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  • Monitoring Tindakan Anestesi Lokal: Waktu

    Uploaded by

    Ricky Taufiqurrohman
    8 views2 pages
    The document is a monitoring form for a local anesthesia procedure. It records the patient's name, date of birth, medical record number, room, diagnosis, surgery performed, medications given, and vital signs such as temperature, respiration rate, pulse, and blood pressure at regular intervals during the procedure. The form is signed by the nurse and surgeon.

    Original Description:

    anestesi lokal

    Original Title

    6. Surgical Safety Cheklist

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    The document is a monitoring form for a local anesthesia procedure. It records the patient's name, date of birth, medical record number, room, diagnosis, surgery performed, medications given, and vital signs such as temperature, respiration rate, pulse, and blood pressure at regular intervals during the procedure. The form is signed by the nurse and surgeon.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views2 pages

    Monitoring Tindakan Anestesi Lokal: Waktu

    Uploaded by

    Ricky Taufiqurrohman
    The document is a monitoring form for a local anesthesia procedure. It records the patient's name, date of birth, medical record number, room, diagnosis, surgery performed, medications given, and vital signs such as temperature, respiration rate, pulse, and blood pressure at regular intervals during the procedure. The form is signed by the nurse and surgeon.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    RM: 17.

    12 OK/AN

    Nama Pasien :……………………………….

    MONITORING TINDAKAN Tgl Lahir/umur : ………………………………

    BLUD RSU ANESTESI LOKAL No RM :………………………………


    KOTA BANJAR
    Ruang Rawat / kelas : ……………………………..
    Dokter bedah : Perawat OK :
    Diagnosis : Tanggal Tindakan :
    Tindakan Operasi : Jam :
    Mulai ; Selesai;
    Obat Obatan Yang diberikan : 3. ………………………………………………………
    1………………………………………………………… 4..………………………………………………………
    2………………………………………………………… 5.. ……………………………………………………..

    WAKTU
    VITAL SIGN

    S RR N TD 5' 10' 15' 20' 25' 30' 35' 40' 45' 50' 55' 60'
    43 30 210 210

    42 28 200 200

    41 26 190 190

    40 24 180 180

    39 22 170 170

    38 20 160 160

    37 18 150 150

    36 16 140 140

    35 14 130 130

    34 12 120 120

    10 110 110

    100 100

    90 90

    80 80

    70 70

    60 60

    Keterangan : (x) = S (o) = R ( ) = N v Sistolik ( ^) diastol


    Catatan lain :
    ………………………………………………………………………….………………………………………………………………………….…………………………………
    PERAWAT DOKTER BEDAH

    ---------------------------- ----------------------------

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