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FORMAT RESUME HARIAN
STASE KRITIS DAN GAWAT DARURAT
PROGRAM STUDI ILMU KEPERAWATAN
UNIVERSITAS LAMBUNG MANGKURAT
Nama : Raudhatul Jannah,S.Kep.NIM : I1B108234Ruangan : Instalasi Gawat Darurat (IGD)Tanggal Pengkajian : ……………………………….
Identitas PasienNama : ……………………. Tgl.MRS : …………………….Umur : ……………………. No.RMK : …………………….Jenis Kelamin : Laki / Perempuan Klasifikasi Pasien : P1 / P2 / P3Alamat : …………………….
…………………….Dx.Medis : …………………….
…………………….Pengkajian DataSubjektifKeluhan
…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...Riwayat penyakit
…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...Alergi
…………………………………………………………………………………………………...…………………………………………………………………………………………………...Pengobatan sebelumnya
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ObjetifB1 (Breath) ……………………………………………………………………
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B2 (Blood) …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
B3 (Brain) …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
B4 (Bowel) …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
B5 (Bladder) ……………………………………………………………………
FORMAT RESUME HARIAN
STASE KRITIS DAN GAWAT DARURAT
PROGRAM STUDI ILMU KEPERAWATAN
UNIVERSITAS LAMBUNG MANGKURAT
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B6 (Bone) …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Data Penunjang…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...
Terapi…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...…………………………………………………………………………………………………...
FORMAT RESUME HARIAN
STASE KRITIS DAN GAWAT DARURAT
PROGRAM STUDI ILMU KEPERAWATAN
UNIVERSITAS LAMBUNG MANGKURAT
Klasifikasi Pasien: ………………………………………..
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Catatan Perkembangan
FORMAT RESUME HARIAN
STASE KRITIS DAN GAWAT DARURAT
PROGRAM STUDI ILMU KEPERAWATAN
UNIVERSITAS LAMBUNG MANGKURAT
Implementasi Evaluasi Paraf
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