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: ………………………………………..

Assasment Planning

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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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…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….…………………………………………….