Audit Phlebitis 5d631w
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MONITOR PHLEBITIS RS PRIMA TERNATE NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
RUANGAN
NAMA/UMUR
TGL PEMASANGAN INFUS
TGL LEPAS INFUS
LAMA HARI PEMASANGAN
KET/ SCORE PLEBITIS
30 TOTAL HARI PEMASANGAN INFUS
TERJADI PHLEBITIS/INFEKSI LUKA INFUS (ILI) NO 1 2 3 4
TANDA-TANDA PHLEBITIS
Kemerahan Sakit/nyeri gerak bengkak panas lokal infus
WAKTU TERJADI ILI (DI ISI TANGGAL)
SCORE
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
RUANG
MONITORING ISK RS PRIMA TERNATE NAMA/UMUR TGL PASANG TGL LEPAS LAMA HARI PEMASANGAN
KET
NO 1 2 3 4
TANDA-TANDA ISK DEMAM (TEMP >38 NOKTURIA (ANYANG-ANYANGAN DYSURIA (NYERI SEWAKTU BAK) NYERI SUPRA PUBIK
DI LAKUKAN KULTUR YA/TIDAK HASIL :
TOTAL HARI PEMASANGAN
WAKTU TERJADI ISK (DIISI TGL)
RUANGAN
NAMA/UMUR
TGL PEMASANGAN INFUS
TGL LEPAS INFUS
LAMA HARI PEMASANGAN
KET/ SCORE PLEBITIS
30 TOTAL HARI PEMASANGAN INFUS
TERJADI PHLEBITIS/INFEKSI LUKA INFUS (ILI) NO 1 2 3 4
TANDA-TANDA PHLEBITIS
Kemerahan Sakit/nyeri gerak bengkak panas lokal infus
WAKTU TERJADI ILI (DI ISI TANGGAL)
SCORE
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
RUANG
MONITORING ISK RS PRIMA TERNATE NAMA/UMUR TGL PASANG TGL LEPAS LAMA HARI PEMASANGAN
KET
NO 1 2 3 4
TANDA-TANDA ISK DEMAM (TEMP >38 NOKTURIA (ANYANG-ANYANGAN DYSURIA (NYERI SEWAKTU BAK) NYERI SUPRA PUBIK
DI LAKUKAN KULTUR YA/TIDAK HASIL :
TOTAL HARI PEMASANGAN
WAKTU TERJADI ISK (DIISI TGL)
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