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b)Jenisc)Lamanya7)RiwaytHamil

IniANC yang
sudah dilakukan,
keluhan serta
tindakan
apa yang sudah
didapatkan8)RiwaytPenyakitngLaluPenyakitapayangpernah
dieritaolehibudanmendukungdengankeadanyasekarng9)Riwayt
AlergiApakah pernah
mengalami
alergi10)RiwaytPenyakitKeluargApa
saja penyakit
yang pernah
diderita oleh
keluarga yang
berhubungan
kasus saat ini
yang derita oleh
ibu11)RiwaytGinekolgiApakah
pernah
mengalami
gangguan
kesehatareproduksi12)KebuthanBiopsikosail)Pola
makanb)Pola
minumc)Polaeiminasid)Polaistrhate)Psikologf)iDukungan
socialg)spirtual13)DatObyekatif)PemeriksaanumumMeliputipemeriksantekanandarh,
nadi,temperature,pernafsn,keadanumumpadasetipkasu.TekandarhdanadiharusdiukusertiapserempatjmpadperiodepmulihanseptacoS
ersi.uharusdikur
setiap2jam (myles,
2009). Suhu
yang melebihi 38
0
Cpascpembedahnharike2harusdicarpenyebanya.Yakinkan
pasien bebas
demam selama
24 jamseblumkeluardiumahskit.Jadtndinafekstupaiendmam,berikantibokasampai
bebasdemamselama48jam(
sarwon2,08).b)Pemeriksaan
fisikDilakukansecrfouseiadnegnaksu aynagd
c)Pemeriksankebidanan
erjan
ik
Panduan Asesmen Pasien
RSUD Dr. Soetomo
2>
Pemeriksanyangdilakukanpadakasuskebidananmulaidaribdomensampai
dengantalie1g4)ProsedurInvasifAlat
yangterpasang
saat itu, meliputi
: infuse
intravena,centrali,dowerCatehr,slngNGT15)KontrlResikoInfsiApakhmengalmi
infeksi:MRSA,TBdlantidaknapyangsudahdilakukan
D.DOKUMENTASI
1.RekamMedisMendokumentasikanpemeriksanpasienmerupakan
langkahkritaldnpetingdalmproseauhnpasie.Halinumumnyadipahmipelaksnaprktekedokteranbahwa“jikndatikmendokumentasikanya,ndatidak
melakukanya”.Dokumentasiadalhalktomunikasiberhargauntukpertmuandimasmendatngdenganpasienrtbudtandenganteaghli
asuhankeshatnlainya.AlasnlainmengapadokumentasingatkrialtehdaproseauhanpasiendiaftrknpadGambar1-2.Satin,beberapametodeberbeda
digunakanuntukmendokumentasikanasuhanpasiendanPCP,danberagamformactekandanperangkaltunak
komputersdiauntukmembantufarmsiadlmproisen.Dokumentasiygbaikdlhebidskaremengisformulir;akntep,hsmemfasiltuhnpeyangbik.C-ciryanghrusdimilksuatdokumenatsigar
bermnanfatuntukpertmuandenganpasienmelipuIti:nformasiterunperi,togansdaptdiemukandegancpt
Panduan Asesmen Pasien
RSUD Dr. Soetomo
2
REFERENSI
1.LucasCountryEmergncyMedicalServics.Tab60:pre-hospitalensment.Oleh:Toled;201.MontaStaeHospitalPolicyandProcedureP
.atiensmen2
9icy
0 l3pt.Patien
;o
asemendtfi
eniton4s.SanMateoCountryEMSAgency.Patiensment,routinemedicar,plmaryndsecondarysuvey;2095.DanverPamedicDivson.P-hreospitalrocls;
2016M
. alnitronAdvisoryGroup:aStandingCommitesofBAPENM , alnutrioUniversalScnigTol
(MUST),2017.Sizewise.Understaingfalrsk,pevntio,adprotecin,USAK
: ansa8.SentarWilamsburgCommunityHospital.Pain
asementandmangementpolicy;2069.NationlaIstuoefHealthwarenGrantMagnusonClincaCenP tr,ainesytruments:umericatngsl;2031.Painmangement.(diakse
tangal23Februai2012),Diunduhdari:www.hospitalu.cm1.CraigP,DolanP,DrewK,PejakovichP,Nursingaement,pailofcrendpatieucon:thefundatiofpatiencr.USAH
:CPro,Inc;
206
Panduan Asesmen Pasien
RSUD Dr. Soetomo
2@
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