Lembar Observasi Pasien

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LEMBAR OBSERVASI

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LEMBAR OBSERVASI

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Lembar Observasi Pasien

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LEMBAR OBSERVASI

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LEMBAR OBSERVASI PASIEN Nama : Tgl.

Lahir/ Umur : Nomor Rekam Medis

Alamat : …………………/…………….
Program terapi cairan :
JAM TANDA-TANDA VITAL PENGELUARAN SKOR
TD N S RR GCS SpO2 INFUS ORAL SONDE NGT MUNTAH BAK BAB DRAIN NYERI JATUH DEKUBIT

JML cc/24 jam JML cc/24 jam

BALANCE
Ket: TD: Tekanan Darah, N:Nadi, RR:Respirasi, GCS: Glasgow Coma Scale, NGT: Nasogastric Tube, BAB: Buang Air Besar, BAK: Buang Air Kecil

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