LAPORAN HASIL PERAWAT PELAKSANA

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1. IdentitasKlien
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JenisKelamin : _________________________
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TanggalPengkajian : _________________________
DiagnosaMedis : _________________________
2. AlasanMasuk
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3. Data Fokus
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4. DataPenunjang
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5. Terapi
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6. DiagnosaKeperawatan
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7. Intervensi Keperawatan
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8. Implementasi Keperawatan
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9. Evaluasi / Rencana Tindak Lanjut (RTL)
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