laporan dokumentasi keperawatan banyumas
TRANSCRIPT
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7/22/2019 Laporan Dokumentasi Keperawatan Banyumas
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EHRL_H@ NLJ[MK@^HQD JKRK_HSH^H@
GDKEN ^_DR JLMR[^K_DQHQD
ND _Q[N OH@T[MHQ
Ndsusu` u`tuj mkmk`ufd tuchs mhth juedhf nljumk`thsd jkpkrhwhth`
Ndsusu` lekf 9
JKELMRLJ >
8. H`dsh @urue Jfhsh`hf (R238?288?2>;)
?. Aehrh ^yhs Kvd`d`crum (R238?288?2;2)
1. K`nh`c Qu`hr`d (R238?288?2;3)
>. Jfldrue Mustlgh (R238?288?271)
;. Mdh ^rd Hnfh`d (R238?288?277)
7. Rutrd Rhmu`cjhsshrd (R238?288?238)
3. _dghend Yuejhr`hk` (R238?288?23>)
6. _dsjd Ljthgdh` (R238?288?23;)
4. [tdth Hcustd`h (R238?288?234)
82. Wd`nh Hstrd Rkrmhthshrd (R238?288?262)
JKMK@^K_DH@ JKQKFH^H@ _KR[OEDJ D@NL@KQDH
RLED^KJ@DJ JKQKFH^H@ TLCTHJH_^H
I[_[QH@ JKRK_HSH^H@
?281
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7/22/2019 Laporan Dokumentasi Keperawatan Banyumas
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Fhrd, ^h`cche 9 Jhmds, ?6 @lvkmokr ?281
_uh`c 9 Gehmolyh`
Jkpheh dm ? 9 Kmy Mhkmu`hf, HMJ
Rkmodmdod`c 9 D`nu`dhsdf, QJp., M. Jks
Fhsde pk`chmhth` nljumk`thsd jkpkrhwhth` jlmputkrdshsd nd _Q[N
Oh`yumhs lekf jkelmplj > O, hnhehf skohchd okrdjut 9
Ahrh mk`ccu`hjh` sdstkm jlmputkrdshsd 9
8. Elc d` QDMJKR nk`ch` mkmhsujjh` uskr DN nh` phsswlrn nh` tlmole
pdedfh` u`tuj phsdk` rhwht d`hp hthu rhwht iheh`, jkmundh` jedj LJ.
?. Rdedf sth`nhr hsufh` jkpkrhwhth`.
1. Rdedf dsd nhth QHJ phsdk` rhwht d`hp.
>. Nhehm dsd nhth QHJ, tkrnhpht th`cche nh` whjtu pkrhwht pkehjsh`h elc
d`, pkehjsh`h okrdsd `hmh pkrhwht yh`c okrtuchs, d`sthehsd/ruh`c okrdsd
`hmh ruh`ch`, skehd` dtu iuch tkrnhpht nhgthr `hmh phsdk` (@l. _M nh`
@hmh phsdk`) nh` QHJ.
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7/22/2019 Laporan Dokumentasi Keperawatan Banyumas
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Okrdjut d`d hnhehf pk`ikehsh` mk`ck`hd pk`nljumk`thsdh` nk`ch` sdstkm
jlmputkrdshsd 9
8. Rk`cjhidh`
Nhehm pk`cjhidh` tkrnhpht 81 jkelmplj/ndvdsd okrnhshrjh` Nlk`cus.
^dhp ndvdsd mkmuht afkajedst pk`cjhidh` yh`c hjh` ndehjujh` nh`
tkrnhpht glrm pk`cjhidh` thmohfh` yh`c nhpht nddsd mh`uhe (ndjktdj).
Ahrh pk`cjhidh` phsdk` fh`yh ndsksuhdjh` nk`ch` jl`ndsd phsdk`, tdnhj
skmuh nhth pk`cjhidh` yh`c hnh phnh jlmputkr ndth`yhjh` jkphnh
phsdk`. Rhnh pk`cjhidh` nk`ch` sdstkm jlmputkrdshsd tkrnhpht afkajedst
nhth loikjtdg nh` nhth suoikjtdg.
?. Mhshehf
Nhehm glrm mhshehf, yh`c mk`k`tujh` mhshehf phsdk` hnhehf
jlmputkr, okrnhshrjh` pk`cjhidh` yh`c sunhf ndmhsujjh`. Rhnh
mhshehf hjh` mu`aue lpsd ktdlelcd nhrd mhshehf yh`c ndtkthpjh` lekf
jlmputkr, jkmundh` pkrhwht mkmdedf shehf shtu hthu okokrhph ktdlelcd
yh`c sksuhd nk`ch` jl`ndsd phsdk`.
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7/22/2019 Laporan Dokumentasi Keperawatan Banyumas
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1. Ndhc`lsh
Qkahrh ltlmhtds jlmputkr hjh` mk`k`tujh` nk`ch` sk`ndrd`yh ndhc`lsh
jkpkrhwhth` nhrd phsdk` tkrskout. Nhehm ndhc`lsh tkrskout okrdsd
mhshehf, pk`ykoho, nh` nhth loikjtdg skrth nhth suoikjtdg. Rrdlrdths
ndtk`tujh` skahrh mh`uhe (ndjktdj) lekf pkrhwht.
>. ^uiuh`
^uiuh` tkrnhpht jlelm ndhc`lsh nh` whjtu pk`ahphdh` tuiuh` yh`c
ndd`cd`jh`. Shjtu ndtk`tujh` skahrh mh`uhe (ndjktdj).
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7/22/2019 Laporan Dokumentasi Keperawatan Banyumas
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;. ^hrckt
Nhehm thrckt tkrnhpht @LA nk`ch` okrohchd jrdtkrdh fhsde yh`c nhpht
ndpdedf pkrhwht. Qkehd` jrdtkrdh fhsde tkrnhpht sjheh nh` thrckt yh`c d`cd`
ndahphd.
7. _k`ah`h
Okrdsd ndhc`lsh nh` @DA (@DA mhylr, @DA ndshrh`jh , @DA pdedfh`).
h. @DA MhylrJlmputkr sunhf mkmprlcrhmjh` d`tkrvk`sd yh`c fhrus ndehjujh`.
o. @DA Ndshrh`jh`
Okrdsd afkajedst shrh` d`tkrvk`sd yh`c nhpht ndpdedf.
a. @DA Rdedfh`
Okrdsd afkajedst d`tkrvk`sd thmohfh` yh`c nhpht ndpdedf.
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7/22/2019 Laporan Dokumentasi Keperawatan Banyumas
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3. Dmpekmk`thsd
^krnhpht td`nhjh` hph yh`c hjh` ndehjujh`, `hmh pkrhwht, nh` whjtu
ndehjujh``yh td`nhjh`.
6. Kvheuhsd^krnhpht @LA nk`ch` jrdtkrdh fhsde yh`c sunhf ndpdedf sjheh nh`
thrckt`yh. Nh`, phnh kvheuhsd, jdth nhpht mkedfht hphjhf thrckt yh`c jdth
d`cd`jh` sunhf tkrahphd hthu okeum.
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7/22/2019 Laporan Dokumentasi Keperawatan Banyumas
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4. _dsdjl
Okrdsd rdsdjl nk`ch` okokrhph afkajedst yh`c mu`cjd` tkrihnd phnh phsdk`
yh`c nhpht ndpdedf pkrhwht.
82. Jleholrhsd
Okrdsd `hmh pk`yhjdt nh` jlnk QHJ. @hmu` jlelm jleholrhsd ihrh`c
ndcu`hjh`, jhrk`h nhth`yh sunhf mhsuj nd jlelm dmpekmk`thsd.
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7/22/2019 Laporan Dokumentasi Keperawatan Banyumas
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_kjhm mknds phsdk` okrdsd 9
8. Rk`cjhidh` hwhe nhrd [CN.?. Nhth pk`u`ih`c nhrd tk`hch jkskfhth` ehd`.
1. Fhsde eholrhtlrdum.
>. Lrnkr loht.
;. Nljumk`thsd lekf nljtkr.
7. D`glrmkn al`sk`t.
3. Gelwsfkkt, crhgdj pkrjkmoh`ch` phsdk` (sufu, `hnd, tkjh`h` nhrhf).
^krnhpht ouju oh`tu yh`c okrdsd jkcdhth` yh`c tkehf ndehjujh` pkrhwht
yhdtu th`nh-th`nh vdthe nh` skohchd`yh yh`c ndehjujh` nhehm shtu jhed
sfdgt ihch. Okrnhshrjh` nhth phnh ouju d`d pkrhwht mk`nljumk`thsdjh`
hsufh` jkpkrhwhth` yh`c tkehf tkrnhpht phnh pk`nljumk`thsdh`
nk`ch` sdstkm jlmputkrdshsd. Ouju d`d iuch nhpht mkmoh`tu pkrhwht
nhehm mkehjsh`hjh` lpkrh` ihch jhrk`h ekodf munhf nh` prhjtds
ndoh`nd`cjh` idjh pkrhwht fhrus mk`ccu`hjh` jlmputkr. ^krnhpht ?
ouju oh`tu u`tuj tdhp tdm.