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RESUME KEPERAWATAN

DI RUANG POLIKLINIK TUMBUH KEMBANG


RSUD ULIN BANJARMASIN

Oleh:
SYARIFAH SALMAH
1814901210187

UNIVERSITAS MUHAMMADIYAH BANJARMASIN


FAKULTAS KEPERAWATAN DAN ILMU KESEHATAN
PROGRAM STUDI PROFESI NERS B
BANJARMASIN, 2019
RESUME KEPERAWATAN

Nama Mahasiswa : Syarifah Salmah


NPM : 1814901210187
Ruangan : Poliklinik Tumbuh Kembang

1. Identitas Pasien :
a. Nama Pasien :
b. Jenis Kelamin :
c. Tanggal lahir/umur :
d. Diagnosa Medis :
e. Tanggal Pengkajian :

2. Keluhan Utama :
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3. Riwayat Penyakit Sekarang


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4. Pemeriksaan Fisik
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5. Data Antropometri, Pengkajian Perkembangan (Denver II):


a. Hasil pemeriksaan antropometri
Umur :
BB :
TB :
LK :
LL :
S :
b. Hasil Denver II:
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c. KPSP:
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6. Analisa Data:
Data Problem Etiologi
7. Intervensi Keperawatan
NO NOC NIC RASIONAL

8. Implementasi dan Evaluasi (SOAP)


Implementasi Evaluasi Paraf
Banjarmasin, Juli 2019

Preseptor Akademik, Preseptor Klinik,

(Evy Noorhasanah, Ns., M.Imun) (Wiwik Winarsih, S.Kep., Ns)