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    10.2 Catatan Pemulangan Pasien

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    Putu Ayu Anggira Pratami
    This document contains a discharge planning and nursing summary for a patient discharged from Kasih Ibu Hospital in Denpasar. It includes the patient's name, date of birth, medical record number, admission and discharge dates and diagnoses. It notes the patient's general condition and vital signs at discharge and any discharge medications. It also details any health education provided, take home test or imaging results, and certificates provided. The patient's family signs to acknowledge receiving an explanation of the discharge details from the hospital nurse.

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    10.2 Catatan Pemulangan Pasien

    Uploaded by

    Putu Ayu Anggira Pratami
    122 views2 pages
    This document contains a discharge planning and nursing summary for a patient discharged from Kasih Ibu Hospital in Denpasar. It includes the patient's name, date of birth, medical record number, admission and discharge dates and diagnoses. It notes the patient's general condition and vital signs at discharge and any discharge medications. It also details any health education provided, take home test or imaging results, and certificates provided. The patient's family signs to acknowledge receiving an explanation of the discharge details from the hospital nurse.

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    This document contains a discharge planning and nursing summary for a patient discharged from Kasih Ibu Hospital in Denpasar. It includes the patient's name, date of birth, medical record number, admission and discharge dates and diagnoses. It notes the patient's general condition and vital signs at discharge and any discharge medications. It also details any health education provided, take home test or imaging results, and certificates provided. The patient's family signs to acknowledge receiving an explanation of the discharge details from the hospital nurse.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    122 views2 pages

    10.2 Catatan Pemulangan Pasien

    Uploaded by

    Putu Ayu Anggira Pratami
    This document contains a discharge planning and nursing summary for a patient discharged from Kasih Ibu Hospital in Denpasar. It includes the patient's name, date of birth, medical record number, admission and discharge dates and diagnoses. It notes the patient's general condition and vital signs at discharge and any discharge medications. It also details any health education provided, take home test or imaging results, and certificates provided. The patient's family signs to acknowledge receiving an explanation of the discharge details from the hospital nurse.

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    RM 10.2/FPK.DP&RK/RSUK/2014.

    RSU KASIH IBU DENPASAR

    Name
    DOB
    No RM

    DISCHARGE PLANNING &


    NURSING SUMMARY
    Inpatient Date

    Discharge date

    Inpatient Diagnose :

    :
    :
    :

    M/F

    Discharge Diagnose :

    Date/place for review: Day .Date:.to..


    Discharged from Kasih Ibu Hospital with patients condition:

    General conditioan when discharge

    treating doctor approval


    As per patien's request
    passed away
    Minggat
    Meninggal

    Temperature
    :..........C
    Repiratory rate :............x/Menit
    Pulse
    :................X/Menit
    Blood pressure :
    /
    MmHg
    Awareness : ............................................
    Discahrged medication

    Medication name

    Dose

    Morning

    Afterno
    on

    BABY :
    1. Macht between mothers bra celet with baby Yes
    No

    Evening

    Night

    Finish time line and others intructions :

    2. Be witnessed by babys parentd when macht the


    bracelet
    Yes No

    Healt education :
    How to give breastfedding / formula milk delution
    Take baby
    Sunning way of jaundice baby
    Baby bathing
    Take care of umbilical / navel cord
    Procedure of giving food / drink

    Provide medications procedure


    Relaxation techiques procedure
    Physiotherapy procedure
    Wound dressing procedure
    Effective cough procedure
    Diet regulation
    Other :

    Take home examination results :


    Laboratory

    X-Ray

    USG

    CT-Scan

    E ECG

    Echo

    Other

    Take home certificate :


    Sick leave
    Review letter
    ..................................
    Lain-lain : (lingkungan khusus lansia)

    Reterral letter

    Birth certificate

    Immunization card

    I as patients family states that already received explanation about details mention above
    by Kasih Ibu Hospital Denpasar Nurse and all i understand

    Known,
    Ward Cheif

    Patient/family

    Denpasar, ...................................
    Nurse of provide information

    (...............................................)

    (............................................)

    (...................................................)

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