9.1.2.1 Bukti Evaluasi Perilaku Petugas

PEMERINTAH KABUPATEN GARUT DINAS KESEHATAN KABUPATEN GARUT

UPT PUSKESMAS MALANGBONG Jalan Alun-alun Timur No. 5 Keama!an Malan"#on" Garu! Tl$. %&'(') *'+&, Email  $u/0e/ma/1malan"#on"23a4oo.om BUKTI EVALUASI PERILAKU PETUGAS

NO

TANGGAL

1

11 Juli 20 2017

UNIT PELAYANAN PENDAFTARAN/ REKAM MEDIK

HASIL EVALUASI

PETUGAS YANG MEMONITOR

1. Me! Me!"# "#" " #"$i #"$ie e %e&" '"(")

4elu( $e(u" #e-u&"$

Ti( Mu-u

2. Me* Me*+* +*+, +," " i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie

Y"

Ti( Mu-u

4elu( $e(u" #e-u&"$

Ti( Mu-u

4elu( $e(u" #e-u&"$

Ti( Mu-u

EVALUASI

. Me( Me(e' e'i, i," " i+'("$i !"&  el"$ ,e#"%" #"$ie 3. Meu Meuli li$, $," " i%e-i-"$ #"$ie $e*"'" le&,"#

TINDAK LANJUT Pe-u&"$ "i (el"!"i #"$ie %e&" 5 S 6$e!u( $"l"( $"#" $+#" %" $"-u8 Me(#e'-")"," Me(#e'-")"," ,u"li-"$ #el"!""

Pe-u&"$ )"'u$ (e(e'i," i+'("$i !"& el"$ ,e#"%" #"$ie

Pe-u&"$ )"'u$ (euli$," i%e-i-"$ #"$ie $e*"'" le&,"# $e$u"i SOP

2

1 Juli 2017

PELAYANAN PEMERIKSAAN UMUM

1. Me*u*i -"&" (e(","i $"u $eelu( %" $e$u%") (e(e'i,$" #"$ie

4elu( $e(u" #e-u&"$

Ti( Mu-u

Pe-u&"$ )"'u$ (el",u," ;TPS $eelu( %" $e$u%") (e(e'i,$" #"$ie

2. Me!"#" #"$ie %e&" '"(")

4elu( $e(u" #e-u&"$

Ti( Mu-u

Pe-u&"$ "i (el"!"i #"$ie %e&" 5 S 6$e!u( $"l"( $"#" $+#" %" $"-u8

. Me*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie

4elu( $e(u" #e-u&"$

Ti( Mu-u

Pe-u&"$ )"'u$ (e*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie

4elu( $e(u" #e-u&"$

Ti( Mu-u

Pe-u&"$ )"'u$ (e&i$i ""(e$" $e*"'" le&,"# $e$u"i SOP

4elu( $e(u" #e-u&"$

Ti( Mu-u

Pe-u&"$ )"'u$ (el",u," #e(e'i,$"" i$i, %" 9i-"l $e$u"i SOP

Y"

Ti( Mu-u

Me(#e'-")"," ,u"li-"$ #el"!""

3. Mel",u," ""(e$" $e$u"i SOP 5. Mel",u," #e(e'i,$"" i$i, %" 9i-"l $e$u"i SOP :. Me(u"%i"&+$" $e$u"i )"$il ""(e$" %" #e(e'i,$"" 7. Me(e'i,"

%i"&+$"

Y"

Ti( Mu-u

Me(#e'-")"," ,u"li-"$ #el"!""

4elu( $e(u" #e-u&"$

Ti( Mu-u

Pe-u&"$ )"'u$ (e&i$i 'e,"( (e%i, $e*"'" le&,"#

1. Me*u*i -"&" (e(","i $"u $eelu( %" $e$u%") (e(e'i,$" #"$ie

Y"

Ti( Mu-u

Me(#e'-")"," ,u"li-"$ #el"!""

2. Me!"#" #"$ie %e&" '"(")

4elu( $e(u" #e-u&"$

Ti( Mu-u

. Me*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie

4elu( $e(u" #e-u&"$

Ti( Mu-u

4elu( $e(u" #e-u&"$

Ti( Mu-u

<. Me&i$i 'e,"( (e%i, $e*"'" le&,"#



12 Juli 2017

PELAYANAN KESEHATAN GIGI DAN MULUT

3. Mel",u," ""(e$" $e$u"i SOP

Pe-u&"$ "i (el"!"i #"$ie %e&" 5 S 6$e!u( $"l"( $"#" $+#" %" $"-u8 Pe-u&"$ )"'u$ (e*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie

Pe-u&"$ )"'u$ (e&i$i ""(e$" $e*"'" le&,"# $e$u"i SOP

#e(e'i,$"" i$i, %" 9i-"l $e$u"i SOP :. Me(u"%i"&+$" $e$u"i )"$il ""(e$" %" #e(e'i,$"" 7. Me(e'i," -)e'"#i/ -i%"," $e$u"i %i"&+$" <. Me(e'i," #eel"$" ,e#"%" #"$ie $eelu( (el",u," -i%"," =. Me&&u","  APD $e*"'" le&,"# #"%" ",-u (el",u," -i%"," (e%i$ 10. Mel",u," #'i$i#>#'i$i# #e*e&")" ie,$i %e&" *"'" $-e'ili$"$i

4elu( $e(u" #e-u&"$

Y"

Y"

4elu( $e(u" #e-u&"$

4elu( $e(u" #e-u&"$

4elu( $e(u" #e-u&"$

Ti( Mu-u

Ti( Mu-u

Ti( Mu-u

#e(e'i,$"" i$i, %" 9i-"l $e$u"i SOP

Me(#e'-")"," ,u"li-"$ #el"!""

Me(#e'-")"," ,u"li-"$ #el"!""

Ti( Mu-u

Pe-u&"$ )"'u$ (e(e'i," #eel"$" ,e#"%" #"$ie $eelu( (el",u", -i%","

Ti( Mu-u

Pe-u&"$ )"'u$ (e&&u"," APD $e*"'" le&,"# #"%" ",-u (el",u," -i%"," (e%i$

Ti( Mu-u

Pe-u&"$ )"'u$ (el",u," #'i$i#>#'i$i# #e*e&")" ie,$i %e&" *"'" $-e'ili$"$i "l"- %" *"'" e,e'"

e,e'" 11. Ti%", (el",u," 'e*"##i& $e-el") (el",u," -i%"," #e!u-i,"

3

17 Juli 2017

PELAYANAN GA?AT DARURAT

4elu( $e(u" #e-u&"$

Ti( Mu-u

1. Me*u*i -"&" (e(","i $"u $eelu( %" $e$u%") (e(e'i,$" #"$ie

4elu( $e(u" #e-u&"$

Ti( Mu-u

2. Me!"#" #"$ie %e&" '"(")

4elu( $e(u" #e-u&"$

Ti( Mu-u

. Me*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie

4elu( $e(u" #e-u&"$

Ti( Mu-u

3. Mel",u," ""(e$" $e$u"i SOP 5. Mel",u,"

4elu( $e(u" #e-u&"$

Ti( Mu-u

Pe-u&"$ -i%", (el",u," 'e*"##i& $e-el") (el",u," -i%"," #e!u-i,"

Pe-u&"$ )"'u$ (el",u," ;TPS $eelu( %" $e$u%") (e(e'i,$" #"$ie

Pe-u&"$ "i (el"!"i #"$ie %e&" 5 S 6$e!u( $"l"( $"#" $+#" %" $"-u8 Pe-u&"$ )"'u$ (e*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie

Pe-u&"$ )"'u$ (e&i$i ""(e$" $e*"'" le&,"# $e$u"i SOP

%" 9i-"l $e$u"i SOP :. Me(u"%i"&+$" $e$u"i )"$il ""(e$" %" #e(e'i,$"" 7. Me(e'i," -)e'"#i/ -i%"," $e$u"i %i"&+$" <. Me(e'i," #eel"$" ,e#"%" #"$ie $eelu( (el",u," -i%"," =. Me&&u","  APD $e*"'" le&,"# #"%" ",-u (el",u," -i%"," (e%i$ 10. Mel",u," #'i$i#>#'i$i# #e*e&")" ie,$i %e&" *"'" $-e'ili$"$i "l"- %" *"'"

#e-u&"$

Y"

Y"

4elu( $e(u" #e-u&"$

4elu( $e(u" #e-u&"$

4elu( $e(u" #e-u&"$

$e$u"i SOP

Ti( Mu-u

Ti( Mu-u

Me(#e'-")"," ,u"li-"$ #el"!""

Me(#e'-")"," ,u"li-"$ #el"!""

Ti( Mu-u

Pe-u&"$ )"'u$ (e(e'i," #eel"$" ,e#"%" #"$ie $eelu( (el",u", -i%","

Ti( Mu-u

Pe-u&"$ )"'u$ (e&&u"," APD $e*"'" le&,"# #"%" ",-u (el",u," -i%"," (e%i$

Ti( Mu-u

Pe-u&"$ )"'u$ (el",u," #'i$i#>#'i$i# #e*e&")" ie,$i %e&" *"'" $-e'ili$"$i "l"- %" *"'" e,e'"

11. Ti%", (el",u," 'e*"##i& $e-el") (el",u," -i%"," #e!u-i,"

5

10 Juli 2017

PELAYANAN KIA> K4 YANG 4ERSIFAT UKP

4elu( $e(u" #e-u&"$

Ti( Mu-u

1. Me*u*i -"&" (e(","i $"u $eelu( %" $e$u%") (e(e'i,$" #"$ie

Y"

Ti( Mu-u

2. Me!"#" #"$ie %e&" '"(")

4elu( $e(u" #e-u&"$

Ti( Mu-u

. Me*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie

4elu( $e(u" #e-u&"$

Ti( Mu-u

3. Mel",u," ""(e$" $e$u"i SOP 5. Mel",u," #e(e'i,$"" i$i,

4elu( $e(u" #e-u&"$

Ti( Mu-u

4elu( $e(u"

Ti( Mu-u

Pe-u&"$ -i%", (el",u," 'e*"##i& $e-el") (el",u," -i%"," #e!u-i,"

Me(#e'-")"," ,u"li-"$ #el"!""

Pe-u&"$ "i (el"!"i #"$ie %e&" 5 S 6$e!u( $"l"( $"#" $+#" %" $"-u8 Pe-u&"$ )"'u$ (e*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie

Pe-u&"$ )"'u$ (e&i$i ""(e$" $e*"'" le&,"# $e$u"i SOP Pe-u&"$ )"'u$ (el",u," #e(e'i,$"" i$i, %" 9i-"l

SOP :. Me(u"%i"&+$" $e$u"i )"$il ""(e$" %" #e(e'i,$"" 7. Me(e'i," -)e'"#i/ -i%"," $e$u"i %i"&+$" <. Me(e'i," #eel"$" ,e#"%" #"$ie $eelu( (el",u," -i%"," =. Me&&u","  APD $e*"'" le&,"# #"%" ",-u (el",u," -i%"," (e%i$ 10. Mel",u," #'i$i#>#'i$i# #e*e&")" ie,$i %e&" *"'" $-e'ili$"$i "l"- %" *"'" e,e'"

Y"

Y"

4elu( $e(u" #e-u&"$

4elu( $e(u" #e-u&"$

4elu( $e(u" #e-u&"$

Ti( Mu-u

Ti( Mu-u

Me(#e'-")"," ,u"li-"$ #el"!""

Me(#e'-")"," ,u"li-"$ #el"!""

Ti( Mu-u

Pe-u&"$ )"'u$ (e(e'i," #eel"$" ,e#"%" #"$ie $eelu( (el",u", -i%","

Ti( Mu-u

Pe-u&"$ )"'u$ (e&&u"," APD $e*"'" le&,"# #"%" ",-u (el",u," -i%"," (e%i$

Ti( Mu-u

Pe-u&"$ )"'u$ (el",u," #'i$i#>#'i$i# #e*e&")" ie,$i %e&" *"'" $-e'ili$"$i "l"- %" *"'" e,e'"

11. Ti%", (el",u," 'e*"##i& $e-el") (el",u," -i%"," #e!u-i,"

:

1< Juli 2017

RA?AT INAP

4elu( $e(u" #e-u&"$

Ti( Mu-u

1. Me*u*i -"&" (e(","i $"u $eelu( %" $e$u%") (e(e'i,$" #"$ie

Y"

Ti( Mu-u

2. Me!"#" #"$ie %e&" '"(")

4elu( $e(u" #e-u&"$

Ti( Mu-u

. Me*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie

4elu( $e(u" #e-u&"$

Ti( Mu-u

4elu( $e(u" #e-u&"$

Ti( Mu-u

4elu( $e(u"

Ti( Mu-u

3. Mel",u," ""(e$" $e$u"i SOP

5. Mel",u," #e(e'i,$"" i$i,

'e*"##i& $e-el") (el",u," -i%"," #e!u-i,"

Me(#e'-")"," ,u"li-"$ #el"!""

Pe-u&"$ "i (el"!"i #"$ie %e&" 5 S 6$e!u( $"l"( $"#" $+#" %" $"-u8 Pe-u&"$ )"'u$ (e*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie Pe-u&"$ )"'u$ (e&i$i ""(e$" $e*"'" le&,"# $e$u"i SOP

Pe-u&"$ )"'u$ (el",u," #e(e'i,$"" i$i, %" 9i-"l

SOP :. Me(u"%i"&+$" $e$u"i )"$il ""(e$" %" #e(e'i,$"" 7. Me(e'i," -)e'"#i/ -i%"," $e$u"i %i"&+$" <. Me(e'i," #eel"$" ,e#"%" #"$ie $eelu( (el",u," -i%"," =. Me&&u","  APD $e*"'" le&,"# #"%" ",-u (el",u," -i%"," (e%i$

10. Mel",u," #'i$i#>#'i$i# #e*e&")" ie,$i %e&" *"'" $-e'ili$"$i "l"- %" *"'"

Y"

Y"

4elu( $e(u" #e-u&"$

4elu( $e(u" #e-u&"$

4elu( $e(u" #e-u&"$

Ti( Mu-u

Ti( Mu-u

Me(#e'-")"," ,u"li-"$ #el"!""

Me(#e'-")"," ,u"li-"$ #el"!""

Ti( Mu-u

Pe-u&"$ )"'u$ (e(e'i," #eel"$" ,e#"%" #"$ie $eelu( (el",u", -i%","

Ti( Mu-u

Pe-u&"$ )"'u$ (e&&u"," APD $e*"'" le&,"# #"%" ",-u (el",u," -i%"," (e%i$

Ti( Mu-u

Pe-u&"$ )"'u$ (el",u," #'i$i#>#'i$i# #e*e&")" ie,$i %e&" *"'" $-e'ili$"$i "l"- %" *"'" e,e'"

11. Ti%", (el",u," 'e*"##i& $e-el") (el",u," -i%"," #e!u-i,"

7

13 Juli 2017

PELAYANAN FARMASI

1. Me!"#" #"$ie %e&" '"(")

2. Me*+**+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie . Meuli$," e-i,e+"- !"& "," %ie'i," ,e#"%" #"$ie $e*"'" le&,"#

3. Me(e'i," #eel"$" ,e#"%" #"$ie $eelu( (e!e'"),"

Pe-u&"$ -i%", (el",u," 'e*"##i& $e-el") (el",u," -i%"," #e!u-i,"

4elu( $e(u" #e-u&"$

Ti( Mu-u

4elu( $e(u" #e-u&"$

Ti( Mu-u

Pe-u&"$ "i (el"!"i #"$ie %e&" 5 S 6$e!u( $"l"( $"#" $+#" %" $"-u8

4elu( $e(u" #e-u&"$

Ti( Mu-u

Pe-u&"$ )"'u$ (e*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie

Y"

Ti( Mu-u

Me(#e'-")"," ,u"li-"$ #el"!""

4elu( $e(u" #e-u&"$

Ti( Mu-u

Pe-u&"$ )"'u$ (e(e'i," #eel"$" ,e#"%" #"$ie $eelu( (e!e'")," +"-

<

15 Juli 2017

PELAYANAN LA4ORATORIUM

1. Me*u*i -"&" (e(","i $"u $eelu( %" $e$u%") (e(e'i,$" #"$ie 2. Me*+*+," i%e-i-"$ #"$ie #"%" ",-u (el"!"i #"$ie . Me(e'i," #eel"$" ,e#"%" #"$ie $eelu( (el",u," -i%"," 3. Me&&u","  APD $e*"'" le&,"# #"%" ",-u (el",u," -i%"," (e%i$ 5. Mel",u," #'i$i#>#'i$i# #e*e&")"

Y"

Ti( Mu-u

Me(#e'-")"," ,u"li-"$ #el"!""

4elu( $e(u" #e-u&"$

Ti( Mu-u

Pe-u&"$ )"'u$ (e*+*+," i%e-i-"$ #"$ie

Y"

Ti( Mu-u

4elu( $e(u" #e-u&"$

Ti( Mu-u

4elu( $e(u" #e-u&"$

Ti( Mu-u

Me(#e'-")"," ,u"li-"$ #el"!""

Pe-u&"$ )"'u$ (e&&u"," APD $e*"'" le&,"# #"%" ",-u (el",u," -i%"," (e%i$ Pe-u&"$ )"'u$ (el",u," #'i$i#>#'i$i# #e*e&")" ie,$i %e&" *"'" $-e'ili$"$i "l"- %" *"'" e,e'"

"l"- %" *"'" e,e'" :. Ti%", (el",u," -i%"," 'e*"##i& $e-el") -i%"," #e!u-i,"

Me&e-")ui Ke#"l" UPT Pu$,e$("$ M"l"&+&

%'. H. H"%i H"'$++ NIP 1=:10=201=<=01005

4elu( $e(u" #e-u&"$

Ti( Mu-u Pe-u&"$ -i%", (el",u," 'e*"##i& $e-el") (el",u," -i%"," #e!u-i,"

M"l"&+& 25 Juli 2017 Ke-u" PMKP

%'&. Di" Vi*,-+'i" L+," NIP 1=73020=200122002