FORMAT

ANALISA SINTESA TINDAKAN KEPERAWATAN GAWAT DARURAT ( KGD )

Nama Pasien ( Inisial ) :

Diagnosa Medis :

Nama Mahasiswa : Aqril Yudhil Toondu, A.Md.Kep

Nim : 17.04.036

1. Masalah Keperawatan

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

2. Tindakan Keperawatan

…………………………………………………………………………………………………

…………………………………………………………………………………………………

………………………………………………………………………………………………….

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................
3. Rasional Tindakan

…………………………………………………………………………………………………

…………………………………………………………………………………………………

………………………………………………………………………………………………….

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

4. Prinsip Tindakan

…………………………………………………………………………………………………

…………………………………………………………………………………………………

………………………………………………………………………………………………….

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

..................................................................................................................................

5. Bahaya Terhadap Tindakan yang dilakukan

…………………………………………………………………………………………………

…………………………………………………………………………………………………

………………………………………………………………………………………………….

..................................................................................................................................
6. Tindakan lain yang dapat dilakukan dan rasionalisasinya

…………………………………………………………………………………………………

…………………………………………………………………………………………………

………………………………………………………………………………………………….

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

7. Evaluasi diri

…………………………………………………………………………………………………

…………………………………………………………………………………………………

………………………………………………………………………………………………….

..................................................................................................................................