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DataPengkajianRestrain.html
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DataPengkajianRestrain.html
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<html>
<head><link href="file2.css" rel="stylesheet" type="text/css" /><table width='2300px' border='0' align='center' cellpadding='3px' cellspacing='0' class='tbl_form'><tr class='isi2'><td valign='top' align='center'><font size='4' face='Tahoma'>RS SIMRS KHANZA</font><br>GUWOSARI, Pajangan, Bantul<br>Hp: 08562675039, 085296559963, E-mail : khanzasoftmedia@gmail.com<br><br><font size='2' face='Tahoma'>DATA PENGKAJIAN RESTRAIN<br><br></font></td></tr></table>
</head>
<body>
<table width="2300px" border="0" align="center" cellpadding="1px" cellspacing="0" class="tbl_form">
<tr class="isi">
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>No.Rawat</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>No.R.M.</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Nama Pasien</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Umur</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>J.K.</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Tgl.Lahir</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Tanggal</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>GCS(E,V,M)</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Refleka Kanan</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Refleka Kiri</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Pupil Kanan</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Pupil Kiri</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>TD(mmHg)</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Suhu(°C)</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>RR(x/menit)</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Nadi(x/menit)</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Hasil Observasi</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Pertimbangan Klinis</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Restrain Non Farmakologi</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Keterangan Restrain Non Farmakologi</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Restrain Farmakologi</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Dijelaskan Keluarga</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Keluarga Yang Menyetujui</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>NIP</b>
</td>
<td valign="middle" bgcolor="#FFFAFA" align="center">
<b>Nama Petugas</b>
</td>
</tr>
<tr class="isi">
<td valign="top">
2023/11/04/000001
</td>
<td valign="top">
000006
</td>
<td valign="top">
SAKHA HAMIZAN AQILA
</td>
<td valign="top">
6 Th
</td>
<td valign="top">
L
</td>
<td valign="top">
2017-08-03
</td>
<td valign="top">
2023-11-13 17:31:54.0
</td>
<td valign="top">
5
</td>
<td valign="top">
1
</td>
<td valign="top">
2
</td>
<td valign="top">
3
</td>
<td valign="top">
4
</td>
<td valign="top">
6
</td>
<td valign="top">
7
</td>
<td valign="top">
9
</td>
<td valign="top">
8
</td>
<td valign="top">
Ketidakmampuan Dalam Mengikuti Perintah Untuk Tidak Meninggalkan
Tempat Tidur
</td>
<td valign="top">
Membahayakan Diri Sendiri
</td>
<td valign="top">
Restrain Pergelangan Tangan
</td>
<td valign="top">
10
</td>
<td valign="top">
11
</td>
<td valign="top">
Sudah
</td>
<td valign="top">
12
</td>
<td valign="top">
123124
</td>
<td valign="top">
FREDIAN AHMAD
</td>
</tr>
</table>
</body>
</html>