Format Resume Hd
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Transcript of Format Resume Hd
PROGRAM STUDI ILMU KEPERAWATAN UNIVERSITAS JEMBER
FORMAT PENGKAJIAN RESUME KASUS KELOLAAN HARIAN
KEPERAWATAN MEDIKAL BEDAH
Nama Mahasiswa:
NIM
:
Tempat Pengkajian:
Tanggal
:IDENTITAS KLIENNama : No. RM:
Umur :Pekerjaan :
Jenis Kelamin:Status Perkawinan:
Agama :Tanggal MRS:
Pendidikan :Tanggal Pengkajian:
Alamat :Sumber Informasi:
Diagnosa Medis:
PENGKAJIAN PRE HEMODIALISA
Keadaan umum:Keluhan :
....
BB :Status cairan dan elektrolit : Tanda vital:
PENGKAJIAN INTRA HEMODIALISA
Keluhan :
Data Objektif :
Cairan dialisat :
TMP :
Qd :
Qb :
Dosis Heparin :
Tanda vital:PENGKAJIAN POST HEMODIALISAKeadaan umum :
.Keluhan :
BB :
Status cairan dan elektrolit :Tanda vital:
S (Subjektif): ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................O (Objektif):
........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................A(Analisa/Diagnosa Keperawatan yang ditegakkan berdasar DS dan DO):
...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
P(Perencanaan):
...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................I (Implementasi):
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................E (Evaluasi)S(Subjektif): ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
O(Objektif): ..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................A(Analisa): ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................P(Perencanaan): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Denpasar, November 2013
Muhamad Royhan, S. Kep
NIM. 0723 11 1010 31EMBED Word.Picture.8
_1445789000.doc