TINDAKAN KEPERAWATAN
PERTEMUAN : .............................................
HARI/TANGGAL : .............................................
JAM : .............................................
A. PROSES KEPERAWATAN
1. Kondisi Klien (DS & DO)
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2. Diagnosa Keperawatan
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3. Tujuan Khusus
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4. Tindakan Keperawatan
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B. STRATEGI KOMUNIKASI
FASE ORIENTASI
1. Salam Terapeutik
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2. Evaluasi Validasi
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3. Kontrak
a. Topik
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b. Tujuan
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c. Waktu
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d. Tempat
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FASE KERJA
(Langkah – langkah tindakan keperawatan)
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FASE TERMINASI
1. Evaluasi Respon klien terhadap tindakan keperawatan
a. Evaluasi Subjektif
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b. Evaluasi Objektif
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2. Rencana Tindak Lanjut
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Mahasiswa,
(…………………………………….)
NPM :