DAFTAR ISI FORM

KEBIDANAN DAN PERINATOLOGI

FORMULIR PERMINTAAN PEMERIKSAAN LABOLATORIUM........... 1

RENCANA PELAYANAN MEDIS PASIEN ................................................... 2
FORMULIR KONSULTASI ............................................................................. 3
RESEP ................................................................................................................. 4
RESUME KEPERAWATAN.............................................................................. 5
CEK LIST PENGGUNAAN ALAT DI AMBULANCE................................... 6
FORMULIR SERAH TERIMA BARANG PASIEN....................................... 7
FORMULIR PENGEMBALIAN OBAT........................................................... 8
SENSUS HARIAN PASIEN RAWAT INAP...................................................... 9
SERAH TERIMA JENAZAH............................................................................ 10
LAPORAN HARIAN RUANG PERAWATAN ................................................ 11
TERAPI INSULIN ............................................................................................. 12
PEMBERIAN TETES MATA............................................................................ 13
FORM PEMANTAUAN PENCEGAHAN ULKUS DECUBITUS................. 14
FORMULIR PASIEN PULANG ATAS PERMINTAAN SENDIRI............... 15
SURAT KETERANGAN KEMATIAN ............................................................ 16
LAPORAN KEPERAWATAN MENGENAI KEMATIAN............................. 17
PEMBERITAHUAN PENDERITA DBD, TETANUS,CAMPAK................... 18
FORMULIR LAPORAN INSIDEN.................................................................. 19
SURAT KETERANGAN LAHIR...................................................................... 20
SERAH TERIMA BAYI PULANG.................................................................... 21
PEMAKAIAN OBAT/ALKES........................................................................... 22
ASKEB CATATAN PERSALINAN................................................................... 23
ASKEB RIWAYAT KELAHIRAN..................................................................... 24
LEMBAR OBSERVASI HIS ............................................................................. 25
GRAFIK PATOGRAF ....................................................................................... 26
ASKEB NIFAS GRAFIK IBU............................................................................ 27
CATATAN PERKEMBANGAN PASIEN TERINTEGRASI (CPPT)............ 28
FORMULIR PASIEN PINDAH......................................................................... 29
SERAH TERIMA OBAT & ALKES PASIEN PINDAH RUANGAN............ 30
FORMULIR PENGKAJIAN PENCEGAHAN &
PENGENDALIAN INFEKSI............................................................................. 31
PERSETUJUAN/PENOLAKAN TINDAKAN KEDOKTERAN .................. 32
CHECK LIST PENERIMAAN PASIEN RAWAT INAP................................. 33
FORMULIR PERSETUJUAN TINDAKAN MEDIS ANESTESIA.............. 34
PENATALAKSANAAN RISIKO JATUH PADA NEONATUS...................... 35
PENGKAJIAN RISIKO JATUH MORSE....................................................... 36
CATATAN OBSERVASI NYERI ...................................................................... 37
FORMULIR TANDA DAERAH OPERASI .................................................... 38
DAFTAR PEMBERIAN OBAT......................................................................... 39
PRMOHONAN PEMERIKSAAN MRI 1,5...................................................... 40
PRMOHONAN PEMERIKSAAN MRCT ....................................................... 41
PRMOHONAN PEMERIKSAAN RADIOLOGI............................................ 42
PRMOHONAN PEMERIKSAAN CITOPATOLOGI HISTOPATOLOGI. . 43
PENGKAJIAN AWAL MEDIS.......................................................................... 44
PENGKAJIAN PERAWAT................................................................................ 45
IDENTIFIKASI BAYI........................................................................................ 46
RESUSITASI BAYI BARU LAHIR .................................................................. 47
CATATAN OBSERVASI BAYI ......................................................................... 48
PENGKAJIAN AWAL KEBIDANAN............................................................... 49
KURVE LIST BAYI............................................................................................ 50
PESANAN PULANG.......................................................................................... 51
ASSENSMENT AWAL........................................................................................ 52
PENGKAJIAN RESIKO JATUH ..................................................................... 53