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SISTEMATIKA LAPORAN RESUME ASUHAN KEPERAWATAN

PUSKESMAS

NAMA : ..............................................
NIM : ..............................................
TANGGAL : ..............................................
NAMA KEGIATAN : POLIKLINIK / RAWAT INAP (*)pilih salah satu

1. PENGKAJIAN
a. Data subyektif : ..................................................................................................
b. Data obyektif : ...................................................................................................
...................................................................................................
...................................................................................................
2. MASALAH/DIAGNOSA KEPERAWATAN:
............................................................................................................................
3. INTERVENSI
a. ..............
b. ..............
c. ..............
d. ..............
e. ..............
f. ..............
4. IMPLEMENTASI
a. ..............
b. ..............
c. ..............
d. ..............
e. ..............
f. ..............

5. EVALUASI
S : ..................................................................................................
O : ...................................................................................................
...................................................................................................
...................................................................................................
A : ...................................................................................................
P : ...................................................................................................

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