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    4 views15 pages

    Askep Pengkajian Dewasa

    Uploaded by

    Lidya Latifatul

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 15

    PEMERIKSAAN PENUNJANG

    1) Pemeriksaan Laboratorium
    Jenis Pemeriksaan Hasil Satuan Nilai Rujukan
    3) Pemeriksaan Radiologi

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    4) Tindakan dan Terapi

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    ANALISA DATA

    NAMA : .................................................. NO.RM : ...............


    DX MEDIS : ..................................................
    Data Penunjang Penyebab Masalah

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    Data Penunjang Penyebab Masalah

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    Data Penunjang Penyebab Masalah

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    DIAGNOSA KEPERAWATAN

    NAMA : .................................................. NO.RM : ...............


    DX MEDIS : ..................................................

    No Tgl Diagnosa Keperawatan Tgl. Teratasi


    Muncul
    RENCANA TINDAKAN KEPERAWATAN

    NAMA : .................................................. NO.RM : ...............


    DX MEDIS : ..................................................

    No. Diagnosa Keperawatan NOC NIC


    No. Diagnosa Keperawatan NOC NIC
    No. Diagnosa Keperawatan NOC NIC
    IMPLEMENTASI KEPERAWATAN
    NAMA : .................................................. NO.RM : ...............
    DX MEDIS : ..................................................

    No No. DX Implementasi Keperawatan TTD

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    No No. DX Implementasi Keperawatan TTD
    EVALUASI KEPERAWATAN

    NAMA : .................................................. NO.RM : ...............


    DX MEDIS : ..................................................

    Tgl/jam No. DX EVALUASI TTD

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    Tgl/jam No. DX EVALUASI TTD

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