Tujuan umum
Tujuan Khusus
Pengertian
Nama Mahasiswa:
Pengkajian
7 Mempersiapkan alat
Plester/hipafik
Touniket
Kapas beralkohol 70%
Bengkok/nierbecken
Pengalas
Spuit
Handscoon
Fase Orientasi
9 Memperkenalkan diri
10 Melakukan kontrak
13 Mendekatkan alat-alat
Fase Kerja
Fase Terminasi
26 Membaca hamdalah
Evaluasi
Dokumentasi
Keterangan :
Tidak = 0 Ya = 1
Evaluasi Diri/Penguji
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Pembimbing/Penguji
(……………………………….)