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    Form Morning Report

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    kritis
    1. The morning report summarizes the patient capacity and staffing for the ward. It reports on any incidents or problems in patient care and new patient admissions from the emergency department or clinics. 2. It also lists any patients who were discharged or transferred that day, including the reason. 3. The report concludes by noting the total number of patients under care in the ward over a 24-hour period and provides definitions for terms used in the report.

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    Form Morning Report

    Uploaded by

    kritis
    202 views9 pages
    1. The morning report summarizes the patient capacity and staffing for the ward. It reports on any incidents or problems in patient care and new patient admissions from the emergency department or clinics. 2. It also lists any patients who were discharged or transferred that day, including the reason. 3. The report concludes by noting the total number of patients under care in the ward over a 24-hour period and provides definitions for terms used in the report.

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    1. The morning report summarizes the patient capacity and staffing for the ward. It reports on any incidents or problems in patient care and new patient admissions from the emergency department or clinics. 2. It also lists any patients who were discharged or transferred that day, including the reason. 3. The report concludes by noting the total number of patients under care in the ward over a 24-hour period and provides definitions for terms used in the report.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    202 views9 pages

    Form Morning Report

    Uploaded by

    kritis
    1. The morning report summarizes the patient capacity and staffing for the ward. It reports on any incidents or problems in patient care and new patient admissions from the emergency department or clinics. 2. It also lists any patients who were discharged or transferred that day, including the reason. 3. The report concludes by noting the total number of patients under care in the ward over a 24-hour period and provides definitions for terms used in the report.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 9

    Morning Report

    RS ‘Aisyiyah Siti Fatimah Tulangan Sidoarjo

    Ruangan : ………………. Hari :…………….. Tanggal : ………………..


    Tim Jaga P :……………….. Perawat S : ……………. Perawat M :…..…………….

    1. Kapasitas Ruangan :
    JML TT UMUM BPJS TK JR KOSONG EXTRA BED
    Ank Dws Ank Dws Ank Dws Ank Dws
    PAGI

    SORE

    MALAM

    2. Problem Pelayanan ( Insiden / KTD/KNC )


    1. ……………………………………………………………………………………
    2. ……………………………………………………………………………………
    3. Laporan Pasien MRS ( OB )
    No Nama/sex/umur Dx Msk Asal pasien Rencana Ket
    DPJP

    Reg/tgl MRS tindakan


    Igd Klinik Ruang Ibs

    4. Laporan Pasien Keluar / KRS ( rujuk/kematian/aps/pindah ke/pulang )


    NO Nama/sex/umur DX DPJP Penyebab Tgl/jam Ket
    Reg/tgl MRS

    Islami , Profesional ,Sinergis


    5. Jumlah Pasien Yang Dirawat dalam sehari
    No Nama pasien No. RMK Diagnosa DPJP Kamar/kls Ket LD

    Jumlah Pasien
    Keterangan :
     Semua isian data harus terisi,bila tidak ada harus di tulis Nihil
     KTD : Kejadian tidak diinginkan KNC : Kejadian nyaris cidera
     Laporan MRS ( Masuk Rumah Sakit Ket dari igd,Klinik,ruangan,Ibs )
     Laporan jumlah pasien ( dalam 24 jam di isi oleh shift malam )
     Resiko tinggi : Pasien Rawat Intensif
    Penyakit menular
     Biaya tinggi
     Potensi complain tinggi
     Kasus dengan penyakit kronis
     Kasus komplek
     Kemungkinan system pembiayaan yang komplek
     JKN KIS

    Islami , Profesional ,Sinergis


    Morning Report
    RS ‘Aisyiyah Siti Fatimah Tulangan Sidoarjo

    Ruangan : ………………. Hari :…………….. Tanggal : ………………..


    Tim Jaga P :……………….. Perawat S : ……………. Perawat M :…..…………….

    1. Kapasitas Ruangan :
    JML TT UMUM JKN KIS TK JR KOSONG EXTRA BED

    DWS ANAK DWS ANAK


    K
    PAGI

    SORE

    MALAM

    2. Problem Pelayanan ( Insiden / KTD/KNC )


    1.……………………………………………………………………………………
    2……………………………………………………………………………………

    3. Laporan Pasien MRS ( OB )


    No Nama/sex/umur Asal pasien Rencana Ket
    DPJP
    MSK

    Reg/tgl MRS tindakan


    DX

    Igd Klinik Ruang Ibs

    4. Laporan Pasien Keluar / KRS (rujuk/kematian/aps/pindah ke/pulang)


    NO Nama/sex/umur Diagnosa DPJP Penyebab Tgl / jam Keterangan
    Reg/tgl MRS

    Islami , Profesional ,Sinergis


    5. Jumlah pasien yang dirawat dalam sehari
    No Nama pasien No. RMK Diagnosa DPJP Kamar/kelas Keterangan

    Jumlah pasien
    Keterangan :
     Semua isian data harus terisi,bila tidak ada harus di tulis Nihil
     KTD : Kejadian tidak diinginkan KNC : Kejadian nyaris cidera
     Laporan MRS ( Masuk Rumah Sakit Ket dari igd,Klinik,ruangan,Ibs )
     Laporan jumlah pasien ( dalam 24 jam di isi oleh shift malam )
     Resiko tinggi : Pasien Rawat Intensif
    Penyakit menular
     Biaya tinggi
     Potensi complain tinggi
     Kasus dengan penyakit kronis
     Kasus komplek
     Kemungkinan system pembiayaan yang komplek
     JKN KIS

    Islami , Profesional ,Sinergis


    Morning Report
    RS ‘Aisyiyah Siti Fatimah Tulangan Sidoarjo

    Ruangan : …….…………….Hari :..…………………Tanggal :..……….…………….


    Tim Jaga P :………………..Perawat S :…………….Perawat M :……………………

    1. Laporan Klinik Rawat Jalan dan IGD

    NO Jenis Laporan Nama/klinik Jumlah Pasien


    P S M
    1 Klinik yang buka IGD
    Klinik Umum
    Klinik Gigi
    Klinik Penyakit Dalam
    Klinik Anak
    Klinik Orthopedi
    Klinik Bedah
    Klinik Paru
    Klinik Jantung
    Klinik Kandungan
    Total
    2 Klinik yang tidak buka

    3 DPJP tidak visite/tidak


    praktek

    Alasan :……………………………………………………………………………
    1. Problem pelayanan ( Insiden/KTD/KNC )
    a. ………………………………………………………………………………………..
    b. ………………………………………………………………………………………..

    2. Laporan Pasien MRS

    NO Nama/sex/umur/reg Diagnosa DPJP Ruangan Keterangan


    Tgl Mrs masuk

    Islami , Profesional ,Sinergis


    3. Laporan Pasien Keluar ( rujuk/kematian/aps/menolak Mrs )

    NO Nama/Sex/Umur/Reg Diagnosa DPJP Penyebab Tgl/ Keterangan


    Tgl Mrs Jam

    Keterangan :
     Semua isian data harus terisi,bila tidak ada harus di tulis Nihil
     KTD : Kejadian tidak diinginkan KNC : Kejadian nyaris cidera
     Laporan MRS ( Masuk Rumah Sakit Ket dari igd,Klinik,ruangan,Ibs )
     Laporan jumlah pasien ( dalam 24 jam di isi oleh shift malam )
     Resiko tinggi : Pasien Rawat Intensif
    Penyakit menular
     Biaya tinggi
     Potensi complain tinggi
     Kasus dengan penyakit kronis
     Kasus komplek
     Kemungkinan system pembiayaan yang komplek
     JKN KIS
     Laporan Px Pulang untuk RJ dan RI

    Islami , Profesional ,Sinergis


    FORMULIR MANAJEMEN PELAYANAN PASIEN

    No Rekam Medis :

    Nama :

    Alamat :

    Dokter utama :

    DPJP :

    Diagnosis :

    Kelompok resiko :

    Resiko Tinggi/penyakit Rumit/Biaya Tinggi/kendala bahasa/Kendala fisik/Komplain/kasus


    komplek ( Rumit )…………………………………………………………………………………

    Tgl / Masalah Tindak lanjut Evaluasi Ttd &


    jam Nama
    Case
    Manager

    Islami , Profesional ,Sinergis


    FORMULIR MANAJEMEN PELAYANAN PASIEN

    No Rekam Medis :

    Nama :

    Alamat :

    Dokter utama :

    DPJP :

    Diagnosis :

    Kelompok resiko :

    Resiko Tinggi/penyakit Rumit/Biaya Tinggi/kendala bahasa/Kendala fisik/Komplain/kasus


    komplek ( Rumit )…………………………………………………………………………………

    Tgl / Masalah Tindak lanjut Evaluasi Ttd & Case


    jam Manager
    Unit

    Islami , Profesional ,Sinergis


    Islami , Profesional ,Sinergis

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