FORMAT RESUME KEPERAWATAN

A. Identitas Mahasiswa

Nama                                  : ....................................                     

Tanggal Pengkajian  : ....................................

Ruangan/Poli                        : ....................................

B. Identitas Pasien

Nama                                  : ....................................

Tempat, tanggal lahir            : ....................................

Usia                         : ....................................

Nama Ayah/Ibu                   : ....................................

C. Pengkajian data fokus

1)   Data Subjektif

................................................................................

2). Data Objektif

.................................................................................

3). Diagnosa Keperawatan

.................................................................................

Dx	Intervensi	Implementasi	Evaluasi
.............	.......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... ..........................................................................	.......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... ..........................................................................	.......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... ..........................................................................

Rencana Asuhan Keperawatan

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