Sp.BS
dr. Adit, Sp. BM
DR. PRASENOHADI SP.P
dr. Agung,Sp. BTKV

Dr. Nugroho SP.U
dr galuh ,sp p
dr. Galuh, Sp.P
dr. Anindita, Sp.OG
dr. Susan Sp.BTKV
dr. Widi Sp.B(K)BD
dr. Zakia, Sp.OG
dr. Budimansyah Sp.OT
dr. Agung,Sp. BTKV
dr. Ramdhani sp.a
dr seno SPBD
dr Tri spog
Dr deasy spog
Dr. I putu kokohana Sp.BTKV
dr. Iskandar, Sp.PD
dr. Febrini Sp.A
dr. Seno SpB.B(K)BD
dr
dr dicky
radenspp
ena sarikencana Sp THT-KL
dr tina reisa SpP
Dr. Chandra SP.Bs
dr. Purnawan, Sp.OG
dr. Wahyu, Sp.B(K)BD dan dr. Tri Sp.OG

dr. Sigit SP OT
dr. Budimansyah Sp.OT
dr. Yulvina THT
dr. Perwira widi sp.B(k)BD
dr. Nugroho, Sp.U
dr. Ervin, Sp. THT
dr. Tri Sp.OG dan dr. Seno Sp.BD
dr arfan SpP
dr. Zakia, Sp.OBG

dr. Tri, SpOG
dr. Zakia SpOG

dr. Chandra SpBS
dr widi spbd
dr. Andar, Sp. U

dr. agung, Sp BTKV
dr. Ernita
dr widi spbd
dr. Zakia, Sp. OG

dr. Dwi Sp, dr efriadi Sp.P
dr. Addys Sp. BM
NO NAMA TANGGAL LAHIR USIA
1 TN. ROBI HABIL 3/9/82y 40

2 NY. KRISTINA 7/9/78y 44
3 TN. SAPRUDIN 3/3/64y 58
4 TN. SATRIYOWIBOWO 4/5/97y 25
5 NY. PIPIT TARMILAH 28/1/95y 27
6 TN. SADERI 27/2/57y 65
7 NY. SARINI 25/3/61y 61
8 NY. SRI WAGIARTI 4/12/80y 42
9 NY. ROTIFAH 13/1/70y 52
10 NY. ANDAYANI 7/3/78y 44
11 NY. DA'AYAH 1/12/64y 58
12 TN. FAMOUR RECONSILIASI 25/10/93y 29
13 NY. SUDARMI 9/9/70y 52
14 TN. FOO IGNATIUS FEERY 5/2/55y 67
15 TN. AS'ARI 03/ 07/1963 59
16 AN. YOVHA FARHANA 9/12/12y 10
17 NY. ASMIRANDAH S. 1/7/07y 15
18 NY. SUKAESIH 20/9/60y 62
19 TN. ADE NARTO 12/9/58y 64
20 NY. ANDRIANI 28/7/22y 44
21 NY. ENIS 2/4/22y 53
22 AN. JUVITA PUTRI 28/2/20y 2
23 TN. DJUNAEDI 2/12/45y 77
24. TN. DION BONARDO 10/7/09y 13

25 TN. SURUNG MARADONGAN 28/10/69y 53
26. TN. JODI PURNOMO 17/3/79y 43
27. TN. BUDI PUTRO 16/8/95y 27
28. AN. MUHAMMAD FAIZ 26/4/09y 13
29. TN. EVAN JANITRA 19/4/93y 29
30. NY. DAME FRANSISKA 28/2/74y 43
31. TN. ZAINUL ARIFIN 22/12/73y 44
32 TN. DEDY SUPRIADI 31/12/22y 49
33 NY. LASMAWATI SILALAHI 1/11/65y 57
34. TN. ANASTASIUS RIYANTO 16/10/58y 64
35. TN. DENI ROHENDI 19/11/63y 59
36. NY. MAEMUNAH 30/6/72y 50
37. TN. NURDIN ANSHORI 12/11/85y 37
38. NY. DIAH GITA MARTINI 17/3/64y 58
39. NY. HALIJAH 31/12/32y 89
40. NY. ROHAYA 21/7/71y 51
41. TN. ALI RAMDAN 14/1/97y 25
42. TN. UDIN SUNARDHI 6/5/55y 67
43 TN. EDY YUSUF 20/12/65y 56
44 NY DEWI LARASATI 31 /12/2022 34
45 TN. DR. IDONG SETYO 20/7/55y 67
46. TN. R MULATO PRASETYO 9/10/59y 63
47 NY. ARYANA 18/8/79y 43
48. AN. M ARSYAFI RAFKA 20/2/12y 10
49. TN. RUSLAN 3/9/64y 58
50. TN SUKARDJO 29/8/52y 70
51. NY. NAJUAH 1/10/55y 67

52. NY. Y SRI SUWANTI 3/8/54y 68
53 TN. MULYADI 25/3/63y 59
54 TN. A WILANDA 21/6/63y 59
55 TN. HARI MAHARDIKA 17/8/99y 23
56 TN. BAGUS TRI ATMOJO 2/12/65y 57
57 TN. JO HENG TJANG 26/9/58y 64
58 NY. SRI KUSPRIYANTINI 10/5/71y 51
59 NY. TASIJAH 16/4/64y 58
60 TN. M. NUR FATHUL KHAIR 20/5/04y 18
61 TN. AS'ARI 03/07/1963
62 NY. TITANIA HERDA BUDI 20/10/97y 25
63 TN. SUSILO 10/1/80y 42
64 NY. FERA YUNITA 25/2/90y 32
65 NY. SITI AISYAH 24/3/69y 32
66 NY. AZALIA SHELLY 21/6/78y 44
67 Ny. ENOH 9/9/79y 43
68 NY. IKA SUCIANI AMK 10/6/84y 38
69 NY. JURIAH 14/ 11/1977 45
90 NY. NURJANAH 10/1/62y 60
91 NY. CHATRINE ARDIAANZ 28/4/80y 42
92 TN. MARUDUT SINAGA 29/6/69y 53
93. Tn. NGADIN 14/9/49y 73
94 TN. SUGENG 17/4/68y 54
95 TN. ZAKY FAISAL 16/1/70y 52
96 TN. WIWI MUHAMAD 4/7/64y 58
97 TN. YAIMAN 20/9/65y 57
98 NY. TRIYANA 10/9/89y 33
99 NY. WARISAH 17/8/42y 80
100 TN. RAMDHAN 27/6/83y 39
101 TN. MARULLOH 9/6/60y 62
102 NY. ARIS ANITA 8/6/83y 39
103 TN. BAMBANG SUKARMAN 18/8/67y 55
104 NY. MILA SARI 28/7/85y 37
105 Ny. ARA 15/6/68y 54
106 TN. BUDWIHONO 3/11/79y 43
107 Tn. Daud 11/4/58y 64
108 NY.ANAH RUM 12/8/46y 76
109 Tn. Edi Wahyudi 3/11/60y 61
110 Tn. NURDIN BASYAH 24/5/46y 76
111 TN. AKRIL 3/4/67y 55
REKAPAN
NO KATEGORI JUMLAH
31/12/99y TOTAL PASIEN #REF!
1/1/00y LAKI-LAKI #REF!
2/1/00y PEREMPUAN #REF!
3/1/00y BPJS #REF!
4/1/00y TUNAI 30/12/99y
ASURANSI LAIN
5/1/00y HARI RAWAT ≤ 4 HARI 30/12/99y
6/1/00y HARI RAWAT > 4 HARI 30/12/99y
7/1/00y PASIEN RUJUKAN
8/1/00y PASIEN MENINGGAL 30/12/99y
9/1/00y PASIEN PINDAH 30/12/99y
10/1/00y TOTAL PASIEN KELUAR 30/12/99y
11/1/00y SISA PASIEN AKHIR BULAN30/12/99y
12/1/00y INTUBASI #REF!
13/1/00y EXTUBASI #REF!
14/1/00y RE INTUBASI #REF!
15/1/00y HFNC/ OPTIFLOW #REF!
16/1/00y CVP #REF!
17/1/00y CDL #REF!
18/1/00y HD #REF!
19/1/00y CRRT #REF!
20/1/00y ECHO #REF!
21/1/00y ICON #REF!
JENIS KELAMIN
JAMINAN
NO RM (BPJS/TUNAI/
L P ASURANSI/
PERUSAHAAN)
L 2604117 BPJSTK
P 2600274 BPJS 3
L 2304363 BPJS
L 2603315 BPJS 1
P 2603493 BPJS 3
L 2602268 BPJS 3
P 2269617 BPJS 3
P 2389217 BPJS 1
P 2604100 BPJS 3
P 2603299 BPJS 3
P 2600569 BPJS 3
L 2601446 BPJS 3
P 2601348 BPJS 3
L 2593281 BPJS 1
L 2597637 BPJS 3
P 2604344 TUNAI
P 2604445 BPJS 3
P 2604451 BPJS 2
L 2604448 BPJS 1
P 2604451 BPJS 3
P 2370531 Bpjs 2
P 2604434 PBI
L 2583470 BPJS 3
L 2604428 bpjs 3
L 2599237 BPJS 1
L 2604479 BPJS 1
L 2589146
L 2595634 BPJS 3
L 2603985 BPJS 1
L 2566847 BPJS 3
L 2596949 BPJS 2
L 2573689 bpjs
P 2586283 BPJS 3
L 2604455 BPJS 1
L 2604431 BPJS 1
P 1836762 BPJS 3
L 2605038 BPJS 3
P 2561325 BPJS Kls 1
P 2599797 BPJS 3
P 2600936 BPJS 3
L 2594319 BPJS 1
L P 2594231 BPJS 1
L 2596090 BPJS 3
P 2602961 BPJS 3
L 2604219 BPJS 1
L 2504037 BPJS 3
P 2598267 BPJS 3
L 2605341 umum. rcna bpjs
L 1813508 BPJS
L 2586615 BPJS 3
P 2582939 BPJS 3
P 2418528 BPJS 1
L 2584690 BPJS 3
L 2603824 BPJS 3
L 2420573 BPJS 3
L 2605238
L 2603560 BPJS 3
P 2605657 BPJS 1
P 2353592 BPJS 3
L 2571052 BPJS 3
L 2597637 BPJS 3
P 2605149 BPJS 3
L 2069610 BPJS 1
P 2586989 BPJS 3
P 572340 BPJS 3
P 2597026 BPJS 1
P 2605391 BPJS 3
P 2597934 BPJS 1
P 2600012 BPJS 3
P 2253230 BPJS 3
P 2515458 BPJS 3
L 2605389 BPJS 1
L 2605992 BPJS 3
L 2602967 BPJS 3
L 20344 BPJS 3
L 2606109 BPJS 3
L 2606079 BPJS 3
P 2605138 BPJS 1
P 205544 BPJS 1
L 2605094 BPJS 1
L 2605883 BPJS 3
P 2606071 BPJS 3
L P 2606084 bpjs 3
P 2603761 BPJS 3
P 2599398 BPJS 3
L 2606086 BPJS 3
L 2606138 BPJS 1
P 2601134 BPJS 3
L 2602943 BPJS 3
L 665961 BPJS 3
L 2571579 BPJS 3
%TASE
#REF!
#REF!
#REF!
#REF!
#REF!
#DIV/0!
#DIV/0!
#REF!
#DIV/0!
#DIV/0!
#REF!
#REF!
#REF!
#REF!
DIAGNOSA MASUK
CKB, Fraktur OS frontal, open fraktur OS genue dan patella

POD II, Kista Endometriosis bilateral, post histerektopi, laparaskopy kistektomi
post insisi drainase dan kestraksi gigi, ekxplorasi abses leher ec multiple abses leher, post bc, dm type 2
Tumor Testis post Radical orchidectomy kiri, metastasis tumor paru dengan cap
konstipasi kronik ec obstruksi massa intra abdomen, ca serviks 3b/sedang
Penkes, e.c Proses Intracranial, CVD Hemoragik, HT
cvd,penurunan kesadaran
Post laparatomy HTSOB Adhesiolisis, Histerektomi total, Salpingektomi bilateral
DM tipe 2, CVD iskemik, Hipoglikemi,hiponateri,TB on OAT
TB PARU, curiga meningitis
kanker paru kiri T4N3M1a, post BCT BNA
post lobektomie, thorakotomi, BC
tumor mediastinum suoerior, BE terinfeksi pada bekas TB, post BC
SNNT, Post Imolobectomy
HAP, NSTEMI, Ima tipe 2, CKD on HD
Please
POST SC dd PEB
Sepsis, gangren pedis sinistra, aki dd/ acute on CKD
CKS, Terduga TB, CAP
SDH akut DX+contusio cerebri. Post craniotomy
post insisi drainase ,sternotomi, exraksi gigi, dan trakeostomi
post laparatomy, apendiktomi
Post aff DJ stent, PCNL, RIRS kanan, insersi UK kanan, HT
Post laparatomi eksplorasi, repair gaster, jejunostomy feeding

Obstruksi usus mekanik on colostomy, post op laparatpmi tutup stoma
DM, TB PARU, SUSP. SOL, POST COVID
MASA PARU KIRI, POST OP TORAKOTOMI
angiofibroma nasofaring juvenile, post intranasal antromi, eksisi lesi hidung, spenoidektomi
POST BC+TBNA, TUMOR MEDIASTINUM
Post Laparatomy Stoma e.c Ca Colon Adhesiolisis reseksi anastomoshys
Post Sternotomy
post laparatomi reverse hertman dengan ileustomi
Post Clasic radikal mastectomy Dx & VC e.c Ca Mammae
POST LAPAROTOMY EKSPLORASI DRAINASE ABSES PANKREAS E.C PANKREATITIS NEKROTIKANS.
POST COVID 19, CKD
Post Kraniatomy dekompresi + eksplorasi tumor post orbittotomi orbita ec SOL Cerebri frontal bilateral ekstensi intra orbita
sinistra
TB paru putus obat
Ca Ovarium residif C56/ Malignant Neoplasm Post Laparatomy tumor debulking
Pasca laparotomi
NOK susp. MalignaVC, staging
post E.C NOK
laparatomi susp
SOS, VCmaligna
Tumor maxilla sinistra pasca hemimaksilektomi dan rekonstruksi dengan plate screw dan flap
post sistoskopi + Re-TURBT
pasca trakeostomi, biopsi nasofaring dan biopsi kelenjar getah bening leher H0 ec unknown primary tumor
Post SC + Histerektomi
post laparatomi eksplorasi repair diagfragma
Retensio urin ec BPH post TURP
Adhesiolisis Appendiktomy ,Adhesi Inestial AUB-M ec Suspek CA Endometrium
craniotomy
syok hipovolemik, Dispepsia
Post CABG , HT dgn HHD , DM
post laparatomy eksplorasi debulking masa tumor damage control perdarahan, GIST sigmoid residif, CHF
Sarcoma Uteri Residif C55, Malignant Neoplasm of uterus, Part unspesified
tumor paru kiri, post bc
post BC
post tutup stoma denga TB USUS
Terduga kanker paru kanan, TB paru klinis HIV (-) dalam pengobatan OAT bulan ke-3, Hepatitis B, DM tipe 2, ISK
Ca paru kanan, obstruksi jalan nafas utama post BC ridig debulking
CVD hemoragic, HT emergency
syok sepsis, penkes ec metabolik,hiponatremi hipokalemia
GCT Proximal tibia sinistra, Post bypas a. poplitea-a. tibialis anterior dengan SVG Sinistra
NSTEMI Inferior, HT Emergency, CKD on HD 2x seminggu
POST OP LAPARATOMI EKSPLORASI CBD, IKTERIK OBSTRUKSI EC BATU CBD, HT
POST LOBECTOMI LOBUS INFERIOR DEXTRA PERTORAKOTOMI POD 0
Post laparatomy ekspolorasi, histerektomi total, adhesiolisis, salpingectomy bilateral, appendictomy, omentectomy, DJ stent
sARCOMA DINDING ABDOMEN EKSISI TUMOR
Post reverse Hartman POD 0
Post Biopsi, Tumor Mandibula, Post BC
MASA PARU KANAN ATAS POST op thorakotomi
Post laparatpmy eksplorasi, adesiolisis, HTSOB VC, insersi UK bilateral
Batu kaliks inferior ginjal kanan. DJ stent bilateral insitu
Laparatomy eksplorasi adeno ca colon
Adenocarsinoma paru kiri T4N3M1b post BC, Pleuroskopi
Obstruks usus mekanik ec terduga massa vektus sigmoid, anemia gravis.
Hidronegrosis kiri on Nefrostomi kiri, tumor ginjal, sepsis, DM, Hipoalbumin.
TB paru kasus berat on OAT, DM Tipe 2, Gawat napas berat
Poat Hernia scrotalis dextra strangulata non vital ileum, CHF, CAD
CVD Iskemik, DM tipe 2, penkes, CAP
post Sc disterektomy total, saltingektomy bilateral (G5P3A1 H38 minggu BSC 1x dengan placenta perkreta)
Post ORIF PFMA ec fraktur femur
Post BC + Cryobiopsi
Post uretrosistoskopi + koagulasi perdarahan. Retensi urine e.c BPH dengan prostatitis
CAP. N-Stemi, riwayat penurunan kesadaran
Aneurisma Aorta Abdomen post EVAR
Post sleeve lobektomi lobus superior paru kanan
Susp. Ca Rectosigmoid curiga metastase ke ovarium post hartman procedure dan HTSOB.
TB Paru Klinis Kasus Baru OAT hari pertama, Terduga Tumpar, CAP
Post BC + Cryobiopsi
Post TVH + Batu Ureter
Post BC + TBLB ec metastasis tumpar, post eksisi biopsi ec limfadenopati leher
POST MEDIASTINOSTOMI
Asidosis metabolik, CHF cc CAD, DM2
BULAN: DESEMBER 2022
TGL MASUK RS TGL MASUK IPI JAM MASUK IPI BED TGL KELUAR/ HARI RAWAT DI
MENINGGAL IPI
30/11/22y 30/11/22y 00.30 1 10/12 10

21/11/22y 24/11/22y 14.50 2 04/12/2022 10
30/11/22y 30/11/22y 17.15 5 04/12/2022 4
20/11/22y 28/11/22y 11.15 6 2/12/2022 4
24/11/22y 26/11/22y 17.00 7 18/12/2022 22
8/11/22y 8/11/22y 19.30 8 4/12/22y 26
13/11/22y 14/11/22y 00.00 9 1/12/2022 17
30/11/22y 30/11/22y 16:15 10 1/12/2022 1
29/11/22y 30/11/22y 23:45 11 3/12/22y 3
19/11/22y 19/11/22y 23.00 12 7/12/22y 18
30/11/22y 1/12/22y 15.10 10 2/12/22y 1
17/11/22y 1/12/22y 17.20 9 4/12/22y 3
23/11/22y 1/12/22y 12.45 4 2/12/22y 1
1/12/22y 1 3 2/12/22y 1
2/12/22y 3/12/22y 02.00 3 5/12/2022 2
2/12/22y 2/12/22y 18.05 10 3/12/22y 1
3/12/22y 3/12/22y 23.00 4 4/12/22y 1
4/12/22y 4/12/22y 05.00 11 6/12/22y 2
3/12/22y 4/12/22y 13.45 9 ON #VALUE!
3/12/22y 4/12/22y 13.45 6 7/12/22y 3
3/12/22y 4/12/22y 21.10 5 20/12/22y 16
3/12/22y 5/12/22y 11.20 2 8/12/22y 3
4/12/22y 5/12/22y 14.20 8 6/12/22y 1
3/12/22y 5/12/22y 16.40 3 ON #VALUE!

3/12/22y 5/12/22y 14.30 4 6/12/22y 1
4/12/22y 5/12/22y 17.00 10 14/12/22y 9
5/12/22y 6/12/22y 11.40 11 7/12/22y 1
6/12/22y 13.00 4 7/12/22y 1
28/11/22y 7/12/22y 14.20 12 8/12/22y 1
6/12/22y 7/12/22y 15.00 6 12/12/22y 5
6/12/22y 7/12/22y 13.30 8 8/12/22y 1
7/12/22y 8/12/22y 14.10 8 10/12/22y 2
7/12/22y 8/12/22y 18.10 2 13/12/22y 5
8/12/22y 8/12/22y 14.30 4 13/12/22y 5
3/12/22y 8/12/22y 22.00 11 21/12/22y 13
24/11/22y 9/12/22y 15.30 12 13/12/22y 4
10/12/22y 11/12/22y 11.00 1 13-12-2022 2
9/12/22y 12/12/22y 14.30 6 12/13/2022 1
12/12/22y 13/12/22y 12.30 8 14-12-2022 1
12/12/22y 13/12/22y 13.00 6 14-12-2022 1
12/12/22y 13/12/22y 13.55 1 14-12-2022 1
9/12/22y 13/12/22y 14.45 11 14-12-2022 1
8/12/22y 13/12/22y 17.00 12 14-12-2022 1
13/12/22y 14/12/22y 12.41 6 15/12/2022 1
11/12/22y 14/12/22y 13.00 10 15-12-22 1
10/12/22y 14/12/22y 15.00 8 15-12-2022 1
13/12/22y 14/12/22y 14.00 1 15/12/22y 1
14/12/22y 15/12/22y 03.30 11 16/12/2022
19.12.22 jam 1
10/12/22y 13/12/22y 23.00 2 19.20 wib 6
13/12/22y 15/12/22y 13.30 11 20/12/2022 5
14/12/22y 15/12/22y 15.30 1 19/12/2022 4

14/12/22y 15/12/22y 14.10 10 16/12/2022 1
15/12/22y 16/12/22y 15.00 6 17/12/2022 1
19/12/22y 19/12/22y 13.30 10 20/12/2022 1
19/12/22y 19/12/22y 13.40 8
13/12/22y 17/12/22y 24.00 10 18/12/2022 1
17/12/22y 18/12/22y 13.00 7 21/12/2022 3
19/12/22y 20/12/22y 00.30 6
19/12/22y 20/12/22y 01.30 1 21/12/2022 1
19/12/22y 20/12/22y 20.50 8 22/12 2
20/12/2022 21/12/2022 06.00 10 24/12/2022 3
12/12/22y 21/12/22y 12.30 2 22/12/2022 1
20/12/22y 21/12/22y 15.30 5 22/12/2022 1
18/12/2022 21/12/22y 16.05 1 23/12/2022 3
20/12/22y 21/12/22y 16.00 7 22/12/2022 1
21/12/22y 22/12/22y 12.30 5 23/12/2022 1
22/12/22y 22/12/22y 13.45 8 223/12/2022 1
22/12/22y 22/12/22y 15.45 4 23/12/2022 1
18/12/22y 22/12/22y 15.05 7 23/12/2022 1
19/12/22y 23/12/22y 11.20 12 24/12/2022 1
22/12/22y 23/12/22y 13.45 4 25/12/2022 2
17/12/22y 23/12/22y 11.30 5 24/12/2022 1
23/12/22y 23/12/22y 03.45 7 1
5/12/22y 23/12/22y 01.04 2 2
24/12/22y 24/12/22y 16.00 12
25/12/22y 26/12/22y 09.10 5
24/12/22y 24/12/22y 16.45 10
26/12/22y 26/12/22 13.05 4 1
26/12/22y 26/12/22y 13..30 2
25/12/22y 26/12/22y 15.30 11 1
22/12/22y 26/12/22y 16.30 12 1
24/12/22y 24/12/2022 10.00 1 3
23-12-22 27/12/22y 15.45 11
25/12/22y 27/12/22y 15.30 4 1
26/12/22y 27/12/22y 17.35 12
24/12/22y 27/12/22y 22.10 2
27/12/22y 28/12/22y 14.40 5 29/12/2022
28/12/22y 29/12/22y 15.15 5
29/12/22y 30/12/22y 12.00 6
30/12/22y 30/12/22y 15.00 12
30/12/22y 30/12/22y 22.10 11
R 2022
ASAL PINDAH/
RUJUKAN/OPER RUANGAN ASAL MENINGGAL/DI RUANGAN
PINDAH
ASI RUJUK/ PULANG
IGD IGD MENINGGAL ---

- Anggrek lt 3 PINDAH kebidanan 3
OK CITO IGD PINDAH Bedah kelas
IBS Mawar bawah MENINGGAL --
- Cempaka atas MENINGGAL ---
IGD IGD PINDAH CEMPAKA BAWAH
IGD IGD PINDAH DAHLIA ATAS
IBS mawar atas PINDAH MAWAR ATAS
IGD IGD PINDAH SOKA BAWAH
IGD IGD MENINGGAL
IBS cempaka Bawah PINDAH CEMPAKA BAWAH
IBS soka bawah PINDAH Soka bawah
IBS Dahlia Atas PINDAH DAHLIA ATAS
IBS Mawar Atas PINDAH mawar atas
IGD IGD PINDAH DAHLIA ATAS
OK IGD IGD PINDAH ANAK ATAS
OK IGD IGD PINDAH RICU
IGD/ RS HARUM IGD MENINGGAL ---
IGD IGD ON
OK CITO IGD MENINGGAL
OK CITO IGD MENINGGAL ---
IBS bougenvile atas PINDAH bougenvile atas
IBS Cempaka atas PINDAH Cempaka atas
IBS bougenvil bawah ON

IBS SOKA BAWAH PINDAH SOKA BAWAH
RICU RICU MENINGGAL ---
IBS BEDAH KELAS PINDAH Bedah Kelas
Bougenville Bawah PINDAH
IBS MAWAR ATAS PINDAH Mawar Atas
IBS cempaka Bawah PINDAH Bedah Kelas
IBS Bedah Kelas PINDAH Bedah Kelas
IBS mawar atas PINDAH Mawar Atas
IBS Cempaka Atas PINDAH Cempaka Atas
IBS Mawar bawah PINDAH Mawar Bawah
RICU RICU MENINGGAL ---
IBS Dahlia Atas PINDAH Cempaka Atas
IGD IGD MENINGGAL ---
IBS Mawar Atas PINDAH Mawar Atas
IBS ANGGREK LAT.3 PINDAH ANGGREK LAT.3
IBS ANGGREK LAT.3 PINDAH anggrek lt 3
IBS CEMPAKA BAWAH PINDAH cempaka bawah
IBS Mawar Bawah PINDAH Mawar Bawah
IBS BEDAH KELAS PINDAH BEDAH KELAS
IBS ANGGREK LT 3 PINDAH Kebidanan 3
IBS Mawar Bawah PINDAH Mawar Bawah
IBS Cempaka Atas PINDAH cempaka bawah
IBS Kebidanan 3 PINDAH Kebidanan 3
IBS igd PINDAH BOUGENVIL ATAS
--- dahlia bawah PINDAH CEMPAKA ATAS
IBS Cempaka Atas PINDAH WK LT 3
IBS Dahlia atas PINDAH BEDAH KELAS

IBS Mawar Atas PINDAH Mawar Atas
IBS cempaka atas PINDAH CEMPAKA ATAS
IBS cempaka bawah PINDAH Cempaka Bawah
IBS anggrek
--- CEMPAKA BAWAH MENINGGAL ---
OK CITO IGD PINDAH CEMPAKA BAWAH
IGD IGD
--- IGD PINDAH DAHLIA ATAS
IBS Angrek lantai 1 PINDAH ANGGREK LAT.1
IGD --- PINDAH WK LAT.3
IBS DAHLIA ATAS PINDAH BEDAH KELAS
IBS MAWAR ATAS PINDAH MAWAR ATAS
IBS ANGGREK LAT 3 PINDAH ANGGREK LT 3
IBS CEMPAKA BAWAH PINDAH CEMPAKA BAWAH
IBS Mawar Bawah PINDAH MAWAR BAWAH
IBS Anggrek Lt 1
IBS MAWAR BAWAH PINDAH MAWAR BAWAH
IBS KEBIDANAN 3 PINDAH KEBIDANAN 3
IBS Anggrek Lt 1 PINDAH BEDAH KELAS
IBS Anggrek Lt. 1 PINDAH BEDAH KELAS
IBS WK lt 3 PINDAH MAWAR ATAS
IGD IGD
Dahlia Bawah DAHLIA BAWAH
IGD IGD
OK CITO PINDAH CEMPAKA ATAS
IGD
IBS Anggrek Lt. 3 PINDAH KEBIDANAN 3
IBS Mawar bawah PINDAH MAWAR BAWAH
IBS Mawar Atas PINDAH MAWAR ATAS
IBS AnggrekLt. 4 PINDAH BEDAH KELAS
IGD IGD
cathlab Cempaka Atas
OK IBS Cempaka Atas
OK IBS Cempaka Bawah Kelas 3
IGD (Resus) IGD (Resus)
IBS mawar bawah Pindah Mawar bawah
IBS Anggrek lt 3
IBS Cempaka Bawah
IBS DAHLIA BAWAH
IGD IGD
NAMA POLA NAFAS TGL INTUBASI ASAL/TEMPAT
SAAT MASUK IPI INTUBASI
TN. ROBI HABIL Ventilator 29/11/2022 IGD

NY. KRISTINA NK 24/11/2022
30/11/22 ICU
TN. SAPRUDIN Ventilator Nasotracheal OK CITO
TN. SATRIYOWIBOWO NK 28/11/2022 ICU
NY. PIPIT TARMILAH NRM 28/11/2022 ICU
TN. SADERI Ventilator 8/11/2022 IGD
NY. SARINI Ventilator 20/11/22y IBS
NY. SRI WAGIARTI NK --- ---
NY. ROTIFAH NK --- ---
NY. ANDAYANI NRM 20/11/2022 ICU
NY. DA'AYAH NK --- ---
TN. FAMOUR RECONSILIASI Ventilator 1/12/22 IBS
NY. SUDARMI NK --- ---
TN. FOO IGNATIUS FEERY NK --- ---
TN. AS'ARI NK --- ---
AN. YOVHA FARHANA Room air --- ---
NY. ASMIRANDAH S. NK --- ---
NY. SUKAESIH Ventilator 03/12/2022 RS HARUM
TN. ADE NARTO NK 7/12/2022 ICU
NY. ANDRIANI Ventilator 4/12/22 OK CITO
NY. ENIS Ventilator 4/12/22 OK CITO (TT)
AN. JUVITA PUTRI Ventilator 5/12/22 IBS
TN. DJUNAEDI NK --- ---
TN. DION BONARDO Ventilator 5/12/2022 IBS

TN. SURUNG MARADONGAN Ventilator 5/12/2022 IBS
TN. JODI PURNOMO Ventilator 2/12/2022 RS PON
TN. BUDI PUTRO NK --- ---
AN. MUHAMMAD FAIZ NK --- ---
TN. EVAN JANITRA NRM --- ---
NY. DAME FRANSISKA Ventilator 7/12/2022 ICU
TN. ZAINUL ARIFIN SM --- ---
TN. DEDY SUPRIADI Ventilator 8/12/22 IBS
NY. LASMAWATI SILALAHI Ventilator 08/12/2022 IBS
TN. ANASTASIUS RIYANTO Ventilator 08/12/2022 IBS
TN. DENI ROHENDI Ventilator 03/12/2022 RICU
NY. MAEMUNAH Ventilator 9/12/22 IBS
TN. NURDIN ANSHORI NK 12/12/2022 ICU
NY. DIAH GITA MARTINI Ventilator 12/12/2022 IBS
NY. HALIJAH Ventilator 13/12/2022 IBS
NY. ROHAYA --- --- ---
TN. ALI RAMDAN Ventilator 13/12/2022 IBS
TN. UDIN SUNARDHI --- --- ---
TN. EDY YUSUF Ventilator 13/12/2022 IBS
NY DEWI LARASATI Ventilator 14/12/2022 IBS
TN. DR. IDONG SETYO SM --- ---
TN. R MULATO PRASETYO NK --- ---
NY. ARYANA Ventilator 14/12/22 IBS
AN. M ARSYAFI RAFKA NK --- ---
TN. RUSLAN NK --- ---
TN SUKARDJO Ventilator 15/12/2022 IBS
NY. NAJUAH Ventilator 15/12/2022 IBS

NY. Y SRI MUWARTI Ventilator 15/12/2022 IBS
TN. MULYADI NK --- ---
Tn. A wilanda NK --- ---
Tn. Hari Mahardhika NK --- ---
TN. BAGUS TRI ATMOJO Ventilator 18/12/2022 ICU
TN. JO HENG TJANG Ventilator 18/12/22 OK CITO
NK --- ---
NY. TASIJAH NK --- ---
Tn. M. Nur Fathul khair Ventilator 20/12/2022 IBS
TN. AS'ARI NRM --- ---
TN. TITANIA HERDA BUDI Ventilator 21/12/2022 IBS
TN SUSILO NK ----- ----
Ny. Fera Yunita VENTILATOR 21/12/2022 IBS
NY SITI AISYAH NK ----- ----
NY. Azalia Shelly NK ----- ----
NY ENOH VENTILATOR
NY IKA VENTILATOR 22/12/2022 IBS
NY JURIYAH VENTILATOR 22/12/22 IBS
Ny. Nurjanah NK --- ---
Ny. Chatrine Ardiaanz VENTILATOR 23/12/2022 IBS
Tn Marudut NK --- ---
Tn. NGADIN NK 23/12/2022
Tn. SUGEN NK 23/12/2022
Tn. Zaky VENTILATOR 24/12/2022 IGD
Tn. Wiwi Muhamad NK
Tn. Yaiman VENTILATOR 24/12/2022 ICU
Ny. Triyana NK
Ny. warisah NK
NK
NK
Ny. aris anita ventiLATOR 24/12/2022 IGD
NY. MILA SARI Ventilator 27/12/2022 OK IBS

Ventilator 27/12/2022 OK IBS
Ventilator 26/12/2022 IGD
Tn. Daud ventilator 28/12/2022 IBS
Ny Anah Rum NK
Ventilator 29/12/2022 IBS
TN. NURDIN BASYAH VENTILATOR 30/12/2022 IBS
TN. AKRIL OPTIFLOW ---
TINDAKAN (CEK LIST)
TGL EXTUBASI HFNC/

RE INTUBASI CVC CDL HD
OPTIFLOW
10/12/2022 Femoralis dekstra

12/12/2022 (TT) Subklavia sinistra
30/12/22 Subklavia sinistra
--- Subclavia sinistra
--- Perifer
25/11/2022 (TT) Jugularis sinistra
--- perifer TAKA
02/12/2022 jugularis dextra
--- Perifer
--- Perifer
--- Perifer
--- Perifer
--- perfer
ON Jugularis sinistra
7/12/22y Subclavia dextra
--- Perifer
jugularis sinistra dan
??? femuralis sinistra
Subklavia dekstra
14/12/22y (RS PON)
--- SUBKLAVIA KIRI
--- Femoralis Sinistra
---
8/12/2022 Jugularis Dextra
--- Subclavia Dextra
09/12/2022 jugularis sinistra
12/12/2022 Jugular Dekstra
11/12/2022 Jugular Dekstra
15/12/2022 (TT) Jugularis Sinistra
10/12/2022 Femoralis Dekstra
12/12/2022 ---
subclavia sinistra
--- subclavia dextra
jugularis dextra
--- ---
femoralis dexstra
15/12/2022 JUGULARIS DEXTRA
--- JUGULARIS DEXTRA
15/12/22y Jugularis sinistra
--- femoral dekstra
--- jugularis
Jugularis dekstra
dextra,
16/12/2022 Jugularis sisnistra

---
--- ---
--- jugularis sinistra
18/12/2022 ---
20/12/2022 ---
---
--- ---
20/12/2022 Subclavia dextra
--- Jugularis Dextra
22/12 Jugularis Sinistra
----- Subclavia dextra
----- -----
----- Jugularis Dextra
jugularis sinistra
--- ---
--- ---

Jugularis Dextra
24/12/2022 Jugularis dextra
Jugularis dextra
---
---
---
jugfularis kanan
Jugularis sinistra
Jugularis sinistra
Subclavia Sinistra
Subclavia Sinistra
---
Jugularis Dekstra
FEMORALIS DEXTRA
::
IST)
TINDAKAN LAIN JIKA ADA ( SEBUTKAN)

CRRT ECHO ICON
3/12/22;
10/12/22 ETT, NGT, CVC, DC
IV line taki, DC, NGT
3/12/22 ETT, DC, NT, Perifer, CVC
DC, Infus Perifer Taka
DC, NGT, stoma
ETT, NGT, CVC, DC
ett,ngt,DC, TRAKEOSTOMY (21/11/22)
CVC, DC
DC,NGT.Infus perifer taka- taki
NGT, IV line, DC
IV line
NGT, IV line, DC, Drain barovac, arteri line,
IVFD perifer ta-ka
IVFD
IVFD perifer ta-ki, DC,
Perifer Taki, drain vakum
CDL Jugularis dextra,
Cimino Tangan kanan
IVFD Perifer taka
DC, IV line
IV line, NGT, DC
iV Line, NGT, DC
cvc, ngt, dc, ett
CVC, DC, TT WSD
CVC, DC, NGT, Iv line, Drain
IV Line taka taki, DC, UK
8/12/22;
15/12/22 Arteri line, DC, Drain abdomen, NGT, WSD
6/12/22; NGT, DC, Drain abdomen kiri
7/12/22 NGT, DC
NGT, DC
DC, NK, CVC, Perifer, Tampoin di hidung
NRM, PERIFER.
ETT CVC, D/C, NGT, Drain Abdomen
WSD Redax, SM, D/C, NGT
ETT, NGT, DC, DRAIN, STOMA, EPIDURAL
9/12/22 Arteri line, Ett, Ngt, DC, IV line
8/12/22 ETT, NGT, DC, iv line, drain, Epidural
Ett, Ngt, DC, CDL, Cimino
ETT, DC, NGT, DRAIN, IV line
DC, NGT, PERIFER
NGT, DC, Drain
ETT, NGT, DC, VEMPLON
NGT, DC
ETT, NGT, DC
DC, IV LINE
TRAKESOTOMY,
ETT , DC 3 - WAYNGT,
, CVCDC
, DRAIN ABDOMEN
KANAN , IV LINE TAKA + TAKI
CVC , DRAIN ABDOMEN Kiri , IV LINE TAKA + TAKI
CVC, DC 3 way
CVC,NGT,DC,IV line ,Drain
14/12/22; dc,ivfd, cvp, drain kepala
15/12/22
16/12/22, CVP, DC
18/12/22 ETT, NGT, DC, WSD, ARTERI LINE, ABP
16/12/22 CVC,NGT,DC,Drain di abdomen kanan

NGT, DC, CVC
DC
perifer
CVC, DC , NGT,
IV LINE PERIFER, ETT, NHGT,DC
IV LINE PERIFER, ETT, NGT, DC
IV LINE PERIFER, NGT, DC
IV LINE PERIFER, NGT, DC
ETT,ARTERI,NGT,DC,DRAIN VACUM,IV LINE
IVFD,DC
ETT, NGT, DC, CVC, Drain di abdomen dextra, IV Li
NGT, DC,CVC,WSD
DC ,DRAIN VAKUM , IUFD
IV LINE, DRAIN, DC, NGT
CVC,Drain abdomen,NGT,DC
ETT, NGT, DC, CVC, IV Line
ETT,NGT,DC,WSD
ETT, NGT, CVC, IV LINE,
IV line, DC, NGT
ETT, CVC, NGT, DC
IV line, WSD
IV LINE
IV LINE
DC, NGT
DC, NGT, CVC
NGT,DC,CVC
DC three way
ETT, CVC, NGT, DC
ETT, NGT, DC, WSD Redax, CVC

ETT,NGT,DC,CVC
ETT, NGT, DC, CVC
ETT on tracheostomie
DC No 24 Treway , IV Line taki + taka , epidural
ETT, DC, NGT, CVC, Iv line
ETT, DC, NGT, CVC, Iv line
DC, IV LINE
dr. Ernita, Sp.An.KIC

dr. Ernita, Sp.An KIC dr. Zakia, Sp.OBG
dr. Ernita Sp. An-KIC dr. Addys Sp. BM
dr. Navy, Sp. An. Kic dr. Andar, Sp. U
der ernita span kic dr widi spbd
dr.Navy Sp.AN (KIC) dr.Ahswin Sp.S
dr navy spAnKIC dr. Aswin, Sp.S
dr. Navy, SP. An. Kic dr.
dr. Zakia,
Dwi Sp,Sp.
drOG
efriadi
dr. Navy Sp. an. (KIC) Sp.P
dr thoriq span kic dr dicky spp
dr navy spAnKIC dr Tina reisa Sp.P
dr. Navy Sp. an. (KIC) dr agung Sp BTKV
dr Navy dr. Mia Sp.P Sp.B
dr.rahmawati
dr.Ernita (ONK)
dr. Ernita dr. Eppy, Sp. PD
dr. Navy, SP. An. Kic dr. Mia Sp.P
dr. Ernita dr. Oni SpOG
dr. Thariq Sp.An.KIC dr. Ade Putri Sp.PD
dr. Navy Sp. an. (KIC) Dr. Agung SP.BS
dr. Navy Sp. an. (KIC) Dr. Agung SP.BS
dr. Arfan sp.bm dr. yulvina sp.tht
dr. Ernita Sp. An-KIC dr ni made rika sp.BA
dr. Navy Sp. An. (KIC) dr. Doddy Sp. U
dr rika spBA, dr agung
dr ernita spANKIC Sp.BTKV
dr. Ernita Sp. An-KIC dr. Wahyu Sri SpBD
dr. Navy Sp. An. (KIC) dr. Galoeh SpP
dr. Thariq Sp.An.KIC dr. arman sp. btkv
dr. ernita Sp. An-KIC dr. Yulvina Sp. tht
dr. Thariq Sp.An.KIC DR. ARUM,SP.P
dr. Navy, SP. An. Kic dr. Widi, Sp.B(K)BD
dr. Navy, Sp.An.KIC dr.

dr. Seno Sp.B(K)BD
Rahmawati,
dr. Ernita, Sp. An.KIC Sp.B.ONK
dr. Prawira WIdi, Sp.
dr. Ernita, Sp. An.KIC B.KBD
dr. Thariq Sp.An.KIC dr. Mia Sp.P
dr. Thariq Sp.An.KIC dr. Chandra Sp. BS
dr. Ernita, Sp. An.KIC dr. Faiza sp.p
dr. Navy Sp.An-KIC dr. Anindita SpOG
dr. Navy Sp.An-KIC dr. Ony Sp.OG
dr. Navy Sp.An-KIC dr. anindita.
PERMATA Sp.OG
SARI, Sp.BP-
dr. Ernita, Sp. An.KIC RE(K)
dr. Thariq Sp.An.KIC dr. Andika, Sp.U
dr. Thariq Sp.An.KIC dr.
Sp UDoddy Sp. THT
, dr Arman Sp
dr Navy Sp An KIC BTKV
dr Navy Sp An KIC Dr. Seno spbd
dr. Navy Sp.An-KIC dr. Andhika Sp.U
dr. Ernita, Sp. An.KIC dr. Ony Sp.OG
dr Navy Sp.An DR. Chandra,SP.B
dr ernita Sp.An dr.
dr. Ade, P. Sp.PD
Prakoso Sp.An, dr.
dr. Thariq Sp.An.KIC Susan Sp.BTKV
dr. wahyu sri Sp.BD

dr. ernita Sp.An-KIC (K), dr. Ony Sp.OG
dr. Navy SpAn. KIC dr. Tri SpOG
dr. Navy SpAn. KIC Dr. Tina Sp.P
dr navy Span KIC dr. Fahmi, Sp.P
dr. Navy span KIC dr widi SpBD
dr. Navy SpAn. KIC dr. Mia Sp.P
dr. Navy sp.an kic dr. Mia Sp.P
dr. Ernita Sp. An KIC dr. Leni sp. N
dr. Ernita Sp. An KIC Dr. Anindita
dr. eri Sp.PD
S.Bp, dr. sigit
dr. Navy Sp.An-Kic Sp.OT
dr. Navy Sp.An-Kic dr.Yassir,Sp.PD
dr. Ernita, Sp.An KIC dr. Seno, Sp.B(K)BD
dr ernita Sp.An DR AGUNG SPBTKV
DR NAVY SPAN KIC DR WIDI SPBD
dr. Navy SpAn. KIC Raber: dr. Seno SpBKBD
dr Navy SpAn.KIC dr Seno SpBKBD
Dr. Navy Span KIC dr. Arfan, Sp.BM
DR ERNITA SP.AN KIC DR SUSAN BTKV
DR. NAVY,SP.AN DR. TRI.A, SP.OG
dr. thariq dr. Doddy Sp.THT
dr. Ernita Sp. An KIC dr. Seno, Sp.B(K)BD
dr. Ernita Sp.An dr. Fahmi Sp.P
DR. ERNITA,SP.AN
DR. ERNITA, SP.AN
dr. Thariq, Sp. An-KIC
dr. ernita sp.an kic dr. Seno SpBD
DR. NAVY,SP.AN dr Arfan,dr Yasmina
dr. thariq Span KIC dr. Fahmi Sp.P
dr. thariq Span KIC dr. Andika SPU
dr. ernita sp.an kic dr. arfan, Sp. P, dr. yasmina, sp. jp
dr. Ernita, Sp.An KIC dr. Agung, Sp.BTKV

dr,Thoriq sp, An (KIC) dr, Widi sp, BD
dr. Ernita, Sp.An KIC dr. Fatiyah Sp. P
dr ernita dr.milaSPp
dr ernita Sp An KIC dr Lucky Sp OG , dr Tri Sp OG , dr Andika Sp U
dr. navy Sp. An-KIC dr. Fahmi Sp. P
DR. THARIQ SP.AN KIC DR. SUSAN SP.BTKV
DR. THARIQ SP.AN KIC dr. Imy sp.jp

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Bulan : Juni 2022 ::

JENIS KELAMIN TINDAKAN (CEK LIST)

dr. Dwi Sp.S

dr. Arman Sp. BTKV

dr. Yasir Sp.PD

JENIS KELAMIN TINDAKAN (CEK LIST)

ETT, DC, NGT, DRAIN,

dr. Chandra Sp. BS

dr Koko Sp. BTKV

dr. Arman Sp. BTKV

dr. Iqra Sp. OG

Dr. Mia Elhidsi,Sp.P

Dr. Ali, Sp.OT

dr. Ony Sp. OG

dr. Adep. Sp.PD

Dr. yassir sp.pd

Dr. yassir sp.pd

dr. Sigit SpOT

Dr. Wahyu Sriningsih, Sp.B.KBD

dr. wael oemar al jaidi. Sp.OG

dr. Oni Khonsa Sp. OG

dr. Yulvina sp. tht

dr. Perwira Widi, Sp.B.KBD

dr. Chandra Sp.BS

dr. Seno Budi, Sp.BD

dr. wahyu sp.B.KBD, Dr. Tri Apriliawan,Sp.OG

dr. wahyu sri, Sp.BD, dr. oni, sp. K, dr. Andar, Sp U

dr. wahyusri sp.bd. dr. Andika sp.U

dr. ali sp. ot

dr. Prawira Widianto SpBD

dr. Dicky SpP

dr. Susan SpBTKV

dr. Dicky SpP

dr. Ervin, spTHT

dr. Reyhan SpS , dr Nana Spjp

dr. Seno Budi, Sp.BD

dr. ONI KHONSA, Sp.OG(K)-Onk

dr. YULVINA, Sp.THT-KL(K)

Dr. Syafiq,Sp.PD, Dr.Tan

Dr. Irwan, Sp, JP

dr. nugroho, sp. U

dr. aninditha sp, pd

Dr. Tan,Sp.S dan Dr. Ichsan,Sp.PD

dr. Doddy SpTHT

dr. Saad Sp. A

Dr. Tri Apriliawan, Sp.OG

dr. SENO BUDI SANTOSO, Sp.B-KBD

dr. Saad Sp. A

dr. Agung BTKV

drWael Uemar AlJaidy SpOG

dr Agungs SpBS, dr Deasy SpTHT

dr. andika SpU

dr. Widi Sp.B (K)BD

dr. Doddy Sp.U

dr. Wahyu Sri Sp.B(K)BD

dr. Oni sp.og

dr. doddy sp.THT

dr. Ali sp.ot

dr hayatun Nufus SPPD

dr. Botefilia Sp.OG

dr. Iqro SpOG

dr. Eppy sp.pd

dr. Wahyu Sp. B (K) BD