Lampiran 9

KEGIATAN AKTIVITAS HARIAN / LOGBOOK

LAPORAN STUDI KASUS KEPERAWATAN MEDIKAL BEDAH
PADA RUANG PERAWATAN KHUSUS POLI

Nama Mahasiswa : ___________________________________

NIM : ___________________________________
Ruang Praktik : ___________________________________

A. RINGKASAN KASUS (Narasikan)

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B. PENGKAJIAN RIWAYAT KESEHATAN (Narasikan Pengkajian focus perjalan

penyakit pasien)
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C. PEMERIKSAAN PENUNJANG
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D. TERAPI YANG DIBERIKAN
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E. DIAGNOSA KEPERAWATAN

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Analisis Diagnosa keperawatan:
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Berhubungan dengan:
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NOC/SLKI :Ditingkatkan ke ………………………………………
Keterangan Level
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Dengan indicator/Kriteria hasil:

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Planning NIC/SIKI :
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Aktivitas Keperawatan (minimal 10)
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F. GAMBARKAN PROSEDUR TINDAKAN
(TINDAKAN DI PERSIAPAN OPERATIF/ TINDAKAN INTRAOPERATIF/ TINDAKAN
PEMULIHAN/ TINDAKAN HEMODIALISA)*coret yang tidak perlu
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G. EVALUASI TINDAKAN
TINDAKAN DI PERSIAPAN OPERATIF/ TINDAKAN INTRAOPERATIF/ TINDAKAN
PEMULIHAN/ TINDAKAN HEMODIALISA)* coret yang tidak perlu

Subjektif:
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Objektif:
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Planning:
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Pembimbing Klinik Preceptor Akademik

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NIP. NIM.