Scribd Logo
Unggah

Selamat datang di Scribd!

  • FORMAT Analisa Data-Evaluasi

    Diunggah oleh

    warmaanandita96
    4 tayangan21 halaman
    data

    Judul Asli

    37491_FORMAT Analisa Data-Evaluasi

    Hak Cipta

    © © All Rights Reserved

    Format Tersedia

    DOC, PDF, TXT atau baca online dari Scribd

    Apakah menurut Anda dokumen ini bermanfaat?

    Apakah konten ini tidak pantas?

    Laporkan Dokumen Ini
    data

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    4 tayangan21 halaman

    FORMAT Analisa Data-Evaluasi

    Diunggah oleh

    warmaanandita96
    data

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 21

    ANALISA DATA

    ANALISA DATA PASIEN ………


    DENGAN ……………………………………………………
    DI RUANG ………... BRSU TABANAN
    TANGGAL ………………………………

    Data Subyektif Data Obyektif Masalah keperawatan Diagnosa Keperawatan


    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    PERENCANAAN KEPERAWATAN

    RENCANA KEPERAWATAN PASIEN ………


    DENGAN ……………………………………………………
    DI RUANG ……… BRSU TABANAN
    TANGGAL …………………………….
    1. Prioritas Masalah
    ............................................................................................................................................................................................................
    ............................................................................................................................................................................................................
    ............................................................................................................................................................................................................
    ............................................................................................................................................................................................................
    ............................................................................................................................................................................................................
    2. Rencana Keperawatan
    Hari/Tgl/Jam Diagnosa Tujuan dan Kriteria Rencana Tindakan Rasional
    Keperawatan Hasil
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    ………………………………... ………………………………...
    IMPLEMENTASI KEPERAWATAN

    PELAKSANAAN KEPERAWATAN PASIEN …………


    DENGAN ………………………………………………………
    DI RUANG ……………… BRSU TABANAN
    TANGGAL ……………………………………

    Hari/Tanggal/ No. Diagnosa Tindakan Keperawatan Evaluasi Respon Perawat


    Jam Keperawatan Paraf
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    ..............................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    ..............................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    .............................................................. .................................................................
    EVALUASI FORMATIF
    EVALUASI KEPERAWATAN PADA PASIEN …….
    DENGAN ……………………………………………………
    DI RUANG …………… BRSU TABANAN
    TANGGAL ………………………………….
    Hari/Tanggal/ Diagnosa Keperawatan Evaluasi Keperawatan Perawat
    Jam (SOAP) Paraf
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ........................................................................ ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    ....................................................................... ...................................................................................
    DATA PENUNJANG
    DATA TAMBAHAN (INTRA OPERASI/LAPORAN OPERASI)
    ANALISA MASALAH

    Anda mungkin juga menyukai