Saturday Night Shift Report

31 2015 October
Konsulent onsite: dr. Ramadhana, Sp.B
Recidency: dr. Sari, dr. Muliyadi
Coass: khafid, Mody, Debtia, Aji, Arif,
Ezra
• Stagnant patients = 5
• New patients = 10
• Operation = 2
 Stagnant patients
No. Name/ age Assesment Planning Last patient
1 Mrs. Fauziah Superior vena Aminofluid 500 cc/ 12 Stagnant
yanti/40 cava syndrome jam
yo/1391802 ec susp Ketorolac
intrathoracal
tumour

2 Mrs. Yulianis/ 50 Rectosigmoid Pain management : Stagnant

yo/ 1373035 tumour on Ketorolac waiting for
colostomy room
Pro .... electif
3 Baby. Okta/1 yo Obstructive Pro explorative Waiting for
ileus ec laparotomy elective HCU
volvulus
4 Mr. Zuhry Hernia -hernioplasty Admitted to
karim/75 yo permagna ward
/01392028 dextra
5 Mrs. Theresia/ Vl cruris dex Wound toilet hecting discharge
yo
No. Name/ age Assesment Planning Last patient
7. Mr. Ade rohman/ Acute Appendictomy Admitted to
66 yo appendicitis Antibiotic iv : ward
ceftriaxone 2x1 gr
Metronidazole 3x500
mg
8. Allya ahdiyani/ Ileus obstructive NGT , urinary catheter stagnant
girl 11 yo ec susp for decompression
adheolisis post
appendictomy
 N ew Patients

No. Name/ age Assesment Planning Last patient

1 Mr. Hamtori/20 yo Vl pedis dex -WTH discharge
2 Miss. Erna Ningsih/ • Spontan tension • WSD stagnant
36 yo pneumothorax ec - consult to pulmonologist
susp TB relaps

•Epilepsi
• consult to neurologist
3 Mr. Kusna karta/ •Gross hematuria • Asam tranexamat discharge
71thn ec susp • Vit K Control to
urolithiasis urologist

•Bladder • Urinary Catheter

neuropathy

•Hemiparese
dextra ec post
stroke 5 years ago
 N ew Patients

No Name/ age Assesment Planning Last patient

.
4. Mika C/ boy 14 Vl temporal sin •WTH Stagnant
yo

5 Mr. Baitul Hydropneumothoraxs •WSD Stagnant

makmur/ 55yo dextra ec TB •Consult to
pulmonologist
6. Mr. Ervan Vl regio occipital • WTH • stagnant
dia/18 thn dextra , vl dorsum because there
manus sin + was no
antebrachii sin hecting set
7. Mr. Komarudin Internal hemorrhoid • Pro • stagnant
S/ 40 yo grade III hemorrhoidectomy
elective
8 Miss. Nur Vl temporal sin - WTH discharge
afriani/
19yo
9 Mr. Ahmad Vl temporal - WTH Stagnant
Masum/ 22 yo/ dextra, VL - Schaedel AP/ lat and
1392131 auricula dextra, waters radiology
VL buccal - CT scan
dextra, multiple -Consult to
VE neurosurgeon and
Intraoral plastic surgeon
hemorrhage
Dislocation of
TMJ dextra
Moderate head
trauma
10. Mr. Masruri/ 57 VL achilles - WTH Stagnant
yo/ 1392132 dextra
 Mr. Ervan dia/18 yo
vl regio ocipital , vl manus sin + antebrachii
 Komarudin S/ 40 thn
Hemorrhoid interna grade III
 Baitul makmur/ 55thn
Hidropneumothoraks dextra ec TB
pre WSD
 Miss. Erna Ningsih

Pre WSD Post WSD

Mr. Ahmad Masum/ 22 yo
Mrs. Theresia/ yo
Vl cruris dex
Mrs. Theresia/ yo
Vl cruris dex
Mika C/ boy 14 yo
Vl temporal sin
Mr. Hamtori/20 yo
Vl pedis dex