Scribd Logo
Upload

Welcome to Scribd!

  • Intranatal Form Fix

    Uploaded by

    Putu Epriliani
    16 views39 pages
    Form pengkajian intranata;

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Form pengkajian intranata;

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    16 views39 pages

    Intranatal Form Fix

    Uploaded by

    Putu Epriliani
    Form pengkajian intranata;

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 39

    KALA I

    A. DATA FOKUS KALA I

    DATA FOKUS ANALISIS MASALAH


    B. ANALISA DATA KALA I
    DATA FOKUS ANALISIS MASALAH
    Diagnosa keperawatan berdasarkan prioritas :
    1. ..............................................................................................
    2. ..............................................................................................
    3. ..............................................................................................
    4. ..............................................................................................
    5. ..............................................................................................

    C. RENCANA KEPERAWATAN KALA I


    N Tgl / jam Nomor Rencana Keperawatan
    o Diagnosa Tujuan Intervensi Rasional
    D. IMPLEMENTASI KALA I

    Tgl/Jam No. Implementasi Respon Paraf/Nama


    Dx
    E. EVALUASI KALA I

    Tgl/Jam No Evaluasi Hasil Paraf


    Dx

    KALA II
    A. DATA FOKUS KALA II
    B. ANALISA DATA KALA II
    DATA FOKUS ANALISIS MASALAH
    Diagnosa keperawatan berdasarkan prioritas :
    1. ...........................................................................................
    2. ...........................................................................................
    3. ...........................................................................................
    4. ...........................................................................................
    5. ...........................................................................................
    C. RENCANA KEPERAWATAN KALA II
    No Tgl / jam Nom Rencana Keperawatan
    or Tujuan Intervensi Rasional
    Diag
    nosa
    D. IMPLEMENTASI KALA II
    Tgl/Jam No. Implementasi Respon Paraf/Nama
    Dx
    E. EVALUASI KALA II
    Tgl/Jam No Evaluasi Hasil Paraf
    Dx

    KALA III
    A. DATA FOKUS KALA III
    B. ANALISA DATA KALA III

    DATA FOKUS ANALISIS MASALAH


    Diagnosa keperawatan berdasarkan prioritas :
    1. ...........................................................................................
    2. ...........................................................................................
    3. ...........................................................................................
    4. ...........................................................................................
    5. ...........................................................................................

    C. RENCANA KEPERAWATAN KALA III

    No Tgl / jam Nom Rencana Keperawatan


    or Tujuan Intervensi Rasional
    Dx.
    D. IMPLEMENTASI KALA III

    Tgl/Jam No. Implementasi Respon Paraf/Nama


    Dx
    E. EVALUASI KALA III

    Tgl/Jam No Evaluasi Hasil Paraf


    Dx

    KALA IV
    A. DATA FOKUS KALA IV
    B. ANALISA DATA KALA IV
    DATA FOKUS ANALISIS MASALAH
    Diagnosa keperawatan berdasarkan prioritas :
    1. ...........................................................................................
    2. ...........................................................................................
    3. ...........................................................................................
    4. ...........................................................................................
    5. ...........................................................................................
    C. RENCANA KEPERAWATAN KALA IV
    No Tgl / jam Nom Rencana Keperawatan
    or Tujuan Intervensi Rasional
    Dx.
    D. IMPLEMENTASI KALA IV
    Tgl/Jam No. Implementasi Respon Paraf/Nama
    Dx
    E. EVALUASI KALA IV
    Tgl/Jam No Evaluasi Hasil Paraf
    Dx
    Denpasar, .20..
    Mengetahui
    Pembimbing Klinik/ CI Mahasiswa

    (.........................) (.......................)
    NIP: NIM:

    Clinical Teacher/CT

    (.......................................................)

    NIP:

    You might also like