RESUME KEPERAWATAN

PADA PASIEN.................................................................
DENGAN DIAGNOSA MEDIS...............................
DI ............................................................

DEPARTEMEN

KEPERAWATAN KRITIS

Disusun Oleh:

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PROGRAM STUDI PROFESI NERS

SEKOLAH TINGGI ILMU KESEHATAN
INSAN CENDEKIA MEDIKA
JOMBANG
2019

Dep. Keperawatan Kritis & KMBProdi Profesi Ners STIKES ICME Jombang 2019/2020
 PRAKTIK PROFESI NERS
PROGRAM STUDI PROFESI NERS
SEKOLAH TINGGI ILMU KESEHATAN
INSAN CENDEKIA MEDIKA JOMBANG
Jl. Kemuning No. 57 A Candimulyo Jombang, Telp. 0321-8494886
Email: stikes.icme@yahoo.com

Resume Keperawatan pada Pasien................................

Dengan Diagnosa Medis..................................
Di.......................................................

A. Tanggal Masuk :.......................................................................................................................

B. Jam masuk :.......................................................................................................................
C. Tanggal Pengkajian :.......................................................................................................................
D. Jam Pengkajian :.......................................................................................................................
E. No.RM :.......................................................................................................................
F. Identitas
1. Identitas Pasien
a. Nama :.............................................................................................................
b. Umur :.............................................................................................................
c. Jenis kelamin :.............................................................................................................
d. Agama :.............................................................................................................
e. Pendidikan :.............................................................................................................
f. Pekerjaan :.............................................................................................................
g. Alamat :.............................................................................................................
h. Status Pernikahan :.............................................................................................................
2. Penanggung Jawab Pasien
a. Nama :.............................................................................................................
b. Umur :.............................................................................................................
c. Jenis kelamin :.............................................................................................................
d. Agama :.............................................................................................................
e. Pendidikan :.............................................................................................................
f. Pekerjaan :.............................................................................................................
g. Alamat :.............................................................................................................
h. Hub. Dengan Px :.............................................................................................................

G. Asuhan Keperawatan
1. Subyektif
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Dep. Keperawatan Kritis & KMBProdi Profesi Ners STIKES ICME Jombang 2019/2020
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2. Obyektif
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3. Diagnosa Keperawatan
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4. Planning (Rencana Keperawatan)
Tujuan (SMART) :..........................................................................................................................
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Label NIC : .....................................................................................................................................
Aktifitas Keperawatan :...................................................................................................................
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5. Implementasi
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6. Evaluasi (E)

Dep. Keperawatan Kritis & KMBProdi Profesi Ners STIKES ICME Jombang 2019/2020
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Dep. Keperawatan Kritis & KMBProdi Profesi Ners STIKES ICME Jombang 2019/2020