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  • Monitoring Selama Rujukan (2 Files Merged)

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    15 views1 page

    Monitoring Selama Rujukan (2 Files Merged)

    Uploaded by

    fauziahandn

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    FORM STATUS PASIE N

    SELAMA DI RUJUK

    Nama No RM :[ ][ ][ ][ ][ )
    [ l
    Jenis Kelamin :[ ] Laki-laki ] Perempuan
    Umur
    Alamat

    PERKEMBANGAN SIEN
    PA KONDISI AWAL KONDISI KON DISI DI
    DALAM TEMPAT RUJ
    . Airway
    . Breathing
    RR
    . Circulation
    • TD
    • Nadi
    • Sa02
    . GCS E: V : M: E: V : M: E: V : M:

    KON DISI SPESIFIK


    KONDISI K LINIS TIN DAKAN I TERAPI

    M engetahm, Tangerang,

    (Perawat Penerima) (Perawat Perujuk)

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