LAPORAN MORNING REPORT (I)

TANGGAL : ..
Daftar hadir Peserta ;
Dokter
Perawat :
1.
1.
2.
2.
3.
3.

Bidan;
1.
2
3

Laporan jaga IGD Jumlah Pasien

Triase hijau : ..
Triase kuning :..
Observasi ;
Identitas pasien
Nama

Tindakan dan hasil observasi

Lain lain (sertakan unit kerja)

1.
2.
3.

Triase merah :

Rencana tindak lanjut

Usia
:
No. RM ;
Diagnosa ;
Laporan jaga Rawat Inap ; Jumlah Pasien..
Yang perlu diperhatikan
No
Identitas
Diagnose
.
pasien
1
..
....................
.
2

....
3

5
.

Hasil perawatan dan observasi

Laporan Poli ; Jumlah Pasien;.

Rencana Tindak lanjut

LAPORAN MORNING REPORT (II)

Laporan jaga kebidanan ; jumlah pasien
Observasi ;
Identitas pasien
Nama

Tindakan dan hasil observasi

Rencana tindak lanjut

Usia
:
No. RM ;
Diagnosa ;

Kendala pelayanan :
IGD

:...............................................................................................................
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Rawat Inap

:...............................................................................................................
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Poli Klinik

:...............................................................................................................
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Lain lain

:...............................................................................................................

(Sebutkan unit)............................................................................................................. :
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Saran tindak lanjut
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