Ews Dewasa.xlsx
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LEMBAR OBSEVASI Early Warning Score ( EWS) Pencatatan Obsevasi Menggunakan EWS Untuk Pasien Dengan Usia........ EWS 0
1
Tanggal 2
3
Jam Sadar V/P/U
TINGKAT KESADARAN
TEKANAN DARAH
≤ 40 91- 100 91-110 111 - 219
≥ 220 ≤ 40
NADI
PERNAFASAN
41 - 50 51 - 90 91 - 110 111 - 130 ≥ 131 ≤8 (9-11) (12-20) 21-24 ≥ 25 ≤ 35,03
SUHU
35,1 - 36,0 36,1 - 38,0 38,1 - 39,0 ≥ 39,1 ≤ 91 92 - 93 94 - 95
SpO2
SCORE
3 2 1 0 1 2 3 3 2 1 0 1 2 3 3 2 1 0 1 2 3 3 2 1 0 1 2 3 3 2 1 0 1 2 3 3 2 1
SpO2
≥ 96
Ya OKSIGEN
Tidak
TOTAL EWS SKALA JATUH SKALA NYERI INTAKE OUTPUT DIIT PARAF DAN NAMA PETUGAS
0 1 2 3 3 2 1 0 1 2 3
1
Tanggal 2
3
Jam Sadar V/P/U
TINGKAT KESADARAN
TEKANAN DARAH
≤ 40 91- 100 91-110 111 - 219
≥ 220 ≤ 40
NADI
PERNAFASAN
41 - 50 51 - 90 91 - 110 111 - 130 ≥ 131 ≤8 (9-11) (12-20) 21-24 ≥ 25 ≤ 35,03
SUHU
35,1 - 36,0 36,1 - 38,0 38,1 - 39,0 ≥ 39,1 ≤ 91 92 - 93 94 - 95
SpO2
SCORE
3 2 1 0 1 2 3 3 2 1 0 1 2 3 3 2 1 0 1 2 3 3 2 1 0 1 2 3 3 2 1 0 1 2 3 3 2 1
SpO2
≥ 96
Ya OKSIGEN
Tidak
TOTAL EWS SKALA JATUH SKALA NYERI INTAKE OUTPUT DIIT PARAF DAN NAMA PETUGAS
0 1 2 3 3 2 1 0 1 2 3
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