FORM KEPATUHAN UPAYA PENCEGAHAN RISIKO CEDERA PADA PASIEN JATUH
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Tanggal *
MM
/
DD
/
YYYY
Ruangan *
No RM Pasien *
Nama Pasien *
Pengkajian Awal Risiko jatuh Terisi lengkap  *
Dilakukan Intervensi Pencegahan Risiko jatuh  *
Dilakukan Pengkajian Ulang pasien Risiko Jatuh  *
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