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LAPORAN RESUME UJIAN KEPERAWATAN

DI RUANG HEMODIALISA DI RSU BANGLI

Tanggal : 20 JULI 2019

A. Identitas Pasien

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


Umur : ................................... Tanggal MRS : .....................................
Jenis Kelamin : ................................... Dx Medis : .....................................
Alamat : ...................................

B. Data Fokus

Data Subjektif :

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Data objektif :

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C. Diagnosa Keperawatan Utama

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D. Rencana Tindakan (Tujuan dan Intervensi)


No. Hari/Tanggal/ Diagnosa Keperawatan Tujuan & Kriteria Hasil Intervensi
Jam

E. Implementasi
Hari/Tanggal/
Diagnosa Keperawatan Implementasi
Jam
Hari/Tanggal/
Diagnosa Keperawatan Implementasi
Jam

F. Evaluasi

Hari/Tanggal/
Diagnosa Keperawatan Evalua
Jam