NON MEDIS NIP/ NPS Jabatan PK 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 Sujiyah 196504161986032003 IRT L L L P P P P P L L P P P P P L L P P P L L L L L P P P P L L

2 SUTIYAH 1963 04021986032004 L L L P P P L P L L P P P P P L L P P P L P L L L P P P P L L
3 Dedi 196205061986031001
POS L L S P M M L L P L S S S S S L M M L L P P L L S L M M L L P
4 Arkamah 196405031986032001
POS L S M M L L L P L P P P P P M M L L P P L P L L M M L L S S S
5 Suprianto NPS145378 PCA P P L L P P P L M M L L S S L L P P L S M M L P L S S S S L M
6 Hendi 196307091986031002
POS M M L L L S S S L L P P M M L L S L S S S L S S L P P L M M L
7 Edi Purwanto 196304171986031002
POS S L L S S S M M L L S S P L P P L S M M L S P L P L L P P P L
8 MasAgung Darojat NPS145374 PCA L L P P P P L P S S M M L L S S L P P P L L M M L L P P P L L
9 Samsuhono 196306101986031003 POS L P L P M M L L S L P P M M L L L P S S M M L L L P P P P S L
10 Risandi Tanhuri 145377 PCA M M L L P P S S M M L L P P P P M M L L S L PS L M M L L S L S
11 Mistriyanto 196503091986031002 POS P L P P P P P P L P P P P P P L P P P P L P L L P P P P P P L
12 Sulimah 196307161986032001 POS S S L S S S S S L S S S S S S L L S S S L S L P L S S S M M L
13 Agung Santoso HCA L L M M L L P P P L M M L L S S S S M M L L L S S S M M L L P
14 Agus HCA L L S S S S M M L L S S S S M M L L P P L L M M L L S S S L M
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A Head Nurse Lt IV Zona A Gedung A Ket P : PAGI S : SORE M : MALAM
L : LIBUR
Dr.dr.Junita Indarti, SpOG (K) Ns. Wahyu KR,Skep. ( Ns Dewi Alfiani, S.Kep ) * : PJ Sore/Malam
NIP : 195906131984112002 NIP : 197002241993032001 NIP: 19810104 200501 2 001 Δ: Code Blue
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : April 2020 Libur : Sepaket dinas malam +
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Harta Mulya, S.Kep 196803031988032001 3 NO P P P L
2 Ns. Dewi Alfiani, S.Kep 198101042005012001 4 CCM P P P L
3 Ns Heru Bhaktirini, S.Kep 196812121991032004 4 IPCN Link P P P L
401
4 Ns Rotua Mesrawati, S.kep 197602201994032001 4 PP P PSM L L
5 Sofya Aswana 196310281985032002 2 PA S S S S
6 Sugestin Nurmalasari, AMK NPS142633 3 PA P M M L
7 Intan Sari, AMK NPS146064 1 PA L P P M
8 Yulinnar Trisnawati, AMK NPS146451 Pra 1 PA M L L S
9 Ike Isna Nurillah, AMK NPS145219 2 PA C12 P P P
10 Dewi Sobariyah, AMK NPS144641 2 PA L P P P
11 Amar Shidiq, AMK NPS143430 3 PA L S S M
12 Irma Suryani, AMK 198808022010122007 3 PA S M M L
13 Vivi Tri Novriyuni, S.Kep, Ners NPS146359 1 PA P M M L
402-403
14 Ns Retno Budiarti, S.Kep 198407272009122001 3 PP P P P L
15 Sumirah, AMK 196601091988032001 3 PA M L L P
16 Linceria AMK 197209261993032001 3 PA M L L P
17 Rudianto Situmorang, S.Kep 197905202005011003 3 PA L P S M
18 Dwi Nurwahyuni AMK 197204161993032001 3 PA P M M L
19 Sifah Fauziah, AMK NPS145309 2 PA M L L S
404-405
20 Lili Heryani, AMK 197106261993032002 3 PP S M L L
21 Elin Nabila, AMK NPS144690 2 PA L P P S
22 Tinton Haryanto, AMK NPS144242 3 PA
23 Turinah AMK 197007101992032001 3 PA M L L C4
24 Sawinah, AMK 197902232000032001 3 PA S S L M
25 Dwita Rusdiyanti, AMK NPS146228 1 PA S S S L
26 Meliyana AMK 198106252005012002 3 PA
013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : April 2020 Libur : Sepaket dinas malam +
418- 419 ( KELAS 1) NIP/ NPS PK Jabatan 1 2 3 4
27 Eni Kuntari, AMK 197511061996032001 3 PP PSM L P L
28 Nurhayati 196803241989012001 3 PA M L L P
29 Nur'ali, AMK 199212162019021000 2 PA
30 Yusniah, AMK NPS143705 3 PA P M M L
31 Lunargi AMK 197912212005011002 3 PA L S S M
32 Nurmaya Camelia, AMK NPS145296 2 PA
33 Mukti Handayani, AMK NPS143641 3 PA P P L P
 420 – 421
34 Siti Khodijah, AMK 196705031988032001 3 PP P P PSM L
35 Sri Andayani AMK 198812132010122005 3 PA P M M L
36 Sri Wahyuni AMK NPS143865 3 PA L P P S
37 Rulli Wulandari, AMK NPS146077 1 PA S S S L
38 Erni Suciapriani.AMK 198904152012122001 2 PA S S L S
39 Ardi Setiawan, AMK 198106212010121001 3 PA L S S M
40 Fitri Cihaya, AMK NPS145667 2 PA L P P P
1 SUTIYAH 1963 04021986032004 P P P L
2 Dedi 196205061986031001 POS S S S L
3 Arkamah 196405031986032001 POS L L P P
5 Suprianto NPS145378 PCA P P M M
6 Hendi 196307091986031002 POS S S S L
7 Edi Purwanto 196304171986031002 POS M M L L
8 MasAgung Darojat NPS145374 PCA P P P S
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

Dr.dr.Junita Indarti, SpOG (K) Ns. Wahyu KR,Skep.

NIP : 195906131984112002 NIP : 197002241993032001

SORE 7 8 7 6
MALAM 6 7 6 6
PAGI 10 11 9 7

1 Sutiyah 196304021986032004 RT M M L L
ket dinas malam + 5
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
L P P P P M L L L P P P P L L P P P P P L
L P P P P L L MODC P P P P P L L P P P P P L
L M L P S L L L P P P P S L L P P P P P L

L P P P P L L L P P P P P L L P P P P S L
L S S M M L L S S S S L S S S M M L L S S
L S S M M L L P P P P S L S S M M L L S S
M L L P P S L S S M M L L P S S S M M L L
S M M L L P L P S S S M M L L P P M M L L
P P L P P L P M M L L P P L P M M L C13 C14 P
L M M L L P S M M L L S S S L M M L C4 C5 C6
M L L P P S S M M L L S S M M L L S S M M
L P P S S L P M M L L P P S L M M L L L P
L P P S S M M L L P P M M L L S S L P P P

PS L P P P L L L P S M L P L L P P P P P L
P S S L P P P L S M M L L P P P P L P P C7
P S S M M L L L P P P P P P L P P S S M M
M L L P P S S S L P P P P L P P P S S M M
L P P S S L P P S M M L L P S S L P P S S
S M M L L P L P P S S M M L L P S S L S S

L P P P P L L L PSM P P P P L L P P P P P L
L S S M M L L P P S S M M L L P P M M L L
DIPERBANTUKAN KE IGD RSCM
P P L S S M M L L P P P P S L P P M M L L
M L P S L S S S L P P P P M M L L P S M M
S M M L L P P M M L L S S L S S S M M L L
CUTI PARTUS C4 C5 P P L

ket dinas malam + 5

5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
L P P P P L L L S M L P P L L P P P P P L
P P P L S M M L L S S M M L L P S S L P P
DIPERBANTUKAN KE IGD RSCM
L C4 C5 M M L L P P S S L P M M L L P S C6 L
M L L S S M M L L S S S S M M L L S S M M
CUTI PARTUS C1
P S S L P C8 C9 C10 P M M L L P P S S L P P P
 L L P P P L L L L P P P P L L S M L P P L
L P P P P M M L L P P S S M M L L L P S S
S M M L L P P S S L P M M L L C5 C6 C7 P P P
S S S M M L C9 L S M M L L S S M M L L S S
S M M L S S S M M L L L L L L C7 C8 C9 C10 M M
M L L P P S S S L M M L L P P P S S S L S
L P P S L M M L L P P S S M M L L M M L L
L P P P P L L L P P P P P L L P P P P P L
P P P P M M L L S P P P P P L P M M L L L
L P S S S L M M L L P P P L P P P P M M L
L L P P P S S L P P M M L L L S S S S S L
M M L L P P L L P S S S S S M M L S S S S
S S S S S L L P M M L S S L S S S L P P M
L S M M L L P S S S S L M M L L P P P P P
an Gedung A Head Nurse Lt IV Zona A Gedung A Ket P : PAGI
L : LIBUR
( Ns Dewi Alfiani, S.Kep ) * : PJ Sore/Malam
41993032001 NIP: 19810104 200501 2 001 Δ: Code Blue

6 7 7 7 8 6 6 6 8 8 7 7 8 6 6 6 7 7 7 7 7
6 7 6 6 6 6 6 6 6 7 7 6 6 6 6 6 7 6 6 6 6
6 11 12 12 13 6 6 6 9 12 13 11 12 6 5 14 11 8 13 11 6

L P S S S L P M M L L P P L S S M M L L L
26 27 28 29 30
L P P P P
L P PSM P P
L P P P P C3

L P P M L C1
L S M M L C4 +1
M M L L P C3 0
S S M M L C5 +2
S S S S L C1 -1
S S L P M C14 0
L P P P M C6 0
L L S S S C2 +1
P L S S M C4 -2
M M L L S C5 0

L P P P P C2
M M L L P C7 -1
L L S S S C4 0
L L P P P C3 0
L P P S M C7 0
M M L L P C6 0

L P P P P C0
P P S S L C4 +1
C1 0
P P S C5 S C5 -1
L L P P P C6 0
S S M M L C0 +1
P P P P P C5 0

26 27 28 29 30
L P P P P C3
P L P P P C3 -1
C0 -3
L S M M L C6 0
L L S S S C12 +1
L C2 C3 C4 C5 C5 0
L P M M L C10 0
 L P P P P C4
S L P P S C4 0
M M L L P C7 0
M M L L S C9 0
L L P S M C10 -1
S S M M L C1 0
P P P P M C6 0
L P P P P
P S S S S
L P P P P
S M M L L
L P P P P
M L C5 S S
L S S M M
S : SORE M : MALAM
L : LIBUR
J Sore/Malam

6 7 7 8 7
6 6 6 7 6
6 13 15 13 13

P M L P P
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Maret 2020 Libur : Sepaket dinas malam +
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Harta Mulya, S.Kep 196803031988032001 3 NO L P P P
2 Ns. Dewi Alfiani, S.Kep 198101042005012001 4 CCM L P P P
3 Ns Heru Bhaktirini, S.Kep 196812121991032004 4 IPCN Link L P S M
401
4 Ns Rotua Mesrawati, S.kep 197602201994032001 4 PP L P P P
5 Sofya Aswana 196310281985032002 2 PA C3 S S S
6 Sugestin Nurmalasari, AMK NPS142633 3 PA M M L L
7 Intan Sari, AMK NPS146064 1 PA L S L P
8 Yulinnar Trisnawati, AMK NPS146451 Pra 1 PA L L S PS
9 Ike Isna Nurillah, AMK NPS145219 2 PA P L P P
10 Rudianto Situmorang, S.Kep 197905202005011003 3 PA P P L P
11 Amar Shidiq, AMK NPS143430 3 PA S L L L
12 Irma Suryani, AMK 198808022010122007 3 PA M M L L
13 Vivi Tri Novriyuni, S.Kep, Ners NPS146359 1 PA L P S S
402-403
14 Ns Retno Budiarti, S.Kep 198407272009122001 3 PP L S M L
15 Sumirah, AMK 196601091988032001 3 PA L S M M
16 Linceria AMK 197209261993032001 3 PA L P P S
17 Dewi Sobariyah, AMK NPS144641 2 PA M M L L
18 Dwi Nurwahyuni AMK 197204161993032001 3 PA L P M M
19 Sifah Fauziah, AMK NPS145309 2 PA L L P P
Ns Syafira Ummu, S.Kep NPS146653 Bidper S S L P
404-405
20 Lili Heryani, AMK 197106261993032002 3 PP L P P P
21 Elin Nabila, AMK NPS144690 2 PA M M L L
22 Tinton Haryanto, AMK NPS144242 3 PA P S M M
23 Turinah AMK 197007101992032001 3 PA P P P S
Ns Siti Nur Shafriani, S.Kep NPS146652 Bidper P P S S
24 Sawinah, AMK 197902232000032001 3 PA S L P P
25 Dwita Rusdiyanti, AMK NPS146228 1 PA P L M M
26 Meliyana AMK 198106252005012002 3 CUPAT I P A R T US
013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Maret 2020 Libur : Sepaket dinas malam +
418- 419 ( KELAS 1) NIP/ NPS PK Jabatan 1 2 3 4
27 Eni Kuntari, AMK 197511061996032001 3 PP L C2 C3 P
28 Nurhayati 196803241989012001 3 PA M M L P
29 Nur'ali, AMK 199212162019021000 2 PA S P M M
30 Yusniah, AMK NPS143705 3 PA S L P P
31 Lunargi AMK 197912212005011002 3 PA L C12 S S
 32 Nurmaya Camelia, AMK NPS145296 2 PAT I
CU P A R T US
33 Mukti Handayani, AMK NPS143641 3 PA L C1 C2 C3
Mutiara Puji Lestari NPS146627 Bidper S L P P
420 – 421
34 Siti Khodijah, AMK 196705031988032001 3 PP L P P P
35 Sri Andayani AMK 198812132010122005 3 PA L P L C4
Mohammad Soni NPS146625 Bidper S L P P
36 Sri Wahyuni AMK NPS143865 3 PA S S M M
37 Rulli Wulandari, AMK NPS146077 1 PA L L S S
38 Erni Suciapriani.AMK 198904152012122001 2 PA L S PS S
Novi Listiana, Amd NPS146662 Bidper L L P S
39 Ardi Setiawan, AMK 198106212010121001 3 PA M M L L
40 Fitri Cihaya, AMK NPS145667 2 PA P SKT SKT C5
Ns Syahnaz MR, S.Kep NPS146654 Bidper P P P P
1 Sutiyah 196304021986032004 RT L P P P
2 Dedi 196205061986031001 POS L S S S
3 Arkamah 196405031986032001 POS L P P P
4 Martini 196203121986032002 POS P P P P
5 Suprianto NPS145378 PCA M L L P
6 Hendi 196307091986031002 POS L S S S
7 Edi Purwanto 196304171986031002 POS L P P M
8 MasAgung Darojat NPS145374 PCA S M M L
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

Dr.dr.Junita Indarti, SpOG (K) Ns. Wahyu KR,Skep.

NIP : 195906131984112002 NIP : 197002241993032001

SORE 8 8 7 9
MALAM 6 6 7 7
PAGI 7 12 12 14

L S S M

NO NAMA NIP/NPS 1 2 3 4 5 6
1 SUTIYAH 1963 040219860L P P P P P
2 DEDI 1962 050619860L S S S S M
3 ARKAMAH 1964 050319860L P P P P S
4 MARTINI 1962 031219860P P P P P P
5 SUPRIANTO 145378 M L L P P P
6 HENDI 1963 070919860L S S S S S
7 EDI P 1963 071619860L P P M M L
8 MAS AGUNG 145374 S M M L L P
ket dinas malam + 6
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
P P L L P P P P P L L L P P P P L L P P L
P L L L P L P P L L L P P P P L L L P P L
L P L L P P P P P L L P P P P P L L L L P

P P L L S M L P P L L P S M L P L L P P L
M M L L C4 S S S L S S S M M L L S S M M L
P P S S S L M M L C3 L P S S M M L L P P S
S S S L M M L P P P M M L L P P P L M M L
L L P PS M M L L S S S S M M L L P L S S M
P P L L C7 C8 C9 P P L P P C10 P P P L P P P L
P P M M L L P SKTSKT P L P P C2 P C3 M M L L P
PS S M M L L S S M M L L L S S S M M L L S
P P P L P P S S S L M M L L S S S S L C4 M
M M L L P P P C3 C4 L M M L L P P M M L L S

P P L L M L P P P L L P P P P P L L P P L
L L P P S S M M L L P P P P S S L P P P L
M M L L P P P P P L P P P P M M L L P P L
S S L P P P M M L L L P S S M M L L S S S
L L L P S S C2 P P S S L C3 C4 C5 C6 M M L L L
S S L SM L L P S S P C3 S M M L L P P M M L
SPI NSD ASH RLUANGAN LAIN

L P L L P P P P S L L P P P M L L L P P L
L P S L P P S S M M L L P P S S S L M M L
L L SM L M M L L S SM L S M M L L P L P M M
M M L L P P S S L P M M L L P P P L P P P
MPI NMD ALH R
LUANGAN LAIN
L P M M L L C4 P C5 C6 L L L L L L L L L P P
L L P S S S M M L L P S S S M M L L L S M

ket dinas malam + 6

5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
P P L L P S M L P L L P P P C4 P L L P C5 L
P SKTSKT L L P P P M L P L P P S S L P C3 L P
L L PS L S S S S M M L L M M L L S S P P M
M M L L S S M M L L S P S S L P P S S C3 M
S S M M L L S S M M L L S S S S S L S S L
 C4 C5 C6 L P P P P P P M M L L P P L P P C7 S
AH KE RUANGAN LAIN

P S L L P P P P PSM L L L P P P P L L M L L
P S M M L L P P M M L L P P P P L S S P P
AH KE RUANGAN LAIN
L C2 C3 L C4 P P P S S M M L L P P L P M M L
M M L L S S M M L L S S S S M M L L S S M
S L P PS M M L L L L L L C5 C6 L S M M L P S
SPI NSD ASH RLUANGAN LAIN
P P S S M M L L S P P S M M L L S S S S L
P S L P M M L C3 C4 L L S P P M M L L P C6 P
SPI NSD ALH RPUANGAN LAIN
P P L L P P P P P L L P P P P P L L P P L
S M L L C S S S M M L L S S M M L L S S L
P P M M L L P P P S L P M M L L L P P P L
P P L L P P P P P P L P P P P P P L P P L
P S S S L P M M L L S P P S S S L S M L L
S S L P M M L L P L P S P P S S S L P M M
M L L L P P P P C C3 L S S P P P M M L L P
L P P L S S S S S L M M L L P P C4 L S S S
an Gedung A Head Nurse Lt IV Zona A Gedung A Ket P : PAGI
L : LIBUR
( Ns Dewi Alfiani, S.Kep ) * : PJ Sore/Malam
41993032001 NIP: 19810104 200501 2 001 Δ: Code Blue

7 10 6 3 8 8 7 8 7 4 5 8 7 7 6 7 6 6 7 6 6
7 7 5 5 7 7 7 6 6 5 6 6 6 7 7 6 5 5 6 6 7
12 12 5 4 11 12 12 14 9 6 6 12 12 12 11 13 6 6 13 12 7

L S M M L L P M L DL DL P P P M M L L L M L

7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
L L P P P P P L L P P P P P L L P P L P P
L L S S S S M M L L S S M M L L S S L M M
M M L L P P P S L P M M L L L P P P L S S
L L P P P P P P L P P P P P P L P P L P P
S S L P M M L L S S S S S S L S M L L S S
L P M M L L P L P S P P S S S L P M M L L
L L P P P P S C3 L P P P P P M M L L P P P
P L S S S S S L M M L L P P C4 L S S S P P
26 27 28 29 30 31
P P L L P P
P P L P L P
P P L L P P C3

P P L L P P C1
L S S S S L C4 +1
S M M L L L C3 0
L L P M M L C5 0
M L L P L M C1 0
P P P L C11 P C11 -1
P P L P P P C3 0
S C2 S M M L C2+1
M L L S L S C4 0
C5 M M L L L C5 0

P C2 L L P P C2
P C6 L P P M C6 0
P S C4 L P M C4 0
L P S M M L C3 0
C7 P P S S L C7 0
L C4 C5 C6 S M C6 0

P P L L P P C0
L P P M M L C4 +1
L L L P S M C1 0
S C3 L P P M C3 -1

P M M L S S C6 0
M L L P L S C0 +1

26 27 28 29 30 31
M L L L P P C5 0
S S L P P M C30
M L L P L S C0 -3
M L L L P P C3 0
S M M L L S C12 0
 L P P L P P C7 0

P P L L P P C4
P M M L L P C3 0

L S S S L L C4 0
M L L S L S C8 0
S M M L S S C6 0

P P P L S S C1 0
S S L M M L C6 0

P P L L P P
M M L L S S
S S C3 L M M
P P P L P P
S S L P P P
L L C3 S S S
P P S L P P
P P M M L L
S : SORE M : MALAM
L : LIBUR
J Sore/Malam

7 5 4 5 7 8
7 6 6 5 5 7
12 11 6 8 13 11

S S S L P P

28 29 30 31
L L P P
L L S S
C3 L M M
P L P P
L P P P
C3 S S S
S L P P
M M L L
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Februari 2020 Libur : Sepaket dinas malam + 4
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO L L P P
2 Ns. Dewi A 198101042005 4 CCM L L P P
3 Ns Heru Bh 196812121991 4 IPCN Link L L P P
401
4 Ns Rotua 197602201994 4 PP L L P P
5 Sofya As 196310281985 2 PA S L S S
6 Sugestin NPS142633 3 PA L S P P
7 Intan Sar NPS146064 1 PA C3 S S M
8 Yulinnar NPS146451 Pra 1 PA M L L SKT
9 Ike Isna NNPS145219 2 PA L P P C3
10 Rudianto 197905202005 3 PA P L P P
11 Amar ShiNPS143430 3 PA S M M L
12 Irma Sury198808022010 3 PA L S S M
13 Vivi Tri N NPS146359 1 PA M L L P
402-403
14 Ns Retno 198407272009 3 PP L L S M
15 Sumirah, 196601091988 3 PA C2 L P M
16 Linceria 197209261993 3 PA P L P P
17 Dewi Sob NPS144641 2 PA P M M L
18 Dwi Nurw197204161993 3 PA C1 L P S
19 Sifah FauNPS145309 2 PA M L L P
404-405
20 Lili Herya 197106261993 3 PP L L P P
21 Elin Nabi NPS144690 2 PA C3 S S M
22 Tinton HaNPS144242 3 PA P M M L
23 Turinah 197007101992 3 PA C1 L P S
24 Sawinah, 197902232000 3 PA P M M L
25 Dwita RusNPS146228 1 PA L P L P
26 Meliyana 198106252005 3 PA
CUTI PARTUS
T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Februari 2020 Libur : Sepaket dinas malam + 4
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
27 Eni Kunta197511061996 3 PP L L P P
28 Nurhayati196803241989 3 PA M L L P
29 Nur'ali, 199212162019 2 PA L S S M
30 Yusniah, NPS143705 3 PA C1 L C2 S
31 Lunargi 197912212005 3 PA S M M L
32 Nurmaya NPS145296 2 PA
CUTI PARTUS
33 Mukti HanNPS143641 3 PA L P P S
 Mutiara PuNPS146627 BIDPER L P P S
420 – 421
34 Siti Khod 196705031988 3 PP L L P S
35 Sri Anday198812132010 3 PA S S S L
Mohammad NPS146625 BIDPER S S S L
36 Sri Wahy NPS143865 3 PA L P P P
37 Rulli Wul NPS146077 1 PA M L L M
38 Erni Suci 198904152012 2 PA M L L S
39 Ardi Seti 198106212010 3 PA S M M L
40 Fitri Cih NPS145667 2 PA P P C2 P

Ns Syafir NPS146653 BIDPER

Ns Siti NuNPS146652 BIDPER
Novi List NPS146662 BIDPER
Ns SyahnNPS146654 BIDPER
1 Sutiyah 196304021986032004 RT L L P P
2 Dedi 196205061986031001 POS L L S M
3 Arkamah 196405031986032001 POS M L L P
4 Martini 196203121986032002 POS P L P P
5 Suprianto NPS145378 PCA S M SKT L
6 Hendi 196307091986031002 POS L P P S
7 Edi Purwan196304171986031002 POS L S S C3
8 MasAgung NDPS145374 PCA C L M L
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

Dr.dr.Junita Indarti, SpOG (K) Ns. Wahyu KR,Skep.

NIP : 195906131984112002 NIP : 197002241993032001

SORE 6 7 8 8
MALAM 6 6 6 7
PAGI 6 6 15 13

P L P M

JADWAL DINAS FEB 2020

NO NAMA NIP/NPS 1 2 3 4 5 6
1 SUTIYAH L L P P P P
2 DEDI L L S S S M
3 ARKAMAH M L L P P P
4 MARTINI P L P P P P
5 SUPRIANTO S M M L L S
6 HENDI L P P C C S
7 EDI P L S S M M L
8 MAS AGUNG C L P S S P
 5 6 7 8 9 10 11 12 13
P P P L L P P P P
P L P P L P P P P
P S L L L P P P L

P P P L L P S M L
S S L S S S L S S
P L P M M L L P S
M L L L S S S M M
SKT L L C1 L M M L L
P P P P L P P C4 P
L P P P S M M L L
L S S M M L L S S
M L P L P L PS M M
P P S M M L L P P

L P P L L P P P P
M L L C3 P S S M M
P M M L L P P P P
L P P S L M M L L
S M M L L P P P P
P P S L P PS L P P

P P P L L P P S M
M L L P L P P S S
L S S PS L M M L L
S M M L L P P P S
L C1 P L PS L P P P
S S S M M L L P P

5 6 7 8 9 10 11 12 13
P P P L L P P P P
P P P P L S S M M
M L L S S S S M M
S M M L L P P S S
C C S M M L L S S

S M M L L P P S P
 S P P S L P P S S

M L P L L P P P P
P M M L L M M L L
P P P S L S S L P
P S C1 M M L L P P
M L L C2 L C3 C4 C5 C6
S S S L P P C2 C3 C4
L S S S S M M L L
P P P L P S S M M

P P P L L P P P P
M L L C L C3 C2 C C
P P P P L P P P S
P P P L P P P P P
C S S S L P P S S
C S S M M L L P P
C L L L L S S M M
S P P L S M M L L
Head Nurse Lt IV Zona A Gedu

8 8 8 6 5 7 7 8 8
7 6 6 6 6 6 6 7 7
14 13 15 4 5 15 14 13 13

M L L P P S S L M

7 8 9 10 11 12 13 14 15
P L L P P P P P L
M L L S S S M M L
P P L P P P S C M
P L P P P P P P C
S S L P P S S S C
S M M L L P P P P
L C S S S M L P C
P C L M M L L S S
14 15 16 17 18 19 20 21 22
P L P L C P P P L
P L L P P L P P L
P L L P P M L P L

P L L P P P P P L
S S M M L L S S S
SKT M L C1 P P P C2 M
L L S S M M L C4 C5
PS L L S M M L L S
P L P C5 P C6 P P P
P P P P P L P P P
S S M M L L PS L M
L C1 L S M M L L P
M M L L S S S S C1

P L L P P P P P L
L L P P S P C4 P S
M M L L P P L PS L
C1 P L P P S S C2 M
P S S L S S M M L
L P L S L S M M L

L L L P P P P P L
M M L L P C4 S S M
C1 P L S M M L L P
P L M M L L P P S
P P M M L L P P C2
M L M L L P S S L

14 15 16 17 18 19 20 21 22
S L L M L P P P L
L L P P P P M M L
L L L P SM L M M L
M M L L P P P L P
M M L L C2 C3 C4 C5 C6

L S M M L L P P S
 S S L S S S L P S

P L L P P P P P L
C1 C2 L C3 L P P P P
P P S M L S S S L
S L S S S S M M L
C7 C8 P P S L S S M
L L L L L SM L S M
S S S S M M L L S
L L P P S S M M L

P P P P P S
P P P P P P
P P P P P L
P P P P P L
P L L P P P P P L
C L L S S S S S L
C M M L L P P P L
P C L P P P P C2 L
S C P M M L L P S
P P L C S S S S M
M L L P P M L P P
S S S S C P M M L
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

6 6 5 8 7 8 7 7 7
6 6 6 7 5 6 6 6 6
10 6 6 12 13 12 13 14 6

M L L P S S L M M

16 17 18 19 20 21 22 23 24
L P P P P P L L P
L S S S M M L L L
M L L P P P L S M
L P P P P P L P S
P M M L L S S L S
L S S S S S M M L
L P P M L P P L P
S L P P M M L L P
23 24 25 26 27 28 29
L P C C P P L
L L C1 P P P L C1
L P P P P P L C3

L L P P P P L C1
S S L M M L L C2 -1
M L L P S S L C2 -1
P P S S S M M C5 +1
S S S L P M M C1 0
L P P L P P P CC4 -1
C1 M M L L P P C1 -1
M L L S C1 S S C1 0
P S S M M L L C1 0
C2 M M L L P P C2 0

L P P L P P L C1
L C5 C6 P P S S C6 0
P S S L P P P C3 0
M L L S S S C3 C3 0
L P P S S P S C1 +1
L C2 P P S M M C2 -1

L S M L P P L C0
M L L P P P S C4 0
P S S M M L L C1 -1
S L P P P S C2 C2 -1
C3 M M L L P P C3 0
S M M L L S S C0 +1
C3 0

23 24 25 26 27 28 29
L P P S M L L C0 0
L P C1 P S S L C1 0
L P S M M L L C0 -4
P M M L L P S C1 0
L C7 C8 C9 C10 C11 L C11 0
C0 0
S M M L P L P C0 -1
 S M M L L P P

L L P P P P L C4
P L P P P M M C3 +1
P S S S L P P
L P P M M L L C1 -1
M L L S S M M C8 0
M L S SM S M M C4 0
S S S L L S S C1 -1
L P P M M L L C2 -1

L M M L L P P
L P P P P P L
P P L P P M M
P P P P S S L
L P P C C1 P L
L S S S M M L
S M L C P P P
P P P P P P L
L S S S S C M
M L L P P S S
L P M M L P L
L P P P S S C
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

7 8 9 7 8 8 7
6 7 8 6 7 6 6
7 10 12 10 13 15 8

L L L P S M L

25 26 27 28
L P P P
S S M M
L C P P
L P P P
L P S C
L S L S
M M L P
P L S S
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Januari 2020 Libur : Sepaket dinas malam + 6
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO L C P L
2 Ns. Dewi A 198101042005 4 CCM L P P L
3 Ns Heru Bh 196812121991 4 IPCN Link L P P L
401
4 Ns Rotua 197602201994 4 PP L C1 P L
5 Sofya As 196310281985 2 PA S M L S
6 Sugestin NPS142633 3 PA S S M M
7 Intan Sar NPS146064 1 PA SM L L P
8 Yulinnar NPS146451 Pra 1 PA L L P P
9 Ike Isna NNPS145219 2 PAC U T I P A R T U S
10 Rudianto 197905202005 3 PA L P P P
11 Amar ShiNPS143430 3 PA L L L L
12 Irma Sury198808022010 3 PA L L L L
13 Vivi Tri N NPS146359 1 PA P P M M
402-403
14 Ns Retno 198407272009 3 PP L P P L
15 Sumirah, 196601091988 3 PA L C1 S L
16 Linceria 197209261993 3 PA L C1 C2 C3
Mohammad NPS146625 Bidper L P P L
17 Dewi SobNPS144641 2 PA M M L L
18 Dwi Nurw197204161993 3 PA P L M M
19 Sifah FauNPS145309 2 PA L PS P P
404-405
20 Lili Herya 197106261993 3 PP L P P L
21 Elin Nabi NPS144690 2 PA L S S S
22 Tinton HaNPS144242 3 PA PS L S S
23 Turinah 197007101992 3 PA M M L L
24 Sawinah, 197902232000 3 PA L L S L
25 Dwita Rus NPS146228 1 PA L L P P
26 Meliyana 198106252005 3 PA P P P L

T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2

JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Januari 2020 Libur : Sepaket dinas malam + 6
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
27 Eni Kunta197511061996 3 PP L P S L
28 Nurhayati196803241989 3 PA P L M M
 29 Nur'ali, 199212162019 2 PA L L M M
30 Yusniah, NPS143705 3 PA S L M M
31 Lunargi 197912212005 3 PA L L S S
32 Nurmaya NPS145296 2 PA L P P L
33 Mukti HanNPS143641 3 PA P SM L L
Mutiara PuNPS146627 Bidper L S S S
420 – 421
34 Siti Khod 196705031988 3 PP L P P L
35 Sri Anday198812132010 3 PA M M L L
36 Sri Wahy NPS143865 3 PA L L S P
37 Rulli Wul NPS146077 1 PA L S L S
38 Erni Suci 198904152012 2 PA L L L L
39 Ardi Seti 198106212010 3 PA S S L S
40 Fitri Cih NPS145667 2 PA M M L L

1 Sutiyah 196304021986032004 RT L C P L
2 Dedi 196205061986031001 POS S S S L
3 Arkamah 196405031986032001 POS P P M M
4 Martini 196203121986032002 POS L P P P
5 Suprianto NPS145378 PCA L S S S
6 Hendi 196307091986031002 POS L P P L
7 Edi Purwan196304171986031002 POS M M L L
8 MasAgung NDPS145374 PCA L C P C
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

Dr.dr.Junita Indarti, SpOG (K) Ns. Wahyu KR,Skep.

NIP : 195906131984112002 NIP : 197002241993032001

SORE 4 5 8 7
MALAM 4 5 6 6
PAGI 5 10 12 6

M M L L
5 6 7 8 9 10 11 12 13
L P P P P P L L P
L P P C P P L L C
L C C C1 C2 C3 L L P

L P P P P P L L L
L S M M L L S S S
L L P P P L P S M
M M L L S S M M L
S S M M L L L S S
P P
L P P P C14 C15 M M L
M M L L S S M M L
L L L P P P S S S
L L S S M M L L L

L M L P P S L L P
P S S S M M L L P
L P P S M M L L P
P P S S M M L L P
S S M M L L S S M
L L L P S S L P S
M M L L S P P L L

L C10 C11 S M L L L P
M M L L P P S L P
S L P S M M L L S
L P P P S S L P P
P P P P P L M M L
L S M M L L P P M
P C1 L P P P P L C2

5 6 7 8 9 10 11 12 13
L P P P P L L L P
L P S S M M L L PS
L L S S S S M M L
L L P P P P L L M
S S S L M M L L S
P P P P P P P L P
M L L P P P L P P
M M L L P P L P L

M L S M L P L L P
S S L P P P L S L
P L S S S S L P P
S S M M L L S L S
L L M M L P SM M L
M M L L S S L P M
P L P L P P P L M

L P P P P P L L P
L C C S M M L L S
L L S S S S L L P
L P P P P P L P P
M M L L P P S L S
P P P P S S C S M
S S M M L L P L P
L P P P P P M M L
Head Nurse Lt IV Zona A Gedu

6 8 8 9 8 8 5 6 7
8 7 6 7 8 7 5 6 6
7 9 11 14 14 13 6 8 14

L P M M L L S S S
14 15 16 17 18 19 20 21 22
P P P P M L L P P
P P P P L L P P L
P S M L L L P P P

P P P S L L P P P
SM L S M M L L S S
M L L L L L S M M
L M L L L L L C1 C2
S S L M M L L S S
P C1 P P L P P P L
L C16 C17 C18 P L P P P
L S S S L SM M L L
L M M L L L S M M
P P L L P M M L L

P L P P L L C1 P P
P P S L S M M L L
P P P M M L L PS L
P P P M M L L P P
M L L S L L S S S
S L P P S S L P P
L M M L S S S L P

C12 P P P L L P P P
P M M L C1 L P S S
S S S M M L L L S
P P L P P P P P L
P P P L S M M L P
M L L P P S S M M
P P P C3 L P L L L

14 15 16 17 18 19 20 21 22
P P P P L L P P C1
L P L S L P PS S S
 L S S L L L S M M
M L L P S S S L P
S S S M M L L C1 S
P P P P L P P P P
SKT M M L C1 L P S S
S M M L L P P S S

P P C1 P L L C2 P SKT
P P P M M L L P P
P M M L P L L L L
S S S S C1 M M L L
PS S S PS S SM M L L
M L L C1 P P P M M
M L P L L L C1 M M

P P P P L L P P P
S S M M L L S S S
P P P P M M L L P
P P P P P L P P P
S P S S S L M M L
M L P L L L P P S
P M L P L S S S M
L S S S C P P P P
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

6 8 8 5 6 4 7 7 9
6 7 7 7 7 4 6 6 6
17 14 13 10 6 7 12 13 12

S S M L S S S L P
23 24 25 26 27 28 29 30 31
P P L L C C P P P
P P L L P P L P P
P P L L P P S M L

P P L L P P M L P
S S L S M M L L S
L L S P P P M M L
P P S S M M L L L
S S M M L L S S M
P P P L C2 P P P P
L P M M L L L P P
S S M M L L S S S
L L P P S S M M L
P P L L S S L P M

P P L L P P P P P
P P P L P P P L P
P L P L PS S L P P
P P L P P L L L S
M M L L L P S P L
M M L L P P P S S
M M L L P C1 S S M

L P L L P P P P P
S C2 L PS M M L L P
S S S L M M L L P
P P M M L L P P P
P L L L P P P P L
L S S L S S M M L
L L L L L L L L L

23 24 25 26 27 28 29 30 31
M L L L P SKT P P P
L P L PS L L P P M
L L S S M M L L S
M M L L S S M M L
S S M M L L S S S
P P L P P P L P P
S L P L S S M M L
S S L P S S P P L

C3 C4 L L P P P P P
M M L L P P L P S
M M L L S S M M L
P S M M L L S S M
C1 L L L L L L PS M
L L S S S S L S S
L L P P M M L L P

P P L L P P P P P
M M L L S S S M M
P P P L P P P P P
P P L P P P P P P
L P S L P P S S S
S S M M L L P S P
L P L S S S M L P
S S L L M M L L S
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

8 8 6 4 8 9 7 7 8
7 6 6 6 6 6 7 7 6
13 13 6 6 14 13 11 15 14

P S L M M L L L P
C3

C1
C2
C0 +1
C2 -1
C0 +3
C2 0
C0 0
C0 0
C0 +1
C0 0

C1
C1 0
C3 0

C0 0
C0 0
C1 0

C2 -1
C0 0
C0 0
C0 0
C0 +4
C0 +1

C0 0
C0 +1
C0 -3
C0 +1
C0 0
C0 0
C1 0

C4
C0 +1
C0 0
C1 0
C2 0
C0 0
C1 -1
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Desember 2019 Libur : Sepaket dinas malam + 6
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO L P P P
2 Ns. Dewi A 198101042005 4 CCM L P P P
3 Ns Heru Bh 196812121991 4 IPCN Link L P S M
401
4 Ns Rotua 197602201994 4 PP L S M L
5 Sofya As 196310281985 2 PA S S S L
6 Meliyana 198106252005 3 PA P P P P
7 Sugestin NPS142633 3 PA L P P M
8 Intan Sar NPS146064 1 PA L S S S
9 Yulinnar NPS146451 Pra 1 PA S M M L
10 Amar ShiNPS143430 3 PA L C17 L S
11 Dewi SobNPS144641 2 PA C14 C15 C16 M
12 Irma Sury198808022010 3 PA L P P M
13 Sifah Fau NPS145309 2 PA M L L P
402-403
14 Ns Retno 198407272009 3 PP L P P P
15 Elin Nabi NPS144690 2 PA P M M L
16 Tinton Ha NPS144242 3 PA PS M M L
17 Turinah 197007101992 3 PA L P P P
18 Sawinah, 197902232000 3 PA M L L P
19 Dwita RusNPS146228 1 PA M L S S
404-405
20 Lili Herya 197106261993 3 PP P P S
21 Nurhayati196803241989 2 PA P S C17 M
22 Nur'ali, 199212162019 2 PA M L L S
23 Yusniah, NPS143705 3 PA M L L P
24 Lunargi 197912212005 3 PA S S S L
25 Nurmaya NPS145296 2 PA L P P P
26 Mukti Han NPS143641 3 PA L P P PS

T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2

JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Desember 2019 Libur : Sepaket dinas malam + 6
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
 27 Eni Kunta197511061996 3 PP M L C10
28 Sri Anday198812132010 3 PA M L L L
29 Sri Wahy NPS143865 3 PA L P P L
30 Rulli Wul NPS146077 1 PA S M M L
31 Erni Suci 198904152012 2 PA L S S M
32 Ardi Seti 198106212010 3 PA S S L M
33 Fitri Cih NPS145667 2 PA L P P P
420 – 421
34 Siti Khod 196705031988 3 PP L P P P
35 Ike Isna NNPS145219 3 PA
CUTI PARTUS
36 Rudianto 197905202005 3 PA P P P P
37 Linceria 197209261993 3 PA P P S L
38 Dwi Nurw197204161993 3 PA L M M L
39 Vivi Tri N NPS146359 1 PA P M M L
40 Sumirah, 196601091988 3 PA P S S S

1 Sutiyah 196304021986032004 RT L P P P
2 Dedi 196205061986031001 POS L S S S
3 Arkamah 196405031986032001 POS L M M L
4 Martini 196203121986032002 POS P P P P
5 Suprianto NPS145378 PCA L P P M
6 Hendi 196307091986031002 POS L S S S
7 Edi Purwan196304171986031002 POS M L L P
8 MasAgung NDPS145374 PCA S C C C
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

Dr.dr.Junita Indarti, SpOG (K) Ns. Wahyu KR,Skep.

NIP : 195906131984112002 NIP : 197002241993032001

SORE 5 8 8 6
MALAM 6 7 7 7
PAGI 7 14 12 10

L P S S

1 2 3 4
Sutiyah 1.96E+17 IRT L P P P
Dedi 1.96E+17 POS L S S S
Arkamah 1.96E+17 POS L M M L
Martini 1.96E+17 POS P P P P
Suprianto 145378 POS L P P M
Hendi 19601124 198603 1 POS L S S S
Edi Purwa 1.96E+17 POS M L L P
MasAgung 1.96E+17 PCA S C C C
5 6 7 8 9 10 11 12 13
P P L M L P P P P
L P L L P P P P P
L P L L P L P C12 P

P P L L P P S M L
S S S S L S S S S
P M M L L L P P P
M L L S P M M L L
S S L M M L L S S
L P L M M L L S S
S L S M M L L S S
M L L P S M M L L
M L C15 P S S S M M
P P L L P L L M L

PSM L L L P P P P P
L P P L S M M L L
L S S L L P L S SM
P P L P P S S M M
P P P M M L L P P
S M M L C18 L P PS L

M L L L C8 C9 P P P
M L C18 L P P P M M
L L L L L L L L L
P P C17 L L S S L P
S S S M M L L S S
P P L S S S S M M
P L P P S M M L L

5 6 7 8 9 10 11 12 13
 C11 C12 L L P P P P P
L M M L L C16 P P C17
S M M L L C16 C17 C18 P
L S S M M L L L L
M L P PS PS P SM L L
M L L S S S S L C17
S M M L L P P M M

P C11 L L P P P L C12

P P P L P P P P P
P M M L L P P P P
L P P S S S L P P
L S S L P M M L L
L S L P P P P P S

P P L L P P P P P
M M L L S S S M M
L S L L P P P P S
P P P L P P P P P
L C L L S S S S C
S S M M L L C S C
P P L S C C M L P
S L S P M M L L S
Head Nurse Lt IV Zona A Gedu

7 7 6 5 7 7 7 6 6
7 6 6 6 6 5 5 7 5
11 11 6 5 12 11 13 10 11

L S M M L L P P S

5 6 7 8 9 10 11 12 13
P P L L P P P P P
M M L L S S S M M
L S L L P P P P S
P P P L P P P P P
L C L L S S S S C
S S M M L L C S C
P P L S C C M L P
S L S P M M L L S
14 15 16 17 18 19 20 21 22
L L P P P P P L L
L L L P P P L M L
L L P P P P P L L

L L P P P P C7 L L
L S S S S L S S M
C18 P P P P L L L L
S P P C15 P P CB P P
P S M M L L P P S
S M L S S S PS L SM
S L M M L L C18 S SM
P P S S C17 S M M L
C16 C17 P P S S M M L
P P S P M M L L P

L L M L P P P L L
L S M M L L P P P
M M L S L P S L SM
L L P P P L M M L
P S P P M M L L L
S L S S M M L L L

L L S M L P P L L
L L P P P P L L P
M M L L S S SM M L
M M L L S S L PS M
S L S S M M L L L
L L C14 L M M L C15 L
C18 P S S M M L L L

14 15 16 17 18 19 20 21 22
 L L P S M L P L L
C18 S S P P P M M L
M M L L P P CB S S
L L C15 C16 C17 C18 M M L
L L C18 C C L L L L
S L M M L L P S S
L L C17 P P L S S M

L L P P S M L L L

M M L L P S C12 C13 L
M L L L P C11 C12 C13 L
P L P P S S S L P
P S M M L L C7 C8 L
L P M M L L P P P

L L P P P P P L L
L L S S S M M L L
M M L L S S S P P
L L P P P P P L L
S P M M L L C S S
P L S S M L S L L
L S C C C S C L L
L L P P P P P M M
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

6 6 8 8 7 7 4 5 3
6 6 7 7 7 7 5 6 3
6 6 11 12 12 9 8 4 6

M M L L P S S M M

14 15 16 17 18 19 20 21 22
L L P P P P P L L
L L S S S M M L L
M M L L S S S C P
L L P P P P P P L
S P M M L L C S S
P L S S M L S L L
L S C C C S C L L
L L P P P P P M M
23 24 25 26 27 28 29 30 31
P CB L C P L L P P
P CB L P P L L L P
P CB L P L L L P

C8 CB L C9 C10 L L C11 C12

M CB L S S M M L S
P P P CB P P P P L
S M M L L C16 C17 C18 P
L CB L M M L L S S
M CB L P P S S M M
M CB L S S S S M M
C18 CB L P P P L P P
CB S S S S C18 p S S
PS S L M M CB L S S

P CB L P P L L P P
CB P PS M M L L S P
M CB L L P M M L L
CB P P S S L P P P
P M M L CB P P P L
P S S CB P S S M M

P CB L P P L L P P
P P P P CB S L P P
CB S S M M L L S PS
M CB L S S M M L C18
S CB L M M L L C17 C18
S CB L C16 P S L C17 C18
L M M CB L P S S L

23 24 25 26 27 28 29 30 31
 P CB L S P L L P P
CB P P M M L L P P
S S L P P P P M M
CB P P S S L P M M
CB M M L L S S M SM
S M M L CB C18 L S S
M CB L P P P S C18 L

SKT CB L P P L L P P

P CB L P P M M L L
C14 CB L C15 C16 L L C17 C18
S S S CB P M M L L
C9 CB L C10 C11 C12 L P P
P P P CB S M M L L

P C L P P L L P P
S S L M M L L S S
P P L C C C L C P
C C L P P P L P P
S L M L P L P S S
C C P P S M M L C
M M L S P S L P P
L L S S S L S M M
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

6 6 4 7 7 6 6 7 5
6 5 5 6 6 6 6 6 5
10 7 6 10 14 6 6 11 12

L L L C15 C16 L C C17 C18

23 24 25 26 27 28 29 30 31
P P L P P L L P P
S S L M M L L S S
P P L C C C L P P
P P L P P P L P P
S P M L P L P S S
C C P P S M M L C
M M L S P S L P P
L L S S S L S M M
1
L
L C10
L C12

L C12
SM C18 0
P C18 0
S C18 +2
S C18 +2
L +4
L C18 +2
M C18 +2
M C18 +6
L C18 0

L C12
L C18 -1
P C18 0
M C18 +1
L C18 +1
L C18 +4

L C12
P C18 +1
L 0
S C18 +1
L C18 -1
L C18 0
P C18 0

1
L C12
M C18 +2
L C18 +3
L C18 0
L C18 +3
S C18
M C18 +2

L C12
C18 -3
L C13 0
L C18 0
P C18 +1
S C18 -1
P C18 +1

5
5
6
No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : November 2019 Libur : Sepaket dinas malam + 5
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO P L L P
2 Ns. Dewi A 198101042005 4 CCM L L L P
3 Ns Heru Bh 196812121991 4 IPCN Link P L L S
401
4 Ns Rotua 197602201994 4 PP S L L M
5 Sofya As 196310281985 2 PA S S L M
6 Meliyana 198106252005 3 PA P L P P
7 Sugestin NPS142633 3 PA P L P M
8 Intan Sar NPS146064 1 PA L C7 C8 C9
9 Yulinnar NPS146451 Pra 1 PA S M M L
10 Amar ShiNPS143430 3 PA S M M L
11 Dewi SobNPS144641 2 PA M L L S
12 Irma Sury198808022010 3 PA M L L S
13 Sifah Fau NPS145309 2 PA P P L P
402-403
14 Retno Bud198407272009 3 PP P L L P
15 Elin Nabi NPS144690 2 PA S M M L
16 Tinton Ha NPS144242 3 PA L C16 P S
17 Turinah 197007101992 3 PA M L L P
18 Sawinah, 197902232000 3 PA M L L P
19 Dwita RusNPS146228 1 PA P S S M
404-405
20 Lili Herya 197106261993 3 PP P L L P
21 Nurhayati196803241989 2 PA M L L P
22 Nur'ali, 199212162019 2 PA L S S M
23 Yusniah, NPS143705 3 PA L C14 P S
24 Lunargi 197912212005 3 PA S L S S
25 Nurmaya NPS145296 2 PA L P L P
26 Mukti Han NPS143641 3 PA S M M L
T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : November 2019 Libur : Sepaket dinas malam + 5
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
27 Eni Kuntar197511061996 3 PP P L L P
28 Sri Anday198812132010 3 PA M L L S
29 Sri Wahy NPS143865 3 PA P P L P
30 Rulli Wul NPS146077 1 PA S M M L
31 Erni Suci 198904152012 2 PA L S S S
32 Ardi Seti 198106212010 3 PA L S S M
33 Fitri Cih NPS145667 2 PA P P P L
420 – 421
34 Siti Khod 196705031988 3 PP P L L P
35 Ike Isna NNPS145219 3 PA
CUTI PARTUS
36 Rudianto 197905202005 3 PA L M M L
37 Linceria 197209261993 3 PA P P P P
38 Dwi Nurw197204161993 3 PA P P L P
39 Vivi Tri N NPS146359 1 PA P S S M
40 Sumirah, 196601091988 3 PA P P L P

1 Sutiyah 196304021986032004 RT P L L P
2 Dedi 196205061986031001 POS M L L S
3 Arkamah 196405031986032001 POS S L P M
4 Martini 196203121986032002 POS P P P P
5 Suprianto NPS145378 PCA L S S S
6 Hendi 196307091986031002 POS S S L P
7 Edi Purwan196304171986031002 POS P P L C
8 MasAgung NDPS145374 PCA P M M L
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

Dr.dr.Junita Indarti, SpOG (K) Ns. Wahyu KR,Skep.

NIP : 195906131984112002 NIP : 197002241993032001

SORE 3 4 5 4
 MALAM 2 3 3 3
PAGI 9 6 3 9

M L P S

Sutiyah 1.96E+22 IRT P L L P

Dedi 1.96E+22 POS M L L S

Arkamah 1.96E+22 POS S L P M

Martini 1.96E+22 POS P P P P

Suprianto 145378 POS L S S S

Hendi 19631124 198603 1 POS S S L P

Edi
Purwanto 1.96E+22 POS P P L C

MasAgun
g Darojat 1.96E+22 PCA P M M L
5 6 7 8 9 10 11 12 13
P P P P L L P P P
P P PSM P L L P P P
M L P P L L P P P

P P P P L L P P P
M L L S S S S S L
P P P M M L L P P
M L L P P S P M M
C10 C11 C12 C13 C14 C15 C16 C17 C18
L P P S S M M L L
L S S S S M M L L
S M M L L P P S S
S S S M M L L S S
P M M L C18 L P M M

P P P P L L P S M
L P P P L S S M M
S C17 S S S M M L L
P S C13 C14 C15 C16 C17 C18 P
P P P P C16 L S S S
M L L P P S S M M

P P P P L L P P S
P S S M M L L P P
M L L S S S S L S
S M M L C15 L P P P
S M M L L C15 S S S
P S S M M L L P P
L P P P P M M L L
5 6 7 8 9 10 11 12 13
P P P S L L P P P
P P P P L M M L L
P P P L P P L P P
L S S S S M M L L
L S S M M L L L L
M L L S C15 S S M M
S M M L L P P S S

P P P P L L S M L

L P P P P P L P P
L S S M M L L P P
S M M L C17 L P P P
M L L P P P P M M
S M M L L P P S S

P P P P L L P P P
S M M L L L S S S
M L L P P P P P L
P P P P L L L C P
C C C P P L S M M
S S L S S M M L L
P P P M M L L C C
L S S S L S P P P
Head Nurse Lt IV Zona A Gedu

5 5 5 4 2 2 4 3 5
 3 5 5 4 4 3 3 3 2
7 7 7 6 4 5 7 9 8

S M M L L P P S L

P P P P L L P P P
S M M L L L S S S

M L L P P P P P L
P P P P L L L C P

C C C P P L S M M
S S L S S M M L L

P P P M M L L C C

L S S S L S P P P
14 15 16 17 18 19 20 21 22
P P L L P P P P P
P P L L C10 P P P P
P PSM L L P P P P P

P P L L P P P P P
S S S S M M L L S
P P M M L L P P P
L L P P P P M M L
P P L P S S M M L
S S L PS M M L L P
S S S L S L S S S
M M L L C12 P P P P
M M L L P S S S L
L L PS L P P S S S

L P L L S M L P P
L L C18 L P P M M L
P P PS L M M L L P
M M L L L P P P S
S S S L M M L L M
L L L S S S M M L

M L L L P P P P P
M M L L P P P P L
S S M M L L L S S
P P P L P P S S M
C16 S M M L L S S M
S L P P S S L P M
P P L S S S S L P
 14 15 16 17 18 19 20 21 22
P P L L M L P P P
P P S L S P P P M
P P L P P L P P C9
S S M M L L S S S
L L M M L S S S M
L L P P M M L L S
M M L L L S M M L

C7 C8 L L C9 C10 P P P

P P M M L L P P P
M M L L P P P L P
S S L S S L P P S
L C3 C4 C5 C6 S M M L
L P L S M M L L P

P P L L P P P P P
M M L L S S S M M
S S S P M M L L P
P P P P P P P P P
L L P S L S S S S
P P C L P C C C C
C C L L S P M L S
S S M M L L P P C
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

4 4 1 3 4 5 5 5 4
 4 3 5 5 3 2 2 2 5
6 7 3 3 5 5 9 9 7

P P L S S S M M L

P P L L P P P P P
M M L L S S S M M

S S S P M M L L P
P P P P P P P P P

L L P S L S S S S
P P C L P C C C C

C C L L S P M L S

S S M M L L P P C
23 24 25 26 27 28 29 30
L L P P P P P L C7
L L P P P P P L C10
L L P P P P P L C8

L M L P P P P L C5
S S S M M L L S C18
L P P P P P P L C17 -2
C13 L P S S M M L C13 0
L P P S S M M L C18 +2
P L S M M L L P 0
S M M L L C14 C15 C16 C16 0
P L S M M L L C13 C13 0
P S L S S M M L C14 0
L M M L L S S M C18 0

L L C8 C9 C10 P P L C10
L S S L P P P L C18 -2
P L S M M L L P C17 0
L M M L L P P S C18 0
M L L P P P P M C16 0
L P P S S S L M C15 0

L L PSM P P P P L C5
P P P S S L P P C16 0
S M M L L S S M -1
M L L L P S S M C15 0
M L L S S S L S C16 0
M L C12 C13 P S S S C13 0
P L P P P M M L C17 0
23 24 25 26 27 28 29 30
L L P P P P L M C9
M L L C13 C14 L S M C14 0
C10 C11 C12 C13 C14 P P P C14 0
S M M L L L S S C14 0
M L S S S M M L C17 0
C16 S S M M L L S C16 0
L P P P P M M L C15 0

L L P P S M L C10
C18 -3
L S P P P L P P C11 0
S L P P P P P L C10 0
S M M L L S S C18 C18 0
L S S M M L L P C6 0
P P P S C14 S S C15 C13 0

L L P P C C P L
L L S S S M M L
P L P P P P P S
L P P P P P P L
S M M L L S S S
M L L P S S S P
P S S S P P L M
C L P M M L L P
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

4 3 3 4 4 6 7 4
 5 3 3 2 2 4 3 4
3 3 8 7 8 4 5 4

L L P S S M M L

L L P P C C P L
L L S S S M M L

P L P P P P P S
L P P P P P P L

S M M L L S S S
M L L P S S S P

P S S S P P L M

C L P M M L L P
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Oktober 2019 Libur : Sepaket dinas malam + 4
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO P C P P
2 Ns. Dewi 198101042005 4 CCM P P P P
3 Ns Heru Bh 196812121991 4 IPCN Link P P M L
401
4 Ns Rotua 197602201994 4 PP P P P P
5 Sofya As 196310281985 2 PA S S M M
6 Meliyana 198106252005 3 PA L L P P
7 Sugestin NPS142633 3 PA P P P P
8 Intan Sar NPS146064 1 PA M M L L
9 Yulinnar NPS146451 Pra 1 PA L L S S
10 Amar Shi NPS143430 3 PA L L S S
11 Dewi Sob NPS144641 2 PA P P M M
12 Irma Sury 198808022010 3 PA S S S L
13 Sifah Fau NPS145309 2 PA M M L S
402-403
14 Retno Bud198407272009 3 PP P P P L
15 Elin Nabi NPS144690 2 PA M M L C13
16 Tinton HaNPS144242 3 PA L L C12 S
17 Turinah 197007101992 3 PA M M L L
18 Sawinah, 197902232000 3 PA L L M M
19 Dwita RusNPS146228 1 PA C11 P P P
404-405
20 Lili Herya 197106261993 3 PP P P P P
21 Nurhayati196803241989 2 PA S S P P
22 Nur'ali, 199212162019 2 PA L L L L
23 Yusniah, NPS143705 3 PA C11 C12 S S
24 Lunargi 197912212005 3 PA S S M M
25 Nurmaya NPS145296 2 PA S S M M
26 Mukti Han NPS143641 3 PA M M L P

T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2

JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Oktober 2019 Libur : Sepaket dinas malam + 4
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
27 Eni Kunta197511061996 3 PP P P P P
 28 Sri Anday198812132010 3 PA P P P S
29 Sri Wahy NPS143865 3 PA P P P L
30 Rulli Wul NPS146077 1 PA M M L P
31 Erni Suci 198904152012 2 PA L L L L
32 Ardi Seti 198106212010 3 PA S S S C11
33 Fitri Cih NPS145667 2 PA C14 L P S
420 – 421
34 Siti Khod 196705031988 3 PP P P S M
35 Ike Isna NNPS145219 3 PA P C18 P L
36 Rudianto 197905202005 3 PA C8 C9 C10 S
37 Linceria 197209261993 3 PA S P P P
38 Dwi Nurw197204161993 3 PA P S S P
39 Vivi Tri N NPS146359 1 PA L L S P
Sumirah, 196601091988 3 PA S S M M

1 Sutiyah 196304021986032004 IRT P P P P

2 Dedi 196205061986031001 POS S S M M
3 Arkamah 196405031986032001 POS P C S S
4 Martini 196203121986032002 POS P P P P
5 Suprianto NPS145378 PCA M M L P
6 Hendi 196307091986031002 POS L P C S
7 Edi Purwan196304171986031002 POS P C P P
8 MasAgung NDPS145374 PCA S S S L
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

Dr.dr.Junita Indarti, SpOG (K) Ns. Wahyu KR,Skep.

NIP : 195906131984112002 NIP : 197002241993032001

SORE #N/A #N/A #N/A #N/A

MALAM #N/A #N/A #N/A #N/A
PAGI #N/A #N/A #N/A #N/A

M M L L

1 2 3 4
Sutiyah 1.963E+17 IRT P P P P
Dedi 1.9621E+17 POS S S M M
Arkamah 1.9641E+17 POS P C S S
Martini 1.962E+17 POS P P P P
Suprianto 145378 POS M M L P
Hendi 19601124 198603 1 002 POS L P C S
Edi Purwant 1.9631E+17 POS P C P P
MasAgung Da1.963E+17 PCA M S S L
 5 6 7 8 9 10 11 12 13
L L P P P P P L L
L L P C8 C9 L L L L
PS L P P P L P L L

L L P P P P P L L
L S S S S S S L S
M M L L P P P P L
C9 L C10 P M M L L P
L PS M M L L P L PS
M M L L S S S S M
C11 L M M L L C12 S S
L L P P S S S L M
S S S S M M L C10 L
L P SM M L P P L L

S L P L P P P L L
C14 L C15 S M M L C16 L
C13 L C14 L M M L L P
P P P S L P P P L
L L S S S S L S M
C12 L C13 P S S S S M

L L C6 P P P P L L
P P S P P P M M L
L L L L L L L L L
M M L L P P M M L
L L S S S S M M L
L L C7 P S S L P P
C14 L C15 P S S S C16 M

5 6 7 8 9 10 11 12 13
L L P P S M L L L
 M M L L P P M M L
PS L P P C5 C6 P P L
S S M M L S S L PS
S PS SM M L P P S M
C12 L C13 S M M L L S
M M L PS M M L P L

L L P L P P P L L
P P P P L P L P P
M M L L P P P P S
PS L P L P P M M L
C14 L C15 P P P S S L
P S M M L L M M L
L L P P P P S L S

L L P P P P P L L
L L S S S M M L L
S L M M L P P P S
P P L P P P P L C
L L L C S S C P L
L L P P P C S S M
L S S S M L P M L
M M L P P S S S L
Head Nurse Lt IV Zona A Gedu

#N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A

#N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A
#N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A

P P M M L L P DL DL

5 6 7 8 9 10 11 12 13
L L P P P P P L L
L L S S S M M L L
S L M M L P P P S
P P L P P P P L P
L L L C S S C P L
L L P P P C S S M
L S S S M L P M L
M M P P P S S S L
14 15 16 17 18 19 20 21 22
P P P P P L L P P
P P P P P L L P P
P P P P P L L P P

P L P P P L L P P
S S L S S M M L L
P P P P P L P P P
C11 S S M M L L P S
S M M L L P S S S
M L L P P S L M M
S M M L L S S M M
M L L C8 S C9 P S S
S M M L L P P M M
P S S L P M M L P

P P P M L L L P P
P P S S L P P S S
S S S C15 P S L S S
P P S M M L L P C8
M L L S S S C15 S S
M L L S S C14 S M M

L P P P P L L P P
L P S M M L L P P
L L L L L L L L L
L P P S S S L P P
L S S S C14 M M L L
S S C8 P P P L M M
M L L P P L P S S

14 15 16 17 18 19 20 21 22
SKT P P P P L L P P
 L P P M M L L P P
C7 P P P P L P P P
S M M L S S S M M
M L S M M L L C16 C17
S S C14 S S M M L L
C15 M M L L P PS L P

P P P L P L L P P
P L L L L L L L L
L C11 P P P M M L L
L S P M M L L PS L
P M M L L P L PS S
L C1 C2 S S M M L L
P P P P P S S L C13

P P P P P L L P P
S S S M M L L L L
L L L S C C L S S
C C C C C P P P P
P P P S C M M L L
M L L P S L P P P
P P P C P L S M M
S M M L L S P P L
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

#N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A

#N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A
#N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A

DL L M M L L P S S

14 15 16 17 18 19 20 21 22
P P P P P L L P P
S S S M M L L S S
L S S S C C L M M
P P P P P P L P P
P P P S C M M L L
M L L P S L P P P
P P P C P L S S S
S M M L L S P P L
23 24 25 26 27 28 29 30 31
L P P P L P P P P
P P L L L P P P P
S C9 P L L P P P P

S M L L L P P P P
S S S S M M L L S
P P M M L L P P P
C12 P P P M M L L P
S S M M L L S S S
L L S S M M L L S
L L C13 S M M L L S
M M L C10 L C11 S S M
L C11 C12 C13 L C14 S S M
P PS C16 L L C17 M M L

P L P L L P P P P
C17 P M M L L P S S
M M L L PS L M M L
P S C9 C10 C11 C12 S S M
M M L P S P P P M
L L C15 P M M L L S

P P P L L P S M L
P P P L P L P P M
L L L L S S M M L
P S S C13 L S M M L
S S M M L L S S S
L L C9 C10 C11 S M M L
S C17 M M L L P P S

23 24 25 26 27 28 29 30 31
P P P L L P L P P
 P P PS L PS L P P M
C8 P S L P P P P P
L L P S S C14 L L L
L L M M L S S S S
S S S S L S M M L
M M L P L P S S P

P P P L L P P P P
L L L L L L L L L
P P P P S P P P P
P P P C9 P PS P L C10
M M L L C16 S S P P
S S S S M M L L P
M M L L P P P P P

P P L L P P P P P
M M L C L S S S M
S C P M L P S S S
P P P P P L P P P
P S C C L C M M L
P P S L M M L C S
L P M L L P P P P
S S S S S C C C C
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

#N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A

#N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A
#N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A

M M L L L P P S S

23 24 25 26 27 28 29 30 31
P P L L P P P P P
M M L C L S S S M
L P P P L P S S S
P P P L P P P P P
S S C C L C M M L
P P S L M M L C S
P P M M L L P P P
S S S S S C C C C
C6
C9
C9

C5
C18 -1
C17 -2
C12 0
C6 0
0
C13 0
C11 0
C14 0
C17 -1

C7
C17 0
C14 -1
C11 0
C15 0
C15 0

C5
C16 0
0
C13 0
C13 0
C11 0
C17 0

C9
C12 +1
C8 0
C14 0
C17 0
C14 0
C15 0

C6
C18 -3
C11 +1
C10 +1
C16 0
C2 -2
C13 0
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : September 2019 Libur : Sepaket dinas malam + 5
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO L P P P
2 Ns. Dewi 198101042005 4 CCM L P P P
3 Ns Heru Bh 196812121991 4 IPCN Link L P P P
401
4 Ns Rotua 197602201994 4 PP L P S L
Ns Nurlel 19810825 200 1 PA P P P P
5 Sofya As 196310281985 2 PA S S S S
6 Meliyana 198106252005 3 PA P P P P
7 Sugestin NPS142633 3 PA M M L L
8 Intan Sar NPS146064 1 PA L C2 S P
9 Yulinnar NPS146451 Pra 1 PA L L S P
10 Amar ShiNPS143430 3 PA L C7 C8 P
11 Dewi SobNPS144641 2 PA C7 P M M
12 Irma Sury 198808022010 3 PA C7 S S S
13 Sifah Fau NPS145309 2 PA L SKT SKT L
402-403
14 Retno Bud198407272009 3 PP L P P P
15 Elin Nabi NPS144690 2 PA C10 S M M
16 Tinton Ha NPS144242 3 PA S S M M
17 Turinah 197007101992 3 PA P P M M
18 Sawinah, 197902232000 3 PA L P P P
19 Dwita RusNPS146228 1 PA L P C6 P
404-405
20 Lili Herya 197106261993 3 PP L P P S
21 Nurhayati196803241989 2 PA P L P P
22 Nur'ali, 199212162019 2 PA L P P S
23 Yusniah, NPS143705 3 PA M M L L
24 Lunargi 197912212005 3 PA L L S S
25 Nurmaya NPS145296 2 PA M M L L
26 Mukti Han NPS143641 3 PA S S M M

T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2

JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : September 2019 Libur : Sepaket dinas malam + 5
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
27 Eni Kunta 197511061996 3 PP L L C8 C9
28 Sri Anday198812132010 3 PA M M L L
29 Sri Wahy NPS143865 3 PA P P P P
30 Rulli Wul NPS146077 1 PA L C10 C11 C12
31 Erni Suci 198904152012 2 PA S S L P
32 Ardi Seti 198106212010 3 PA S S S S
33 Fitri Cih NPS145667 2 PA M M L L
420 – 421
34 Siti Khod 196705031988 3 PP L P P P
35 Ike Isna N NPS145219 3 PA L L S S
36 Rudianto 197905202005 3 PA M M L L
37 Linceria 197209261993 3 PA P L P P
38 Dwi Nurw 197204161993 3 PA P L M M
39 Vivi Tri N NPS146359 1 PA L L S S
Sumirah 196601091988 3 PA L P C9 C10
1 Sutiyah 196304021986032004 SORE L C C P
2 Dedi 196205061986031001 MALAM L M M L
3 Arkamah 196405031986032001 PAGI M L L P
4 Martini 196203121986032002 POS L P P P
5 Suprianto NPS145378 PCA L P P S
6 Hendi 196307091986031002 POS S S S S
7 Edi Purwan196304171986031002 POS S S S P
8 MasAgung NDPS145374 PCA P P P M
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

dr. Astuti Giantini, SpPk. Ns. Wahyu KR,Skep.

NIP : 1962090331997032002 NIP : 197002241993032001

SORE 5 7 9 8
MALAM 6 6 6 6
PAGI 7 13 11 14
5 6 7 8 9 10 11 12 13
P P L L P P P P P
L P L L C6 P P P P
P P L L C9 P P P P

P M L L P P S M L
L P P P P L P P S
L S S S M M L L S
M L P P P P P L P
P P S S L P P P P
S S M M L L P S M
M M L L P P S S S
S S M M L L S S S
L L P P S S L P P
M M L L S S M M L
P P L L M M L P P

P P L L P P P L P
L L S L S S L C11 S
L L P P S S M M L
L L C4 L P P S S M
P C13 M M L L P P P
S S L S S S M M L

M L L L P P P P C4
P P L L P P P P L
S S M M L L S S S
P P L L C8 P PS L M
S S L S S S S S M
P P S L M M L L P
L L P P P P M M L
5 6 7 8 9 10 11 12 13
P M L L P P P P P
M M L L C11 P P P M
P L P P P P P C3 C4
C13 S P S M M L L P
M M L L S S M M L
S C10 M M L L S S S
P P L L M M L L P

P P L L P P P P P
M M L L C17 P P P P
P P M M L L P P P
P M L L P P L PS M
L L S P S S M M L
S L S S M M L L S
P P S L P P C11 P P
P P L L P P P P P
S S L P S S S M M
P P C L P P P S S
P P C L P P P P C
C S S M M L L P P
L M M L L S S S S
S L C S S M M L P
M L L L C P P L L
Head Nurse Lt IV Zona A Gedu

7 7 6 6 8 8 7 7 8
7 8 6 6 6 6 6 7 6
15 11 7 7 13 17 15 13 14
14 15 16 17 18 19 20 21 22
M L P P P P P L L
L L P C7 P P P L L
L L P P P P M L L

L L P P P P C5 L L
S L P P P P P L L
S S L S S S S L L
P L P P P L M L L
L S P P C8 M M L L
M L L C3 C4 C5 C6 L L
L M M L L L P L L
S M M L M C9 C10 M M
P M M L L S S M M
C8 L S M M L L PS L
L L PS M M L L P P

L L P S M L P L L
S L P M M L L L PS
L PS L S S L P M M
M L L P P P L P P
C14 L P M M L P L L
C7 C8 C9 C10 S S S M M

L L P P P P P L L
P P S S L M M L L
S M M L L L S M M
M L L C9 P P L S S
M L L S S S S M M
P S S M M L L C5 P
L L S C13 P P P S L
 14 15 16 17 18 19 20 21 22
L M L P P P P L L
M L L P P P C12 S S
P L P P P S L P P
S S S L S M M L L
L L C14 L L M L S S
S M M L L S S S S
P PS S SM L L M L L

L L P P S M L L L
L P P L P M M L L
L P C5 P P C6 P L S
M L L P S P L P P
L P S S S P P P L
S M M L L S S L L
P M M L L P P C12 L
L L P P P P P L L
L L S S S S S A A
M M L L S S S L L
L L P P P P P C L
P L P L P P C S M
L P S S M M L L P
S S M M L L P L L
P L P P P C M M L
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

8 4 7 6 8 7 7 5 5
6 7 6 5 7 6 7 6 6
6 4 12 13 13 11 10 5 5
23 24 25 26 27 28 29 30
P P P P L L L P C6
P P P P P L L L C7
L S M L P L L P C8

P P P P P L L P C5
P P P P P L L L
S S M M L L S S C18 0
P P P P P L M M C17 0
S P P P M M L L C8 0
M M L M L PS L S C6 0
M M L L P PS M M +3
L L S S S L M M C10+1
L L S P M M L L C7 0
S L C9 S M M L L C9 0
P S M L S L PS S C15 -1

P P P P P L L P C7
M M L L P C12 P S C12 0
L L P L S L M M C110
P S L C5 C6 C7 P P C7 0
S S S S L S M M C14 0
L L P P M M L L C10 0

P P C5 M L L L P C5
P P S S M M L P C16 0
L L S S PS L L L 0
S S M M L C10 L S C10 0
L L S S M M L L C13 0
S L P P S L L S C6 0
M M L L P P S S C13 0
23 24 25 26 27 28 29 30
P P P S P L L P C7
S L P P S S S L C12 0
L P P P P P L P C4 0
L S M M L L PS L C13 0
S L SM M L L L C15 C15 0
M M L L S S S L C10 0
P P M M L C12 L C13 C13 0

P P P P L L L P C6
P P P P L P P P C17 -3
C7 P P P P P L P C7 0
P PS L C6 C7 C8 L P C8 0
C13 P P S S L P P C13 0
M M L L P S M M C0 0
P P S M M L L S C12 0
P P P P P L L C
L L S M M L L S
S M M L P P P P
C P S S S S L P
M L L P S L S S
P P P P L C S M
S S P S P M M L
L P P P L P P L
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

8 7 6 8 7 4 4 7
6 6 6 7 6 6 6 6
13 14 15 13 12 4 4 13
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Agustus 2019 Libur : Sepaket dinas malam + 5
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO P P M L
2 Ns. Dewi 198101042005 4 CCM P P L P
3 Ns Heru Bh 196812121991 4 IPCN Link P P L L
401
4 Ns Rotua 197602201994 4 PP P P L L
Ns Nurlel 19810825 200 1 PA P P L L
5 Sofya As 196310281985 2 PA M L L S
6 Meliyana 198106252005 3 PA C12 C13 P P
7 Sawinah, 197902232000 3 PA C7 C8 C9 L
8 Intan Sar NPS146064 1 PA L P L PS
9 Yulinnar NPS146451 Pra 1 PA P S L M
10 Amar ShiNPS143430 3 PA M L L S
11 Dewi SobNPS144641 2 PA S S L P
12 Irma Sury 198808022010 3 PA P P S L
13 Sifah Fau NPS145309 2 PA M L C13 L
402-403
14 Retno Bud198407272009 3 PP L P L L
15 Elin Nabi NPS144690 2 PA C5 C6 C7 P
16 Tinton Ha NPS144242 3 PA L M M L
17 Vivi Tri N NPS146359 1 PA S S S M
18 Turinah 197007101992 3 PA P P P L
19 Lusi Zuly NPS146532 Pra 1 PA L S S S
20 Dwita RusNPS146228 1 PA L P P L
404-405
21 Lili Herya 197106261993 3 PP M L L L
22 Nurhayati196803241989 2 PA P C14 L M
23 Nur'ali, 199212162019 2 PA M L L L
24 Yusniah, NPS143705 3 PA P M M L
25 Lunargi 197912212005 3 PA S M M L
26 Nurmaya NPS145296 2 PA S S S M
27 Mukti Han NPS143641 3 PA P P P L

SORE 4 5 4 3
MALAM 5 3 3 4
PAGI 9 9 4 3

T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2

JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Agustus 2019 Libur : Sepaket dinas malam + 5
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
28 Eni Kunta197511061996 3 PP P P P L
29 Sri Anday198812132010 3 PA S M M L
30 Sri Wahy NPS143865 3 PA
CUTI PARTUS
31 Rulli Wul NPS146077 1 PA L P P M
32 Erni Suci 198904152012 2 PA S M M L
33 Ardi Seti 198106212010 3 PA L S S S
34 Fitri Cih NPS145667 2 PA M L L P
420 – 421
35 Siti Khod 196705031988 3 PP L P L L
36 Ike Isna NNPS145219 3 PA P P L P
37 Rudianto 197905202005 3 PA P P P S
38 Eka Nurj NPS146456 1 PA M L L L
39 Linceria 197209261993 3 PA P M M L
40 Dwi Nurw 197204161993 3 PA P S C11 M
41 Meirini T NPS146533 Pra 1 PA P P S M

1 Sutiyah 196304021986032004 IRT P P L L

2 Dedi 196205061986031001 POS S S L L
3 Arkamah 196405031986032001 POS P P P L
4 Martini 196203121986032002 POS P P L P
5 Suprianto NPS145378 PCA S S S M
6 Hendi 196307091986031002 POS L P P P
7 Edi Purwan196304171986031002 POS M L S L
8 MasAgung NDPS145374 PCA S M M L
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

dr. Astuti Giantini, SpPk. Ns. Wahyu KR,Skep.

NIP : 1962090331997032002 NIP : 197002241993032001

SORE 6 7 6 5
MALAM 7 6 6 7
PAGI 15 15 7 5

M M L L

1 2 3 4
Sutiyah 1.96E+17 IRT P P S S
Dedi 1.96E+17 POS S S L S
Arkamah 1.96E+17 POS P P P L
Martini 1.96E+17 POS P P L P
Suprianto 145378 POS S S S M
Hendi 19601124 198603 1 POS L P P P
Edi Purwa 1.96E+17 POS M L S L
MasAgung 1.96E+17 PCA S M M L
5 6 7 8 9 10 11 12 13
P P L P P L L P P
L P P P P M L L C4
S M L P P L L P P

C3 P P P P L L S S
P P P M M L L P P
S S L S S M M L L
P C14 C15 L M L L L P
C10 C11 C12 P P M M L L
L M M L L P PS L L
M L L P P L S S S
S C6 S L C5 S S M L
P P P P P S L M M
S M M L C6 P L M M
P S S S S C14 P P P

P S M L P L L P P
P S S M M L L C8 C9
P P P P P S L C7 C8
M L P SM L S L S S
P P P M M L L P P
S M M L L P S S S
P M M L P P P S S

P P P P P L L C1 C2
M L L C15 P S L P C16
S M M L L P P S SM
L P P P S P L P P
L S S S S M M L L
M L L P C2 C3 C4 P P
P PS L M M L L P P

6 5 4 3 4 5 3 6 5
4 6 6 4 5 3 3 3 2
11 7 8 9 10 6 3 9 9
 5 6 7 8 9 10 11 12 13
L P P P P L L M L
L S S M M L S L C10

M L L S S L P M M
L C12 C13 L L SM M P P
S C9 S S S M M L L
P P P P P L L S S

P P P P P L L P P
P C16 P M M L L P P
L M M L L C3 P P P
PS P P P S M M L L
L P P P P L L P P
SKT L P P P S S M M
M L L P P P P M M

P P P P P L L P P
S S S M M L L S S
S M M L L P P P P
P P P C C C L L P
M L L P P P S P L
L S S S S M M L L
P P P P P S L M M
L P P S S S L C C
Head Nurse Lt IV Zona A Gedu

7 6 6 5 7 6 5 7 6
6 7 7 6 7 5 6 7 5
14 12 15 16 16 7 6 14 14

P S M L L P S S M

ROSTER POS AGTS 19

5 6 7 8 9 10 11 12 13
P P P P P L L P P
S S S M M L L S S
S M M L L P P P P
P P P C C C L L P
M L L P P P S P L
L S S S S M M L L
P P P P P S L M M
L P P S S S L C C
14 15 16 17 18 19 20 21 22
P P P L L P P L P
P P P L M P P L P
P P P L L P P P P

P P P L L P P P P
P P P S L P P P P
C10 C11 C12 L L C13 C14 C15 C16
P L P S M M L L P
L P P L L P P P P
M M L L S P P P P
S S M M L L S M M
M L S S L S S S M
L L P P P P M M L
L L S P P S M M L
M M L L P P P P P

P P P L L P P P M
P S S S M M L L L
C9 C10 C11 P PS L M M L
S S M M L L S S M
P P P S L S M M L
S S L P M M L L S
L L C4 P M P P P P

P P S L L P P P P
L P M L L M L P S
L M L L L S S S M
S S M L L L P P S
S L M M L L S S S
P P P L L P P S M
S S L M M L L P P

6 6 4 5 1 4 5 5 4
3 3 5 4 5 4 4 5 6
9 9 9 5 3 11 11 12 10
 14 15 16 17 18 19 20 21 22
P P P L L P P P P
M M L L L C7 C8 C9 S

L L S L PS P P P P
P P PS L S SM M S L
S S S L P S S S M
M M C10 L L C11 M M L

P L P L L P P P P
P L L L L S SKT L P
L P P S M M L L SKT
P S M M L L L L L
M M L L L P P P PS
L L C12 P S P S S P
L L P S S S M M L

P P P L L P P P P
S S S C L M L L S
C P P P L P M M L
P P P L P P P P P
S S M M L L P P P
P P S S L S S S S
L L P P P P P P M
M M L L S S S S L
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

7 8 6 7 4 7 7 8 5
6 6 6 5 6 5 7 7 7
14 12 13 6 4 16 15 16 15

M L L L S M M L L

14 15 16 17 18 19 20 21 22
P P P L L P P P P
S S S S M M L L S
C P P P L P M M L
P P P L P P P P P
S S M M L L P P P
P P S L S S S S S
L L P P P P P P M
M M L L S S S S L
23 24 25 26 27 28 29 30 31
P L L P L P P P L
P L L C5 P P P P L
P 38p3 L P L P C7 C8 L

P L PS L P P P P L
P L P L L P P P L
C17 C18 S S S M M L S
P L PS C16 C17 M M L L
P M M L L P P M M
P M M L L L S P S
M L L L P S S M M
M L L PS L S S M M
S L P P S M M L L
L P S S S M M L L
P P L M M L P L L

L L L P P P P S L
PS L P M M L L P L
L P S S S M M L L
M L L P P S S M M
L P P P L P P S L
S S P S S L P P L
P M M L L C5 S M M

P L L C3 L P P PSM L
S S L P P P P P P
M L L M M L L S S
S M M L L P P S S
S S L L L S S M M
M L L S S S L P P
C13 M M L L P P S C12

5 3 3 5 6 5 6 5 4
5 5 5 3 3 5 5 6 6
9 4 5 6 5 10 11 7 2
 23 24 25 26 27 28 29 30 31
S L L P P P P P L
PS L S L L P P P S
P P P P L
P S S M M L L L C9
L L L S PS M M L S
M L L S S M M L L
L PS L M M L L P P

P L L M L P P S L
P P S M M L L C14 C15
P S L P P S S C4 P
S M M L L S S S L
L P L P P P C5 P P
P L P L L P P P P
L L P P P S P P L

P L L L P P P P L
S S L C C L L L L
L C L C S S S S M
P P L P P P P P P
L S S S L M M M L
S M M L L C S S S
M L L C P P P P S
P P P M M L L P P
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

7 5 6 7 7 8 8 7 6
6 6 6 7 6 7 7 6 6
14 6 7 10 10 16 17 14 6

S DL DL M L S S S S

23 24 25 26 27 28 29 30 31
P L L P P P P P L
S S L S S M M L L
L C L C S S S S M
P P L P P P P P P
L S S S L S M M L
S M M L L P S S S
M L L P P P P P S
P P P M M L L P P
C6
C3 +1
C8

C3

C18 +1
C17 0
C12 +1
C2 +2
+6
C6+1
C6 0
C6 0
C15 0

C7
C9 +1
C11+1
C0 +2
C3 0
0
C5

C0
C16 0
-1
C7 +1
C13 +1
C4 +1
C13 0
C7
C10 0
C2 0
C9 +1
C13 +2
C9 -1
C11 0

C6
C15 0
C4 0
-1
C5 0
C12 0
0
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Juli 2019 Libur : Sepaket dinas malam + 4
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO P P PS P
2 Ns. Dewi 198101042005 4 CCM P P P PS
3 Ns Heru Bh 196812121991 4 IPCN Link P P P P
401
4 Ns Rotua 197602201994 4 PP P P P P
5 Sofya As 196310281985 2 PA M M L L
6 Meliyana 198106252005 3 PA L P P PS
7 Sawinah, 197902232000 3 PA P P L L
8 Intan Sar NPS146064 1 PA S S M M
9 Yulinnar NPS146451 Pra 1 PA M M L L
10 Amar ShiNPS143430 3 PA S S S S
11 Dewi SobNPS144641 2 PA L L P C5
12 Irma Sury198808022010 3 PA L L P P
13 Sifah Fau NPS145309 2 PA P P SM M
402-403
14 Retno Bud198407272009 3 PP C3 C4 C5 C6
15 Elin Nabi NPS144690 2 PA L P S C3
16 Tinton Ha NPS144242 3 PA S S S S
17 Vivi Tri N NPS146359 1 PA L L P P
18 Turinah 197007101992 3 PA M M L L
19 Lusi Zuly NPS146532 Pra 1 PA P P P S
20 Dwita RusNPS146228 1 PA L L S L
404-405
21 Lili Herya 197106261993 3 PP P P P P
22 Nurhayati196803241989 2 PA P P P PS
23 Nur'ali, 199212162019 2 PA L P S M
24 Yusniah, NPS143705 3 PA M M L L
25 Lunargi 197912212005 3 PA L L M M
26 Nurmaya NPS145296 2 PA P P L P
27 Mukti Han NPS143641 3 PA S S M M
28 Ina Tri S NPS146529 Pra 1 PA S S M M

Sifah FauNPS145309
T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : JuLi 2019 Libur : Sepaket dinas malam + 4
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
29 Eni Kunta197511061996 3 PP P P P S
30 Sri Anday198812132010 3 PA S S L C3
31 Febri Ast NPS146523 Pra 1 PA M M L L
32 Sri Wahy NPS143865 3 PA
CUTI PARTUS
33 Rulli Wul NPS146077 1 PA M M L L
34 Erni Suci 198904152012 2 PA S S M L
35 Ardi Seti 198106212010 3 PA S L S S
36 Fitri Cih NPS145667 2 PA P C8 C9 P
420 – 421
37 Siti Khod 196705031988 3 PP P P P P
38 Ike Isna NNPS145219 3 PA C12 S M M
39 Rudianto 197905202005 3 PA L L P P
40 Eka Nurj NPS146456 1 PA P P L P
41 Linceria 197209261993 3 PA P P L L
42 Dwi Nurw197204161993 3 PA M M L L
43 Meirini T NPS146533 Pra 1 PA P P S S

1 Sutiyah 196304021986032004 IRT P P P C

2 Dedi 196205061986031001 POS C C C S
3 Arkamah 196405031986032001 POS S S M M
4 Martini 196203121986032002 POS P P P P
5 Suprianto NPS145378 PCA M M L C
6 Hendi 196307091986031002 POS C S S S
7 Edi Purwan196304171986031002 POS P P P P
8 MasAgung NDPS145374 PCA L P S L
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

dr. Astuti Giantini, SpPk. Ns. Wahyu KR,Skep.

NIP : 1962090331997032002 NIP : 197002241993032001
PAGI 12 14 10 8
SORE 8 8 7 6
MALAM 7 7 6 7

PAGI 9 11 7 6
SORE 8 8 7 5
MALAM 7 7 6 7

3 Ns Heru Bh 196812121991 4 IPCN Link P P P P

14 Retno Bud198407272009 3 PP C3 C4 C5 C6
21 Lili Herya 197106261993 3 PP P P P P
29 Eni Kunta197511061996 3 PP P P P S
4 Ns Rotua 197602201994 4 PP P P P P
37 Siti Khod 196705031988 3 PP P P P P

PAGI 5 5 5 4
SORE 0 0 0 1
MALAM 0 0 0 0

5 5 5 4
0 0 0 1
0 0 0 0
5 6 7 8 9 10 11 12 13
P L L L P P P P L
P L L L P PS P P L
P L L P L P P P M

P L L P P S M L L
S S L S S S M M L
M M L L L P P P L
L P M M L L S S L
L L PS L S S L P M
P S PS S M M L L PS
M M L L S L S S M
P P M M L L P P S
S C3 L P P P M M L
L L P P P P P L P

S L L P P P P S L
L M L L P P S C4 S
L L P P M M L L P
P L S S M M L L L
P S L S M M L L P
M M L L S S S L P
S S M M L L P P L

P L L P P P S M L
L L P P P L M M L
L P M M L L L P M
S P L P S S M M L
L L L L L C11 C12 C13 L
M M L L S S S S M
L L L C10 C11 P P P S
L L S S P L P S S
 5 6 7 8 9 10 11 12 13
M L L P P P P L L
C4 L L C5 C6 P S S M
S P L L L P P P M

S S S S M M L L P
L L L L L L C10 S SM
M M L L S S S C8 S
P L M M L L P L L

P L L L P P P P L
L L L P P S M M L
P P P L M M L L L
S S M M L L L PS S
L L L P M M L L L
C9 L S S S P M M L
P L M M L L P P P

P L L C P P P P L
S S L S S S M M L
L L L P P S S P L
P L P P P P P P P
P P S S S L S S M
M M L L P P P C P
P C M M L L P P P
S S S P M M L S S
Head Nurse Lt IV Zona A Gedu

9 6 4 10 10 12 12 9 6
8 6 4 7 8 7 8 7 6
6 6 7 7 7 7 6 7 6

7 6 4 7 6 8 9 8 6
7 6 4 7 8 7 7 6 6
5 6 7 7 7 7 6 6 6

P L L P L P P P M
S L L P P P P S L
P L L P P P S M L
M L L P P P P L L
P L L P P S M L L
P L L L P P P P L

4 0 0 5 5 5 4 2 0
1 0 0 0 0 1 1 1 0
1 0 0 0 0 0 1 1 1

4 0 0 5 5 5 4 2 0
1 0 0 0 0 1 1 1 0
1 0 0 0 0 0 1 1 1
14 15 16 17 18 19 20 21 22
L P P P P P L L P
L L P P P L L L PS
L C5 P P P S L L P

L C2 P P P P L L P
L S S S S L S S S
SM C6 C7 P C8 M L L L
L L P M M L L S P
M L L L PS S S M M
P S S M M L L L P
M L L S L S L M M
S M M L L C6 P L P
L C4 C5 S S M M L L
L M M L L P P PS S

L P P P P S L L P
L P P M M L L P P
L PS S S L P P M M
S PS P M M L L L L
P P P P L P L P P
P P S M M L L P P
S M M L L S C3 L P

L L P P P P L L L
L P P L P M M L L
L L L L P S SM L P
L C5 C6 P P C7 S M M
L S S S S M M L L
M L L S S L L S S
L M M L L P P S S
S M M L L P P L P
 14 15 16 17 18 19 20 21 22
L P P P P P L L M
M L L S S M M L L
M L P S S S S L P

P S S M M L L L S
L L L C11 S S S M M
S S S M M L L S S
PS M M L L P P S C8

L P P P P P L L P
L P P P C12 P C13 M M
P L L P P P P P L
M M M L L L L L S
L P P P P M M L L
L P P P P S C10 P P
P S S L P M M L L

L P P P P P L L P
L S S C11 S S S L S
P M M L L P P L P
L P P P P P L P P
M L C S S C6 S S L
P P P P L M M L L
S L P M M L C L S
S S S L P P P M M
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001
6 10 13 11 11 11 7 5 13
5 6 8 8 7 8 5 6 7
6 7 7 7 7 7 6 6 7

6 7 9 7 7 8 7 5 11
5 6 8 8 7 7 5 6 7
6 7 7 7 7 7 6 6 6

L C5 P P P S L L P
L P P P P S L L P
L L P P P P L L L
L P P P P P L L M
L C2 P P P P L L P
L P P P P P L L P

0 3 6 6 6 4 0 0 4
0 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 1

0 3 6 6 6 4 0 0 4
0 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 1
23 24 25 26 27 28 29 30 31
P P P C6 L L P P P
P P P L L L P C3 P
P M L P L L P P P

P P P P L L P P P
L S L S S S S L M
C9 C10 S C11 P L M M L
PS L C4 C5 M M L L C6
L L L P S P M M L
P L M M L L P P P
L L PS S S S S L M
M M L C2 C3 L C4 S S
S S M M L L P P P
SM M L L L C12 P P M

P P M M L L L L P
P P P P M M L L P
L L P P S L M M L
L P P P M M L L S
P P S S L P P P P
S S S S P L M M L
M M L L P PS M M L

P P P P L L P P P
P P P P L L P P P
P P M L L L S S SM
L L P P L S S S L
S S S S M M L L S
M M L L L P S S L
L P M M L L P P P
P P P P L L P P P
23 24 25 26 27 28 29 30 31
L L L S L L P P P
P P P S M M L L S
P P P P L L P P P

M M L L P S S S S
L S S SM L P M M L
L P P P S S M M L
P P M M L L S S M

P P P P L L P S M
L L P P P L P P P
P P P P M M L L P
M M L L S S P P M
L P S L P P P P P
S S SKT SKT S L P P P
S S S S M M L L S

P P P P L L P P P
S S M M L L S S S
P P P P M M L L P
P P P P P L P P P
M M L L L P P P S
S S S S S L M M L
P P P L P S S S M
L L S S S L P P P
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue
13 16 13 13 6 5 15 14 15
5 7 7 8 7 6 7 7 6
5 6 6 5 7 7 7 7 6

10 13 11 11 6 5 12 12 12
5 7 7 7 7 6 7 6 6
5 6 5 4 7 7 7 7 5

P M L P L L P P P
P P M M L L L L P
P P P P L L P P P
L L L S L L P P P
P P P P L L P P P
P P P P L L P S M

5 4 3 4 0 0 5 4 5
0 0 0 1 0 0 0 1 0
0 1 1 1 0 0 0 0 1

5 4 3 4 0 0 5 4 5
0 0 0 1 0 0 0 1 0
0 1 1 1 0 0 0 0 1
C6
C3
C6

C2
C9 +2
C11 0
C6 +1
C1 +4
+6
C4 +1
C6 0
C5 0
C12 -1

C7
C4 0
C6 0
C0 0
C3 +1
0
C3 0

C0
C13 +1
0
C7 0
C13 +2
C1 +1
C9 0
C7
C6 +1
0
C2 0
C8 +2
C11 0
C8 0
C9 0

C6
C13 0
C2 0
+3
C4 0
C11 0

C6
C7
C0
C7
C2
C6
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Juni 2019 Libur : Sepaket dinas malam + 8
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO L L CB CB
2 Ns. Dewi 198101042005 3 CCM P L CB CB
3 Ns Heru Bh 196812121991 3 IPCN Link L L P CB
401
4 Ns Rotua 197602201994 3 PP L L CB CB
5 Sofya As 196310281985 2 PA L L S CB
6 Meliyana 198106252005 3 PA M M CB CB
7 Sawinah, 197902232000 3 PA L P M M
8 Intan Sar NPS146064 1 PA L S S S
9 Yulinnar NPS146451 Pra 1 PA L P P P
10 Elin Nabi NPS144690 2 PA P S L CB
11 Tinton HaNPS144242 2 PA PS CB P S
12 Vivi Tri N NPS146359 1 PA P P CB P
13 Turinah 197007101992 3 PA M M CB CB
402-403
14 Retno Bud198407272009 3 PP L L CB CB
15 Nurhayati 196803241989 2 PA M M CB CB
16 Nur'ali, 199212162019 1 PA L L CB CB
17 Yusniah, NPS143705 3 PA S L M M
18 Lunargi 197912212005 3 PA S S M M
19 Nurmaya NPS145296 2 PA S L M M
404-405
20 Lili Herya 197106261993 3 PP L L CB CB
21 Erni Suci 198904152012 2 PA L P S SM
22 Ardi Seti 198106212010 3 PA S S S CB
23 Fitri Cih NPS145667 1 PA S L M L
24 Endang SiNPS146007 1 PA L L CB P
25 Rudianto 197905202005 3 PA P L P P
26 Mukti Han NPS143641 3 PA L L CB CB
27 Ina Tri S NPS146529 Pra 1 PA L P P S

SORE 5 4 4 3
MALAM 3 3 5 4
PAGI 3 5 5 4

T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2

JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Juni 2019 Libur : Sepaket dinas malam + 8
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
28 Eni Kunta 197511061996 3 PP L L CB CB
29 Linceria 197209261993 3 PA M M CB CB
30 Sri Anday198812132010 2 PA L L CB CB
31 Febri Ast NPS146523 Pra 1 PA L P P S
32 Sri Wahy NPS143865 3 PAC U T I PARTUS
33 Rulli Wul NPS146077 1 PA L L CB CB
34 Dwi Nurw 197204161993 3 PA M M CB CB
35 Sifah Fau NPS145309 2 PA M M CB CB
420 – 421
36 Siti Khod 196705031988 3 PP L L CB CB
37 Irma Sury 198808022010 2 PA L L S CB
38 Dewi Sob NPS144641 2 PA P S CB P
39 Amar Shi NPS143430 3 PA L L CB S
40 Ike Isna NNPS145219 2 PA L L P P
41 Dwita RusNPS146228 1 PA P S S CB
42 Eka Nurj NPS146456 Pra 1 PA L L M M

1 Sutiyah 196304021986032004 IRT L L CB CB

2 Dedi 196205061986031001 POS M M CB CB
3 Arkamah 196405031986032001 POS L L CB CB
4 Martini 196203121986032002 POS L L CB CB
5 Suprianto NPS145378 PCA P L S S
6 Hendi 196307091986031002 POS S S CB CB
7 Edi Purwan196304171986031002 POS L L M M
8 MasAgung NDPS145374 PCA P P P P
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

dr. Astuti Giantini, SpPk. Ns. Wahyu KR,Skep.

NIP : 1962090331997032002 NIP : 197002241993032001

SORE 5 6 6 5
MALAM 6 6 6 5
PAGI 5 6 6 6

M L CB CB

1 2 3 4
Sutiyah 1.96E+17 IRT L L CB CB
Dedi 1.96E+17 POS M M CB CB
Arkamah 1.96E+17 POS L L CB CB
Martini 1.96E+17 POS L L CB CB
Suprianto 145378 POS P L S S
Hendi 19601124 198603 1 POS S S CB CB
Edi Purwa 1.96E+17 POS L L M M
MasAgung 1.96E+17 PCA P P P P
5 6 7 8 9 10 11 12 13
L L CB L L P P C2 P
L L CB L L P P P P
L L CB L L P P P L

P P CB M L P P P P
L S CB S M M L L S
L P M M L L CB L L
L L CB P P S M M L
P L P S M M L L P
S P M M L L S S S
M M CB L L P S S L
M M CB L S S M M L
PS S S P M M L L CB
L L P L P P S S M

L L CB L L P P P P
L P P P PS L L P M
L L M M L L P P S
L L CB P S S S L M
L L S S S L S S S
L SM CB P S S M M L

L L CB L L P P PSM L
L L CB L L L CB CB M
L L CB L L L CB C5 C6
L L P L L P P P PS
M M CB L P S M L L
PS S CB L P P P P P
L S S S M M L L P
S L S S M M L L P

2 4 4 5 4 5 5 4 4
3 3 3 4 5 5 4 3 4
2 4 4 5 4 8 7 7 6
 5 6 7 8 9 10 11 12 13
L L CB L L P P P P
P P P P L P P P M
L L M M L L S S M
S L M M L L S S M

L S M M L L S S S
L L CB L L C4 C5 C6 C7
S L CB L L L P P P

L L CB L L P P M L
M M CB L L P P P P
L P S L L CB CB S S
M M CB L S S M M L
P L CB L L CB CB L L
M L S L M M L L P
L L P S P S M M L

L L CB L L P P P P
L L CB L L S S S M
L L CB C M M L L P
L L P C C P P P L
P P P P L L CB CB CB
L L CB L L L M M L
S S S S S S P P S
M M L L L L CB CB CB
Head Nurse Lt IV Zona A Gedu

4 5 6 6 5 7 8 8 6
6 5 6 7 6 6 6 6 7
4 6 6 6 5 11 11 10 10

C C CB C C C C C C

ROSTER DINAS BULAN JUNI 2019

5 6 7 8 9 10 11 12 13
L L CB L L P P P P
L L CB L L S S S M
L L S S M M L L P
L L P P P P P P L
P P M M L L CB CB CB
L L CB L L P M M L
S S L L S S P P S
M M L L L L CB CB CB
14 15 16 17 18 19 20 21 22
P L L P C3 P P P L
P L L P P P P P L
S L L M L P P C3 L

P L L P P S L P L
S S S M M L L S S
L L P PS L M M L L
L P S L PS P L M L
P PS L M M CB CB CB S
S M M L L S S S CB
P M M L L P P P P
L L L P P L S S CB
CB L P S S M M L L
M L L P L P P P P

P L L P P L S S L
M L L P P P P S P
S PS L M M L L P P
M L L CB P P P P CB
S M M CB CB S S S S
L L S S S M M CB CB

P L L P P P P P L
M L L PS S PS S L P
C7 L L M M L L P S
L L P CB CB CB P M M
L L L L L L L L L
L CB P P CB L P M M
P CB S S S M M L L
P P L S S M M L L

5 1 4 4 5 3 5 6 4
4 3 3 5 4 5 5 3 2
7 2 4 7 6 7 8 7 5
 14 15 16 17 18 19 20 21 22
P L L S M L P P L
M L L P P P P P CB
M L L P P S S M M
M L L P P S S M M

CB PS L M M L L S S
C8 L L M M L L P S
P M M L L C C C6 C7

C3 L L C4 C5 C6 P S L
P P L P P M M L L
S M M L L L P P P
L S S L S CB S M M
P M M L L P P P C10
P L PS S CB P P P CB
L S P P S S CB CB CB

P L L P P P P P L
M L L P P P S S CB
P P P P L S S M M
P CB P S S L P P P
L L L P P M M L L
L P S S S S L P P
S M M L L P C CB CB
L S L M M L L L S
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

6 3 5 6 7 6 8 8 6
7 6 6 7 7 6 6 6 5
12 3 5 12 10 9 13 13 6

C CB C C P L S M M

14 15 16 17 18 19 20 21 22
P L L P P P P P L
M L L P P P S S S
P P P P L S S M M
P CB P S S L P P P
L L L P P M M L L
L P S S S S L P P
S M M L L P P CB CB
L S L M M L L L S
23 24 25 26 27 28 29 30
L C4 C5 P P P L L C5
L PS L P P L L L C2
L S M L C4 P L L C3

L P P S M L L L C1
S CB S S S S L S C9 +5
P PS L P P L S L C5 0
L L CB CB PS P L P C3 /+6
S S M M L L S P C1 +5
M M CB CB PS L S S +7
M M L L P P CB S C2 +2
S P S S M M L L C6 +3
L P S S S L M M C0 +5
L P P P CB P P L C3 +3

L C3 L L M M L L C3
L P P P P P CB L C14 +4
L L M M L S S S +2
M M L L P P P L C4 +2
L S S CB S S M M C10 +8
P P P PS L L L P C1 +5

L P S M L P L L
S S S L M M L L C9 +3
S S M M L L P S C7 0
L L P S M M L L C7 +1
L L L L L L L L C9 +5
L L P P P P M M C2 +5
P P M M L L P P C9 +2
P P CB CB CB L L L

5 5 6 5 3 3 4 5
3 3 5 5 5 4 3 3
4 9 6 4 5 8 4 4
 23 24 25 26 27 28 29 30
L P P PS L P L L C7
P P P P P P S L C4 +6
L L PS S P S CB P C2 +3
L CB CB CB L L L L
C2 0
S S M M L L S S C8 +3
S S L P P P L P C8 0
C8 C9 C10 S S C11 S L C11 -1

L P P P S M L L C2
L L L CB S S M M C2 +3
M M L L L S M M C1 +3
L L S S M M L L C4 +2
P P M M L C11 P P C11 0
M M L L L L M M C2 +3
M M L L M M L L +7

L P P P P P L L
L S M M L L L S
L L CB P P P P L
L P P P P P L P
P P P L P L P P
M M L L S S S L
L CB L L M M L L
S S S S L S M M
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

7 7 7 8 6 6 7 6
6 6 7 7 7 7 6 6
6 13 9 7 8 10 5 7

L L P S S L M L

23 24 25 26 27 28 29 30
L P P P P P L L
L S M M L L L S
L L CB P P P P L
L P P P P P L P
P P P L P L P P
M M L L S S S L
L CB L L M M L L
S S S S L S M M
M
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Mei 2019 Libur : Sepaket dinas malam + 6
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO L P P L
2 Ns. Dewi 198101042005 3 CCM L P P L
3 Ns Heru Bh 196812121991 3 IPCN Link L S P L
401
4 Ns Rotua 197602201994 3 PP L P P L
5 Sofya As 196310281985 2 PA S S L S
6 Meliyana 198106252005 3 PA L P P M
7 Sawinah, 197902232000 3 PA P P S M
8 Intan Sar NPS146064 1 PA S S L S
9 Yulinnar NPS146451 Pra 1 PA M L L L
10 Elin Nabi NPS144690 2 PA P P P P
11 Tinton HaNPS144242 2 PA M L L P
12 Vivi Tri N NPS146359 1 PA S S S L
13 Turinah 197007101992 3 PA L P P P
402-403
14 Retno Bud198407272009 3 PP P P P L
15 Nurhayati 196803241989 2 PA L P P S
16 Nur'ali, 199212162019 1 PA L S S S
17 Yusniah, NPS143705 3 PA M L C4 L
18 Lunargi 197912212005 3 PA L L S M
19 Nurmaya NPS145296 2 PA M L L P
404-405
20 Lili Herya 197106261993 3 PP M L P L
21 Erni Suci 198904152012 2 PA P S L M
22 Ardi Seti 198106212010 3 PA P S L S
23 Fitri Cih NPS145667 1 PA S M M L
24 Endang SiNPS146007 1 PA L P P S
25 Rudianto 197905202005 3 PA L P P L
26 Mukti Han NPS143641 3 PA L P S L

T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2

JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Mei 2019 Libur : Sepaket dinas malam + 6
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
27 Eni Kunta 197511061996 3 PP L M L L
28 Linceria 197209261993 3 PA P M M L
29 Sri Anday198812132010 2 PA S M M L
30 Sri Wahy NPS143865 3 PA P P P L
31 Rulli Wul NPS146077 1 PA S S S M
32 Dwi Nurw197204161993 3 PA L M M L
33 Sifah FauNPS145309 2 PA L P P P
420 – 421
34 Siti Khod 196705031988 3 PP L P S L
35 Irma Sury 198808022010 2 PA L M M L
36 Dewi Sob NPS144641 2 PA L M M L
37 Amar Shi NPS143430 3 PA M L L P
38 Ike Isna NNPS145219 2 PA M L L P
39 Dwita Rus NPS146228 1 PA L P L S
40 Eka Nurj NPS146456 Pra 1 PA L S S M

1 Sutiyah 196304021986032004 L P C L
2 Dedi 196205061986031001 S S S L
3 Arkamah 196405031986032001 P L L L
4 Martini 196203121986032002 POS L P P P
5 Suprianto NPS145378 PCA S M M L
6 Hendi 196307091986031002 POS P P P M
7 Edi Purwan196304171986031002 POS L S S S
8 MasAgung NDPS145374 PCA M L L P
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

dr. Astuti Giantini, SpPk. Ns. Wahyu KR,Skep.

NIP : 1962090331997032002 NIP : 197002241993032001

SORE 6 9 8 7
MALAM 7 7 6 6
PAGI 7 14 11 7

L P S L
5 6 7 8 9 10 11 12 13
L P P P P P L L P
L P P P P P L L P
L P P S M L L L P

L P P P P P L L P
S L C6 C7 C8 C9 S M M
M L L S S S L P P
M L L P P P P M M
S M M L L S S S S
S S L S S M M L L
L M M L L P P S S
P S S S L M M L L
P P P M M L L L L
L P S M M L L P P

L P P M L P L L P
L P P P P M M L L
S M M L L S S M M
L S S M M L L P P
M L L S S S S L S
L S S S S M M L L

L P P P P S L L P
M L L C7 C8 C9 C10 L P
S S S M M L L P P
L P P P S S L M M
S M M L L P P S S
P P P P P P P L P
P M M L L P P S S
5 6 7 8 9 10 11 12 13
L P P P P S L L P
L P P P P P S L P
L P P P P P L S S
L P P L P P L P P
M L L S S M M L L
L P P P P P L M M
L M M L L P P S S

L P P P P P L L M
L S S S L P P M M
L C1 P P S M M L L
P S S M M L L S S
P M M L L P S L P
S S S M M L L P P
M L L P S S L P P

L P P P P P L L P
S S S M M L L S S
P M M L P P P P L
L P P P S S L P P
L P P P L P P L S
M L L S S S S L P
L P P C P M M L L
P S S S C P L M M
Head Nurse Lt IV Zona A Gedu

7 8 8 8 8 8 6 7 8
6 7 7 7 7 6 6 6 7
6 14 14 13 11 15 7 7 15

P M M L L P S L S
14 15 16 17 18 19 20 21 22
P P P P L L P P P
P P P P L L P PSM P
P P P P L L P P P

P S M L L L P P P
L L S S S S M M L
P P M M L L P P S
L L P L L L P P S
M M L L S S S S M
S S S S M M L L P
M M L L P L S S M
P P P P P L M M L
S S S S L P M M L
P P P P L P P P P

P P P PSM L L L P P
P C12 P P P P L P P
L L S S L L L S M
P P M M L L P P M
S S M M L L S S S
S S M M L L S S S

P P P P L L P P P
M M L L S S M M L
S L S S M M L L S
L L P P S S M M L
M M L L P P S S M
P P P P M M L L P
M M L L P P P P L
 14 15 16 17 18 19 20 21 22
P P P P M L L P P
S S S L M M L L P
S L P P M M L L P
P P P P P L CUTI PARTUS
S S S S M M L L S
L L P P S S C3 P P
L P M M L L P P S

L P P P L L P P P
L L P P P L M M L
P S M M L L S S M
M M L L S S S L S
P P P P L P P P P
P L S S L P M M L
M M L L S S S S M

P P P P L L P P P
S S S S L L S S M
P P P P M M L C P
S S S S S L P P P
M M L L P P C S S
P P M M L L P P L
P P P P P P L P S
L L P P L S S C P
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

8 8 8 7 7 7 8 8 8
7 7 7 6 7 6 7 7 7
14 12 15 13 7 7 10 14 13

M M L L P P S M M
23 24 25 26 27 28 29 30 31
P P PS L L P P L P
L P L L P P P L P
P P L L M L P L P

P P L L P PSM L L P
L S S L S S S M M
S P L M M L L P P
S M M L L P P S S
M L L S S S S S L
P M M L L P P S S
M L L P P P P L P
L S S S S M M L L
L P P P P M M L L
L P P M M L L P P

S S L L P P P L P
P P P L P M M L L
M L L S S S S M M
M L L L P P P P L
S M M L L S S L S
L S S M M L L S S

P P L L S M L L P
L P S S S M M L L
S S L P P M M L L
L P P M M L L P P
M L L P P S S M M
P P P M M L L L P
P M M L L P P P S
23 24 25 26 27 28 29 30 31
P P L L P P S L P
P S L P P P P L S
P P S M M L L L C2

S M M L L L C6 L C7
P P L P P S L P S
S M M L L P P S S

P S L M L P P L P
L S S S L P P M M
M L L L P S S S L
S L L L C3 C4 P M M
P P L P P P P M M
L P P S S M M L L
M L L S S S S M M

P P L L P P P L P
M L L S S S S L S
P P P L P P P P L
P P L P S S S L P
S L P P P M M L L
P S S L P P L P P
S M M L L P P P L
L S S M M L P L S
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

8 8 6 7 8 8 8 6 8
7 6 6 7 7 7 6 7 7
12 14 6 7 13 12 12 6 10

L L P S S L P L S
C1

C1

C9/ +3
C3 0
C3 /+2
C1 +1
+2
C2 -1
C6 -1
C0 +1
C3 0

C1
C12 0
0
C4 0
C10 +1
C1 +1

C10 0
C4 +1
C7 0
C9 +3 TGL 3 KE 418
C2 +2
C9 0
C7
C4 0
C2 0
C2 0
C7
C3

C2
C2 +1
C1 0
C4 0
C8 +1
C0 0
+4
 No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : April 2019 Libur : Sepaket dinas malam + 6
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO P P L P
2 Ns. Dewi 198101042005 3 CCM P P L L
3 Ns Heru Bh 196812121991 3 IPCN Link P P L P
401
4 Ns Rotua 197602201994 3 PP P P L P
5 Sofya As 196310281985 2 PA M L L S
6 Meliyana 198106252005 3 PA P P P M
7 Sawinah, 197902232000 3 PA S M M L
8 Intan Sar NPS146064 1 PA L S S S
9 Dwita RusNPS146228 1 PA M L L P
10 Elin Nabi NPS144690 2 PA S S S M
11 Tinton HaNPS144242 2 PA P P L L
12 Vivi Tri N NPS146359 1 PA P P P P
13 Turinah 197007101992 3 PA P M M L
402-403
14 Retno Bud198407272009 3 PP P P L P
15 Nurhayati 196803241989 2 PA P M M L
16 Nur'ali, 199212162019 1 PA L P S M
17 Yusniah, NPS143705 3 PA P P P M
18 Lunargi 197912212005 3 PA L S S S
19 Nurmaya NPS145296 2 PA S M M L
20 Yulinnar NPS146451 Pra 1 PA P P L P
404-405
21 Lili Herya 197106261993 3 PP P P L P
22 Erni Suci 198904152012 2 PA SM M M L
23 Ardi Seti 198106212010 3 PA L S S S
24 Fitri Cih NPS145667 1 PA M L L P
25 Endang SiNPS146007 1 PA M L L M
26 Rudianto 197905202005 3 PA P P P P
27 Mukti Han NPS143641 3 PA S S L P

T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2

JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : April 2019 Libur : Sepaket dinas malam + 6
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
28 Eni Kunta197511061996 3 PP P P L P
29 Linceria 197209261993 3 PA P P P M
30 Sri Anday198812132010 2 PA P P S M
31 Sri Wahy NPS143865 3 PA S M M L
32 Rulli Wul NPS146077 1 PA M L L P
33 Dwi Nurw197204161993 3 PA S S L P
34 Sifah FauNPS145309 2 PA L L L S
420 – 421
35 Siti Khod 196705031988 3 PP P P L P
36 Irma Sury 198808022010 2 PA P S L P
37 Dewi Sob NPS144641 2 PA L P P S
38 Amar Shi NPS143430 3 PA S S L S
39 Ike Isna NNPS145219 2 PA M L L P
40 Fadhila NuN PS146344 1 PA P P L P
41 Eka Nurj NPS146456 Pra 1 PA P P L P

1 Sutiyah 196304021986032004 RT P P L P
2 Dedi 196205061986031001 POS S S S M
3 Arkamah 196405031986032001 POS M L L P
4 Martini 196203121986032002 POS P P P L
5 Suprianto NPS145378 PCA P S S S
6 Hendi 196307091986031002 POS L P P P
7 Edi Purwan196304171986031002 POS S P L S
8 MasAgung NDPS145374 PCA P M M L
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

dr. Astuti Giantini, SpPk. Ns. Wahyu KR,Skep.

NIP : 1962090331997032002 NIP : 197002241993032001

SORE 7 8 6 7
MALAM 6 6 6 7
PAGI 19 18 6 18

S M L P
5 6 7 8 9 10 11 12 13
P L P P P P P P PS
P P L P P P P P L
P P L P P P P P L

P L P P P P P P L
S S L S S M M L L
M L L P P P P P L
L P PS S S M M L L
L M M L L S S S S
P S S M M L L P P
M L L P P S S S S
P M M L L P P P L
L P P M M L L P P
L L P P P P P M M

P L M L P P P P L
S S P M M L L S L
M L S P P P P P L
M L L P P M M L L
S M M L L S S S S
L L P S S S S M M
P P L S S M M L L

P P L P P P P P L
M L P P P P P M L
S S L M M L L P S
P P L M M L L P P
M L L C4 C5 P P M M
P L P P P SKT P P L
P M M L L P P P P
5 6 7 8 9 10 11 12 13
P P L P M L P P L
M L L P P P P P P
M L L P P P P P L
P P L S S L P M M
P P L S S S S M M
P M M L L S S S L
L P L M M L L P P

L L P P SKT SKT P P L
S L L P P M M L L
S S L P P S S S L
S M M L L S S S S
P L S S S M M L L
L S S S S M M L P
P L S M M L L S S

P L L P P P P P L
M L L L P M M L L
P L P P P S L S S
L L L P P P P P L
L P P M M L L P P
P P L S S S S M M
S M M L L P P P P
L S S S S L S S S
Head Nurse Lt IV Zona A Gedu

7 6 5 8 8 8 8 8 6
8 6 7 7 8 7 7 6 5
16 9 8 16 15 13 17 18 7

M M L L P P S S L
14 15 16 17 18 19 20 21 22
L P P L P L L L P
L P P L P L L L P
L P P L S L L L M

L P P M L L L L S
S S S S S L S S S
M M L L PS L S L P
L P P P P L L L M
L P M M L L P P S
S L S S S S L P M
L P P L M M L L P
M M L L L PS P L P
P P M M L L P S P
L L P L P S L P P

L S M L L L L L P
S C7 C8 C9 C10 P L L P
M M L L M M L L L
P P P P L S M M L
L S S S M M L L C4
L L S S S L P P M
P P P P P P P L S

L P P M L L L L L
L L L L L L S S M
S S M M L L S S S
L P P L L PS L P P
L L P P P L C6 C7 C8
P P L P P L M M L
L S M M L L C9 L L
 14 15 16 17 18 19 20 21 22
M L L L C2 L L L C3
L P P P P L M M L
M M L P P L M M L
L L SKT SKT P P M M L
L L S P P L S P S
P P P L L P M M L
P P L P SM M L L C3

L C1 P P L L L L P
PS S S S M M L L PS
M M L L L L S S M
M M L L S S L S M
C7 C8 S S M M L L P
S S M M L L L L P
S S M M L L P P S

L P P L P L L L P
S S S L S S L L S
L P M M L L P P P
P P P P P P L L C
L S S S S L M M L
L L P L P P S P M
M M L L P S L S S
P L P P M M L L P
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

6 8 7 6 5 4 6 6 7
7 6 7 8 5 6 6 6 6
6 14 13 10 10 4 6 7 12

M M L L S L L P P
23 24 25 26 27 28 29 30
P P P P L L C1 P
L P P P L L P P
L L P C1 L PS P P C0

M L P P L L P P
L S S M M L L S C5 +1
P P L M M L L S C3 0
M L L S S S S L C3 +2
S M M L L P PS L C1 0
M L L P P M M L +1
P M M L L L PS L C2 -1
P P L L S S L M C6 0
L L P M M L L P C0 +2
P P P P P L P P C3 0

P P C1 P L L P P
S S P P L L P S C10 0
PS S S L L M M L +1
L L S S S L S M C3 +1
C5 C6 C7 C8 L L C9 C10 C10 +2
M L L L L PS S M C1 +1
S M M L L S S M +2

P S M L L L P P
M L L PS P M M L C6 0
L S S M M L L P C4 +1
P M M L L L S S C7 0
C9 P P P L P P S C9 0
L L P P P M M L C2 +2
P P P S L M M L C9 0
23 24 25 26 27 28 29 30
C4 C5 C6 C7 L L P P C7 0
L P P P P L P P C4 0
L P P P P L P S C1 0
L L P P L P P P C2 +1
S S L M M L L P C5 0
L P S S S L P P C2 0.
C4 M M L L L SKT SKT C2 0.

S M L P L L C2 P C2
L P S M M L L S C2 +1
M L L P S M M L C0 +1
M L L S S S S M C2 +1
P P S S L P P M C8 -1
P M M L L PS S S C1 0
S S L P P M M L +2

P P P P L L P P
S M M L L L S S
P S S M M L L P
P P P P P L P P
L P P S S L P P
M L L P P L L S
S P S L L M M L
P S L S L P L M
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

6 7 7 6 6 4 7 8
7 7 7 6 6 7 7 6
11 12 11 14 7 4 13 13

M M L L P S S S
TGL 3 KE 418
No Dokumen : F-RWT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Maret 2019 Libur : Sepaket dinas malam + 6
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO P L L P
2 Ns. Dewi 198101042005 3 CCM P L L P
3 Ns Heru Bh 196812121991 3 IPCN Link P L L S
401
4 Ns Rotua 197602201994 3 PP P L L P
5 Sofya As 196310281985 2 PA S S L L
6 Meliyana 198106252005 3 PA L L PS L
7 Sawinah, 197902232000 3 PA P P P P
8 Intan Sar NPS146064 1 PA L L S S
9 Dwita RusNPS146228 1 PA P P P L
10 Elin Nabi NPS144690 2 PA L L L P
11 Tinton HaNPS144242 2 PA S S M M
12 Vivi Tri N NPS146359 1 PA M M L L
13 Turinah 197007101992 3 PA S S L P
402-403
14 Retno Bud198407272009 3 PP S L L P
15 Nurhayati 196803241989 2 PA P P L P
16 Nur'ali, 199212162019 1 PA M M L L
17 Yusniah, NPS143705 3 PA L L P P
18 Lunargi 197912212005 3 PA M M L L
19 Nurmaya NPS145296 2 PA S S M M
20 Yulinnar NPS146451 Pra 1 PA P P L P
404-405
21 Lili Herya 197106261993 3 PP P L L M
22 Erni Suci 198904152012 2 PA C5 C6 L L
23 Ardi Seti 198106212010 3 PA L L S S
24 Fitri Cih NPS145667 1 PA M M L S
25 Endang SiNPS146007 1 PA L L S P
26 Rudianto 197905202005 3 PA P P S L
27 Mukti Han NPS143641 3 PA P L S L
T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Maret 2019 Libur : Sepaket dinas malam + 6
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
28 Eni Kunta197511061996 3 PP P L M L
29 Linceria 197209261993 3 PA P P P P
30 Sri Anday 198812132010 2 PA M M L L
31 Sri Wahy NPS143865 3 PA L L M M
32 Rulli Wul NPS146077 1 PA L L L L
33 Dwi Nurw 197204161993 3 PA S L L S
34 Sifah Fau NPS145309 2 PA S L L S
420 – 421
35 Siti Khod 196705031988 3 PP P L L PS
36 Irma Sury198808022010 2 PA M M L L
37 Dewi SobNPS144641 2 PA L PS M M
38 Amar ShiNPS143430 3 PA S S M M
39 Ike Isna NNPS145219 2 PA L L P PS
40 Fadhila NuNPS146344 1 PA P L M M
41 Eka Nurj NPS146456 Pra 1 PA P L P P

1 Sutiyah 196304021986032004 RT P L L P
2 Dedi 196205061986031001 POS P P L P
3 Arkamah 196405031986032001 POS M M L L
4 Martini 196203121986032002 POS P P L P
5 Suprianto NPS145378 PCA P L P S
6 Hendi 196307091986031002 POS L L P P
7 Edi Purwan196304171986031002 POS S S S S
8 MasAgung NDPS145374 PCA S S M M
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

dr. Astuti Giantini, SpPk. Ns. Wahyu KR,Skep.

NIP : 1962090331997032002 NIP : 197002241993032001

SORE 8 5 5 6
MALAM 6 6 7 7
PAGI 14 6 6 11

P P P S
5 6 7 8 9 10 11 12 13
P P L P L L P P P
P P L P L L L P P
M L L P P L P L P

P PS L L L L P P P
S S L S M M L L S
L P M M L L P P P
PS L L P M M L L P
S S S L PS S M M L
M M L L S L S S S
P P M M L L P P S
L L P P L L P P M
M M L L L S S S L
P P L P L P M M L

P P P P L L M L L
M M L P L P M L L
S S S S L S S S L
C3 S L P P P P S M
S S S S L S S L S
L L P P M M L L S
P P P P L L P P P

L P L P L L P P P
L M L S S S M M L
S C2 S S S L M M L
L P P P M M L L M
M C2 L P P P P S M
P P P P M M L L P
M M L L P P P P M
5 6 7 8 9 10 11 12 13
P P L L L L P P P
P L M M L L P P L
S P M M L L P P P
L L P P P P L P P
S S S S M M L L S
M M L L P P S S S
L S M M L L P P P

L P L P L L S M P
P S M M L L P P S
L L L P L S S L P
L L L C2 S L S S M
L C6 S S S L M M L
L L S S L L P S M
P P P P L L P P P

P P L P L L P P P
P P L P P P M M L
P P P S L S L S S
P P P P P P S S S
S S M M L L P P P
S S S L M M L L P
M M L L L L S P P
L L S S S S P L M
Head Nurse Lt IV Zona A Gedu

7 8 7 8 5 6 8 8 8
7 6 6 6 6 6 7 6 7
10 12 8 17 6 7 17 14 14

L L M M L L L P S
14 15 16 17 18 19 20 21 22
L L L L P P P P L
P P L L P L P P P
P P L PS P P P P P

P P L L P P S M L
S S L S S S L S S
L M M L P P P P P
P P S M M L L S S
P S P L P M M L L
L S S M M L L L L
S L P P S M M L L
M L L S S S S M M
S M M L L P L PS L
L P P S L P P M M

L P L L P P P P P
P P L P P S S P P
S S P L S M M L L
M L L L S M M L L
S M M L L S S S S
S M M L L S S S PS
P P L P P P P P P

P S L L P P L SKT SKT
P P S SM M L L L L
L S S M M L L C3 C4
M L L P P L P P P
M L C3 L P M M L S
P P L P L P P P P
M L L L P P P M M
 14 15 16 17 18 19 20 21 22
P L L L P P P P S
L P P M M L L P P
P P L P L S S L P
P M M L L P P P P
S S S M M L L S S
P P L P P P P M M
P S L M M L L P P

P L L L P P P P P
S M M L L S S S L
P P S L S S S M M
M L L S S M M L L
L P P P L P P M M
M L L S S M M L L
P P P L P P P P P

P P L L P P P P P
L P L P S S S M M
S M M L L P P S S
P P P L P P P P P
S S L S S M M L L
P S S L L S S S S
P P P M M L L P P
M L L L P P P L P
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

8 8 6 5 8 8 8 6 6
7 6 6 6 7 7 7 7 6
17 15 7 8 15 16 14 13 13

M M L L P P C C C
23 24 25 26 27 28 29 30 31
L L P P P P P L P
L L P P P P P L P
P L P P P P P L L

L L P P P P P L L
M M L L S S S S M
M M L L L P PS L L
PS L M M L L L P S
P P P L L S M M L
L P SM L P L P P M
L PS S S M M L L S
L L P S M M L L L
S P S L S S M M L
L L P P P P P L P

L L P P P P P P L
L L P P L S S L L
M M L P P S M M L
L PS S S M M L L L
L S S S L S M M L
L L M M L L S L S
P L P P P P P L P

PS L P P P P P L L
L L L M SM M L S S
S S M M L L S S S
L P P P S L P P M
L S M M L L L S M
M M L L P P P S L
L L P P PS S L L P
23 24 25 26 27 28 29 30 31
L M L P P P P L P
L P P P P P P P L
P L M M L L P L P
P L M M L L P P P
M M L L S S S L M
L L P P L S L S P
M M L L S P P P M

L L P P P P L P L
PS L S S M M L L L
L L P PS L L M M L
S S S S M M L L S
L L P P P P S L M
S L S L P P M M L
L P P P P P P L P

L L P P P P P L L
L L P P P S S S L
S L P P S S L S M
L P S S L P P L L
P P M M L L P P L
S L P P S L M M L
L S S S M M L L P
M M L L P P S L S
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

4 4 7 6 5 9 6 6 6
6 7 6 7 5 6 6 6 7
5 6 17 16 15 15 15 8 8

M M L L DK DK DK L S
0

C5 0
C3 -1
C3 +1
C1 -1
-1
C2 -3
C6 +1
C4 +1
C3 -1

C6 -1
0
C3 0.
C3 +1
C1 0
0

C6 -1
C4 0
C7 +1
C3 -2 TGL 3 KE 418
C2 +1
C8 0
C1
C4 -1
C1 -1
C2 +1
C5 -1
C1 0
C2 0.

C2 -1
C0 +1
C2 -1
C6 -3
C1 -1
0
WT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Februari 2019 Libur : Sepaket dinas malam + 5
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO P L L P
2 Ns. Dewi 198101042005 3 CCM P L L P
3 Ns Heru Bh 196812121991 3 IPCN Link P L M L
401
4 Ns Rotua 197602201994 3 PP P L L P
5 Sofya As 196310281985 2 PA M M L L
6 Meliyana 198106252005 3 PA L L S S
7 Sawinah, 197902232000 3 PA S S M M
8 Intan Sar NPS146064 1 PA P P L P
9 Dwita RusNPS146228 1 PA S L S S
10 Elin Nabi NPS144690 2 PA S S L P
11 Tinton HaNPS144242 2 PA P L P P
12 Vivi Tri N NPS146359 1 PA L L P P
13 Turinah 197007101992 3 PA P P L P
402-403
14 Retno Bud198407272009 3 PP S L L P
15 Nurhayati 196803241989 2 PA P L M M
16 Nur'ali, NPS145699 1 PA L L P P
17 Yusniah, NPS143705 3 PA M M L L
18 Lunargi 197912212005 3 PA M M L L
19 Nurmaya NPS145296 2 PA M M L L
20 Nurkholip NPS145702 1 S S S S
404-405
21 Lili Herya 197106261993 3 PP P L L P
22 Erni Suci 198904152012 2 PA C4 L L S
23 Ardi Seti 198106212010 3 PA S S L P
24 Fitri Cih NPS145667 1 PA C2 P M M
25 Endang SiNPS146007 1 PA L L P P
26 Rudianto 197905202005 3 PA P P S L
27 Mukti Han NPS143641 3 PA P P P P
28 Yulinnar NPS146451 Pra 1 PA P L L P

T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2

JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Februari 2019 Libur : Sepaket dinas malam + 5
 418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
29 Eni Kunta197511061996 3 PP P L L P
30 Linceria 197209261993 3 PA P P M M
31 Sri Anday 198812132010 2 PA L L M M
32 Sri Wahy NPS143865 3 PA S L M M
33 Rulli Wul NPS146077 1 PA L P S S
34 Dwi Nurw 197204161993 3 PA M M L C3
35 Sifah Fau NPS145309 2 PA C1 S L C2
420 – 421
36 Siti Khod 196705031988 3 PP P L L P
37 Irma Sury198808022010 2 PA M M L L
38 Dewi SobNPS144641 2 PA P L S S
39 Amar ShiNPS143430 3 PA S S S S
40 Ike Isna NNPS145219 2 PA C3 C4 L C5
41 Fadhila NuNPS146344 1 PA L L P S
42 Eka Nurj NPS146456 Pra 1 PA P L L P

1 Sutiyah 196304021986032004 P L L P
2 Dedi 196205061986031001 P C L S
3 Arkamah 196405031986032001 POS C C L C
4 Martini 196203121986032002 POS S L P P
5 Suprianto NPS145378 POS M M L L
6 Hendi 196307091986031002 POS S S M M
7 Edi Purwan196304171986031002 POS P P L S
8 MasAgung NDPS145374 PCA L L S P
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

dr. Astuti Giantini, SpPk. Ns. Wahyu KR,Skep.

NIP : 1962090331997032002 NIP : 197002241993032001

SORE 8 6 7 8
MALAM 6 6 7 6
PAGI 14 7 6 15

L P S S
5 6 7 8 9 10 11 12 13
L P P P L L P P P
L P P P L L P P P
P P L P L L P S M

L P P P L L P P S
S S S S L S M M L
L P P P M M L L C2
L L P C2 L L S C3 M
S S S L S S M M L
M M L L P P M M L
M M L L P L P P S
M M L C3 C4 L C5 C6 P
S S M M L L S S M
P P M M L L P P P

P P P P L L P P L
P P P P L L M M L
S PS L P M M L L S
P P S S L P P S M
S S M M L L S S S
P S S S S L S S S
M M L S S S S L M

L P M L PS L P P P
M M L P S S S L P
P S S S M M L L P
L L P P P L C3 C4 C5
L P P P M M L L C1
P P P L P P P P P
L P P P L P P P P
L P P P P L P P P
5 6 7 8 9 10 11 12 13
L P P P L M L P L
L L P P S L P P M
L P P P L S M M L
L P P S M M L L L
L M L L P P S S S
L P P P L P P P P
P P M M L L P P P

L PSM L P L L P P P
S S S S P L M M L
P P M M L L P S S
L S S S M M L L S
L P M M L L P P P
M M L L S S S S M
L P P P L P P P P

L P P P L L P P C
L S S S M M L L P
M M L L P P S S P
L P P P S L P P P
P P P S S L P S M
L L P P L S S L S
S P C C L L L P S
P S S L P P M M L
Head Nurse Lt IV Zona A Gedu

6 8 7 8 6 6 8 8 8
6 7 7 6 6 7 6 6 7
10 19 15 16 7 6 16 14 12

L M M L L L P P P
14 15 16 17 18 19 20 21 22
skt skt L L P P P P P
P P L L P P P P P
L P L L P P P P P

M L L L P P P PSM L
L S S S S M M L L
C3 P L M M L L P P
M L L P PS S S L S
L M L L S S S M M
L P P P P L P S L
S S L M M L L P P
S PS L M M L L S S
M L L P P S S M M
P P L P P M M L C1

P P L M M L L L P
P S C5 /L L C6 P P P P
S M M L L P P M M
M L C2 L P P P S L
S S L S S S L S S
S M M L L S S S L
M L S S S M M L S

P P L L L P P P S
P P P M M L P P P
P S L S S M M L L
SKT SKT C6/L L C7 P P M M
P L PS L P P P M M
P SKT M L L P P C1 C2
P P L P P P P P L
P P L P P P P P P
 14 15 16 17 18 19 20 21 22
P L L L P P P P P
M L L P P P P P P
L P P S S M M L P
P P P L P P P P P
L M M L L M M L L
P M M L L P P P P
S P L S SKT M M L L

P P L L P P S M L
L S S L S S S C1/L P
S M M L L S S M M
S S S M M L L S S
L P S M M L L S S
M L C1 L P S S S S
P P P L P P P P P

C C L L P P P P P
P P L L S S S M M
L P P M M L L P P
P P L P P P P S S
M L L P P P P P P
S M M L L P P P P
S S P S S M M L L
L S S L P S S S S
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

8 7 5 6 7 8 8 8 8
7 6 6 7 7 7 7 7 6
14 14 4 7 14 16 17 12 13

P P M M L L P P S
23 24 25 26 27 28
L M L P P P
L L PSM P L P
L L P P P P C1

L L P P P P
C1 L C2 C3 C4 C5 C5 +1
P L S S M M C3 +1
M M L L S S C3 +1
L L S S M M C1 0
P P M M L L +1
S S M M L L C2 -2
S S M M L L C6 +2
L L C1 C2 C3 C4 C4 +2
C2 L C3 P P P C3 0

PS L P L P P
L P S L P P C6 -1
L L L P S S -2
L P S S M M C2 +2
M M L L S S C3 +1
M M L L S S C1 0
S L L L L L

L L P P P P
S S M M L L C4 -4
P S S S M M C1 0
L L P P S S C7 0
L L S S M M C1 -1
M M L L P P C2 +1
P P M M L L C8 +1
P L P P P P
23 24 25 26 27 28
L L P P PSM L C1
L P P P P P C4 0
C1 L S S S S C1 +1
L P S S M M C1 +1
C1 L C2 C3 C4 C5 C5 +1
P L P P S S C3 0
P S M M L L C2 0.

L L P P P P
M M L L S S C1 -1
L L P P S S +2
M M L L L S C1 -1
S S L S M M C5 -1
S L M M L L C1 0
L P P P P P

L L P P P P
L L P P P P
P L P S S S
S L P P P P
L P M M L L
P L S S M M
S S S L P P
M M L L S S
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

6 6 8 8 9 10
6 6 7 7 7 7
7 6 11 12 10 10

S L M M L L
WT-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 1/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Januari 2019 Libur : Sepaket dinas malam + 5
NAMA NIP/ NPS PK Jabatan 1 2 3 4
1 Miarly Ha 196803031988 3 NO L P P P
2 Ns. Dewi 198101042005 3 CCM L P C L
3 Ns Heru Bh 196812121991 3 IPCN Link P L P P
401
4 Ns Rotua 197602201994 3 PP L P P P
5 Sofya As 196310281985 2 PA L S S M
6 Meliyana 198106252005 3 PA L P P S
7 Sawinah, 197902232000 3 PA L M M L
8 Intan Sar NPS146064 1 PA M L P P
9 Dwita RusNPS146228 1 PA L M M L
10 Elin Nabi NPS144690 2 PA M L L C1
11 Tinton HaNPS144242 2 PA L S S M
12 Vivi Tri N NPS146359 1 PA M L L S
13 Turinah 197007101992 3 PA L P P P
402-403
14 Retno Bud198407272009 3 PP L P P P
15 Nurhayati196803241989 2 PA L C1 C2 C3
16 Nur'ali, NPS145699 1 PA S L L L
17 Yusniah, NPS143705 3 PA P M M L
18 Lunargi 197912212005 3 PA L C1 C2 C3
19 Nurmaya NPS145296 2 PA L S S L
20 Nurkholip NPS145702 1 S L L L
404-405
21 Lili Herya 197106261993 3 PP L P P P
22 Erni Suci 198904152012 2 PA P S S S
23 Ardi Seti 198106212010 3 PA S M M L
24 Fitri Cih NPS145667 1 PA P P L PS
25 Endang SiNPS146007 1 PA M L L P
26 Rudianto 197905202005 3 PA L P P M
27 Mukti HanNPS143641 3 PA S S L M
T-013 RW 1 Tgl efektif : 2 Januari 2012 No 1 2/2
JADUAL DINAS PERAWAT RUANG LANTAI IV ZONA A
Bulan : Januari 2019 Libur : Sepaket dinas malam + 5
418- 419 ( KELAS 1)
NIP/ NPS PK Jabatan 1 2 3 4
28 Eni Kunta197511061996 3 PP L P SKT SKT
29 Linceria 197209261993 3 PA L C1 C2 C3
30 Sri Anday198812132010 2 PA L P P S
31 Sri Wahy NPS143865 3 PA P L C1 S
32 Rulli Wul NPS146077 1 PA S S S M
33 Dwi Nurw197204161993 3 PA L M M L
34 Sifah FauNPS145309 2 PA P P L P
420 – 421
35 Siti Khod 196705031988 3 PP L P P P
36 Irma Sury198808022010 2 PA M L L P
37 Dewi SobNPS144641 2 PA S M M L
38 Amar ShiNPS143430 3 PA L S S S
39 Ike Isna NNPS145219 2 PA P L S M
40 Fadhila NuNPS146344 1 PA M L L S
41 Sumirah 196601091988 3 PA L P P P

1 Sutiyah 196304021986032004 L P P P
2 Dedi 196205061986031001 L M M L
3 Arkamah 196405031986032001 POS S S L P
4 Martini 196203121986032002 POS p P P P
5 Suprianto NPS145378 POS L S S S
6 Hendi 196307091986031002 POS M L L P
7 Edi Purwan196304171986031002 POS L C1 P M
8 MasAgung NDPS145374 PCA P P S S
Kepala Unit Rawat Inap Terpadu Gedung A PJ Keperawatan Gedung A

dr. Astuti Giantini, SpPk. Ns. Wahyu KR,Skep.

NIP : 1962090331997032002 NIP : 197002241993032001

SORE 6 7 7 7
MALAM 6 6 6 6
PAGI 7 11 10 10

L C1 C C
5 6 7 8 9 10 11 12 13
L L P P P P P L L
L L P P P P P L S
L L P S M L P L L

L L P P P L P L L
M L L S S S S L S
S M M L L C1 P S L
C1 S P P P PS L L L
P L L M M L L L S
L PS L S L M M L L
C2 L P M M L L P P
M L L P C1 C2 S L P
S S S L PS L S S L
P M M L L P P P L

L P P P L P P L L
L P P S S P P L L
L L P M M L L S S
L P P P S M M L L
L L S S L S S M M
L S S M M L L P P
S M M L L P P M M

L L P P S M L L L
S M M L L C1 C2 L L
L S S S L S S S L
L M M L L SKT SKT M M
P P P L P M M L L
M L L P P P P P P
M L L P P P P M M
 5 6 7 8 9 10 11 12 13
L L P P P P P L L
L L P P P M M L L
L P P P P L P M M
P M M L L P P S L
M L L S S S S L S
C2 L P P P S P L P
L L S M M L L P P

L L S M L P P L L
P L S S S M M L L
P L L P P P P M M
S M M L L S S S S
M L L P S M M L L
S S S M M L L P S
L L P P C1 C2 P L L

L L P P P P P L L
L P S S S M M L L
P L P M M L L P P
L L C C P P P S L
S S C P L S S S L
P P P L S S S M M
M L S S P P P L L
L M M L L P P P PS
Head Nurse Lt IV Zona A Gedu

6 5 8 8 7 6 7 6 6
6 7 7 7 7 7 6 6 6
6 5 14 14 10 10 15 6 6

L C C M M L L P S
14 15 16 17 18 19 20 21 22
P P P P P L L L P
P P P P P L S P P
P P P P P L L P P

P P P P S L L SKT P
M M L L S S S S S
P P P P P L P L M
P P S S L P M M L
S S L P S S M M L
S S M M L L P P S
P L S S M M L L P
P P S S M M L L S
M M L L P P S S M
S S M M L L P P P

P P P SM L P L P M
M M L P P L M M L
M M L L L S M M L
P P P P P P L S M
L L S S M M L L S
S S M M L L S S S
L L S P S S M M L

P P P P P L L P P
M M L S S S S S L
P P C2 S M M L L P
L L P P P P L P PS
S S M M L L P P L
L P P P P L P P P
L SKT SKT C1 C2 L L C3 C4
 14 15 16 17 18 19 20 21 22
P P L L P L L P P
P P P P S L P P M
L L P P P L P P S
M M L L P P M M L
S S M M L L L S M
P P S S M M L L P
P S M M L C1 L P P

P P P P S L L P P
M M L P P L S S L
L L P P S S L P M
S L M M L L S S S
C1 P P L P P M M L
S S S S M M L L P
P P P P SKT SKT L P P

P P P P P L L P P
P P P P P P L S S
SKT P S S S L M M L
P P P P P L P P P
M M L L L P P S M
L L S S S S S L C4
S S M M L L L P P
L S L P M M L L P
ead Nurse Lt IV Zona A Gedung A

( Ns Dewi Alfiani, S.Kep )

NIP: 19810104 200501 2 001

8 8 7 8 8 6 6 8 7
7 7 7 7 6 6 7 7 7
15 15 13 15 13 7 7 14 12

S M M L L P P S S
23 24 25 26 27 28 29 30 31
P P P L L P P P P
L P P L L P P P L
P P L L L S M L P

P P P L L M L P P
L M M L L S S S S
M L P P L P P M M
L L PS S S M M L L
L PS L S L M M L L
S L P M M L L P P
P M M L L P P S S
S S S M M L L P P
M L L S S S S M M
P P P L P P P P L

M L L L L P P S S
L P P L L P P P P
L P PS S L S S M M
M L L P P S S L P
S S S M M L L S S
S M M L L S S S S
L L L P P M M L P

P P P L L P S M L
P S S M M L L L C3
P S PS L S M M L L
L M M L L P P L P
PS L P P L S P M M
P P L M M L L P P
C5 C6 C7 C8 L P P L P
23 24 25 26 27 28 29 30 31
P P L L M L P P P
M L P P P P L P P
S M M L L P S M M
L P P L S P P P S
M L L S S M M L L
P P S L P P P S S
P S C2 M M L L P P

P M L L L L P P P
S M M L L P P S S
M L L P P L L L P
S S L S L M M L L
L P P P L L P S S
P S S L S S S M M
C3 M M L L P P P P

P P P L L P P P P
S M M L L P P P P
C L P S P P P P C
P P P P L S S S S
M L L P P P P P P
S S S M M L L S S
P P P S L M M L C
P S S L S S S M M
Ket P : PAGI
S : SORE
M : MALAM
L : LIBUR
* : PJ Sore/Malam
Δ: Code Blue

7 7 5 6 6 8 8 8 9
7 7 6 6 7 7 7 7 6
13 11 10 7 6 13 14 11 15

M M L L L P S M L
C1

0
C1 +1
C1 0
C1 -1
+1
C2 -1
C2 0
+2
-1

C4 -1
C4 0
C1 0
C3 0
C1 -1

C3 -4
C2 -4
C1 -1
-2
-1
C8 0
C4 -1
0
C1 – 1
0
C2 0
C2 -2

-2
0
C1 -2
C2 -2
+1
C3