Rm19e Lembar Observasi Gawat Darurat.pdf
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- Words: 98
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Rev 01.08-2015
RM. 19. e
RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA
No. RM
: __________________
Nama
: __________________
Tgl lahir
: __________________
LEMBAR OBSERVASI Tanggal :
P1
Pukul :
A
: ..................................................................................................................
B
: ..................................................................................................................
C
: ..................................................................................................................
D
: .................................................................................................................. Jam
GCS
T
N
Perawat
R
t
SpO2
P2
P3
Diagnosis Kerja
Urin
TINDAKAN
Dokter
(……………………………….)
(……………………………….)
Tanda tangan dan nama lengkap
Tanda tangan dan nama lengkap Rekam Medis Kesehatan
LEMBAR OBSERVASI Jam
GCS
T
N
Perawat
R
t
SpO2
Urin
TINDAKAN
Dokter
(……………………………….)
(……………………………….)
Tanda tangan dan nama lengkap
Tanda tangan dan nama lengkap
Rekam Medis Kesehatan
RM. 19. e
RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA
No. RM
: __________________
Nama
: __________________
Tgl lahir
: __________________
LEMBAR OBSERVASI Tanggal :
P1
Pukul :
A
: ..................................................................................................................
B
: ..................................................................................................................
C
: ..................................................................................................................
D
: .................................................................................................................. Jam
GCS
T
N
Perawat
R
t
SpO2
P2
P3
Diagnosis Kerja
Urin
TINDAKAN
Dokter
(……………………………….)
(……………………………….)
Tanda tangan dan nama lengkap
Tanda tangan dan nama lengkap Rekam Medis Kesehatan
LEMBAR OBSERVASI Jam
GCS
T
N
Perawat
R
t
SpO2
Urin
TINDAKAN
Dokter
(……………………………….)
(……………………………….)
Tanda tangan dan nama lengkap
Tanda tangan dan nama lengkap
Rekam Medis Kesehatan
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