You are on page 1of 1

FORMAT STRATEGI PELAKSANAAN DAN STRATEGI KOMUNIKASI DALAM

PELAKSANAAN TINDAKAN KEPERAWATAN

FORMAT STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN (SP)

Nama Pasien :…………………


Dx medis : ………………..
Kamar : ………………..

A. Kondisi klien :
1. Alasan masuk RS
………………………………....................................................................................................................
....................................................................................................................................................................
....................................................................................................................................................................
....................................................................................................................................................................
.......................................................................................................................................

2. Data fokus
………………………………....................................................................................................................
....................................................................................................................................................................
....................................................................................................................................................................
....................................................................................................................................................................
.......................................................................................................................................…………………
……………................................................................................................................................................
....................................................................................................................................................................
....................................................................................................................................................................
....................................................................................................................................................................
...........................................................................................................

B. Diagnosa Keperawatan (masalah)


1. ………………………………............................................................................................................
............................................................................................................
2. ………………………………............................................................................................................
............................................................................................................

C. Tujuan Khusus (tujuan yang akan dicapai, criteria hasil)


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

D. Tindakan Keperawatan : tindakan apa yang akan dilakukan,


1. ………………………………............................................................................................................
........................................................................................................................
2. ………………………………............................................................................................................
........................................................................................................................
“ SOP tindakan tersebut”

You might also like