asesmen 10-11-2015.xlsx
TRANSCRIPT
8/16/2019 ASESMEN 10-11-2015.xlsx
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NAMA FASILITAS: PUSKESMAS KAMPILI
TIPE FASILITAS: PONED
KECAMATAN: PALLANGGAKABUPATEN: GOWA
PROVINSI : SULAWAISI SELATAN
Developed by Yo!" A#$%!& O'(obe! )*+)& All !",-( !ee!ved.
INSTRUMEN PENILAIAN STAND
KINERJA Pelayanan O
Neonatal Emergensi
RESPONS EMERGENSI OBSTETRI-NEONATAL
PENEGA!AN IN"EKSI
R#J#KAN EMERGENSI OBSTETRI $ NEONAT#S
Gra%& '
TABEL REKAP
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(ersi Matri&s "EBR#ARI )*'+ - Re, '
(ersi Instrmen ). JAN#ARI )*'+
Rstetri-
EmON PENILAIAN KETERAMPILAN
PONED PERLENGKAPAN $ PERALATAN
Gra%& )
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)/''/)*'+
STANDAR PROSES STANDAR
I4(!52e4 + I4(!5
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+*8
)*8
6*87*8
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9*8
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+**8
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Gra%& ) Tabel
S(%4d%!d Obe!ved
S(%4d%!d To(%l
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Gra%& '
PUSKESMAS KAMPILI & ++ Feb )*+/
INER0A PELA0ANAN EMERGENSI OBSTETRI $ NEONATAL 1E2ONC3
PROSES STANDAR PROSES STANDAR PROSES STANDAR PROSES
e4 ) I4(!52e4 6 I4(!52e4 7 I4(!52e4 /
*.*8 *.*8 *.*8 *.*8 *.*8 *.*8 *.*8
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NS S S S S
NS
STANDAR PROSES
Pe4'%p%"%4
*1*2 *1*2
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Pen5a6aian
KINER0A PEL
++ O'( +/ Ae )
*8
+*8
)*8
6*8
7*8
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9*8
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Gra%& ' Tabel
S(%4d%!d Obe!ved
S(%4d%!d To(%l
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Gra%& )
PUSKESMAS KAMPILI
++ O'( )*+/
0ANAN EMERGENSI OBSTETRI $ NEONATAL 1E2ONC3
Ae 6 Ae 7 Ae /
+71*2 +71*2 +71*2 +
).;8 ).;8 ).;8
STANDAR PROSES
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Pe4'%
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INSTR#MEN
Repo4 E2e!,e4"
Pe4"l%"%4 Ke(e!%2p"l%4 E2ONC
R5>5?%4 E2ONC
Pe!le4,?%p%4 Pe!%l%(%4 PONED
Pe4'e,%-%4 I4@e?"
TOTAL PUSKESMAS
(Standard Total)
Gra%& ' Gra%& )
S(%4d%!d Obe!ved
S(%4d%!d To(%l
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Tabel
PUSKESMAS KAMPILI
ASESMEN ' ASESMEN ) ASESMEN 3 ASES
++ O'( )*+/ Ae ) Ae 6 Ae
STANDAR PROSES STANDAR PROSES STANDAR PROSES STANDAR
;*.*8 <;.)8
*.*8 .+8
+**.*8 +**.*8
+**.*8 +**.*8
9/.*8 ;/.*8
9+./8 /.78 /<.*8 ).;8 /<.*8 ).;8 /<.*8
KINER0A PELA0ANAN EMERGENSI OBSTETRI $ NEONATAL 1E
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EN 4 ASESMEN + ASESMEN .
7 Ae / Ae 9
PROSES STANDAR PROSES STANDAR PROSES
).;8 /<.*8 ).;8 /<.*8 ).;8
ONC3
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PUSKESMAS KAMPILI
NO1 STANDAR KINERJA
'1
)1
31
41
+1
I4(!52e4 +: Res6onse Emergensi Obstetri-Neonatal 8i P
T"2 E2e!,e4" "%p d"p%4,,"l 54(5? pe4%(%l%?%4%%4 e("%p Ibu hamil,bersalin atau postpartum dan neonatus y%4, be!%d% d%l%2 ?o4d""2e4,%4'%2 >"$% (e!?%"( %d%4y% ?o2pl"?%"
Pe!%l%(%4 d%4 pe!le4,?%p%4 54(5? pe4%(%l%?%4%%4 e2e!,e4" ob(e(!"4eo4%(%l (e!ed"% d%4 el%l5 d%l%2 ?o4d"" "%p p%?%"
Pe2e!"?%%4 !5("4 d%4 (e!%(5! (e!-%d%p ?ele4,?%p%4 d%4 ?e"%p%4 (!ol"e2e!,e4" ob(e(!"4eo4%(%l
Al,o!"(2% Job-aids (e4(%4, pe4%(%l%?%4%%4 e2e!,e4" ob(e(!"4eo4%(%ly%4, (e!p%%4, de4,%4 >el% p%d% e("%p 54"(
P5?e2% Kl"4"? 2e4>%d$%l?%4 d%4 2el%?5?%4 l%("-%4 demo ("2e2e!,e4" ob(e(!"4eo4%(%l e'%!% !5("4
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'
KRITERIA (ERI"IKASI 0/T
'Tim emergensi terdiri dari: bidan, perawat, dokter umum
'
'
Lihat Lampiran daftar standar kelengkapan troli emergensi obstetri- neonatal
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Pe!"?%l%- %p%?%- pe!%l%(%4 d%4 pe!le4,?%p%4 be!"?5( (e!d%p%( p%d%Troli Emergensi Obstetri5-Neonatal %(%5 $%d%- y%4, %2%@54,"4y%:
● Troli emergensi OBSTETRIK
● Troli emergensi N!N"T"L
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FASILITAS ++ O'( )*+/
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Troli Emergensi Obstetrik: PUSKES!S K!PI"I
DA"TAR KELENGKAPAN TROLI EMERGENSI IB#NO1 N A M A
' PERALATAN
A2b5 b%,& 54,?5p& l%4, o?",e4& ?%45l% o?",e4
K%(e(e! pe4,-"%p 5?5!%4 +;
,5del de4,%4 d5% 5?5!%4 <*22 d%4 +** 22
(e4"2e(e!
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(o5!4"H5e(
Folley '%(-e(e! 4o +9& +;& d%4 ?%4(o4, 5!"4
P%l5 !ee?
) PERSEDIAAN OBAT EMERGENSI
Obat-obat mm<
Ad!e4%l"4
A(!op"4e 5l@%(e DeJ(!oe 7*8
D"p-e4-yd!%2"4e %(%5 p-e4e!,%4
l"do'%"4
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Obat-obat obstetri&<
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2%,4e"52 5l@%( )*8 %(%5 7*8
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3 PERSEDIAAN LAINN0A
ple(e!
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Sp5"( No. +& )& 6& /& +*& )*& /* ''
mergen#$ obstetri# #are "%&& hal b-',!N& buku a#uan hal *+-' dan petunuk teknis penggun
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Troli Emergensi #eonatal: PUSKES!S K!PI"I
DA"TAR KELENGKAPAN TROLI EMERGENSI NEONAT#SNO1 N A M A
' PERALATAN BALON $ S#NGK#P
A2b5 b%,
S52be! o?",e4 de4,%4 pe4,%(5! %l"!%4 15?5!%4 d +* L23
) PERLENGKAPAN PENG!ISAP
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Pe4,-"%p 2e?%4"? d%4 (%b54,
K%(e(e! pe4,-"%p& /F& 9F& ;F& +*F& +)F& d%4 +7F
P"p% l%2b54, No. ;F d%4 p5"( )* 2l
3 OBAT-OBATAN
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4 PERALATAN LAINN0A
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PUS
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31
41
+1
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MENU UTAMA
RESPONS EMERGENSI
EmNOC DI PUSKESMAS
RUJUKAN EMERGENSI
PERLENGKAPAN & PERALATAN
REKAPIT#LASI $ GRA"IK
PENCEGAHAN INFEKSI
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ESMAS KAMPILI
STANDAR KINERJA
52e4 ): EmON Penilaian Keteram6ilan 8i Ps&esma
Te4%,% ?ee-%(%4 d" @%"l"(% ?ee-%(%4 ?o2pe(e4 2e2pe!%,%?%4Penatala&sanaan Per8ara>an 6ost6artm p%d% ?l"e4 %(%5 2odel
Te4%,% ?ee-%(%4 d" @%"l"(% ?ee-%(%4 ?o2pe(e4 2e2pe!%,%?%4Penatala&sanaan Mana:emen A&ti? Kala III p%d% ?l"e4 %(%5 2odel
Te4%,% ?ee-%(%4 d" @%"l"(% ?ee-%(%4 ?o2pe(e4 2e2pe!%,%?%4Penatala&sanaan Pre-E&lam6sia Berat/E&lam6sia p%d% ?l"e4 %(%52odel
Te4%,% ?ee-%(%4 d" @%"l"(% ?ee-%(%4 ?o2pe(e4 2e2pe!%,%?%4Pe4%(%l%?%4%%4 Ressitasi Neonats p%d% ?l"e4 %(%5 2odel
Te4%,% ?ee-%(%4 d" @%"l"(% ?ee-%(%4 ?o2pe(e4 2e2pe!%,%?%4l%4,?%-l%4,?%- Inisiasi Menys Dini 1IMD3 d%4 2e2be!"?%4 ASI y%4,be4%!
Te4%,% ?ee-%(%4 d" @%"l"(% ?ee-%(%4 ?o2pe(e4 2e2pe!%,%?%4Pera9atan Meto8e Kangr 1PMK3
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'
KRITERIA (ERI"IKASI 0/T
*
*
*
*
*
*
/ Klini& S9asta
Me4do?52e4(%"?%4 ?o2pe(e4" de4,%4 pe4"l%"%4 ede!-%4% ?e(e!%2p"l%
5enilaian keterampilan dapat dilakukan setelah penilaian fasilitas dalamsesi $ang berbeda.
5&okumentasi menunukan bahwa 6/7 petugas kesehatan kompetenmelakukan keterampilan $g dinilai dgn penilaian sederhana langsung dlm pela$anan atau simulasi kasus menggunakan daftar tilik
Me4do?52e4(%"?%4 ?o2pe(e4" de4,%4 pe4"l%"%4 ede!-%4% ?e(e!%2p"l%
5enilaian keterampilan dapat dilakukan setelah penilaian fasilitas dalam
sesi $ang berbeda.5&okumentasi menunukan bahwa 6/7 petugas kesehatan kompetenmelakukan keterampilan $g dinilai dgn penilaian sederhana langsung dlm pela$anan atau simulasi kasus menggunakan daftar tilik
Me4do?52e4(%"?%4 ?o2pe(e4" de4,%4 pe4"l%"%4 ede!-%4% ?e(e!%2p"l%
5enilaian keterampilan dapat dilakukan setelah penilaian fasilitas dalamsesi $ang berbeda.
5&okumentasi menunukan bahwa 6/7 petugas kesehatan kompetenmelakukan keterampilan $g dinilai dgn penilaian sederhana langsung dlm pela$anan atau simulasi kasus menggunakan daftar tilik
Me4do?52e4(%"?%4 ?o2pe(e4" de4,%4 pe4"l%"%4 ede!-%4% ?e(e!%2p"l%
5enilaian keterampilan dapat dilakukan setelah penilaian fasilitas dalamsesi $ang berbeda.
5&okumentasi menunukan bahwa 6/7 petugas kesehatan kompetenmelakukan keterampilan $g dinilai dgn penilaian sederhana langsung dlm pela$anan atau simulasi kasus menggunakan daftar tilik
Me4do?52e4(%"?%4 ?o2pe(e4" de4,%4 pe4"l%"%4 ede!-%4% ?e(e!%2p"l%
5enilaian keterampilan dapat dilakukan setelah penilaian fasilitas dalamsesi $ang berbeda.
5&okumentasi menunukan bahwa 6/7 petugas kesehatan kompetenmelakukan keterampilan $g dinilai dgn penilaian sederhana langsung dlm pela$anan atau simulasi kasus menggunakan daftar tilik
Me4do?52e4(%"?%4 ?o2pe(e4" de4,%4 pe4"l%"%4 ede!-%4% ?e(e!%2p"l%
5enilaian keterampilan dapat dilakukan setelah penilaian fasilitas dalamsesi $ang berbeda.
5&okumentasi menunukan bahwa 6/7 petugas kesehatan kompetenmelakukan keterampilan $g dinilai dgn penilaian sederhana langsung dlm pela$anan atau simulasi kasus menggunakan daftar tilik
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FASILITAS ++ O'( )*+/ )
ATATANNILAI
0/TStan8ar Proses
* *.**
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'' O5t )*'+NILAI
Stan8ar Proses
Total Stan8ar Kiner:a = =
Total Diobser,asi = =
Total Pen5a6aian * *1+*
2 Pen5a6aian *1*2 =1'2
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3
ATATANNILAI
0/TStan8ar Proses
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* *.**
NILAI
Stan8ar Proses
Total Stan8ar Kiner:a = =
Total Diobser,asi * *
Total Pen5a6aian * *1**
2 Pen5a6aian
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4
ATATANNILAI
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* *.**
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Stan8ar Proses
Total Stan8ar Kiner:a = =
Total Diobser,asi * *
Total Pen5a6aian * *1**
2 Pen5a6aian
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+
ATATANNILAI
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Total Stan8ar Kiner:a )* )*
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2 Pen5a6aian
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Total Stan8ar Kiner:a )* )*
Total Diobser,asi * *
Total Pen5a6aian * *1**
2 Pen5a6aian
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: PONED STANDARDS T
ASES ASESOR TANGGAL EON'T EON)T EON3T
+ FASILITAS +++*+/ / 9
) * / 9
6 * / 9
7 * / 9
/ * / 9
9 * / 9
RES#ME PENAPAIAN ST 2 Inst ' - 4
Ases Tanggal 2 Inst ' 2 Inst ) 2 Inst 3 2 Inst 4
+ +++*+/ ;*.* *.* +**.* E!!:/*<
) =DIV* =DIV* =DIV* =VALUE
6 =DIV* =DIV* =DIV* =VALUE
7 =DIV* =DIV* =DIV* =VALUE
/ =DIV* =DIV* =DIV* =VALUE
9 =DIV* =DIV* =DIV* =VALUE
<atatan :
> ? umlah standar $ang di#apai
5) > % ? 3nst * sd +
55) > Total % ? 3nst * sd @
<ara perhitungan 7 bukan berdasarkan rata-rata tetapi berdasarkan umlah semu
NAMA PKM P#SKESMAS KAMPILI
KAB#PATEN GO@A
PROPINSI S#LA@AISI SELATAN
"ORMAT ENTRI DATA KE
Maternal NeonatalI4(!52e4 +. Repo4 Ked%!5!%(%4 : 052l%- (%4d%!
52l%- S(%4d%! y%4, NA
I4(!52e4 ). Pe4"l%"%4 Ke(e!%2p"l%4 : 052l%- (%4d
P%&S'&: P ? PuskesmasB %& ? <lini#al 3nstrumen *B S'& ? Standar /*
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52l%- S(%4d%! y%4, NA
I4(!52e4 6. R5>5?%4 ?ed%!5!%(%4 : 052l%- (%4d%!
52l%- S(%4d%! y%4, NA
I4(!52e4 7. Pe!%4,?%( d%4 Pe!%l%(%4 : 052l%- (%
52l%- S(%4d%! y%4, NA
PENEGA!AN IN"EKSII4(!52e4 +. Pe4'e,%-%4 I4@e?" : 052l%- (%4d%!
52l%- S(%4d%! y%4, NA
RANGK#MAN
S&or Ib NeonatsA1 Jmla> total Stan8ar yang Di
B1 Persentase Stan8ar yang 8i5
S&or Pen5ega>an In?e&siA1 Jmla> total Stan8ar yang Di
B1 Persentase Stan8ar yang 8i5
S&or Total Penilaian KlinisA1 Jmla> total Stan8ar yang Di
B1 Persentase Stan8ar yang 8i5
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TAL STANDARDS OBSERVED
EON4T EON+T EON'O EON)O EON3O EON4O
E!!:/*< )* / 9 E!!:/*<
E!!:/*< )* * * * E!!:/*<
E!!:/*< )* * * * E!!:/*<
E!!:/*< )* * * * E!!:/*<
E!!:/*< )* * * * E!!:/*<
E!!:/*< )* * * * E!!:/*<
PI PKM
F PKM 2 PKM F PI PKM F Total PKM 2 TOTAL PKM
E!!:/*< E!!:/*< +6 9;.78 E!!:/*< E!!:/*<
* =VALUE * =VALUE
* =VALUE * =VALUE
* =VALUE * =VALUE
* =VALUE * =VALUE
* =VALUE * =DIV* * =VALUE
standar $ang di#apai dibagi umlah semua standar $ang diobserAasi
@EB ONLINEPE
&e-' &e-)
y%4, d"'%p%" d%!" / %d%l%-7 *
* /
%! y%4, d"'%p%" d%!" %d%l%-* *
PKM () TOTAL PKM(()
2 PI PKMInst +C
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CAPAIAN STANDARDS
EON+O EON'S EON)S EON3S EON4S EON+S
+< 7 * 9 E!!:/*< +6
* * * * *
* * * * *
* * * * *
* * * * *
* * * * *
RIODE ASSESSMENT
&e-3 &e-4 &e-+ &e-.
* * * *
/ / / /
* * * *
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CAPAIAN PROSES
EON'P EON)P EON3P EON4P EON+P P'S*' P'S*) P'S*3 P'S*4
7.<+ *./* 9.** E!!:/*< +9.<< + + + *
*.** *.** *.** *.** * * * *
*.** *.** *.** *.** * * * *
*.** *.** *.** *.** * * * *
*.** *.** *.** *.** * * * *
*.** *.** *.** *.** * * * *
Ke2b%l" ?e MENU
Ke2b%l" ?e I4( +
Ke2b%l" ?e I4( )
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Ke2b%l" ?e I4( 6
Ke2b%l" ?e I4( 7
Ke2b%l" ?e I4( /
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INSTR#MEN KLINIS P#SKESMAS STANDARC
P3S*) P3S*3 P3S*4 P3S*+ P3S*. P4S*' P+S*' P+S*) P+S*3
+ + + + + E!!:/*< E!!:/*< E!!:/*< E!!:/*<
* * * * * E!!:/*< E!!:/*< E!!:/*< E!!:/*<
* * * * * E!!:/*< E!!:/*< E!!:/*< E!!:/*<
* * * * * E!!:/*< E!!:/*< E!!:/*< E!!:/*<
* * * * * E!!:/*< E!!:/*< E!!:/*< E!!:/*<
* * * * * E!!:/*< E!!:/*< E!!:/*< E!!:/*<
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P+S*4 P+S*+ P+S*. P+S*= P+S*; P+S*7 P+S'* P+S'' P+S')
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
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P+S'3 P+S'4 P+S'+ P+S'. P'P*' P'P*) P'P*3 P'P*4 P'P*+
E!!:/*< E!!:/*< E!!:/*< E!!:/*< +.** +.** +.** *.<+ +.**
E!!:/*< E!!:/*< E!!:/*< E!!:/*< *.** *.** *.** *.** *.**
E!!:/*< E!!:/*< E!!:/*< E!!:/*< *.** *.** *.** *.** *.**
E!!:/*< E!!:/*< E!!:/*< E!!:/*< *.** *.** *.** *.** *.**
E!!:/*< E!!:/*< E!!:/*< E!!:/*< *.** *.** *.** *.** *.**
E!!:/*< E!!:/*< E!!:/*< E!!:/*< *.** *.** *.** *.** *.**
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P)P*' P)P*) P)P*3 P)P*4 P)P*+ P)P*. P)P*= P3P*' P3P*)
*.** *.** *.** *.** *.** *.** *./* +.** +.**
*.** *.** *.** *.** *.** *.** *.** *.** *.**
*.** *.** *.** *.** *.** *.** *.** *.** *.**
*.** *.** *.** *.** *.** *.** *.** *.** *.**
*.** *.** *.** *.** *.** *.** *.** *.** *.**
*.** *.** *.** *.** *.** *.** *.** *.** *.**
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INSTR#MEN KLINIS P#SKESMAS PROSESC
P3P*3 P3P*4 P3P*+ P3P*. P4P*4 P+P*' P+P*) P+P*3 P+P*4
+.** +.** +.** +.** E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
*.** *.** *.** *.** E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
*.** *.** *.** *.** E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
*.** *.** *.** *.** E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
*.** *.** *.** *.** E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
*.** *.** *.** *.** E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
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P+P*+ P+P*. P+P*= P+P*; P+P*7 P+P'* P+P'' P+P') P+P'3
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*< E!!:/*<
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P+P'4 P+P'+ P+P'.
E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*<
E!!:/*< E!!:/*< E!!:/*<
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