2.

Analisa Data

Data Subjektif Data Objektif Interpretasi

Data Subjektif Data Objektif Interpretasi
3. Rumusan Masalah Keperawatan
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4. Analisa Masalah
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B. Diagnosa Keperawatan

No. Diagnosa Hari / Tanggal / Diagnosa Keperawatan

Keperawatan Jam
C. Perencanaan

1. Prioritas Masalah

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2. Rencana Keperawatan
(Terlampir)