RESUME

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A. Identitas Pasien

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Umur : ...................................... Tanggal : .................................
. MRS/kunjungan
Jenis : ...................................... Dx Medis : .................................
Kelamin .
Alamat : .......................................
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B. Data fokus
DS:
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C. Diagnosa keperawatan utama

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D. Rencana tindakan (Tujuan dan Intervensi)
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 E. Implementasi
Hari/ Implementasi Evaluasi Paraf
Tgl/Jam
F. Evaluasi
S O A P
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Mahasiswa,

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