You are on page 1of 5

RESUME GAWAT DARURAT PSIK UNSRAT

RESUME
GAWAT DARURAT

Nama Mahasiswa : .......................................................................................................


Tanggal : .......................................................................................................
NIM : .......................................................................................................
Ruangan : .......................................................................................................

IDENTITAS
Inisial Nama : ...................................................................................................
Umur : ...................................................................................................
Jenis Kelamin : ...................................................................................................
Alamat : ...................................................................................................
Tgl./Jam Masuk : ...................................................................................................
Tgl./Jam Pengkajian : ...................................................................................................
Diagnosa Medis : ...................................................................................................

1. Pengkajian kondisi mental


A : ......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
V : ......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
P : ......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
U : ......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
RESUME GAWAT DARURAT PSIK UNSRAT

2. Primary Survey
Airway : .......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
Breathing : .......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
Circulation : .......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
Disability : .......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................
.......................................................................................................

3. Secondary Survey
EKG/Exposure
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
RESUME GAWAT DARURAT PSIK UNSRAT

Fluid dan Farenheit


.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
Vital Sign
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
KeluhanUtama
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
Riwayat Keluhan Utama
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
RESUME GAWAT DARURAT PSIK UNSRAT

RPD/RPK
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................

4. Head to Toe
Kepala : ............................................................................................
............................................................................................
............................................................................................
............................................................................................
Mata : ............................................................................................
............................................................................................
............................................................................................
............................................................................................
Hidung : ............................................................................................
............................................................................................
............................................................................................
............................................................................................
Mulut : ............................................................................................
............................................................................................
............................................................................................
............................................................................................
Leher : ............................................................................................
............................................................................................
............................................................................................
Dada : ............................................................................................
............................................................................................
............................................................................................
............................................................................................
............................................................................................
............................................................................................
............................................................................................
RESUME GAWAT DARURAT PSIK UNSRAT

Perut : ............................................................................................
............................................................................................
............................................................................................
............................................................................................
............................................................................................
............................................................................................
Kelamin : ............................................................................................
............................................................................................
............................................................................................
............................................................................................
Ekstremitas atas : ............................................................................................
............................................................................................
............................................................................................
............................................................................................
............................................................................................
Ekstremitas bawah : ............................................................................................
............................................................................................
............................................................................................
............................................................................................
............................................................................................
Anus : ............................................................................................
............................................................................................
Kulit : ............................................................................................
............................................................................................
............................................................................................
............................................................................................
Psikososial : ............................................................................................
............................................................................................
............................................................................................
............................................................................................
Pemeriksaan Penunjang
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................

You might also like