Professional Documents
Culture Documents
A. PENGKAJIAN
Nama mahasiswa :......................................................
Tempat praktek :......................................................
Tanggal praktek :......................................................
I. IDENTITAS DATA
Nama :.......................................................................
alamat :......................................................................
Tempat/tgl lahir :.......................................................................
Agama :......................................................................
Usia :......................................................................
Suku bangsa :......................................................................
Nama ayah/ibu :.......................................................................
Pendidikan ayah :.......................................................................
Pekerjaan ayah :......................................................................
Pendidikan ibu :.......................................................................
Pekerjaan ibu :.......................................................................
A. ANALISA DATA
B. DIAGNOSA
C. INTERVENSI ASUHAN KEPERAWATAN.
No Hari/tgl Dx Tujuan, kriteria Intervensi keperawatan Rasional Paraf
jam evaluasi tindakan