Anda di halaman 1dari 2

FAKULTAS KEPERAWATAN UNIVERSITAS JEMBER

FORMAT RESUME KEPERAWATAN MATERNITAS ANAK

Nama Mahasiswa :
NIM :
Tanggal resume :

FORMAT RESUME KASUS KELOLAAN HARIAN

IDENTITAS PASIEN
Nama :
Tanggal Lahir :
Jenis Kelamin :
Agama :
Pendidikan :
Pekerjaan :
Alamat :
No. RM :
Ruangan :
Diagnosa Medis :

S (Subjektif):
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
O (Objektif):
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
A(Analisa/Diagnosa Keperawatan yang ditegakkan berdasarkan DS dan DO):
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
P(Perencanaan):
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
I (Implementasi):
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
E (Evaluasi):
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
...........................................................................................................................................................................................