RESUME KEPERAWATAN

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

DEPARTEMEN

KEPERAWATAN KRITIS/MEDIKAL BEDAH

Disusun Oleh:

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PROGRAM STUDI S1 ILMU KEPERAWATAN

SEKOLAH TINGGI ILMU KESEHATAN
INSAN CENDEKIA MEDIKA
JOMBANG
2018

Dep. Keperawatan Kritis/KMBProdi S1 Ilmu Keperawatan STIKES ICME Jombang 2017/2018

 PENGALAMAN BELAJAR PRAKTIKA
PROGRAM STUDI S1 ILMU KEPERAWATAN
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 S1 Ilmu Keperawatan STIKES ICME Jombang 2017/2018
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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
Dep. Keperawatan Kritis/KMBProdi S1 Ilmu Keperawatan STIKES ICME Jombang 2017/2018
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Dep. Keperawatan Kritis/KMBProdi S1 Ilmu Keperawatan STIKES ICME Jombang 2017/2018