Triage:
Prioritas triage:
1: merah 2: kuning 3: hijau 4: hitam
Keadaan saat tiba : Tenang Gelisah Kesakitan Sesak Nafas Anemis Lemah
Riwayat singkat :
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Jam pemeriksaan : Nama dan Paraf Perawat :
Pengkajian primer:
Airway : ..
Breathing : ...
Circulation :
0
Vital Sign : T = ../ ..mmHg, N : x/men, R = x/men, S = C
Pengkajian Nyeri:
P
Pemeriksaan Fisik :
Kepala
Mata
Hidung
Mulut
Telinga
Leher
Dada
Abdomen
Ekstremitas atas
Ekstremitas bawah
Pemeriksaan Penunjang :
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.
.
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.
1. ......................................................................................................................................................................................
2. ..
3. ..
Terapi medis:
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