.................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... ................................................................................................................................... 3. Prinsip-prinsip tindakan dan rasional:
................................. 4. Bahaya-bahaya yang mungkin terjadi akibat tindakan tersebut dan cara pencegahannya:
............................................................ .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... 5. Tujuan tindakan tersebut dilakukan:
..... .................................................................................................................................... .................................................................................................................................... 6. Hasil yang didapat dan maknanya:
................................................................................................................ .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... .................................................................................................................................... 7. Identifikasi tindakan keperawatan lainnya yang dapat dilakukan untuk mengatasi masalah/ diagnose tersebut. (mandiri dan kolaborasi):