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ADL PERAWAT PELAKSANA

Nama Perawat : . Ruangan :.. Tanggal :


Nama Pasien :
1. 4.. 7
2. 5.. 8
3. 6.. 9
07.3
0

WAKTU
13.3 20.
0
30

KEGIATAN
Operan
Pre Conference
Tindakan Pasien 1 : .
.....................................................................................
..
.
..
Tindakan Pasien 2 : .
.....................................................................................
..
.
.
..
Tindakan Pasien 3 : .
.....................................................................................
..
..
.
..
Tindakan Pasien 4 : .

08.0
0
s/d
11.0
0

14.0
0
s/d
15.0
0

21.
00
s/d
23.
00

.....................................................................................
..
..
.
..
Tindakan Pasien 5 : .
.....................................................................................
..
.
.
..
Tindakan Pasien 6 : .
.....................................................................................
..
..
.
..
Tindakan Pasien 7 : .
.....................................................................................
..
.
.
..

12.0
0
13.0
0
14.0
0

18.0
0
19.0
0
21.0
0

24.
00
06.
00
08.
00

Istirahat
Dokumentasi dan supervisi pendokumentasian yang dibuat
Operan
Post Conferance