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LAPORAN RESUME

ASUHAN KEPERAWATAN GAWAT DARURAT

IDENTITAS/BIODATA

Nama :
Umur :
Jenis Kelamin :
Tanggal :
No Medrec :
Diagnosa medis :
Alamat :

TINDAKAN
MASALAH
JAM DATA JAM KEPERAWATAN EVALUASI
KEPERAWATAN
PRIMARY SURVEY

AIRWAY :

BREATHING :

CIRCULATION :
DISABILITY

EXPOSURE

FAHRENHEIT

JAM SECONDARY SURVEY

ANAMNESIS

A LERGI
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MEDIKASI (obat yang diminum sebelumnya)


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PAST ILLNESS (penyakit sebelumnya)/Pregnancy (hamil)


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LAST MEAL (Time) Khusus kasus trauma


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EVENT/ENVIRONMENT (lingkungan yang berhubungan dengan kegawatan (PQRST))


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TINDAKAN
MASALAH
JAM DATA JAM KEPERAWATAN EVALUASI
KEPERAWATAN
VITAL SIGN

Head to toe
JAM EVALUASI

S:

O:

A:

P:

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