You are on page 1of 3

FORMAT LAPORAN RESUME

NAMA MAHASISWA

TEMPAT PRAKTIK

TANGGAL PRAKTIK

Identitas

Nama Klien

TTL

Usia

Nama ayah/ibu

Pengkajian Data fokus


Data Subjektif
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
....Data objektif
................................................................................................................................................
................................................................................................................................................

................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
.....
Diagnosa keperawatan
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
...
Intervensi keperawatan
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
......
Evaluasi
S :...........................................................................................................................................
O :..........................................................................................................................................

A :..........................................................................................................................................
P :...........................................................................................................................................

You might also like