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LAPORAN RESUME KEPERAWATAN GAWAT DARURAT

Nama Mahasiswa :
Ruang :
Tanggal Pengkajian :

1. Data dasar :
a. Nama :................................................................................................................
b. Jenis Kelamin :................................................................................................................
c. TTL (usia) :................................................................................................................
d. Pendidikan :................................................................................................................
e. Agama :................................................................................................................
f. Pekerjaan :................................................................................................................
g. Alamat :................................................................................................................
h. Diagnosa Medis :................................................................................................................
i. Triage :................................................................................................................
j. Alasan :................................................................................................................
2. Keluhan Utama :

3. Riwayat Kesehatan /Keperawatan:


a. Masa Lalu :

b. Sekarang :

c. Keluarga :

4. Primary Survey :
a. Airway :

b. Breating :

c. Circulation :

d. Disability :

e. Exposure :

Program Ners/STIKES BINAWAN


5. Diagnosa Keperawatan :
1. ...............................................................................................................................................
2. ..............................................................................................................................................
3. ..............................................................................................................................................
6.

N Tindakan Utama Hasil dan Rasional


o

7. Catatan Perkembangan:

Program Ners/STIKES BINAWAN