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PEMERINTAH KABUPATEN LAMONGAN
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RUMAH SAKIT UMUM DAERAH KARANGKEMBANG
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Jl. Raya - Jombang Km. 2 Babat, Lamongan, Jawa Timur 62271
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Telepon (0322) 4651378, Faksimile (0322) 4651378,Pos-el rsudkarangkembang@gmail.com
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Laman : www.lamongankab.go.id
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FORMAT AUDIT KEPATUHAN CUCI TANGAN
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Ruang : ICU
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Periode : Januari 2026
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NoTanggalNama PetugasRuangan5 Momen Cuci Tangan6 Langkah Cuci TanganWaktuNumDenum%
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12345123456Handrub (20 -30 detik)Handwash (40-60 detik)
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101/01/2026SETIYO HADI ICU1111100%
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202/01/2026SETIYO HADI ICU 1111100%
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303/01/2026SETIYO HADI ICU 1111100%
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404/01/2026SETIYO HADI ICU 1111100%
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505/01/2026SETIYO HADI ICU 1111100%
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606/01/2026SETIYO HADI ICU 1111100%
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707/01/2026SETIYO HADI ICU 1111100%
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808/01/2026SETIYO HADI ICU 1111100%
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909/01/2026SETIYO HADI ICU 1111100%
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1010/01/2026SETIYO HADI ICU 1111100%
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1111/01/2026SETIYO HADI ICU 1111100%
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1212/01/2026SETIYO HADI ICU 1111100%
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1313/01/2026SETIYO HADI ICU 1111100%
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1414/01/2026SETIYO HADI ICU 1111100%
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1515/01/2026SETIYO HADI ICU 1111100%
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1616/01/2026SETIYO HADI ICU 1111100%
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1717/01/2026SETIYO HADI ICU 1111100%
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1818/01/2026SETIYO HADI ICU 1111100%
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1919/01/2026SETIYO HADI ICU 1111100%
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2019/01/2026SUTOYO ICU 1111100%
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2120/01/2026SETIYO HADI ICU 1111100%
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2220/01/2026SUTOYO ICU 1111100%
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2321/01/2026SETIYO HADI ICU 1111100%
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2421/01/2026SUTOYO ICU 1111100%
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2522/01/2026SETIYO HADI ICU 1111100%
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2622/01/2026SUTOYO ICU 1111100%
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2723/01/2026SETIYO HADI ICU 1111100%
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2823/01/2026SUTOYO ICU 1111100%
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2924/01/2026SETIYO HADI ICU 1111100%
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3024/01/2026SUTOYO ICU 1111100%
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3125/01/2026SETIYO HADI ICU 1111100%
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3225/01/2026SUTOYO ICU 1111100%
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3326/01/2026SETIYO HADI ICU 1111100%
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3426/01/2026SUTOYO ICU 1111100%
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3527/01/2026SETIYO HADI ICU 1111100%
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3627/01/2026SUTOYO ICU 1111100%
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3728/01/2026SETIYO HADI ICU 1111100%
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3828/01/2026SUTOYO ICU 1111100%
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3929/01/2026SETIYO HADI ICU 1111100%
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4029/01/2026SUTOYO ICU 1111100%
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4130/01/2026SETIYO HADI ICU 1111100%
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4230/01/2026SUTOYO ICU 1111100%
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4331/01/2026SETIYO HADI ICU 1111100%
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4431/01/2026SUTOYO ICU 1111100%
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JUMLAH484484100%
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Keterangan :
Auditor
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Jika dilaksanakan beri tanda (√)
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Jika tidak dilaksanakan beri tanda (-)
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Jika tidak ada pelunag beri tanda (x)
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Patuh = 1
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Tidak Patuh = 0
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Kepatuhan Cuci tangan =
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Numerator (Jumlah kepatuhan cuci tangan yang dilaksanakan)x 100 %
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Denumerator( Jumlah peluang kegiatan cuci tangan yang diobservasi)
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Target >85%
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perhari 3 orang
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PEMERINTAH KABUPATEN LAMONGAN
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RUMAH SAKIT UMUM DAERAH KARANGKEMBANG
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Jl. Raya - Jombang Km. 2 Babat, Lamongan, Jawa Timur 62271
77
Telepon (0322) 4651378, Faksimile (0322) 4651378,Pos-el rsudkarangkembang@gmail.com
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Laman : www.lamongankab.go.id
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FORMAT AUDIT KEPATUHAN CUCI TANGAN
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Ruang : ICU
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Periode : FEBRUARI
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NoTanggalNama PetugasRuangan5 Momen Cuci Tangan6 Langkah Cuci TanganWaktuNumDenum%
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12345123456Handrub (20 -30 detik)Handwash (40-60 detik)
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101/02/2026Setiyo Hadi, S.Kep.NsICU1111100%
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2Sutoyo, S.Kep.NsICU1111100%
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302/02/2026Setiyo Hadi, S.Kep.NsICU1111100%
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4Sutoyo, S.Kep.NsICU1111100%
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503/02/2026Setiyo Hadi, S.Kep.NsICU1111100%
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6Sutoyo, S.Kep.NsICU1111100%
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704/02/2026Setiyo Hadi, S.Kep.NsICU1111100%
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8Sutoyo, S.Kep.NsICU1111100%
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905/02/2026Setiyo Hadi, S.Kep.NsICU1111100%
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10Sutoyo, S.Kep.NsICU1111100%
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1106/02/2026Setiyo Hadi, S.Kep.NsICU1111100%
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12Sutoyo, S.Kep.NsICU1111100%
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1307/02/2026Setiyo Hadi, S.Kep.NsICU1111100%
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14Sutoyo, S.Kep.NsICU1111100%
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1508/02/2026Setiyo Hadi, S.Kep.NsICU1111100%