ANALISA DATA

Nama Pasien : Ruang :

Umur : Hari/tgl :
No Data Fokus Etiologi Problem/Masalah

PRIORITAS MASALAH
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RENCANA KEPERAWATAN
Nama Pasien : Ruang :
Umur : Hari/tgl :
Diagnosa Tujuan (NOC) Intervensi (NIC)
CATATAN PERKEMBANGAN
Diagnosa Keperawatan: ................................................................................................................................................................
Hari/Tgl/Jam Implementasi Paraf Evaluasi (SOAP)