Anda di halaman 1dari 2

FORMAT PENGKAJIAN UJIAN (SOAPIER)

(judul askep)
Nama Mahasiswa

Tempat praktek

Hari/tanggal

I;

II;

III;

IV;

IDENTITAS KLIEN
Nama
Tanggal Masuk RS
Diagnosa Medis

:
:
:

PERNYATAAN SUBYEKTIF KLIEN


...........................................................................................................................
...........................................................................................................................
...........................................................................................................................
...........................................................................................................................
PERNYATAAN OBYEKTIF KLIEN
...........................................................................................................................
...........................................................................................................................
...........................................................................................................................
...........................................................................................................................
ANALISA DATA
NO

DATA

PENYEBAB

MASALAH

V;

DIAGNOSA KERERAWATAN