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FORMAT HANDOVER DENGAN METODE SBAR

PROGRAM STUDI PROFESI NERS STASE


MANAJEMEN KEPERAWATAN
STIKES WIRA MEDIKA BALI

Nama Pasien :...............................................................................................................................


Tanggal Lahir :................................................................................................................................
Nomor RM :................................................................................................................................
Umur :...............................................................................................................................
Diagnosa Medis :...............................................................................................................................
Shift Jaga :.............................................................................................................................................
Tanggal Jaga :.......................................................................................................................................
Perawatan hari ke :................................................................................................................................

Pelaksanaan handover dengan metode SBAR:


S (Situation) :.........................................................................................................................
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B (Background) :.........................................................................................................................
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A (Asessment) :.........................................................................................................................
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R (Recommendation) :.........................................................................................................................
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