POLTEKKES KEMENKES PALEMBANG

SURAT KETERANGAN PENDAMPING IJAZAH / DIPLOMA SUPPLEMENT

NOMOR / NUMBER : PP.07.02/405007/0263/2024

PROGRAM STUDI KEPERAWATAN PROGRAM AHLI MADYA

Surat Keterangan Pendamping Ijazah sebagai pelengkap Ijazah yang menerangkan capaian
pembelajaran dan prestasi dari pemegang ijazah selama masa studi

The Diploma Supplement accompanies a higher education certificate providing a standardized description
of
the nature, level, context, content, and status of the studies completed by its holder

1. IDENTITAS DIRI
PERSONAL INFORMATION
Nama Lengkap
1.1 Laila emil fitri
Full Name
Tempat dan Tanggal Lahir Cahaya malam, 21 November 2003
1.2
Place and Date of Birth Cahaya malam, November 21 2003
Nomor Induk Mahasiswa
1.3 PO7120521021
Student Identification Number
Tahun Masuk
1.4 2021
Admission Year
Tanggal kelulusan 25 September 2024
1.5
Date of Graduation September 25 , 2024
Nomor Ijazah Nasional
1.6 405007144752024100019
National Number of Certification
Gelar Ahli Madya Keperawatan ([Link])
1.7
Title Diploma Of Nursing ([Link])
Lama Studi 3 Tahun
1.8
Regular Length of Study 3 Years
Sistem Kredit Semester
1.9 111 SKS
Credits
Indeks Prestasi Kumulatif
1.10 3,40
Grade Point Average

2. IDENTITAS PROGRAM STUDI

IDENTITY OF STUDY PROGRAM
Nama Perguruan Tinggi Politeknik Kesehatan Kementerian Kesehatan Palembang
2.1
Name of Institution Health Polytechnic of Health Ministry in Palembang
Status Akreditasi Perguruan Tinggi
2.2 501/SK/BAN-PT/[Link]/PT/VII/2023
Accreditation of Institution
Program Studi Keperawatan Program Ahli Madya
2.3
Study Program Nursing Intermediate Expert Program
Jenis Pendidikan Vokasi
2.4
Classification Study Vocational
Program Pendidikan Tinggi Keperawatan
2.5
Education Program Nursing

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 Jenjang Kualifikasi Sesuai KKNI
2.6 Scheme Level in the Indonesian Level 6
Qualification Framework
Lulus SLTA/MA/SMK dan Seleksi Penerimaan Mahasiswa
Persyaratan Penerimaan
Baru
2.7
Graduated from Senior High School (SLTA/MA/SMK) and
Access Requirements
passed the exam of Selection of New Student Admission
Bahasa Pengantar Kuliah Bahasa Indonesia
2.8
Langua Franca/Spoken Language Indonesian Language
Sistem Penilaian Skala/Scale
2.9
Grading System A=4,00; B=3,00; C=2,00; D=1,00; E=0,00
Pendidikan Lanjutan Profesi/Profession
2.10 Magister/Master
Further Study Magister Terapan/Applied Master

3. INFORMASI TENTANG KUALIFIKASI DAN HASIL YANG DICAPAI

INFORMATION OF QUALIFICATION AND LEARNING OUTCOME

A. Capaian Pembelajaran A. Learning Outcome

1. Sikap dan Tata Nilai Attitudes and values
Bertaqwa kepada Tuhan Yang Maha Esa dan Be devoted to God Almighty and be able to show a
1.1
mampu menunjukan sikap religius religious attitude
Menjunjung tinggi nilai kemanusaan dalam
Upholding human values in carrying out duties based on
1.2 menjalankan tugas berdasarkan agama, moral,
dan etika religion, morals and ethics
1.3 Menginternalisasi nilai, norma, dan etika akademik Intemalize academie values, norms and ethics
Berperan sebagai warga negara yang bangga dan Acting as a citizen who is proud and loves the country, has
1.4 cinta tanah air, memiliki nasionalisme serta rasa nationalism and a sense of responsibility to the state and
tanggung jawab pada negara dan bangsa nation
Mengharagai keanekaragamaan budaya, Respect the diversity of cultures, views, religions and
1.5 pandangan, agama, dan kepercayaan, serta beliefs, as well as the original opinions or findings of
pendapat atau temuan orisinal orang lain others
Berkontribusi dalam peningkatan mutu kehidupan Contribute to improving the quality of life in society, nation
1.6 bermasyarakat, berbangsa, bernegara, dan and state, and the progress of civilization based on
kemajuan peradaban berdasarkan pancasila Pancasila
Bekerjasama dan memiliki kepekaan sosial serta Collaborate and have social sensitivity and concem for
1.7
kepedulian terhadap masyarakat dan lingkungan society and the environment
Taat hukum dan disiplin dalam kehidupan
1.8
bermasyarakat dan bernegara
Obey the law and be disciplined in social and state life
Intemalize the spirit of independence, struggle and
Menginternalisasi semangat kemandirian,
1.9
kejuangan, dan kewirausahaan
entrepreneurship

1.1 Menunjukan sikap bertanggung jawab atas Demonstrate a responsible attitude towards work in their
0 pekerjaan dibidang keahliannya secara mandiri field of expertise independently
Mampu bertanggung gugat terhadap praktik
profesional meliputi kemampuan menerima Being able to be accountable for professional practice
1.1 tanggung gugat terhadap keputusan dan tindakan includes the ability to accept responsibility for professional
1 profesional sesuai dengan lingkup praktik di decisions and actions in accordance with the scope of
bawah tanggungjawabnya, dan hukum/peraturan practice under responsibility. laws/legislation and
perundangan
Mampu melaksanakan praktik keperawatan Able to carry out nursing practices with ethical and
1.1
2
dengan prinsip etis dan peka budaya sesuai culturally sensitive principles in accordance with the
dengan Kode Etik Perawat Indonesia Indonesian Nurses Code of Ethics
Memiliki sikap menghormati hak privasi, nilai Have an attitude of respecting the right to privacy, cultural
budaya yang dianut dan martabat klien, values adhered to and the dignity of the client, respecting
menghormati hak klien untuk memilih dan the client's right to choose and determine their own nursing
menentukan sendiri asuhan keperawatan dan
1.1 and health care provided, and being responsible for the
kesehatan yang diberikan, serta bertanggung
3 confidentiality and security of written, verbal and
jawab atas kerahasiaan dan keamanan informasi
tertulis, verbal dan elektronik yang diperoleh electronic information obtained in a capacity in
dalam kapasitas sesuai dengan lingkup tanggung accordance with the scope of responsibility he answered
jawabnya
2 Pengetahuan Knowlegde
Menguasai anatomi, fisiologi tubuh manusia, dan Mastering anatomy, human body physiology and
2.1
patofisiologi pathophysiology
2.2 Menguasai prinsip fisika dan biokimia Mastering the principles of physics and blochemistry
2.3 Menguasai prinsip penatalaksanaan gizi dan Mastering the principles of nutritional mansgement and
farmakologi pharmacology

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 Menguasai konsep Dasar psikologi dan perilaku Mastering basic concepts of psychology and human
2.4
manusia behavior
Menguasai konsep dasar antropologi kesehatan Mastering the basic concepts of health and transcultural
2.5
dan transkultural dalam keperawatan anthropology in nursing
2.6 Menguasai konsep keperawatan Mastering nursing concepts
2.7 Menguasai konsep dan prinsip patient safety Mastering the concepte and principles of patient safety
Menguasai konsep teoritis Kebutuhan dasar
2.8
manusia
Mastering theoretical concepts of basic human needs
Menguasai konsep asuhan keperawatan klien
Mastering the concept of nursing care for clients in the
2.9 dalam rentang sehat – sakit pada berbagai tingkat
usia healthy and sick range at various tage levels
2.1 Menguasai konsep, prinsip, dan teknik promosi Mastering the concepts, principles and techniques of health
0 kesehatan promotion
2.1 Menguasai konsep dan prinsip kegawatdaruratan, Mastering the concepts and principles of emergency,
1 trauma, dan manajemen bencana trauma and disaster management
2.1 Menguasai konsep, prinsip dan teknik komunikasi Mastering the concepts, principles and techniques of
2 terapeutik therapeutic communication
2.1 Menguasai konsep dan prinsip etika profesi dan Master the concepts and principles of professional ethics
3 hukum kesehatan/keperawatan and health/nursing law
Menguasai konsep pengelolaan dan penjaminan Mastering the concepts of management and quality
2.1
4
mutu asuhan keperawatan serta praktek assurance of nursing care as well as evidence-based
keperawatan berbasis bukti nursing practices
3 Keterampilan Khusus Special skills
Mampu memberikan asuhan keperawatan kepada
individu, keluarga, dan kelompok baik sehat an Able to provide nursing care to individuals, families and
maupun sakit dengan memperhatikan aspek bio, groups both healthy and sick by at paying attention to bio,
3.1
psiko, sosial kultural, dan spiritual yang menjamin psycho, socio-cultural an and spiritual aspects that ensure
keselamatan klien, sesuai standar asuhan client safety, according to nursing care standards.
keperawatan
Mampu mengelola asuhan keperawatan sesuai Able to manage nursing care according to clinical
3.2
kewenangan klinis authority
Mampu melaksanakan prosedur bantuan hidup
Able to carry out basic life support and trauma procedures
3.3 dasar dan trauma pada situasi gawat darurat dan
manajemen bencana in emergency situations and disaster management
Mampu melaksanakan pemberian obat oral,
Able to administer oral, topicel, parenteral, inhalation and
topikal, parenteral, inhalasi, dan supositoria sesuai
3.4
standar pemberian obat dan kewenangan yang
suppository drugs according to drug administration
didelegasikan standards and delegated authority
Mampu mengumpulkan data, menganalisa dan
merumuskan masalah, merencanakan, Able to collect data, analyze and formulate problems, plan,
3.5 mengimplementasikan, dan mengevaluasi, Implement and evaluate. document, present nursing care
mendokumentasikan, menyajikan informasi information
asuhan keperawatan
Mampu melakukan komunikasi terapeutik dengan
3.6
klien
Able to carry out therapeutic communication with clients
Mampu melaksanakan promosi kesehatan untuk
Able to carry out health promotion to improve clients'
3.7 meningkatkan pola hidup sehat klien dan
menurunkan angka kesakitan healthy lifestyle and reduce morbidity
Mampu menerapkan patient safety dalam praktik
Able to apply patient safety in nursing practice by applying
3.8 keperawatan dengan menerapkan prinsip-prinsip
mikrob ologi dan parasitologi the principles of microbiology and parasitology
4 Keterampilan Umum General skills
Menyelesaikan pekerjaan berlingkup luas dengan
Completing a wide scope of work by analyzing data and
menganalisis data serta metode yang sesuai dan
4.1
dipilih dari beragam metode yang sudah maupun
appropriate methods uelected from a variety of standard
belum baku dan dengan menganalisis data and non-standard methods and by analyzing data
Menunjukkan kinerja dengan mutu dan kuantitas Demonstrate performance with measurable quality and
4.2
yang terukur quantity
Memecahkan masalah pekerjaan dengan sifat dan Solve work problems with the nature and context in
konteks yang sesuai dengan bidang keahlian
accordance with the field of applied expertise, based on
4.3 terapannya, didasarkan pada pemikiran logis dan
inovatif, dilaksanakan dan bertanggung jawab logical and innovative thinking, Implemented and
atas hasilnya secara mandiri responsible for the results independently
Menyusun laporan tentang hasil dan proses kerja
Prepare reports on work results and processes accurately
dengan akurat dan sahih, mengomunikasikan
4.4
secara efektif kepada pihak lain yang
and validly, communicate them effectively to other parties
membutuhkannya who need them
Bertanggungjawab atas pencapaian hasil kerja
4.5
kelompok
Responsible for achieving group work results
4.6 Melakukan supervisi dan evaluasi terhadap Supervise and evaluate the completion of work assigned to
penyelesaian pekerjaan yang ditugaskan kepada workers under their responsibility

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 pekerja yang berada di bawah tanggungjawabnya
Melakukan proses evaluasi diri terhadap kelompok
kerja yang berada dibawah tanggungjawabnya, Groups under his/her responsibility, and manage the
4.7
dan mengelola pengembangan kompetensi kerja development of work competitions Independently
secara mandiri
Mendokumentasikan, menyimpan, mengamankan,
Document, store, secure, and recover data to ensure
4.8 dan menemukan kembali data untuk menjamin
kesahihan dan mencegah plagiasi validity and prevent plagiarism
B. Penghargaan dan Pemenang Kejuaraan B. Awards and Championship Winners
Peserta "Peningkatan soft skill teknologi informasi Participants of "Improving information technology
1.
sebagai penunjang pembelajaran" soft skills as a learning opportunity"
Pelatihan komplenmentari Keperawatan-blended: Training, complementary Nursing-blended: terari
2.
terapi pijat Ruat
Pelatihan komplenmentari Keperawatan-blended:
3. Training, blended nursing training: hieng therapy
terapi hipno
Pelatihan komplenmentari Keperawatan- Training. Complementary Nursing- blended: herbal
4.
blended: terapi herbal therapy
Peserta kuliah pakar "perawatan luka stoma dan Participants, expert lecture "stomach and wound
5. luka diabetik dalam perspektif keperawatan care" "Diabetic in the perspective of gerontic
gerontik" nursing"
The 2nd internasional conference on health social The 2nd internasional conference on health social
6.
sciences and technology 2023 sciences and technology 2023
Peserta webinar series from the journal of Peserta, webinar series from the journal of
7. Palembang Nursing studies Writing scientific Palembang Nursing studies Writing scientific articles
articles A case study of nursing reports A case study of nursing reports
Peserta seminar keperawatan Online session #4 Participants of the Online Nursing Seminar Session
8. Dalam rangka musyawarah #4 in the framework of the PPNI South Sumatra
wilayah IV PPNI Sumsel Region IV Conference
Participants, professional nurse webinar nurses in
Peserta webinar perawat profesional perawat di
9. the era of u
era uu kesehatan no.17 tahun 2023
health, no.17 of 2023
Peserta dalam acara bincang-bincang mitra Participants, in the Rengan partner talk show with
10.
Dengan tema "diabetes si manis yang sadis" the theme "diabetes, the sadistic sweetness"
11. Peserta webinar broken home Participants, broken home webinar
Peserta webinar berjudul "Konstelasi Pemilu Participants, webinar entitled "Constellation of
12.
serentak 2024" Simultaneous Elections 2024"
Peserta webinar CME-FKUI Evidence Based Peserta, webinar CME-FKUI Evidence Based
13.
Management of recurrent Pregnancy Loss Management of recurrent Pregnancy Loss
Peserta kegiatan training Publik speaking "Being A Peserta kegiatan training Publik speaking "Being A
14.
good publik speaker, for A good public relation" good publik speaker, for A good public relation"
Peserta webinar keperawatan series 01 DPK PPNI Participants, nursing webinar series 01 DPK PPNI RS
15.
RS UNAND bekerja sama dengan appskkep UNAND in collaboration with appskker.
Peserta kuliah pakar kegiatan bedah buku Lecture participants, experts in the book review
16. "integrasi SDKI,SLKI dan SIKI : berdasarkan 11 activity "integration of SDKLSLKI and SIKI based on
pola fungsional kesehatan Gordon" Gordon's 11 functional health goals"
Peserta kuliah pakar "penatalaksanaan triase Participants, lectures, experts on "management,
17. managemen (pre hospital dan intra hospital) pada triage management (pre-hospital and intra-hospital)
kegiatan kegawatdaruratan dan bencana" in emergency and disaster activities"
Participants of the expert lecture activity
Peserta kegiatan kuliah pakar "Aplikasi terapi
18. "Application, complementary search in Pediatric
komplementer pada Keperawatan anak"
Nursing"
Peserta peluang pelatihan keselamatan dan
Participants in training opportunities, occupational
19. kesehatan kerja (K3) bagi tenaga
safety and health (K3) for Indonesian health workers
kesehatan Indonesia
C. Pengalaman Berorganisasi C. Organizational Experiences
Anggota Himpunan Mahasiswa Program Studi Study Program Student Association for the
1.
Masa Bakti 2022/2023 2022/2023 term of service
D. Judul Skripsi D. Title of Scientific Paper
Implementasi Keperawatan Pengaturan Posisi Semi Nursing Implementation of Semi-Fowler Position
Fowler pada Anak Bronkopneumonia dengan Masalah Arrangement in Children with Bronchopneumonia
Bersihan Jalan Nafas Tidak Efektif di Ruang Anak RSUD with Ineffective Airway Clearance Problems in the
Lahat Tahun 2024 Children's Room at Lahat Regional Hospital in 2024
E. Bahasa Internasional E. International Language
Inggris dengan skor TOEFL-Like 540 (20 English language Score of TOEFL-Like 540
1.
September 2022) (September 20, 2022)
F. Pelatihan, Pendidikan Karakter dan Keahlian F. Training, Character Educatiosn and Special
Khusus Skill
Pelatihan Komplementari Keperawatan-Blended: Complementary Holistic Nursing Blended-Training
1.
Terapi Herbal Program: Herbal Therapy
Pelatihan Komplentari Keperawatan-Blended: Complementary Holistic Nursing Blended-Training
2.
Terapi Pijat Program: Massage Therapy
3. Pelatihan Komplentari Keperawatan-Blended: Complementary Holistic Nursing Blended-Training

Hal 4 dari 5 / Page 4 of 5

 Hipno Terapi Program: Hipno Therapy
4. SKEMA TENTANG SISTEM PENDIDIKAN TINGGI DI INDONESIA
SCHEME OF THE INDONESIAN HIGHER EDUCATION SYSTEM

 Kerangka Kualifikasi Nasional Indonesia, yang  KKNI as known Indonesian Qualification Framework
selanjutnya disingkat KKNI adalah kerangka is a competence grading system which integrates
penjenjangan kualifikasi kompetensi yang dapat the aspects of education, training, and working
menyandingkan, menyetarakan, dan experience in purpose of acknowledging the
mengintegrasikan antara bidang pendidikan dan capacity based on work qualification in various
bidang pelatihan kerja serta pengalaman kerja sectors.
dalam rangka pemberian pengakuan kompetensi
kerja sesuai dengan struktur pekerjaan di berbagai
bidang.
 KKNI merupakan perwujudan mutu dan jati diri  KKNI is the resemblance of Indonesian quality and
bangsa Indonesia terkait dengan sistem pendidikan identify concerning its national training and
dan pelatihan nasional yang dimiliki Indonesia education system.
 Jenjang kualifikasi adalah tingkat capaian  Qualification level, a nationally legalized learning
pembelajaran yang disepakati secara nasioanal, outcomes, is composed by the results of
disusun berdasarkan ukuran hasil pendidikan education and training activities (formal,
dan/atau pelatihan yang diperoleh melalui nonformal) of working experiences.
pendidikan formal, nonformal atau pengalaman
kerja.

Ditetapkan di Palembang / Validated in Palembang

Pada tanggal ____________ / _____________

Ketua Jurusan Keperawatan

(Head of Nursing Department)

[Link].,[Link]
NIP.197205231994031003
198401032012121002
198401032012121002

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