Anda di halaman 1dari 8

1.

ANALISA DATA
.....................................................................................................................................................................................................

No Tanggal / Jam Analisa Data Masalah Etiologi


1. DIAGNOSA KEPERAWATAN
.....................................................................................................................................................................................................
.....................................................................................................................................................................................................
.....................................................................................................................................................................................................
.....................................................................................................................................................................................................
.....................................................................................................................................................................................................
.....................................................................................................................................................................................................
.....................................................................................................................................................................................................
.....................................................................................................................................................................................................
.....................................................................................................................................................................................................
.....................................................................................................................................................................................................

2. INTERVENSI
.....................................................................................................................................................................................................

NO TANGGAL/JAM KRITERIA HASIL INTERVENSI RASIONAL


NO TANGGAL/JAM KRITERIA HASIL INTERVENSI RASIONAL
3. IMPLEMENTASI
.....................................................................................................................................................................................................

NO TANGGAL/JAM IMPLEMENTASI
NO TANGGAL/JAM IMPLEMENTASI
4. EVALUASI

.............................................................................................................................................................................
........................

NO TANGGAL/JAM EVALUASI
NO TANGGAL/JAM EVALUASI

Anda mungkin juga menyukai