LAPORAN STUDI KASUS KEPERAWATAN MEDIKAL BEDAH

PADA RUANG PERAWATAN KHUSUS (OK/HD)

Nama Mahasiswa :
NIM :
Ruang Praktik :

A. RINGKASAN KASUS (Narasikan)

B. PENGKAJIAN RIWAYAT KESEHATAN (Narasikan Pengkajian focus perjalan

penyakit pasien)

C. PEMERIKSAAN PENUNJANG
Tanggal:
D. INDIKASI TINDAKAN (HEMODIALISA/OPERASI)

E. DIAGNOSA KEPERAWATAN

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Analisis Diagnosa keperawatan:
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 Berhubungan dengan:
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NOC/SLKI:
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Ditingkatkan ke ………………………………………
Keterangan Level
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Dengan indicator/Kriteria hasil:

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Planning NIC/SIKI :…………………………………………………………………………

Aktivitas Keperawatan (mnimal 10)
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F. GAMBARKAN PROSEDUR TINDAKAN

(TINDAKAN DI PERSIAPAN OPERATIF/ TINDAKAN INTRAOPERATIF/ TINDAKAN
PEMULIHAN/ TINDAKAN HEMODIALISA)*coret yang tidak perlu
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G. EVALUASI TINDAKAN
(TINDAKAN DI PERSIAPAN OPERATIF/ TINDAKAN INTRAOPERATIF/ TINDAKAN
PEMULIHAN/ TINDAKAN HEMODIALISA)*coret yang tidak perlu
Subjektif:
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Objektif:
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Anaisis:
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Planning:
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