Supervisi Pelayanan Darah 4sp2p
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- Words: 79
- Pages: 2
FORM SUPERVISI PELAYANAN DARAH Bulan : NO.
Kegiatan
TANGGAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Permintaan Darah 2 Penyimpanan Darah 3 Uji Kecocokan Darah 4 Distribusi 5 Suhu Refrigator 6 Reaksi tranfusi 7 Kelengkapan Formulir Permintaan 8 Ketepatan Driver Catatan :
Mengetahui
dr. Ema Puspadewi, Sp.PK
YANAN DARAH
ANGGAL 19 20 21 22 23 24 25 26 27 28 29 30 31
Pembuat
Riza Fahlafi
Keterangan
Kegiatan
TANGGAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Permintaan Darah 2 Penyimpanan Darah 3 Uji Kecocokan Darah 4 Distribusi 5 Suhu Refrigator 6 Reaksi tranfusi 7 Kelengkapan Formulir Permintaan 8 Ketepatan Driver Catatan :
Mengetahui
dr. Ema Puspadewi, Sp.PK
YANAN DARAH
ANGGAL 19 20 21 22 23 24 25 26 27 28 29 30 31
Pembuat
Riza Fahlafi
Keterangan
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