PERAWAT PELAKSANA
NAMA PERAWAT : Yanti.Amd.Kep
NIP :
JABATAN :
RUANG : VIP.Cindua Mato
TANGGAL :
WAKT WAKTU
RENCANA REALISASI KEGIATAN
U (JAM) (JAM)
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Pasien 1...................................................................................
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Dx medis : .. ...........................................................................
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Diagnosa
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Kep : ........................................................................................
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Rencana tindakan
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Pasien 2.................................................................................. ......................................................................................................................................................................
Diagnosa Kep :......................................................................... ......................................................................................................................................................................
Rencana tindakan ......................................................................................................................................................................
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Post conference dan overan dengan dinas ..............................
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Mengetahui Perawat yang melakukan
Preceptor/mentorship/ kepala ruangan
Yanti.Amd,Kep
Ns.Susanti .Kep ___________________________
NIP. 197403231998032004