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LAPORAN KEJADIAN CODE BLUE Bulan : No Tg l Nama/DPJP/ Diagnosa Ruan g Waktu RJP Gambaran EKG Keteranga n Tim Code Blue Hidu p Plu s Kapten : Obat : Pompa & Sirkuler : Airway & Breathing : Dokumentasi : Kapten : Obat : Pompa & Sirkuler : Airway & Breathing : Dokumentasi : Kapten : Obat : Pompa & Sirkuler : Airway & Breathing : Dokumentasi : Kapten : Obat : Pompa & Sirkuler : Airway &

Laporan Code Blue & Troley Emergency

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LAPORAN KEJADIAN CODE BLUEBulan : NoTglNama/DPJP/DiagnosaRuangWaktu RJPGambaran EKGKeteranganTim Code Blue

HidupPlus

Kapten :Obat :Pompa & Sirkuler :

Airway & Breathing :

Dokumentasi :

Kapten :Obat :Pompa & Sirkuler :

Airway & Breathing :

Dokumentasi :

Kapten :Obat :Pompa & Sirkuler :

Airway & Breathing :

Dokumentasi :

Kapten :Obat :Pompa & Sirkuler :

Airway & Breathing :

Dokumentasi :

Kapten :Obat :Pompa & Sirkuler :

Airway & Breathing :

Dokumentasi :

LAPORAN KELENGKAPAN TROLLEY EMERGENCYBulan :NoTglRuangKondisiKeterangan

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