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Nama
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No RM.
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Umur
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Tgl. MRS
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Jenis Kelamin :
Dx Medis
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Ruang
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Kondisi Klien :
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Alasan MRS :
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Diagnosa Keperawatan
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Tujuan Khusus :
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Tindakan Keperawatan
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ORIENTASI
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Salam Terapeutik
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Evaluasi / validasi
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Kontrak
Topik
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Waktu
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Tempat
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KERJA
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TERMINASI
Evaluasi respon klien terhadap tindakan keperawatan
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Tindak lanjut klien
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