RESUME ASUHAN KEPERAWATAN EMERGENCY

A. Identitas klien

Nama : Agama :

Usia : No.RM :

Jenis Kelamin : Tgl.Masuk RS :

Alamat : Jam pengkajian :

Status pernikahan : Sumber informasi :
Diagnosa Medis : Tindakan Operasi :

B. Data Subyektif
Keluhan utama :
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C. Data Objektif
Pengkajian A-B-C-D-E-F-G-H

Airway :

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Breathing :
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 Circulation : Disability :
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Exposure/Environment :
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Full Vital sign:
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D. Assesment

Berdasarkan triase pasien tergolong pada Prioritas :

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E.Nursing Care Plans

1. Diagnosa Keperawatan :
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2. Intervensi Keperawatan

1. 6.
2. 7.
3. 8.
4. 9.
5. 10.
3. Implementasi

Jam Tindakan Jam Tindakan

4. Evaluasi

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