Anda di halaman 1dari 2

LAPORAN TINDAKAN KEPERAWATAN

GAWAT DARURAT

Nama pasien : ...................... No. RM : ........................


Umur : ...................... Tgl masuk : ........................
Dx.medis : ...................... Alamat : ........................

A. Keluhan utama
Data Subjektif : .........................................................................................
Data objektif : .........................................................................................
B. Data penujang
............................................................................................................................
............................................................................................................................
............................................................................................................................
.........................................................................................................................
C. Diagnosa keperawatan
1. ......................................................................................................................
2. .....................................................................................................................
3. ....................................................................................................................
D. Intervensi
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
...........................................................................................................................
E. Implementasi
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................

F. Evaluasi
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
G. Therapy
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................
............................................................................................................................

Anda mungkin juga menyukai