RESUME KEPERAWATAN
Pada Anak.........Dengan Kasus .....................
(Format Pengkajian Poli Anak)
I. IDENTITAS KLIEN
Nama : …………………..................... Alamat : ………………….....................
Umur : …………………..................... Tanggal Rawat Jalan : ………………….....................
Jenis Kelamin : …………………..................... Tanggal Pengkajian : ………………….....................
Suku / Bangsa : …………………..................... No. Rekam Medik : ………………….....................
Agama : …………………..................... Diagnosa Medis : ………………….....................
Pendidikan : ………………….....................
X. IMPLEMENTASI KEPERAWATAN
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XI. EVALUASI
S : .......................................................................................................................................................................................
O : .......................................................................................................................................................................................
A : .......................................................................................................................................................................................
P : .......................................................................................................................................................................................
....................., ..............................20.....
Mahasiswa,
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