II. PEMERIKSAAN PENUNJANG YANG YANG SUDAH DILAKUKAN
............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. III. TINDAKAN MEDIS YANG SUDAH DILAKUKAN
............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. IV. PEMBERIAN PEMBER IAN TERAPI
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KATEGORI PASIEN TRANSFER Level
Kategori
Pendamping
Peralatan
Deraj De rajat at 0
Pasien Pasie n me memb mbutu utuhkan hkan rua ruang ng perawatan biasa.
TPK / Petugas Petugas keamanan
Derajat Dera jat 1
Pasien bere Pasien beresiko siko meng mengalami alami perb perburuka urukan, n, pasien baru pindah dari HCU/ICU, pasien yang akan dirawat diruang perawatan tim perawatan khusus.
Petugas PK I / Petugas keamanan
Derajat Dera jat 2
Pasien mem Pasien memerlu erlukan kan peng pengawas awasan an ketat atau intervensi khusus, mis : pada pasien yang mengalami kegagalan satu sistem organ.
Dokte Dok ter/P r/Per eraw awat at PK II
Peralata Peral atan n de deraj rajat at 1, + bed bedsid side e monitor, syringe pump.
Derajat Dera jat 3
Pasien meng Pasien mengalam alamii kega kegagalan galan mult multii orga organ n dan memerlukan bantuan hidup jangka panjang ditambah dengan kebutuhan akan alat bantu nafas.
Dokte Dok ter/P r/Per eraw awat at PK II IIII
Peral Pe ralata atan n de deraj rajat at 2, + ala alatt ban bantu tu naf nafas. as.
Semua rekam medik, hasil pemeriksaan penunjang, format transfer internal Peralatan derajat 0+ tabung oksigen dan canul, stand infus dan pulse oksimetri.
V. KONDISI KOND ISI PASIEN PASIEN Sebelum Transf Transfer er
Setelah Transf Transfer er
Keadaan umum : ...................................................................................... Kesadaran : ...................................................................................... Pemeriksaan Pemer iksaan tanda-tanda vital : Tensi Te nsi : mmHg 0 Suhu : C Nadi : x/mnt
Keadaan umum : ...................................................................................... Kesadaran : ...................................................................................... Pemeriksaan Pemer iksaan tanda-tanda vital : Tensi Ten si : mmHg 0 Suhu : C Nadi : x/mnt
Catatan penting : ............................................. ......................................... ...................................................................................... ...................................................................................... ......................................................................................
Catatan penting : .................................................. .................................... ...................................................................................... ...................................................................................... ......................................................................................