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JADWAL OPERASI

Ruang Operasi : Unit Pelayanan Bedah Terpadu

Jadwal Operasi Tanggal: 19 September 2022 Export Excel

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Urut Jam Ruang Pasien Prioritas Ruang Jenis Diagnosa & Tindakan ICD IX & TIM Anest Alat Tgl Pemeriksaan Hasil Catatan
Operasi Rawat Rencana Swab Swab

1 08:00 OK 01 RINI SUKANTI Normal/elektif Ruang Obgin Diagnosa : Laparotomi Debulking UMUM -- 2022- SARS CoV-2 Negatif Sedia: PRC
MRN: 461-41-29 Rawat : - Ca Endometrium Surgeon : Kartiwa Hadi Nuryanto, 09-14 Real Time PCR 500cc + FFP
Lahir: 13 Juni 1972 Ruang suspek stadium dr., Sp.OG(K) 15:54:36 500cc
Umur: 50Y / 3M / 6D 205 (Pre IIIC2 High risk Surgeon : Tofan Widya Utami, Dr., Tempat: OK
Kelamin: Perempuan dan Post dr., Sp.OG(K) 8 Jam
Asal Pasien: Bedah - Obgyn Operasi Anesthesiologist : Ratna Farida, Dr., pertama
20/02/22) dr., Sp.An-KAKV
/ 205 C Rencana Tindakan : DPJP 1: dr.
Scrub Nurse : Fitri Puspasari, AMK
- Laparotomi Kartiwa Hadi
Anesthesiologist Assistant : Anisa
Rencana Debulking Olata Nuryanto,
Ruang Circulating Nurse : Erna Sari, AMK SpOG(K)
Rawat Circulating Nurse : Nurhikmah Puji DPJP 2: Dr.
Astuti, STr.Kep dr. Tofan
(Pre) :
Anesthetist Nurse : Djadjang Widya
Bedah -
Sutardi, Skep Ners Utami,
Obgyn
Recovery Nurse Room : Bani
SpOG(K)
Anantasari
Rencana
Ruang
Rawat
(Post) :
Bedah -
Obgyn

2 13:00 OK 01 MUHAMMAD Normal/elektif Ruang Bedah - Diagnosa : Urethroplasty Repair fistula UMUM -- 2022- SARS CoV-2 Negatif Mohon
FATHIR ALVARO Rawat : Divisi - Fistula urethrocutan sampai dengan skin graft 09-13 Real Time PCR untuk
WAHYUDI 703 BCH Bedah urethrokutan retroauricular 16:15:40 dijadwalkan
/ 703 C Anak dengan riwayat Surgeon : Rizky Amaliah, dr., di OK lain
MRN: 462-58-40
Lahir: 20 Desember 2011 hipospadia post SpB(K) Untuk jadwal
Umur: 10Y / 8M / 29D Rencana repair Anesthesiologist : Ratna Farida, Dr., sekitaran di
Kelamin: Laki Ruang dr., Sp.An-KAKV
pukul 13.00
Asal Pasien: Divisi Bedah Rawat Scrub Nurse : Fitri Puspasari, AMK
Anak Anesthesiologist Assistant : Anisa
(Pre) : Rencana Tindakan : Olata
A-
- Urethroplasty Circulating Nurse : Erna Sari, AMK
Bedah
Repair fistula Circulating Nurse : Rachmat
Anak
urethrocutan Solichin, AMK
sampai dengan Anesthetist Nurse : Djadjang
Rencana Sutardi, Skep Ners
skin graft
Ruang Recovery Nurse Room : Muhamad
retroauricular
Rawat Hendrawan, S.Kep,Ners
(Post) :
A-
Bedah
Anak

1 08:00 OK 02 GIBRAN AL Normal/elektif Ruang Bedah - Diagnosa : Repair dan rekonstruksi extrofi kloaka UMUM 2022- SARS CoV-2 Negatif Permohonan
FARIZQI Rawat : Divisi - Repair dan sampai dengan simfisiotomi (Kelly 09-17 Real Time PCR untuk OK
MRN: 460-56-60 701 BCH Bedah rekonstruksi Procedure) Bilateral anterior innominate 19:15:44 Timbal dan
Lahir: 2 November 2017 / 701 A Anak extrofi kloaka osteotomy Pubic approximation and C ARM Join
Umur: 4Y / 10M / 17D fixation using plate and screws Iliac
sampai dengan Operasi
Kelamin: Laki Rencana fixation using external fixator
simfisiotomi (Kelly dengan TS
Asal Pasien: Divisi Bedah application
Ruang Procedure) Ortopedi
Anak Rawat Surgeon : Rizky Amaliah, dr.,
Bilateral anterior
SpB(K)
(Pre) : innominate Surgeon : Aryadi Kurniawan, Dr.,
A-
osteotomy Pubic dr., Sp.OT(K)
Bedah
approximation and Anesthesiologist : Ratna Farida, Dr.,
Anak
fixation using plate dr., Sp.An-KAKV
and screws Iliac Scrub Nurse : Riyanawaty, AMK
Rencana Anesthesiologist Assistant : Anisa
fixation using
Ruang Olata
external fixator
Rawat Circulating Nurse : Firza Tsani, AMK
application
(Post) : Circulating Nurse : Ratna Anggita,
A- S.Tr.Kep
Bedah Anesthetist Nurse : Wahyu Hidayat
Anak Rencana Tindakan : Recovery Nurse Room : Muhamad
- Repair dan Hendrawan, S.Kep,Ners
rekonstruksi
extrofi kloaka
samapi dengan
simfisiotomi (Kelly Circulating Nurse : Sifah Fauziah
Procedure)
Bilateral anterior
innominate
osteotomy Pubic
approximation and
fixation using plate
and screws Iliac
fixation using
external fixator
application

2 16:30 OK 02 SITI KHAIDA Normal/elektif Ruang Bedah - Diagnosa : Pro eksisi tumor sakrokoksigeal UMUM -- 2022- SARS CoV-2 Negatif
SIDKIYAH Rawat : Divisi - Tumor Surgeon : Rizky Amaliah, dr., 07-01 Real Time PCR
MRN: 456-15-25 704 BCH Bedah sacrococcygeal SpB(K) 16:27:43
Lahir: 22 Juni 2021 / 704 D Anak suspek teratoma Anesthesiologist : Ratna Farida, Dr.,
Umur: 1Y / 2M / 27D dr., Sp.An-KAKV
Kelamin: Perempuan Rencana Scrub Nurse : Firza Tsani, AMK
Asal Pasien: Divisi Bedah Ruang Anesthesiologist Assistant : Anisa
Rencana Tindakan :
Anak Rawat Olata
- Pro eksisi tumor
Circulating Nurse : Ratna Anggita,
(Pre) : sakrokoksigeal S.Tr.Kep
A-
Circulating Nurse : Riyanawaty,
Bedah
AMK
Anak
Anesthetist Nurse : Wahyu Hidayat
Recovery Nurse Room : Muhamad
Rencana Hendrawan, S.Kep,Ners
Ruang
Rawat
(Post) :
A-
Bedah Circulating Nurse : Sifah Fauziah
Anak

1 08:00 OK 03 ANITA Urgent Ruang Bedah - Diagnosa : Pro laparoskopi heller miotomi UMUM 2022- SARS CoV-2 Negatif OK 3 jam
MRN: 456-33-46 Rawat : Divisi - Akhalasia Surgeon : Febiansyah Ibrahim, dr., 09-17 Real Time PCR pertama
Lahir: 29 April 1974 Ruang Bedah Esofagus Tipe II SpB-KBD 19:18:34
Umur: 48Y / 4M / 20D 405 / 405 Digestif Anesthesiologist : Jefferson, dr.,
Kelamin: Perempuan B Sp.An-KAKV
Asal Pasien: Divisi Bedah Scrub Nurse : Sarofati Lombu,
Rencana Tindakan :
Digestif Rencana AMK
- Pro laparoskopi
Ruang Anesthesiologist Assistant : Anisa
heller miotomi
Rawat Olata
Circulating Nurse : Sri Handayani
(Pre) :
Circulating Nurse : Ricky Pradita
Instalasi
Rikardi, A.Md.Kep
Pelayanan
Anesthetist Nurse : Valentina YD,
Rawat
S.Kep Ners
Inap
Recovery Nurse Room : Muhamad
Terpadu
Hendrawan, S.Kep,Ners
Gedung
A

Rencana
Ruang Circulating Nurse : Erlis Kurniasari,
Rawat A.Md.Kep
(Post) :
IGD -
Intensive
Care
Unit
(ICU)

2 13:30 OK 03 TUTI ROHAYATI Normal/elektif Ruang Bedah - Diagnosa : Laparoskopi kolesistektomi UMUM 2022- SARS CoV-2 Negatif Mohon
MRN: 462-74-00 Rawat : Divisi - Kolelitiasis Surgeon : Arnetta Naomi Louise 09-16 Real Time PCR penjadwalan
Lahir: 21 Desember 1958 Ruang Bedah multipel Lalisang, SpB, dr., FInaCS 16:22:58 untuk OK 3
Umur: 63Y / 8M / 28D 403 / 403 Digestif simptomatik Anesthesiologist : Jefferson, dr., jam kedua.
Kelamin: Perempuan C Sp.An-KAKV Terima kasih
Asal Pasien: Divisi Bedah Scrub Nurse : Sri Handayani
Digestif Rencana Anesthesiologist Assistant : Anisa
Rencana Tindakan :
Ruang Olata
- Laparoskopi
Rawat Circulating Nurse : Ricky Pradita
kolesistektomi Rikardi, A.Md.Kep
(Pre) :
Circulating Nurse : Sarofati Lombu,
A-
AMK
BEDAH
Anesthetist Nurse : Valentina YD,
S.Kep Ners
Rencana Recovery Nurse Room : Muhamad
Ruang Hendrawan, S.Kep,Ners
Rawat
(Post) :
A-
BEDAH
Circulating Nurse : Erlis Kurniasari,
A.Md.Kep

1 08:00 OK 04 SAINI Normal/elektif Ruang Urologi Diagnosa : Laparoskopi radikal nefrektomi kanan 2022- SARS CoV-2 Negatif mohon
MRN: 459-11-67 Rawat : - - Tumor ginjal Surgeon : Agus Rizal Ardy 09-16 Real Time PCR ketersediaan
Lahir: 12 September 1958 Ruang kanan cT3aN1Mx - Harlandy Hamid, dr., SpU(K), 16:21:51 tower
Umur: 64Y / 0M / 7D 405 / 405 Hipertensi on PhD laparoskopi
Kelamin: Perempuan F Surgical Assistant : Dianita Halimah
Amlodipin - OA untuk ok
Asal Pasien: Bedah - Urologi Harahap
genu bilateral urologi
Rencana Surgical Assistant : Adnan Hasyim
19/6/2022
Ruang Malahela, dr
Rawat Anesthesiologist : Pryambodho, dr.,
Rencana Tindakan : Sp.An-KAR
(Pre) : - Laparoskopi Scrub Nurse : Lies Lidia Sari, A.Mk
A-
radikal nefrektomi Anesthesiologist Assistant : Anisa
BEDAH
kanan Olata
Circulating Nurse : Tri Hapsari
Rencana Irawati, A.Mk
Ruang Anesthetist Nurse : Valentina YD,
Rawat S.Kep Ners
(Post) : Recovery Nurse Room : Muhamad
A- Hendrawan, S.Kep,Ners
BEDAH

2 15:30 OK 04 SUWARDI Normal/elektif Ruang Urologi Diagnosa : Sistoskopi + aff DJ stent kanan REGIONAL -- 2022- SARS CoV-2 Negatif
MRN: 458-96-90 Rawat : - - DJ stent insitu Surgeon : Widi Atmoko, dr., Sp.U 08-27 Real Time PCR
Lahir: 2 September 1970 Ruang kanan - Post URS Surgical Assistant : Dianita Halimah 16:42:13
Umur: 52Y / 0M / 17D 414 evaluasi kanan + Harahap
Kelamin: Laki (KELAS Surgical Assistant : Adnan Hasyim
RIRS lasertripsi
Asal Pasien: Bedah - Urologi 1) / 414 Malahela, dr
kanan + ganti DJ
A Anesthesiologist : Rahendra, dr.,
stent kanan (one
Sp.An-KAR
shot fluoroscopy)
Rencana Scrub Nurse : Abdul Roup, S.Kep ,
(25 Agustus 2022) - Ns.
Ruang
Riwayat URS Anesthesiologist Assistant : <span
Rawat
lasertripsi kanan + style='color:red;'>Kosong</span>
(Pre) :
RPG kanan + Circulating Nurse : Lies Lidia Sari,
A-
insersi Double J A.Mk
BEDAH
stent kanan Circulating Nurse : Fahrina
Anesthetist Nurse : Syafrudin, Skep
Rencana Ners
Ruang Recovery Nurse Room : Muhamad
Rawat Rencana Tindakan : Hendrawan, S.Kep,Ners
(Post) : - Sistoskopi + aff
A- DJ stent kanan
BEDAH

1 08:00 OK 05 RESNA SUTRISNA Normal/elektif Ruang Bedah - Diagnosa : Insersi CDL tunneling IJV dextra 15 FR UMUM 2022- SARS CoV-2 Negatif mohon
MRN: 458-57-10 Rawat : Divisi - CKD stage V on 19 cm 09-17 Real Time PCR dijadwalkan
Lahir: 18 Juni 1971 Ruang Bedah HD via CDL Surgeon : Patrianef, dr., SpB(K)V 19:18:22 di jam
Umur: 51Y / 3M / 1D 508 / 508 Vaskuler temporer subclavia Anesthesiologist : Rahendra, dr., pertama
Kelamin: Perempuan A Sp.An-KAR
sinistra Penurunan
Asal Pasien: Divisi Bedah Scrub Nurse : Virdaningrum, AMK
kesadaran ec
Vaskuler Rencana Anesthesiologist Assistant : Anisa
ensefalopati
Ruang Olata
uremikum Susp
Rawat Circulating Nurse : Wiwin Winarsih,
Intrabdominal AMK
(Pre) : infection dd/ Circulating Nurse : Dian Noviani,
A-
pseudocyst S.Tr.Kep
Bedah
pancreas Kista Anesthetist Nurse : Valentina YD,
Vaskuler
ginjal kanan DM S.Kep Ners
tipe 2 , obese, GD Recovery Nurse Room : Muhamad
Rencana Hendrawan, S.Kep,Ners
Ruang on regulasi insulin
Rawat terkontrol
(Post) : Hipertensi TD
A- belum terkontrol
Bedah Trombositosis Circulating Nurse : Nandang
Vaskuler reaktif Kusnandar, AMK

Rencana Tindakan :
- Insersi CDL
tunneling IJV
dextra 15 FR 19 cm

2 08:00 OK 05 RETNO ERIKA Normal/elektif Ruang Bedah - Diagnosa : Amputasi Above Knee dextra Angiografi UMUM 2022- SARS CoV-2 Negatif mohon
MRN: 463-87-37 Rawat : Divisi - CLTI tungkai angioplasty tungkai dextra 09-16 Real Time PCR didaftarkan
Lahir: 20 Oktober 1966 Ruang Bedah sinistra W1I-Fi1 Surgeon : Dedy Pratama, Dr., dr., 11:03:52 di jam kedua
Umur: 55Y / 10M / 29D 420 / 420 Vaskuler post amputasi SpB(K), SpBV bedah
Kelamin: Perempuan E Anesthesiologist : Rahendra, dr.,
below knee CLTI vaskular di
Asal Pasien: Divisi Bedah Sp.An-KAR
tungkai dextra OK timbal
Vaskuler Rencana Scrub Nurse : Wiwin Winarsih,
W0I2Fi0 DM Tipe 2
Ruang AMK
Rawat Anesthesiologist Assistant : Anisa
Olata
(Pre) : Rencana Tindakan : Circulating Nurse : Virdaningrum,
- Amputasi Above AMK
Rencana Circulating Nurse : Dian Noviani,
Knee dextra
Ruang S.Tr.Kep
Angiografi
Rawat Anesthetist Nurse : Syafrudin, Skep
angioplasty
(Post) : Ners
tungkai dextra
Recovery Nurse Room : Bani
Anantasari

Circulating Nurse : Nandang

Kusnandar, AMK

3 11:00 OK 05 EDY SUGIANTO Normal/elektif Ruang Bedah - Diagnosa : pro biopsi dasar luka, STSG REGIONAL -- 2022- SARS CoV-2 Negatif mohon
MRN: 458-21-43 Rawat : Divisi - raw surface pedis Surgeon : Raden Suhartono, dr., 09-16 Real Time PCR dijadwalkan
Lahir: 9 November 1954 Ruang Bedah dextra SpB(K)V 16:18:58 di jam kedua
Umur: 67Y / 10M / 10D 411 / 411 Vaskuler Anesthesiologist : Rahendra, dr., bedah
Kelamin: Laki D Sp.An-KAR vaskular
Asal Pasien: Divisi Bedah Scrub Nurse : Virdaningrum, AMK
Rencana Tindakan :
Vaskuler Rencana Anesthesiologist Assistant : Anisa
- pro biopsi dasar
Ruang Olata
luka, STSG
Rawat Circulating Nurse : Wiwin Winarsih,
AMK
(Pre) :
Circulating Nurse : Dian Noviani,
S.Tr.Kep
Rencana Anesthetist Nurse : Syafrudin, Skep
Ruang Ners
Rawat Recovery Nurse Room : Berlianti
(Post) :

Circulating Nurse : Nandang

Kusnandar, AMK

4 15:00 OK 05 PITRA Normal/elektif Ruang Bedah - Diagnosa : AVF BC sinistra LOKAL 2022- SARS CoV-2 Negatif mohon
WANDOWO TN Rawat : Divisi - CKD stage V on Surgeon : Raden Suhartono, dr., 09-12 Real Time PCR dijadwalkan
MRN: 452-03-87 Ruang Bedah HD via CDL SpB(K)V 16:54:43 di jam ke-2
Lahir: 28 November 1970 408 / 408 Vaskuler tunneling IJV Scrub Nurse : Wiwin Winarsih,
Umur: 51Y / 9M / 21D F AMK
dextra (selasa dan
Kelamin: Laki jumat) Hipertensi Circulating Nurse : Dian Noviani,
Asal Pasien: Divisi Bedah Rencana S.Tr.Kep
stage II DM tipe II,
Vaskuler Ruang Circulating Nurse : Virdaningrum,
overweight on
Rawat AMK
OAD Hepatitis B Anesthetist Nurse : Syafrudin, Skep
(Pre) : belum pengobatan Ners
A-
Hepatitis C belum Recovery Nurse Room : Muhamad
Bedah
pengobatan Hendrawan, S.Kep,Ners
Vaskuler
Pansitopenia
Rencana Hipoalbuminemia
Ruang (3) Hiponatremia
Rawat (132) Circulating Nurse : Nandang
(Post) : Kusnandar, AMK
A-
Bedah Rencana Tindakan :
Vaskuler - AVF BC sinistra

1 08:00 OK 06 MARIA Normal/elektif Ruang Bedah - Diagnosa : - Isthmolobektomi dex +VC (jika ganas UMUM 2022- SARS CoV-2 Negatif Operasi
NOVARINA Rawat : Divisi - - SMNT bilateral total tiroidektomi) - Paratiroidektomi 09-16 Real Time PCR menggunakan
HUTABARAT Ruang Bedah susp ganas superior bilateral dan inferior dex +VC 16:15:39 OK Timbal
420 / 420 Onkologi T2N1aM0 - (jika ganas paratiroidektomi total) +
MRN: 461-46-48
D periksa hormon PTH intraoperatif -
Lahir: 15 Oktober 1971 Ortopedi Hyperplasia
Limfadenektomi KGB level 6 +VC (jika
Umur: 50Y / 11M / 4D parathyroid
Rencana ganas central neck dissection)
Kelamin: Perempuan superior bilateral
Asal Pasien: Divisi Bedah Ruang Surgeon : I Gusti Ngurah Gunawan
dan inferior kanan
Onkologi Rawat Wibisana, dr., SpB(K)Onk
dd/adenoma, ca Anesthesiologist : Aries Perdana, dr.,
Bedah - Orthopaedi (Pre) : parathyroid - Sp.An-KAKV
A-
Fraktur kompresi Scrub Nurse : Indra, A.Mk
Bedah
V. Cervical 6 ec Anesthesiologist Assistant : Anisa
Tumor
susp. metabolic Olata
bone disease Circulating Nurse : Normalina
Rencana Purba, AMK
Ruang Anesthetist Nurse : Syafrudin, Skep
Rawat Ners
(Post) : Rencana Tindakan : Recovery Nurse Room : Rulli
A- - Stabilisasi v. Wulandari, Amd.Kep
Bedah cervical 6 (ACCF)
Tumor (Joint op TS Stabilisasi v. cervical 6 (ACCF) (Joint op
Orthopaedi) TS Orthopaedi)
Surgeon : Rahyussalim, Dr., dr.,
Sp.OT(K)
Anesthesiologist : Pryambodho, dr.,
Sp.An-KAR
Scrub Nurse : Normalina Purba,
AMK
Anesthesiologist Assistant : Anisa
Olata
Circulating Nurse : Indra, A.Mk
Circulating Nurse : Taswadi, AMK
Anesthetist Nurse : Valentina, dr
Recovery Nurse Room : Muhamad
Hendrawan, S.Kep,Ners

Circulating Nurse : Alfaad

Qalfatahara, A.Mk
Circulating Nurse : Novitasari, AMK

2 18:30 OK 06 TRIANA Normal/elektif Ruang Anesthesi Diagnosa : RFA medial branchdan TDN C2-C3, C3- UMUM 2022- SARS CoV-2 Negatif -
NURINAYAH Rawat : - Cervicogenic C4 09-18 Real Time PCR
MRN: 459-66-72 Ruang headache Anesthesiologist : Pryambodho, dr., 16:43:15
Lahir: 6 Februari 1992 518 / 518 Sp.An-KAR
Umur: 30Y / 7M / 13D E Operator : Pryambodho, dr.,
Kelamin: Perempuan Rencana Tindakan : Sp.An-KAR
Asal Pasien: KSM Rencana Scrub Nurse : Abdul Roup, S.Kep ,
- RFA medial
Anestesiologi dan Terapi Ruang Ns.
branchdan TDN
Intensif Rawat Circulating Nurse : Dessy Purnama
C2-C3, C3-C4 Sari, Amd.Kep
(Pre) :
Anesthetist Nurse : Syafrudin, Skep
Ners
Rencana Recovery Nurse Room : Muhamad
Ruang Hendrawan, S.Kep,Ners
Rawat
(Post) :

1 08:00 OK 07 SUYATMI Normal/elektif Ruang Obgin Diagnosa : Laparotomi VC UMUM -- 2022- SARS CoV-2 Negatif Sedia: PRC
MRN: 461-63-19 Rawat : - NOK Suspek Surgeon : Hariyono Winarto, Dr., 09-14 Real Time PCR 500cc + FFP
Lahir: 8 Juni 1964 Ruang Borderline dr., Sp.OG(K) 15:55:31 500cc
Umur: 58Y / 3M / 11D 205 (Pre Surgeon : Gatot Purwoto, Dr., dr., Tempat OK
Kelamin: Perempuan dan Post Sp.OG(K), M.P.H 7 Jam
Asal Pasien: Bedah - Obgyn Operasi Anesthesiologist : Alfan Mahdi
Rencana Tindakan : pertama
20/02/22) Nugroho, dr., Sp.An.,KAR., KAO
/ 205 F - Laparotomi VC
Scrub Nurse : Imna Kandariyah,
AMK
Rencana Anesthesiologist Assistant : Anisa
Ruang Olata
Rawat Circulating Nurse : Elvira Maya Sari,
AMK
(Pre) :
Circulating Nurse : Herlinah, AMK
Bedah -
Anesthetist Nurse : Sunarni
Obgyn
Recovery Nurse Room : Muhamad
Hendrawan, S.Kep,Ners
Rencana
Ruang
Rawat
(Post) :
Bedah - Circulating Nurse : Eke Christine,
Obgyn AMK

2 12:30 OK 07 OKTAVIANI CIPTA Normal/elektif Ruang Obgin Diagnosa : G3P1A1 hamil 36+3 minggu (USG TM REGIONAL -- 2022- SARS CoV-2 Negatif Tempat OK
DWI PUTRI Rawat : - G3P1A1 hamil 1), JPKTH, ibu dengan anemia mikrositik 09-16 Real Time PCR VII Jam
MRN: 268-15-32 Ruang 36+3 minggu (USG hipokromik ec defisiensi besi (Hb 10.1) 16:16:31 kedua
Lahir: 24 Oktober 1991 210 TM 1), JPKTH, ibu pasca infus venofer, BSC 1x (IDT 2
Umur: 30Y / 10M / 25D (KELAS tahun)
dengan anemia
Kelamin: Perempuan I) Non Surgeon : Mohammad Adya
mikrositik
Asal Pasien: Bedah - Obgyn Bayi / Firmansha Dilmy, dr., SpOG
210 B hipokromik ec
Anesthesiologist : Alfan Mahdi
defisiensi besi (Hb
Nugroho, dr., Sp.An.,KAR., KAO
Rencana 10.1) pasca infus Scrub Nurse : Elvira Maya Sari,
Ruang venofer, BSC 1x AMK
Rawat (IDT 2 tahun) Anesthesiologist Assistant : Anisa
Olata
(Pre) :
Circulating Nurse : Herlinah, AMK
Bedah -
Rencana Tindakan : Circulating Nurse : Elvira Maya Sari,
Obgyn
AMK
- SC+IUD
Anesthetist Nurse : Sunarni
Rencana Recovery Nurse Room : Muhamad
Ruang Hendrawan, S.Kep,Ners
Rawat
(Post) :
Bedah -
Obgyn
Circulating Nurse : Eke Christine,
AMK

1 08:00 OK 08 R HERRY Normal/elektif Ruang Ortopedi Diagnosa : Synovectomy and right TKR UMUM 2022- SARS CoV-2 Negatif OK 8
DJOEHARNINGSIH Rawat : - Synovial Surgeon : Yogi Prabowo, dr., 09-14 Real Time PCR
MRN: 456-80-72 Ruang Chondromatosis of Sp.OT(K) 18:48:15
Lahir: 1 Mei 1961 402 / 402 the right knee - Anesthesiologist : <span
Umur: 61Y / 4M / 18D B style='color:red;'>Kosong</span>
Osteoarthritis of
Kelamin: Perempuan right knee KL III Scrub Nurse : Taswadi, AMK
Asal Pasien: Bedah - Rencana Anesthesiologist Assistant : <span
Orthopaedi Ruang style='color:red;'>Kosong</span>
Rawat Circulating Nurse : Ratna Anggita,
Rencana Tindakan : S.Tr.Kep
(Pre) : - Synovectomy and Anesthetist Nurse : Yunianto, AMK
A-
right TKR Recovery Nurse Room : Muhamad
Bedah LT
Hendrawan, S.Kep,Ners
4

Rencana
Ruang
Rawat Circulating Nurse : Vicktor Radinal
(Post) : Hidayat, AMK
A- Circulating Nurse : Anik Dewi
Bedah LT Susilowati
4

2 13:00 OK 08 FATLURAHMAN Normal/elektif Ruang Ortopedi Diagnosa : Left total hip replacement revision UMUM 2022- SARS CoV-2 Negatif OK lain
MRN: 463-60-99 Rawat : - Aseptic loosening Surgeon : Ismail HD, Prof., Dr., dr., 09-14 Real Time PCR
Lahir: 11 September 1959 Ruang right THR with Sp.OT(K) 18:48:15
Umur: 63Y / 0M / 8D 414 history of Surgical Assistant : Rendi
Kelamin: Laki (KELAS Kurniawan, dr
recurrent
Asal Pasien: Bedah - 1) / 414 Anesthesiologist : Alfan Mahdi
dislocation
Orthopaedi C Nugroho, dr., Sp.An.,KAR., KAO
Scrub Nurse : Taswadi, AMK
Rencana Anesthesiologist Assistant : Anisa
Rencana Tindakan : Olata
Ruang
- Left total hip Circulating Nurse : Ratna Anggita,
Rawat
replacement S.Tr.Kep
(Pre) :
revision Anesthetist Nurse : Sunarni
A-
Recovery Nurse Room : Bani
Bedah LT
Anantasari
4

Rencana
Ruang
Rawat Circulating Nurse : Anik Dewi
(Post) : Susilowati
A- Circulating Nurse : Vicktor Radinal
Bedah LT Hidayat, AMK
4

3 14:30 OK 08 HILMAWATI Normal/elektif Ruang Ortopedi Diagnosa : Left Total HIP Replacement UMUM 2022- SARS CoV-2 Negatif OK lain
NURISMA Rawat : - Secondary OA of Surgeon : Ismail HD, Prof., Dr., dr., 09-14 Real Time PCR
MRN: 462-07-29 Ruang hip due to susp Sp.OT(K) 18:48:15
Lahir: 20 Maret 2001 405 / 405 coxitis TB Surgical Assistant : Andi Rama
Umur: 21Y / 5M / 29D E Sulaiman, dr
Kelamin: Perempuan Anesthesiologist : Alfan Mahdi
Asal Pasien: Bedah - Rencana Nugroho, dr., Sp.An.,KAR., KAO
Rencana Tindakan :
Orthopaedi Ruang Scrub Nurse : Ratna Anggita,
- Left Total HIP
Rawat S.Tr.Kep
Replacement Anesthesiologist Assistant : Anisa
(Pre) :
Olata
A-
Circulating Nurse : Taswadi, AMK
Bedah LT
Anesthetist Nurse : Sunarni
4
Recovery Nurse Room : Bani
Anantasari
Rencana
Ruang
Rawat
(Post) :
A- Circulating Nurse : Vicktor Radinal
Bedah LT Hidayat, AMK
4 Circulating Nurse : Anik Dewi
Susilowati

1 08:00 OK 09 DEDDY PURNAMA Normal/elektif Ruang THT - Diagnosa : - Neck dissection - Vries coupe UMUM 2022- SARS CoV-2 Negatif Diagnosa: -
MRN: 453-62-12 Rawat : Bedah - - Tumor Colli Surgeon : Ika Dewi Mayangsari, 08-25 Real Time PCR Tumor Colli
Lahir: 14 Agustus 1966 Ruang Unknown of Origin dr., Sp.THT-KL(K) 16:53:08 Unknown of
Umur: 56Y / 1M / 5D 709 / 709 kanan - KSS Tonsil Surgical Assistant : Riza Ernaldy, dr Origin kanan
Kelamin: Laki D Surgical Assistant : M. Ade Rahman,
T0N3M0 pasca - KSS Tonsil
Asal Pasien: THT - Bedah dr
kemoterapi T0N3M0
Rencana Surgical Assistant : Amanda
pasca
Ruang Pramudita Kirana, dr
kemoterapi
Rawat Surgical Assistant : Putri Balqis, dr
Rencana Tindakan : Anesthesiologist : Pryambodho, dr., Tindakan: -
(Pre) : - - Neck dissection Sp.An-KAR Neck
A - THT
- Vries coupe Scrub Nurse : Daryati, AMK dissection -
Anesthesiologist Assistant : Anisa Vries coupe
Rencana Olata Tempat: OK
Ruang Circulating Nurse : NOVI PRATIWI, 9/08.00 di
Rawat S.Tr.Kep
rawat dilantai
(Post) : Circulating Nurse : Febri Afik
7GD A
A - THT Kurniawan, AMK
Anesthetist Nurse : Firohmatin,
S.Kep, Ners
Recovery Nurse Room : Bani
Anantasari

Circulating Nurse : Andika Pitro

Herianto, S.Kep.Ners

2 13:30 OK 09 MAMNUAH Normal/elektif Ruang THT - Diagnosa : - Ekstirpasi massa UMUM 2022- SARS CoV-2 Negatif Diagnosis: -
MRN: 462-88-42 Rawat : Bedah - - Papiloma Surgeon : Indra Parmaditya 08-24 Real Time PCR Papiloma
Lahir: 7 Juli 1950 Ruang inverted sinonasal Pamungkas, dr., Sp.THTKL 15:38:36 inverted
Umur: 72Y / 2M / 12D 711 / 711 Surgical Assistant : Riza Ernaldy, dr sinonasal
Kelamin: Perempuan B Surgical Assistant : M. Ade Rahman, Tindakan: -
Asal Pasien: THT - Bedah dr
Rencana Tindakan : Ekstirpasi
Rencana Surgical Assistant : Amanda
- - Ekstirpasi massa massa
Ruang Pramudita Kirana, dr
Tempat: OK
Rawat Surgical Assistant : Putri Balqis, dr
Anesthesiologist : Pryambodho, dr., 9/12.00 di
(Pre) :
Sp.An-KAR rawat dilantai
A - THT
Scrub Nurse : NOVI PRATIWI, 7 GD A
S.Tr.Kep
Rencana Anesthesiologist Assistant : Anisa
Ruang Olata
Rawat Circulating Nurse : Febri Afik
(Post) : Kurniawan, AMK
A - THT Circulating Nurse : Daryati, AMK
Anesthetist Nurse : Firohmatin,
S.Kep, Ners
Recovery Nurse Room : Bani
Anantasari

Circulating Nurse : Andika Pitro

Herianto, S.Kep.Ners

1 08:00 OK 10 NOORMAN TIAS Normal/elektif Ruang Bedah Diagnosa : RE-KRANIOTOMI REMOVAL UMUM 2022- SARS CoV-2 Negatif MOHON
MRN: 462-99-90 Rawat : Saraf - GLIOBLASTOMA TUMOR 09-16 Real Time PCR OK 10 JAM
Lahir: 28 Mei 1986 Ruang MULTIFORME Surgical Assistant : Amal Rizky, dr 16:16:03 PERTAMA
Umur: 36Y / 3M / 21D 511 / 511 WHO GRADE IV Anesthesiologist : Riyadh Firdaus,
Kelamin: Laki F Dr. dr. Sp.An-KNA
INFRATENTORIAL
Asal Pasien: Bedah - Saraf Scrub Nurse : Dhoni Siswanto,Skep
RIWAYAT
Rencana Ners
KRANIOTOMI
Ruang Anesthesiologist Assistant : Anisa
REMOVAL TUMOR
Rawat Olata
Circulating Nurse : Retno Ariyani,
(Pre) :
AMK
Rencana Tindakan : Circulating Nurse : Bewanolo Zega,
Rencana AMK
- RE-KRANIOTOMI
Ruang Anesthetist Nurse : Firohmatin,
REMOVAL TUMOR
Rawat S.Kep, Ners
(Post) : Recovery Nurse Room : Berlianti

2 12:30 OK 10 ULLYANA Normal/elektif Ruang Bedah Diagnosa : KRANIOTOMI REMOVAL TUMOR UMUM 2022- SARS CoV-2 Negatif MOHON
MRN: 461-79-57 Rawat : Saraf - TUMOR SELLA Surgical Assistant : Amal Rizky, dr 09-16 Real Time PCR OK 10 JAM
Lahir: 7 Juli 1975 Ruang CURIGA Anesthesiologist : Riyadh Firdaus, 16:21:49 KEDUA
Umur: 47Y / 2M / 12D 510 / 510 TUBERCULUM Dr. dr. Sp.An-KNA
Kelamin: Perempuan F Scrub Nurse : Bewanolo Zega, AMK
SELLA
Asal Pasien: Bedah - Saraf Anesthesiologist Assistant : Anisa
MENINGIOMA
Rencana Olata
Ruang Circulating Nurse : Retno Ariyani,
Rawat AMK
Rencana Tindakan : Circulating Nurse : Dhoni
(Pre) : - KRANIOTOMI Siswanto,Skep Ners
Bedah -
REMOVAL TUMOR Anesthetist Nurse : Firohmatin,
Saraf
S.Kep, Ners
Recovery Nurse Room : Bani
Rencana Anantasari
Ruang
Rawat
(Post) :
Bedah -
Saraf Circulating Nurse : Firohmatin,
S.Kep, Ners

3 18:30 OK 10 SITI NURAENI Normal/elektif Ruang Bedah Diagnosa : REVISI SHUNT PROXIMAL UMUM -- 2022- SARS CoV-2 Negatif MOHON
MRN: 463-12-91 Rawat : Saraf - MALFUNGSI Surgical Assistant : Yodie Anindya, dr 09-16 Real Time PCR OK LAIN
Lahir: 6 Januari 2020 Ruang SHUNT Anesthesiologist : Riyadh Firdaus, 16:21:35 JAM
Umur: 2Y / 8M / 13D 512 / 512 PROKSIMAL; Dr. dr. Sp.An-KNA PERTAMA
Kelamin: Perempuan B Scrub Nurse : Retno Ariyani, AMK
RIWAYAT VP
Asal Pasien: Bedah - Saraf Anesthesiologist Assistant : Anisa
SHUNT ATAS
Rencana Olata
INDIKASI
Ruang Circulating Nurse : Dhoni
HIDROSEFALUS
Rawat Siswanto,Skep Ners
Circulating Nurse : Bewanolo Zega,
(Pre) :
AMK
Bedah -
Rencana Tindakan : Anesthetist Nurse : Firohmatin,
Saraf
- REVISI SHUNT S.Kep, Ners
PROXIMAL Recovery Nurse Room : Bani
Rencana Anantasari
Ruang
Rawat
(Post) :
Bedah -
Saraf Circulating Nurse : Ikhwan Nurhadi,
AMK

1 08:00 OK 11 STANDY Normal/elektif Ruang Ortopedi Diagnosa : ORIF plate and screw UMUM 2022- SARS CoV-2 Negatif OK 11
MOMONGAN Rawat : - Multiple fracture, Surgeon : S. Bambang Gunawan, 09-17 Real Time PCR
MRN: 458-57-99 Ruang consist of: - Closed dr., SpOT(K) 19:17:57
Lahir: 9 September 1988 412 / 412 fracture of left Surgical Assistant : Raden
Umur: 34Y / 0M / 10D C Handidwiono, dr
proximal humerus
Kelamin: Laki - Closed fracture Anesthesiologist : Andy Omega, dr.,
Asal Pasien: Bedah - Rencana Sp.An
of left shaft femur
Orthopaedi Ruang Scrub Nurse : Dadang Hiswara,
Winquist Hansen
Rawat AMK
III - Closed Anesthesiologist Assistant : Anisa
(Pre) : fracture of right Olata
A-
superior and Circulating Nurse : Bayu Anggoro,
Bedah LT
inferior pubic rami AMK
4
Circulating Nurse : Aman Surahman,
AMK
Rencana Anesthetist Nurse : Effendy, AMK
Ruang Rencana Tindakan :
Recovery Nurse Room : Bani
Rawat - ORIF plate and Anantasari
(Post) : screw
A-
Bedah LT
4
Circulating Nurse : Vicktor Radinal
Hidayat, AMK

2 15:30 OK 11 RAJENDRA I Normal/elektif Ruang Ortopedi Diagnosa : ORIF plate and screw UMUM 2022- SARS CoV-2 Negatif OK 11
BADU RAHMAN Rawat : - Closed pelvic Surgeon : S. Bambang Gunawan, 09-17 Real Time PCR
MRN: 458-58-00 702 BCH fracture Young and dr., SpOT(K) 19:15:55
Lahir: 14 Oktober 2008 / 702 C Burgess vertical Surgical Assistant : Vino Daniel
Umur: 13Y / 11M / 5D shear type, Marvin Malau, dr
Kelamin: Laki Rencana Tile C2, consist of: Anesthesiologist : Andy Omega, dr.,
Asal Pasien: Bedah - Ruang Sp.An
Left superior and
Orthopaedi Rawat Scrub Nurse : Bayu Anggoro, AMK
inferior pubic rami
Anesthesiologist Assistant : Anisa
(Pre) : fracture Right Olata
A-
inferior pubic rami Circulating Nurse : Dadang Hiswara,
Bedah LT
fracture Right SI AMK
4
joint disruption Circulating Nurse : Aman Surahman,
Right acetabular AMK
Rencana Anesthetist Nurse : Effendy, AMK
fracture Bucholz
Ruang Recovery Nurse Room : Bani
shearing type
Rawat Anantasari
(Post) :
A-
Bedah LT Rencana Tindakan :
4 - ORIF plate and
screw Circulating Nurse : Vicktor Radinal
Hidayat, AMK

1 08:00 OK 12 NUNIK PUJI Urgent Ruang Bedah - Diagnosa : Pro Total gastrektomi UMUM 2022- SARS CoV-2 Negatif OK 12 jam
ASTUTIK Rawat : Divisi - Poorly cohesive Surgeon : Yarman Mazni, dr., SpB- 09-14 Real Time PCR pertama
MRN: 462-10-70 Ruang Bedah carcinome corpus- KBD 17:11:23
Lahir: 26 November 1982 402 / 402 Digestif antrum gaster Anesthesiologist : Andy Omega, dr.,
Umur: 39Y / 9M / 23D D Sp.An
cT3N0M0 linitis
Kelamin: Perempuan plastica Scrub Nurse : Nining Hayuni, AMK.
Asal Pasien: Divisi Bedah Rencana Anesthesiologist Assistant : Anisa
Digestif Ruang Olata
Rawat Circulating Nurse : Cahya Merina
Rencana Tindakan : Sianturi, A.Md.Kep
(Pre) : - Pro Total Circulating Nurse : Hadin Sutriyadi
Instalasi
gastrektomi Anesthetist Nurse : Wahyu Hidayat
Pelayanan
Recovery Nurse Room : Bani
Rawat
Anantasari
Inap
Terpadu
Gedung
A

Circulating Nurse : Eka Lestari

Rencana
Ruang
Rawat
(Post) :
IGD -
Intensive
Care
Unit
(ICU)

1 08:00 OK 14 JENIKO YUSRI TN Normal/elektif Ruang THT - Diagnosa : Fistulektomi UMUM -- 2022- SARS CoV-2 Negatif Tidak ada
MRN: 439-20-59 Rawat : Bedah - Fistel preaurikula Surgeon : Dini Widiarni Widodo, 09-14 Real Time PCR
Lahir: 6 Juni 1990 Ruang terinfeksi telinga Dr., dr., Sp.THT-KL(K), M.Epid 17:11:23
Umur: 32Y / 3M / 13D 710 / 710 kanan Surgical Assistant : Mariyah
Kelamin: Laki C Qibtiyyah, dr
Asal Pasien: THT - Bedah Surgical Assistant : Farah Soraya, dr
Rencana Surgical Assistant : Sabrina Ratna
Rencana Tindakan :
Ruang Palupi, dr
- Fistulektomi
Rawat Anesthesiologist : Jane Elvina
Sentosa, dr., Sp.An
(Pre) : - Fistulektomi Scrub Nurse : Silvi Emalia Sari,
A - THT
AMK
Anesthesiologist Assistant : Anisa
Rencana Olata
Ruang Circulating Nurse : Maemunah
Rawat Anesthetist Nurse : Djadjang
(Post) : Sutardi, Skep Ners
A - THT Recovery Nurse Room : Bani
Anantasari

Circulating Nurse : Irma Erviana,

S.Kep, Ners

2 11:30 OK 14 HADRIAN Normal/elektif Ruang THT - Diagnosa : - Aurikuloplasti tahap 2 - Harvesting UMUM -- 2022- SARS CoV-2 Negatif Tidak ada
AMANULLAH Rawat : Bedah - - Microtia grade II iga 09-16 Real Time PCR
MRN: 456-72-82 Ruang telinga kanan Surgeon : Mirta Hediyati 16:19:24
Lahir: 5 Mei 2003 710 / 710 pasca Reksodiputro, Dr., dr., Sp.THT-
Umur: 19Y / 4M / 14D A KL(K)
auriculoplasty
Kelamin: Laki tahap 1 - Atresia Surgical Assistant : Mariyah
Asal Pasien: THT - Bedah Rencana Qibtiyyah, dr
liang telinga kanan
Ruang Surgical Assistant : Farah Soraya, dr
Rawat Surgical Assistant : Sabrina Ratna
Palupi, dr
(Pre) : Rencana Tindakan : Anesthesiologist : Jane Elvina
A - THT
- - Aurikuloplasti Sentosa, dr., Sp.An
tahap 2 - Scrub Nurse : Maemunah
Rencana Anesthesiologist Assistant : Anisa
Harvesting iga
Ruang Olata
Rawat Circulating Nurse : Silvi Emalia Sari,
- THT PLASTIK
(Post) : AMK
REKON -
A - THT Anesthetist Nurse : Djadjang
Rekonstruksi Sutardi, Skep Ners
telinga (Mikrotia) Recovery Nurse Room : Bani
tahap 2 KLS III Anantasari
- THT PLASTIK
REKON -
Harvesting iga KLS
III Circulating Nurse : Irma Erviana,
S.Kep, Ners

1 08:00 OK 15 RINJANI PUTRI Normal/elektif Ruang Bedah - Diagnosa : Dental examination89.31 Dental scaling, UMUM 2022- SARS CoV-2 Negatif ok 15 kamar
MAHARANI Rawat : Divisi - Necrosis of polishing, and debridement96.54 09-16 Real Time PCR rawat pjt
MRN: 458-73-51 Aorta 1 Pedodonti pulpK04.1 Extraction of deciduous tooth23.01 16:17:51
Lahir: 1 Februari 2012 (Kelas II Retained dental Removal of residual root23.11 Root
Umur: 10Y / 7M / 18D Dewasa) canal therapy with irrigation23.71 Root
rootK08.3
Kelamin: Perempuan PJT / canal therapy with apicoectomy
PulpitisK04.0
Asal Pasien: Divisi Pedodonti Aorta 1
Chronic Dental examination 89.31
B
gingivitisK05.1 Dental scaling, polishing, and
Rencana Caries of dentine debridement 96.54
Ruang Extraction of deciduous tooth 23.01
Rawat - K04.1 Necrosis of
pulp Removal of residual root 23.11
(Pre) :
PJT - - K08.3 Retained Root canal therapy with
Ruang dental root irrigation 23.71
Rawat Lt. - K04.0 Pulpitis Root canal therapy with
5 - K05.1 Chronic apicoectomy 23.72
gingivitis
Surgeon : Dian Eka Kusumaryati,
Rencana - K02.1 Caries of drg., Sp.KGA
Ruang dentine Anesthesiologist : Aino Nindya
Rawat Auerkari, dr., Sp.An
(Post) : Rencana Tindakan : Scrub Nurse : Endang Prihartini,
PJT - - Dental AMK
Ruang Anesthesiologist Assistant : Anisa
examination89.31
Rawat Lt. Olata
Dental scaling,
5 Circulating Nurse : Tribowo
polishing, and Kurniawan
debridement96.54 Circulating Nurse : Amar Shidiq,
Extraction of A.Mk
deciduous Anesthetist Nurse : Djadjang
tooth23.01 Sutardi, Skep Ners
Removal of Recovery Nurse Room : Bani
Anantasari
residual root23.11
Root canal therapy
with
irrigation23.71
Root canal therapy Circulating Nurse : Linda
with apicoectomy Purwayuningsih, S.Kep.Ners
Circulating Nurse : Rachmat
Solichin, AMK

2 11:30 OK 15 TASEM Normal/elektif Ruang Ortopedi Diagnosa : Marginal excision UMUM 2022- SARS CoV-2 Negatif OK lain jam
MRN: 462-36-57 Rawat : - Primary soft Surgeon : Wahyu Widodo, dr., 09-16 Real Time PCR pertama
Lahir: 31 Desember 1977 Ruang tissue tumor of the SpOT(K) 16:21:18
Umur: 44Y / 8M / 18D 402 / 402 left palmar susp Surgical Assistant : Febry Prayugo, dr
Kelamin: Perempuan F Anesthesiologist : Aino Nindya
benign dd/ lipoma
Asal Pasien: Bedah - Auerkari, dr., Sp.An
Orthopaedi Rencana Scrub Nurse : Amar Shidiq, A.Mk
Ruang Anesthesiologist Assistant : Anisa
Rencana Tindakan :
Rawat Olata
- Marginal excision Circulating Nurse : Endang
(Pre) :
Prihartini, AMK
A-
Anesthetist Nurse : Djadjang
Bedah LT
Sutardi, Skep Ners
4
Recovery Nurse Room : Bani
Anantasari
Rencana
Ruang
Rawat
(Post) :
A- Circulating Nurse : Rachmat
Bedah LT Solichin, AMK
4 Circulating Nurse : Linda
Purwayuningsih, S.Kep.Ners

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