FORMAT RESUME KEPERAWATAN GAWAT DARURAT

1. Identitas Pasien
a. Nama : ...............................................................................
Nama Mahasiswa : .................................................
b. Umur : ...............................................................................
NIM : .................................................
c. No Reg : ...............................................................................
Ruang Praktik : .................................................
d. Diagnosa Medis : ...............................................................................
2. Asuhan Keperawatan
a. Triage/Prioritas : ...............................................................................

S O A P Jam I E

Mayor: Mayor: Diagnosa: O: O: Jam:…..

Aktual S:

O:
T: T:

Resiko
Minor: Minor:

E: E: A:

Promkes
K: K: P: