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RM 13 (Checklist Harian Discharge Planning)

This checklist is used to track the daily discharge planning for a patient. It includes items like educating the patient and family on the current condition and treatment plan, discussing progress towards clinical goals, explaining medications, and involving the patient and family in care activities. Nurses are required to initial each day to confirm the items were addressed.

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nuris
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130 views2 pages

RM 13 (Checklist Harian Discharge Planning)

This checklist is used to track the daily discharge planning for a patient. It includes items like educating the patient and family on the current condition and treatment plan, discussing progress towards clinical goals, explaining medications, and involving the patient and family in care activities. Nurses are required to initial each day to confirm the items were addressed.

Uploaded by

nuris
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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NO RM : RM 13

PROGRAM STUDI DIV KEPERAWATAN


GAWAT DARURAT SURABAYA NAMA :

POLTEKKES KEMENKES SURABAYA TGL LAHIR :

CHECKLIST HARIAN DISCHARGE


PLANNING
Tanggal MRS : Diagnosa MRS :

Tgl: Tgl: Tgl: Tgl: Tgl: Tgl:


ITEM TINDAKAN PARAF PARAF PARAF PARAF PARAF PARAF
N P/F N P/F N P/F N P/F N P/F N P/F
Mengedukasi pasien
dan keluarga tentang
kondisi saat ini dan
evaluasi pemberian
edukasi, tentang:

Membahas kemajuan
kondisi pasien dan
tercapainya tujuan
clinician pada pasien
dan keluarga
Menjelaskan obat yang
diberikan pada pasien
dan keluarga:
Pagi
Siang
Malam
Waktu Tidur
Lain-lain
Melibatkan pasien dan
keluarga dalam praktek
perawatan, seperti:

Lain-lain :
NO RM :
PROGRAM STUDI DIV KEPERAWATAN
GAWAT DARURAT SURABAYA NAMA :

POLTEKKES KEMENKES SURABAYA TGL LAHIR :

Keterangan: Dibawah paraf ners wajib memberi inisial


N = Ners
P/F = Pasien/Keluarga

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