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    Dahlan Rohmat
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    This document is an assessment of fall risk for outpatients at Dr. Asmir Salatiga Hospital. It assesses patients based on their gait and ability to rise from a seated position without assistance. Patients are classified as having no risk, low risk, or high risk of falling. For those at low risk, education is provided, and for high risk patients education is provided along with yellow caution tape installed. The assessment is done over multiple days to monitor changes in risk level over time.

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    form get up and go

    Original Title

    GET UP AND GO

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    This document is an assessment of fall risk for outpatients at Dr. Asmir Salatiga Hospital. It assesses patients based on their gait and ability to rise from a seated position without assistance. Patients are classified as having no risk, low risk, or high risk of falling. For those at low risk, education is provided, and for high risk patients education is provided along with yellow caution tape installed. The assessment is done over multiple days to monitor changes in risk level over time.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    10 views1 page

    Get Up and Go

    Uploaded by

    Dahlan Rohmat
    This document is an assessment of fall risk for outpatients at Dr. Asmir Salatiga Hospital. It assesses patients based on their gait and ability to rise from a seated position without assistance. Patients are classified as having no risk, low risk, or high risk of falling. For those at low risk, education is provided, and for high risk patients education is provided along with yellow caution tape installed. The assessment is done over multiple days to monitor changes in risk level over time.

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    of 1

    DETASEMEN KESEHATAN WILAYAH 04.04.

    03
    RUMAH SAKIT TK. IV 04.07.03 dr. ASMIR SALATIGA

    ASESMEN RESIKO JATUH RAWAT JALAN


    GET UP AND GO

    1. PENGKAJIAN
    TGL TGL TGL TGL TGL
    N0 PENILAIAN / PENGKAJIAN
    Ya TDK Ya TDK Ya TDK Ya TDK Ya TDK
    A Cara berjalan pasine (salah satu
    atau lebih)
    1. Tidak
    seimbang/sempoyongan/limbu
    ng
    2. Jalan dengan menggunakan
    alat bantu (kruk,tripod, kursi
    roda, orang lain)
    B Menopang saat akan duduk :
    Tampak memegang pinggiran
    kursi atau meja/benda lain sebagi
    penopang saat akan duduk.
    2. HASIL
    Tidak
    1 Tidak Beresiko ditemukan a
    dan b
    Ditemukan
    2 Resiko rendah salah satu a
    dan b
    Ditemukan a
    3 Resiko Tinggi
    dan b
    3. TINDAKAN
    Tidak ada
    1 Tidak Beresiko
    tindakan
    2 Resiko rendah Edukasi
    Pasang pita
    3 Resiko Tinggi kuning
    Edukasi

    TTD / NAMA PETUGAS

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