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File: observasi dan persetujuan restrain page 2.html
<html> <head> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8"> <style type="text/css"> .txt { white-space:nowrap; } #f0 { font-family:sans-serif; font-weight:normal; font-style:normal; } #f1 { font-family:sans-serif; font-weight:bold; font-style:normal; } #f2 { font-family:sans-serif; font-weight:normal; font-style:normal; } @font-face { font-family: ff3; src: url("3.ttf"); } #f3 { font-family:ff3,sans-serif; font-weight:normal; font-style:normal; } #f4 { font-family:monospace; font-weight:normal; font-style:normal; } #f5 { font-family:sans-serif; font-weight:normal; font-style:italic; } @font-face { font-family: ff1; src: url("1.ttf"); } #f6 { font-family:ff1,sans-serif; font-weight:normal; font-style:normal; } @font-face { font-family: ff4; src: url("4.ttf"); } #f7 { font-family:ff4,sans-serif; font-weight:normal; font-style:normal; } </style> </head> <body> <img id="background" style="position:absolute; left:0px; top:0px;" width="594" height="841" src="page2.png"> <div class="txt" style="position:absolute; left:115px; top:17px;"><span id="f1" style="font-size:11px;vertical-align:baseline;color:rgba(0,0,0,1);">OBSERVASI RESTRAINT DAN PERSETUJUAN PELEPASAN</span></div> <div class="txt" style="position:absolute; left:27px; top:37px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Ruang :</span></div> <div class="txt" style="position:absolute; left:27px; top:52px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Alamat :</span></div> <div class="txt" style="position:absolute; left:27px; top:87px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Kesadaran</span></div> <div class="txt" style="position:absolute; left:27px; top:102px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">GCS</span></div> <div class="txt" style="position:absolute; left:27px; top:117px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Tanda Vital</span></div> <div class="txt" style="position:absolute; left:89px; top:87px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">:</span></div> <div class="txt" style="position:absolute; left:89px; top:102px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">: E</span></div> <div class="txt" style="position:absolute; left:132px; top:102px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">V</span></div> <div class="txt" style="position:absolute; left:169px; top:102px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">M</span></div> <div class="txt" style="position:absolute; left:89px; top:117px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">: Tekanan Darah :</span></div> <div class="txt" style="position:absolute; left:95px; top:132px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Pernafasan</span></div> <div class="txt" style="position:absolute; left:175px; top:132px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">:</span></div> <div class="txt" style="position:absolute; left:195px; top:70px;"><span id="f1" style="font-size:11px;vertical-align:baseline;color:rgba(0,0,0,1);">PENGKAJIAN FISIK DAN MENTAL</span></div> <div class="txt" style="position:absolute; left:229px; top:117px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">mmHg</span></div> <div class="txt" style="position:absolute; left:229px; top:132px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">x/ menit</span></div> <div class="txt" style="position:absolute; left:303px; top:117px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Suhu :</span></div> <div class="txt" style="position:absolute; left:303px; top:132px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Nadi :</span></div> <div class="txt" style="position:absolute; left:379px; top:117px;"><span id="f3" style="font-size:11px;vertical-align:baseline;color:rgba(0,0,0,1);"></span><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">C</span></div> <div class="txt" style="position:absolute; left:432px; top:117px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Skala Nyeri :</span></div> <div class="txt" style="position:absolute; left:384px; top:132px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">x/ menit</span></div> <div class="txt" style="position:absolute; left:240px; top:160px;"><span id="f1" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">HASIL OBSERVASI *</span></div> <div class="txt" style="position:absolute; left:41px; top:178px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Pasien gelisah atau delirium dan berontak</span></div> <div class="txt" style="position:absolute; left:41px; top:192px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Pasien tidak kooperatif</span></div> <div class="txt" style="position:absolute; left:41px; top:207px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Ketidak mampuan dalam mengikuti perintah untuk tidak meninggalkan tempat tidur</span></div> <div class="txt" style="position:absolute; left:41px; top:221px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Pasien kooperatif</span></div> <div class="txt" style="position:absolute; left:200px; top:244px;"><span id="f1" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">PENILAIAN DAN ORDER DOKTER *</span></div> <div class="txt" style="position:absolute; left:26px; top:262px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">A. Restrain Non Farmakologi</span></div> <div class="txt" style="position:absolute; left:60px; top:276px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Restrain tempat tidur atau </span><span id="f5" style="font-size:9px;vertical-align:baseline;color:rgba(0,0,0,1);">bed rail</span></div> <div class="txt" style="position:absolute; left:62px; top:291px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Restrain pergelangan tangan</span></div> <div class="txt" style="position:absolute; left:62px; top:305px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Tangan kiri</span></div> <div class="txt" style="position:absolute; left:62px; top:320px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Tangan kanan</span></div> <div class="txt" style="position:absolute; left:62px; top:334px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Lain </span><span id="f6" style="font-size:11px;vertical-align:baseline;color:rgba(0,0,0,1);">– </span><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">lain :</span></div> <div class="txt" style="position:absolute; left:27px; top:349px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">B. Restrain Farmakologi :</span></div> <div class="txt" style="position:absolute; left:268px; top:291px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Restrain pergelangan kaki</span></div> <div class="txt" style="position:absolute; left:268px; top:305px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Kaki kiri</span></div> <div class="txt" style="position:absolute; left:268px; top:320px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Kaki kanan</span></div> <div class="txt" style="position:absolute; left:222px; top:372px;"><span id="f1" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">RESTRAIN DILANJUTKAN*</span></div> <div class="txt" style="position:absolute; left:41px; top:391px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Ya (lanjutkan ke pengakajian lanjutan di catatan perkembangan terintegrasi dan di observasi di form</span></div> <div class="txt" style="position:absolute; left:41px; top:405px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">observasi khusus)</span></div> <div class="txt" style="position:absolute; left:41px; top:419px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Tidak (penghentian restrain)</span></div> <div class="txt" style="position:absolute; left:41px; top:434px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Pengkajian fisik dan mental</span></div> <div class="txt" style="position:absolute; left:41px; top:448px;"><span id="f5" style="font-size:9px;vertical-align:baseline;color:rgba(0,0,0,1);">Informed concent </span><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">pelepasan restraint</span></div> <div class="txt" style="position:absolute; left:65px; top:556px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Dijelaskan Oleh</span></div> <div class="txt" style="position:absolute; left:286px; top:523px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Jakarta,</span></div> <div class="txt" style="position:absolute; left:397px; top:523px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">, 20</span></div> <div class="txt" style="position:absolute; left:455px; top:523px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Jam:</span></div> <div class="txt" style="position:absolute; left:509px; top:523px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">WIB</span></div> <div class="txt" style="position:absolute; left:365px; top:556px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Yang Menerima Informasi</span></div> <div class="txt" style="position:absolute; left:30px; top:630px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">(</span></div> <div class="txt" style="position:absolute; left:203px; top:630px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">)</span></div> <div class="txt" style="position:absolute; left:42px; top:643px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Nama Lengkap dan Tanda Tangan</span></div> <div class="txt" style="position:absolute; left:345px; top:630px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">(</span></div> <div class="txt" style="position:absolute; left:515px; top:630px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">)</span></div> <div class="txt" style="position:absolute; left:360px; top:643px;"><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">Nama Lengkap dan Tanda Tangan</span></div> <div class="txt" style="position:absolute; left:27px; top:721px;"><span id="f2" style="font-size:8px;vertical-align:baseline;color:rgba(0,0,0,1);">Catatan:</span></div> <div class="txt" style="position:absolute; left:27px; top:733px;"><span id="f2" style="font-size:8px;vertical-align:baseline;color:rgba(0,0,0,1);">* </span><span id="f5" style="font-size:7px;vertical-align:baseline;color:rgba(0,0,0,1);">Beri tanda </span><span id="f2" style="font-size:10px;vertical-align:baseline;color:rgba(0,0,0,1);">(</span><span id="f7" style="font-size:11px;vertical-align:super;color:rgba(0,0,0,1);">✓</span><span id="f2" style="font-size:8px;vertical-align:baseline;color:rgba(0,0,0,1);">) </span><span id="f5" style="font-size:7px;vertical-align:baseline;color:rgba(0,0,0,1);">sesuai pilihan</span></div> </body> </html>