FORMAT LK KMB DOCX

Title FORMAT LK KMB
Author Dedi Jul
Pages 10
File Size 26.5 KB
File Type DOCX
Total Downloads 556
Total Views 776
Summary

Lampiran 4 FORMAT LAPORAN ASUHAN KEPERAWATAN Nama Mahasiswa : Tempat Pratek : Tanggal Pengkajian : I. Identitas Diri Klien Nama : ................................... Tanggal Masuk RS : .................... Tempat/Tanggal Lahir : ................................... Sumber Informasi : ...................

Description

Lampiran 4 FORMAT LAPORAN ASUHAN KEPERAWATAN Nama Mahasiswa : Tempat Pratek : Tanggal Pengkajian : I. Identitas Diri Klien Nama : ................................... Tanggal Masuk RS : .................... Tempat/Tanggal Lahir : ................................... Sumber Informasi : .................... Umur : ................................... Agama : .................... Jenis Kelamin : ................................... Status Perkawinan : .................... Pendidikan : ................................... S u k u : ............................. Pekerjaan : ................................... Lama Bekerja : ............................. Alamat : ........................................................................................................ ........................................................................................................ 1. Keluarga terdekat yang dapat dihubungi (orang tua, wali, suami, istri, dan lain-lain) Pekerjaan : ................................... Pendidikan : ............................. Alamat : ........................................................................................................ ........................................................................................................ 2. Alergi : Tipe Reaksi Tindakan ........................... ................................... ........................................ ........................... ................................... ........................................ ........................... ................................... ........................................ 3. Kebiasaan : merokok/kopi/obat/alkohol/lain-lain Jika ya jelaskan ............................................................................................ ...................................................................................................................... ...................................................................................................................... 4. Obat-obatan : Lamanya :...................................................................................................

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