RESUME PRAKTIK NERS

STASE KEPERAWATAN ANAK

STIKES MUHAMMADIYAH BANJARMASIN
PROGRAM PROFESI NERS B
Nama Mahasiswa

: Nur Aisyah

NPM

: 13149013023

Ruang Praktek

: Ruang Bayi

Tempat Praktek

: RS. Bhayangkara

Paraf Pembimbing
Preceptor Akademik
Preceptor Klinik

NURSING ASSESMENT
I.

Identitas Klien
Nama Klien
:
Umur
:
Diagnose Medis
:
Tanggal Masuk
:
Tanggal Pengkajian :

II. Data Fokus

Keluhan Utama
Keluhan
ini

:
......................................
saat : ...
...
T : ..0c

TTV

: TD : ............mmHg

Inspeksi

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

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

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

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

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

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

Palpasi

Perkusi

Auskultasi

Data Tambahan

Therapy

III. Analisa Data

R : .x/m

N : x/m

DATA

ETIOLOGI

PROBLEM

IV. Rencana Asuhan Keperawatan

Diagnosa Keperawatan :
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Tujuan :
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Kriteria Hasil :
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Intervensi :
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Implementasi :
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Evaluasi (SOAP)
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------