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ANALISA DATA

NO DATA ETIOLOGI MASALAH

Prodi Ners
Unmuh Jember
DAFTAR DIAGNOSA KEPERAWATAN
SESUAI PRIORITAS

NO DIAGNOSA KEPERAWATAN

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Unmuh Jember
TINDAKAN RESUSITASI

NO TGL/JAM TINDAKAN RESUSITASI KETERANGAN

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Unmuh Jember
IMPLEMENTASI

TGL/JAM Dx. NO TINDAKAN KEPERAWATAN PARAF

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Unmuh Jember
EVALUASI

TGL/JAM DIAGNOSA CATATAN PERKEMBANGAN PARAF


KEPERAWATAN

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Unmuh Jember
DISCHARGE PLANNING

Nama pasien : .........................................................


Jenis kelamin : .........................................................
Tgl/Jam MRS : .........................................................
Dx Medis : .........................................................
Telah diberikan tindakan keperawatan diatas. Untuk itu perlu perawatan lanjutan
Di : .........................................................
Mulai Tgl/Jam: .........................................................
Terapi : ..................................................................................................................................
..................................................................................................................................
..................................................................................................................................
Anjuran : ..................................................................................................................................
..................................................................................................................................
..................................................................................................................................
Keterangan : ..................................................................................................................................
..................................................................................................................................
..................................................................................................................................
Jember, ..........................,20...
Mahasiswa,

Prodi Ners
Unmuh Jember
RENCANA KEPERAWATAN KEPERAWATAN

TGL/JAM DIAGNOSA TUJUAN DAN RENCANA TINDAKAN RASIONAL PARAF


KEPERAWATAN KRITERIA HASIL

Prodi Ners
Unmuh Jember
Prodi Ners
Unmuh Jember

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