Identitas Pasien
Nama Pasien : .................... (inisial) Jenis kelami : :Laki-laki Perempuan Tanggal masuk IGD : ..............................
Umur : ...................... Pukul : ............................
Pelaksanaan
Data Masalah Tujuan Intervensi Evaluasi (SOAP)
Tgl/ Tindakan/Kegiatan Para
Jam
Survey primer:
A: ......................................................
...............................................
................................................
B: .....................................................
...............................................
................................................
C: .....................................................
...............................................
................................................
D: .....................................................
..............................................
................................................
Survei sekunder:
......................................................
.....................................................
......................................................
......................................................
......................................................
......................................................
Log_book_Mahasiswa_KGD/KRITIS_Poltekkes-Tanjungkarang |
Nip198504272009022004
Log_book_Mahasiswa_KGD/KRITIS_Poltekkes-Tanjungkarang |
ANALISIS TINDAKAN
Kegiata
Yang Dilakukan Yang Diharapkan Pembahasan
n
Persiapan
alat
Prosedur
tindakan
Log_book_Mahasiswa_KG/KRITIS_Poltekkes Tanjungkarang |
Nip198504272009022004
Log_book_Mahasiswa_KG/KRITIS_Poltekkes Tanjungkarang |
CATATAN HARIAN MAHASISWA
Log_book_Mahasiswa_KGD/KRITIS_Poltekkes-Tanjungkarang |