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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
……………
……………
……………
4
……………
……………
……………
5
…………….
……………
……………

Hasil perawatan dan observasi

Laporan Poli ; Jumlah Pasien;……………….

Rencana Tindak lanjut

.......................................................................................................................... ...................................................................................................... .................................................................... .................... Rawat Inap :. ................................................................... Diagnosa ................................................................................................................ ............................................................... Identitas pasien Nama Tindakan dan hasil observasi Rencana tindak lanjut : Usia : No............ ................................................................... (Sebutkan unit).................................................... .......................................................................... jumlah pasien …………… Observasi ............................................... Kendala pelayanan : IGD :......................................................................................................................................LAPORAN MORNING REPORT (II) Laporan jaga kebidanan .............................................................................................................. Poli Klinik :.................................................. : ....... ............................................................................................................................................................................ RM ................................................................................................................................................. Saran tindak lanjut :........................................................................................................................... Lain – lain :..................