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    Format Resume

    Diunggah oleh

    Ali Tazia
    praktek rumah sakit

    Hak Cipta:

    © All Rights Reserved
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    SEKOLAH TINGGI ILMU KESEHATAN SURABAYA

    PROGRAM STUDI S1- KEPERAWATAN


    Jl. MedokanSemampir Indah 27 Surabaya Tlp. 031- 5913372, Fax. 031-5939466
    Email : stikesbykep@gmail.com website : www.stikes-sby.ac.id

    FORMAT PENGKAJIAN RESUME

    Tanggal MRS : Jam Masuk :


    Tanggal pengkajian : No.RM :
    Jam pengkajian : Diagnosa Masuk :
    Hari rawat :

    IDENTITAS
    1. Nama pasien :
    2. Umur :
    3. Suku / Bangsa :
    4. Agama :
    5. Pendidikan :
    6. Pekerjaan :
    7. Alamat :
    KELUHAN UTAMA
    1. Keluhan utama :
    ..........................................................................................................................................................
    ..........................................................................................................................................................
    .........................................................................................................................................................
    RIWAYAT PENYAKIT SEKARANG
    1. Riwayat penyakit sekarang :
    ..........................................................................................................................................................
    ..........................................................................................................................................................
    .........................................................................................................................................................
    ..........................................................................................................................................................
    ..........................................................................................................................................................
    .........................................................................................................................................................
    ..........................................................................................................................................................
    ..........................................................................................................................................................
    .........................................................................................................................................................

    DAFTAR PRIORITAS DIAGNOSA KEPERAWATAN


    TANGGAL : .................................................
    1. ...............................................................................................................................................
    ..............................................................................................................................................
    2. ...............................................................................................................................................
    ..............................................................................................................................................
    3. ..............................................................................................................................................
    ..............................................................................................................................................
    4. ..............................................................................................................................................

    ..............................................................................................................................................
    SEKOLAH TINGGI ILMU KESEHATAN SURABAYA
    PROGRAM STUDI S1- KEPERAWATAN
    Jl. MedokanSemampir Indah 27 Surabaya Tlp. 031- 5913372, Fax. 031-5939466
    Email : stikesbykep@gmail.com website : www.stikes-sby.ac.id

    RENCANA INTERVENSI KEPERAWATAN

    Hari/Tanggal Diagnosa Keperawatan Tujuan dan Kriteria Hasil Intervensi Keperawatan Rasional
    SEKOLAH TINGGI ILMU KESEHATAN SURABAYA
    PROGRAM STUDI S1- KEPERAWATAN
    Jl. MedokanSemampir Indah 27 Surabaya Tlp. 031- 5913372, Fax. 031-5939466
    Email : stikesbykep@gmail.com website : www.stikes-sby.ac.id

    IMPLEMENTASI DAN EVALUASI KEPERAWATAN

    Diagnosa Keperawatan Tanggal dan Jam Implementasi Tanggal dan Jam Evaluasi (SOAP) Paraf

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