blanko evaluasi kinerja perawat
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7/25/2019 Blanko Evaluasi Kinerja Perawat
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BLANKO EVALUASI KINERJA
PERAWAT
IDENTITAS PERAWATNama: ___________________________________________________ Unit : ___________________________________________________
PENILAIAN
Hijau [Baik]
Kuning [Cukup]
Merah [Kurang]
1. KRITERIA PENILAIANSkill :
__________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ___
Etika : __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ___ Care :
__________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ___
2. KOMITMEN PERBAIKAN
__________________________________________________________________________________________________ __________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
_____
Cirebon,
!
"
3. HASIL EVALUASIKelebihan :
__________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ___ Kekurangan :
__________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ___
Mengetahui,
Manager #ela$anan Me%i& Manager Kepera'atan Manager H()
7/25/2019 Blanko Evaluasi Kinerja Perawat
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drg. Susil!"i Su#"$%
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E&i S'"i$i$gsi(% S.K').%
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