FORMAT RESUME ASUHAN KEPERAWATAN MATERNITAS

Hari :
Tanggal :
Ruangan :
Dinas :

Identitas pasien :
Nama : Tgl MRS :
No. RM : Jenis Kelamin :
Umur : Dx. Medis :
Tgl Pengkajian : Alamat :

Data Fokus :

S : (Data subjektif pasien)

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O : (Data objektif pasien)

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A : (Diagnosa keperawatan yang muncul)

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P : (Rencana keperawatan)
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I : (Implementasi)
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E : (Evaluasi)
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Terapi medis
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 Surabaya, __________________

Mengetahui,

P e m b i m b i n g I n s t i t u s i P e m b i m b i n g L a h a n

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