Professional Documents
Culture Documents
CM / Medical Record :
Nama / Name :
CATATAN MEDIS GAWAT DARURAT Umur / Age :
Accident Emergency Medical Record
Tanggal / Date : Jam / Time :
1. Triage
Prioritas Triage / Triage Priority : 1 (Merah) 2 (Kuning) 3 (Hijau) 4 (Hitam)
❑ Trauma ❑ Non Trauma
Nilai Nyeri / Pain Score : ( Tidak ada nyeri / No Pain – Nyeri Sangat Berat / Painfull )
❑1 ❑2 ❑ 3 ❑ 4 ❑5 ❑6 ❑7 ❑ 8 ❑9 ❑ 10
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Tanda Tangan & Nama Lengkap Perawat
Nurse’s Signature & Full Name
g. Konsul
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OPERASI CITO
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Referral