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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