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    8 views2 pages

    Alur Berkas Rekam Medis

    Uploaded by

    enik
    rm

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    RM 03

    Nama : ………………………
    RUMAH SAKIT UTAMA HUSADA
    Jalan Manggar 134 Tegalsari – Ambulu Tgl. Lahir/Umur: ………………………
    Telp. (0336) – 881186, 881187 No. RM : ……………………….

    CATATAN PERKEMBANGAN PASIEN TERINTEGRASI (CPPT) RAWAT INAP


    DIISI OLEH : Dokter, Perawat, Bidan, Farmasi Klinis, Fisioterapis, Gizi
    Verifikasi
    Hasil pemeriksaan, analisa, Instruksi tenaga kesehatan DPJP
    TGL/JA PROFES
    M I
    rencana, tata laksana (ditulis dg termasuk pasca bedah/prosedur (nama,
    format SOAP disertai target yg (instruksi ditulis dg rinci dan paraf, tgl,
    terukur, paraf di akhir catatan) jelas) jam)
    DIISI OLEH : Dokter, Perawat, Bidan, Farmasi Klinis, Fisioterapis, Gizi
    Verifikasi
    Hasil pemeriksaan, analisa, Instruksi tenaga kesehatan DPJP
    TGL/JA PROFES
    M I
    rencana, tata laksana (ditulis dg termasuk pasca bedah/prosedur (nama,
    format SOAP disertai target yg (instruksi ditulis dg rinci dan paraf, tgl,
    terukur, paraf di akhir catatan) jelas) jam)

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