Nama Item |
Nilai Item |
Urutan |
Keterangan (EWS Kebidanan) | 0 = Skor Normal (Putih) Penilaian dilakukan 12 Jam Sekali 1 - 3 = Skor Rendah (Hijau) Penilaian dilakukan 4 Jam Sekali 4 - 6 = Skor menengah (Kuning) Penilaian dilakukan 1 Jam Sekali ≥ 7 = Skor tinggi (Merah) Penilaian dilakukan 15 Menit Sekali | |
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Pencatatan Observasi EWS Kebidanan |
Pencatatan observasi menggunakan Early Warning Score (EWS) KEBIDANAN | | EWS | Tanggal | 14/01/2025 | | | | | | | | | | | | | | | | | | 0 | 1 | 2 | 3 | Jam | 15:09 | | | | | | | | | | | | | | | | | | TINGKAT KESADARAN | A | A | | | | | | | | | | | | | | | | | | V, P/U | | | | | | | | | | | | | | | | | | | TEKANAN DARAH (SISTOLIK) | ≥ 160 | | | | | | | | | | | | | | | | | | | 151 - 160 | | | | | | | | | | | | | | | | | | | 141 - 150 | | | | | | | | | | | | | | | | | | | 91 - 140 | | | | | | | | | | | | | | | | | | | ≤ 90 | 80 | | | | | | | | | | | | | | | | | | NTEKANAN DARAH (DIASTOLE) | ≥ 110 | | | | | | | | | | | | | | | | | | | 101-110 | | | | | | | | | | | | | | | | | | | 91-100 | 100 | | | | | | | | | | | | | | | | | | 60-90 | | | | | | | | | | | | | | | | | | | NADI | ≥ 121 | | | | | | | | | | | | | | | | | | | 111 - 120 | | | | | | | | | | | | | | | | | | | 101 - 110 | 100 | | | | | | | | | | | | | | | | | | 61 - 100 | | | | | | | | | | | | | | | | | | | 51 - 60 | | | | | | | | | | | | | | | | | | | ≤ 50 | | | | | | | | | | | | | | | | | | | PERNAFASAN | ≥ 26 | | | | | | | | | | | | | | | | | | | 21 - 25 | 21 | | | | | | | | | | | | | | | | | | 12 - 20 | | | | | | | | | | | | | | | | | | | ≤ 12 | | | | | | | | | | | | | | | | | | | SUHU | ≥ 37,8° | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 36,1° - 37° | 36 | | | | | | | | | | | | | | | | | | ≤ 36° | | | | | | | | | | | | | | | | | | | SpO2 | ≥ 96 | | | | | | | | | | | | | | | | | | | 93 - 95 | 93 | | | | | | | | | | | | | | | | | | ≤ 92 | | | | | | | | | | | | | | | | | | | OKSIGEN | ya | | | | | | | | | | | | | | | | | | | Tidak | Tidak | | | | | | | | | | | | | | | | | | PENGELUARAN / LOCHEA | Abnormal | | | | | | | | | | | | | | | | | | | Normal | Normal | | | | | | | | | | | | | | | | | | PROTEIN URINE | ++> | | | | | | | | | | | | | | | | | | | + | + | | | | | | | | | | | | | | | | | | Paraf dan Nama Petugas | Gilang | | | | | | | | | | | | | | | | |
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