Form Kriteria Pemulangan Pasien Dari Ruangan Pemulihan

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Form Kriteria Pemulangan Pasien Dari Ruangan Pemulihan
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  40/RR-RI /RSB-PSH/XII/2016 KRITERIA PEMINDAHAN PASIEN DARI RUANGANPEMULIHAN (RR) KE RUANGAN PERAWATAN ã Aldrete Score STATUSKRITERIANILAISCORE KesadaranSadar2Bisa dibangunkan atau di panggil1Tidak memberikan respon0RespirasiSanggup bernafas spontan dan reflek batuk positif2Sesak atau bernafas dangkal1Apnue0SirkulasiTD < 20% TD pra anestesi2TD 20% - 0% TD pra anestesi1TD ! 0% TD pra anestesi0 arna KulitKemera#an$ mera# muda2u&at1Sianosis0AktifitasSanggup menggerakan ' anggota gerak sesuai instruksi2Sanggup menggerakan 2 anggota gerak sesuai instruksi1Tidak sanggup menggerakan anggota gerak0 TOTAL SCORECATATAN : € Score 8-! #$% &#'d% r%'* &er%+%t%' € D#*'%,%' 't, General Anestesi untuk pasien dewasa RSB PERMATA SARANA HUSADA Nama: …………………………………No. RM: ……………………………….. Tgl Lahir: ………………………………..  40/RR-RI /RSB-PSH/XII/2016 ã Ste+%rd Score STATUSKRITERIANILAISCORE KesadaranBangun 2Respon ter#adap rangsang1Tidak ada respon0RespirasiBatuk atau nangis 2erta#ankan (alan nafas1erlu bantuan nafas0)otorik *erak bertu(uan 2*erak tanpa tu(uan1Tidak bergerak0 TOTAL SCORECATATAN : € P%$#e' #$% &#'d% #l% &e'#l%#%' . € D#*'%,%' 't, General Anestesi pada pasien pediatrik  ã /ro0%*e Score STATUSKRITERIANILAISCORE Akti+itas*erakan penu# tungkai0Tidak mampu ekstensi tungkai1Tidak mampu fleksi lutut2Tidak mampu fleksi pergelangan kaki, TOTAL SCORE CATATAN : € P%$#e' ole &#'d% #l% %$#l &e'#l%#%' 12 € D#*'%,%' 't,  Regional Anestesi  emberita#uan eraat Ruangan Tanggal . /am Dibaa keruangan tanggal dan (am  A#li Anestesi eraat RR eraat Ruangan3 3 3
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