KELAS 2A Kelompok 2 docx
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Kelompok 2 :
1.
2.
3.
4.
5.
6.
Ayu Dewi Vortuna
Dwi Rizky Maulana
Inda Wulandari
Imam Fahriz Pujiansyah
Jhon Kenedi
Novia Handayani
Putri Widiana
8. Rika Sri Winarsih
9. Lailatul Qadariah
10. Rival Akbar
11. Santo
12. Tuti Purwanti
7.
AKADEMI KEPERAWATAN
PEMERINTAH KABUPATEN KOTAWARINGIN TIMUR
SAMPIT
2016
Health Care Information Exchange
Definition: providing patient care information to health professionals in other agencies
Activities:
Identify referring nurse and location
Identify essential demographic data
Describe pertinent past healthhistory
Identify current medical and nursing diagnoses
Identify resolved nursing and medical diagnoses, as appropriate
Describe nursing interventions beiag implemented
Summarize progress of patient toward goals
Describe medical treatment regimen, including diet, medications, and exercise
Identify equipment and supplies necessary for care
Identify anticipated discharge date
Identify planned return appointment for follow-up care
Describe role of family in continuing care
Identify capabilities of patient and family in implementing care after discharge
Identify other agencies providing care
307 Kesehatan Pertukaran Informasi
Kesehatan Pertukaran Informasi
7960
DEFINISI: Memberikan informasi perawatan pasien untuk profesional kesehatan di instansi
lain
KEGIATAN:
Mengidentifikasi rujukan perawat dan lokasi
Mengidentifikasi data demografis yang penting
Jelaskan riwayat kesehatan masa lalu yang bersangkutan
Mengidentifikasi diagnosa medis dan keperawatan saat ini
Mengidentifikasi keperawatan yang sudah diselesaikan dan diagnosa medis, yang sesuai
Jelaskan intervensi keperawatan yang di laksanakan
Meringkas kemajuan pasien menuju tujuan
Jelaskan resimen pengobatan medis, termasuk diet, obat-obatan, dan olahraga
Mengidentifikasi peralatan dan perlengkapan yang diperlukan untuk perawatan
Mengidentifikasi tanggal debit diantisipasi
Mengidentifikasi perencanaan janji pulang untuk perawatan tindak lanjut
Jelaskan peran keluarga dalam perawatan berkelanjutan
Mengidentifikasi kemampuan pasien dan keluarga dalam melaksanakan perawatan setelah
debit
Mengidentifikasi lembaga lain yang menyediakan perawatan
BACAAN LATAR BELAKANG:
Kron,T.,&Gray,A. (1987). The management of patient care. Putting leadership skills to work
(6th ed.). Philadephia: W.B Saunders.
Little. D.E., & Carnevali, D.L. (1983). Nursing care planning (3rd ed.). Philadelphia: J.B.
Lippincott.
Seizure Management
definition: care of a patient during a seizure and the postictal state
activities:
guide movements to prevent injury
monitor direction of head and eyes during seizure
loosen clothing
remain with patient during seizure
maintain airway
establish IV access, as appropriate
apply oxygen, as appropriate
monitor vital signs
reorient after seizure
record seizure characteristics: body parts involved, motor activity and seizureprogression
document information about seizure
administer medication, as appropriate
administer anticonvulsants, as appropriate
monitor antiepileptic drug levels, as appropriate
monitor postical period duration and characteristics
background readings:
484 Manajemen Kejang
Manajemen Kejang
2680
DEFINISI: perawatan pasien selama kejang dan negara postictal
KEGIATAN:
Panduan gerakan untuk mencegah cedera
Memonitor arah kepala dan mata selama kejang
Melonggarkan pakaian
Tetap dengan pasien selama kejang
Mempertahankan jalan napas
Membangun akses IV, yang sesuai
Berlaku oksigen, yang sesuai
Memonitor tanda-tanda vital
Reorientasi setelah kejang
Mencatat karakteristik kejang: bagian tubuh yang terlibat, aktivitas motorik dan
perkembangan kejang
Mendokumentasikan informasi tentang kejang
Mengelola obat, yang sesuai
Mengelola antikonvulsan, yang sesuai
Memonitor kadar obat antiepilepsi, yang sesuai
Memonitor durasi periode postictal dan karakteristik
BACAAN LATAR BELAKANG:
Ackerman, L.L. (1992). Interventions related to neurological care. In G.M. Bulechek & J.C.
McCloskey (Eds.), Symposium on Nursing Interventions. Nursing Clinics of North
America, 27(2), 325-346.
Brewer, K., & Sperling. M.R. (1988). Neurosurgical treatment of intractable epilepsy.
Journal of
Neuroscience Nursing, 20(6), 366-372.
Cammermeyer, M., & Appledorn, C. (1990). Core curriculurm for neuroscience nursing
(3rd ed.) (pp. lgl-lg3. Chicago: American Association of Neuroscience Nurses.
Graham,O., Navea,I.,&Cummings,C. (1989).A model for ambulantory care of patients with
epilepsy and other neurological disorders. Journal of Neuroscience Nursing, 21(2), 108112.
Johanson,B.C., Wells,S.J., Hoffmeister,D.,&Dungca,C.U.(1988).Standards for critical
care (3rd ed.). St. Louis: Mosby.
Santilli, N., & Sierzant, T.L. (1987). Advances in the treatment of epilepsy. Journal of
Neurescience Nursing, 19(3), 141-155.
Wound Care
Definition: prevention of wound complications and promotion of wound healing
Activities:
Remove adhesive tape and debris
Shave the hairsurrounding the affected are, as needed
Note characteristics of the wound
Note characteristics of any drainage
Clean with antibacterial soap, as appropriate
Place affected area in a whirlpool bath, as appropriate
Soak in saline solution, as appropriate
Administer IV site care, as appropriate
Administer hickman line care, as appropriate
Administer central venous line site care, as appropriate
Provide incision site care, as needed
Administer skin ulcer care, as needed
Massage the area around the wound to stimulate circulation
Apply TENS (transcutaneous electrical nerve stimulation) unit for wound healing
enhancement, as appropriate
Maintain patency of any drainage tubes
Apply an appropriate ointment to the skin / lesion, as appropriate
Bandage appropriately
Apply an occlusive dressing, as appropriate
Reinforce the dressing, as needed
Dress with appropriate mes gauze, as needed
Maintain sterile dressing technique when doing wound care
Inspect the wound with each dressing change
Compare and record regulary any changes in the wound
Position to avoid placing tension on the wound, as appropriate
Teach patient or family member(s) wound care procedures
599 Perawatan Luka
Perawatan Luka
DEFINISI: Pencegahan komplikasi luka dan promosi penyembuhan luka
KEGIATAN:
Lepaskan pita perekat dan puing-puing
Mencukur rambut sekitar area yang terkena dampak, yang diperlukan
Catatan karakteristik luka
Catatan karakteristik drainase setiap
Bersihkan dengan sabun antibakteri yang sesuai
Tempatkan daerah yang terkena dalam pusaran air mandi, yang sesuai
Rendam dalam larutan garam, yang sesuai
Mengelola IV perawatan situs, yang sesuai
Mengelola perawatan garis hickman, yang sesuai
Mengelola garis perawatan situs vena sentral, yang sesuai
Memberikan sayatan perawatan situs, yang diperlukan
Mengelola perawatan ulkus kulit, yang diperlukan
Pijat daerah sekitar luka untuk merangsang sirkulasi
Terapkan TENS (stimulasi saraf transkutan listrik) Unit untuk luka peningkatan
penyembuhan, yang sesuai
Pertahankan kepatenan setiap tabung drainase
Terapkan salep yang sesuai dengan kulit / lesi, yang sesuai
perban
Menerapkan ganti oklusif, yang sesuai
Memperkuat balutan yang diperlukan
3660
Meyediakan pakaian yang tipis jika diperlukan
Mempertahankan teknik sterilisasi ketika melakukan perawatan luka
Memeriksa luka dengan setiap pergantiaan balutan
Bandingkan dan merekam regulary perubahan pada luka
Posisikan untuk menghindari menempatkan ketegangan pada luka, yang sesuai
Ajarkan anggota pasien atau keluarga untuk prosedur perawatan luka
BACAAN LATAR BELAKANG:
Cooper,D.M. (1990). Optimizing wound healing: A practice within nursing’s domain.
Nursing Clinics of North America, 25(1), 165-180
Garvin,G.(1990). Wound healing in pediatrics. Nursing Clinics of North America,25(1),181192.
Jones,PL.,&Millman,A. (1990). Wound healing and the aged patient. Nusing Clinics of
America, 25(1), 263-278
Kozier, B., & Erb , G (1989). Techniques in clinical nursing (3rd ed). Menlo Park, CA:
Addison-Wesley.
Perry,A.G., & Potter,P.A. (1990). Clinical nursing skills and techniques. St. Louis: Mosby.
Risenberg, CS. (1990). Wound healing in the patient with diabetes mellitus. Nursing Clinics
of North America, 25(1), 247-262.
Kelompok 2 :
1.
2.
3.
4.
5.
6.
Ayu Dewi Vortuna
Dwi Rizky Maulana
Inda Wulandari
Imam Fahriz Pujiansyah
Jhon Kenedi
Novia Handayani
Putri Widiana
8. Rika Sri Winarsih
9. Lailatul Qadariah
10. Rival Akbar
11. Santo
12. Tuti Purwanti
7.
AKADEMI KEPERAWATAN
PEMERINTAH KABUPATEN KOTAWARINGIN TIMUR
SAMPIT
2016
Health Care Information Exchange
Definition: providing patient care information to health professionals in other agencies
Activities:
Identify referring nurse and location
Identify essential demographic data
Describe pertinent past healthhistory
Identify current medical and nursing diagnoses
Identify resolved nursing and medical diagnoses, as appropriate
Describe nursing interventions beiag implemented
Summarize progress of patient toward goals
Describe medical treatment regimen, including diet, medications, and exercise
Identify equipment and supplies necessary for care
Identify anticipated discharge date
Identify planned return appointment for follow-up care
Describe role of family in continuing care
Identify capabilities of patient and family in implementing care after discharge
Identify other agencies providing care
307 Kesehatan Pertukaran Informasi
Kesehatan Pertukaran Informasi
7960
DEFINISI: Memberikan informasi perawatan pasien untuk profesional kesehatan di instansi
lain
KEGIATAN:
Mengidentifikasi rujukan perawat dan lokasi
Mengidentifikasi data demografis yang penting
Jelaskan riwayat kesehatan masa lalu yang bersangkutan
Mengidentifikasi diagnosa medis dan keperawatan saat ini
Mengidentifikasi keperawatan yang sudah diselesaikan dan diagnosa medis, yang sesuai
Jelaskan intervensi keperawatan yang di laksanakan
Meringkas kemajuan pasien menuju tujuan
Jelaskan resimen pengobatan medis, termasuk diet, obat-obatan, dan olahraga
Mengidentifikasi peralatan dan perlengkapan yang diperlukan untuk perawatan
Mengidentifikasi tanggal debit diantisipasi
Mengidentifikasi perencanaan janji pulang untuk perawatan tindak lanjut
Jelaskan peran keluarga dalam perawatan berkelanjutan
Mengidentifikasi kemampuan pasien dan keluarga dalam melaksanakan perawatan setelah
debit
Mengidentifikasi lembaga lain yang menyediakan perawatan
BACAAN LATAR BELAKANG:
Kron,T.,&Gray,A. (1987). The management of patient care. Putting leadership skills to work
(6th ed.). Philadephia: W.B Saunders.
Little. D.E., & Carnevali, D.L. (1983). Nursing care planning (3rd ed.). Philadelphia: J.B.
Lippincott.
Seizure Management
definition: care of a patient during a seizure and the postictal state
activities:
guide movements to prevent injury
monitor direction of head and eyes during seizure
loosen clothing
remain with patient during seizure
maintain airway
establish IV access, as appropriate
apply oxygen, as appropriate
monitor vital signs
reorient after seizure
record seizure characteristics: body parts involved, motor activity and seizureprogression
document information about seizure
administer medication, as appropriate
administer anticonvulsants, as appropriate
monitor antiepileptic drug levels, as appropriate
monitor postical period duration and characteristics
background readings:
484 Manajemen Kejang
Manajemen Kejang
2680
DEFINISI: perawatan pasien selama kejang dan negara postictal
KEGIATAN:
Panduan gerakan untuk mencegah cedera
Memonitor arah kepala dan mata selama kejang
Melonggarkan pakaian
Tetap dengan pasien selama kejang
Mempertahankan jalan napas
Membangun akses IV, yang sesuai
Berlaku oksigen, yang sesuai
Memonitor tanda-tanda vital
Reorientasi setelah kejang
Mencatat karakteristik kejang: bagian tubuh yang terlibat, aktivitas motorik dan
perkembangan kejang
Mendokumentasikan informasi tentang kejang
Mengelola obat, yang sesuai
Mengelola antikonvulsan, yang sesuai
Memonitor kadar obat antiepilepsi, yang sesuai
Memonitor durasi periode postictal dan karakteristik
BACAAN LATAR BELAKANG:
Ackerman, L.L. (1992). Interventions related to neurological care. In G.M. Bulechek & J.C.
McCloskey (Eds.), Symposium on Nursing Interventions. Nursing Clinics of North
America, 27(2), 325-346.
Brewer, K., & Sperling. M.R. (1988). Neurosurgical treatment of intractable epilepsy.
Journal of
Neuroscience Nursing, 20(6), 366-372.
Cammermeyer, M., & Appledorn, C. (1990). Core curriculurm for neuroscience nursing
(3rd ed.) (pp. lgl-lg3. Chicago: American Association of Neuroscience Nurses.
Graham,O., Navea,I.,&Cummings,C. (1989).A model for ambulantory care of patients with
epilepsy and other neurological disorders. Journal of Neuroscience Nursing, 21(2), 108112.
Johanson,B.C., Wells,S.J., Hoffmeister,D.,&Dungca,C.U.(1988).Standards for critical
care (3rd ed.). St. Louis: Mosby.
Santilli, N., & Sierzant, T.L. (1987). Advances in the treatment of epilepsy. Journal of
Neurescience Nursing, 19(3), 141-155.
Wound Care
Definition: prevention of wound complications and promotion of wound healing
Activities:
Remove adhesive tape and debris
Shave the hairsurrounding the affected are, as needed
Note characteristics of the wound
Note characteristics of any drainage
Clean with antibacterial soap, as appropriate
Place affected area in a whirlpool bath, as appropriate
Soak in saline solution, as appropriate
Administer IV site care, as appropriate
Administer hickman line care, as appropriate
Administer central venous line site care, as appropriate
Provide incision site care, as needed
Administer skin ulcer care, as needed
Massage the area around the wound to stimulate circulation
Apply TENS (transcutaneous electrical nerve stimulation) unit for wound healing
enhancement, as appropriate
Maintain patency of any drainage tubes
Apply an appropriate ointment to the skin / lesion, as appropriate
Bandage appropriately
Apply an occlusive dressing, as appropriate
Reinforce the dressing, as needed
Dress with appropriate mes gauze, as needed
Maintain sterile dressing technique when doing wound care
Inspect the wound with each dressing change
Compare and record regulary any changes in the wound
Position to avoid placing tension on the wound, as appropriate
Teach patient or family member(s) wound care procedures
599 Perawatan Luka
Perawatan Luka
DEFINISI: Pencegahan komplikasi luka dan promosi penyembuhan luka
KEGIATAN:
Lepaskan pita perekat dan puing-puing
Mencukur rambut sekitar area yang terkena dampak, yang diperlukan
Catatan karakteristik luka
Catatan karakteristik drainase setiap
Bersihkan dengan sabun antibakteri yang sesuai
Tempatkan daerah yang terkena dalam pusaran air mandi, yang sesuai
Rendam dalam larutan garam, yang sesuai
Mengelola IV perawatan situs, yang sesuai
Mengelola perawatan garis hickman, yang sesuai
Mengelola garis perawatan situs vena sentral, yang sesuai
Memberikan sayatan perawatan situs, yang diperlukan
Mengelola perawatan ulkus kulit, yang diperlukan
Pijat daerah sekitar luka untuk merangsang sirkulasi
Terapkan TENS (stimulasi saraf transkutan listrik) Unit untuk luka peningkatan
penyembuhan, yang sesuai
Pertahankan kepatenan setiap tabung drainase
Terapkan salep yang sesuai dengan kulit / lesi, yang sesuai
perban
Menerapkan ganti oklusif, yang sesuai
Memperkuat balutan yang diperlukan
3660
Meyediakan pakaian yang tipis jika diperlukan
Mempertahankan teknik sterilisasi ketika melakukan perawatan luka
Memeriksa luka dengan setiap pergantiaan balutan
Bandingkan dan merekam regulary perubahan pada luka
Posisikan untuk menghindari menempatkan ketegangan pada luka, yang sesuai
Ajarkan anggota pasien atau keluarga untuk prosedur perawatan luka
BACAAN LATAR BELAKANG:
Cooper,D.M. (1990). Optimizing wound healing: A practice within nursing’s domain.
Nursing Clinics of North America, 25(1), 165-180
Garvin,G.(1990). Wound healing in pediatrics. Nursing Clinics of North America,25(1),181192.
Jones,PL.,&Millman,A. (1990). Wound healing and the aged patient. Nusing Clinics of
America, 25(1), 263-278
Kozier, B., & Erb , G (1989). Techniques in clinical nursing (3rd ed). Menlo Park, CA:
Addison-Wesley.
Perry,A.G., & Potter,P.A. (1990). Clinical nursing skills and techniques. St. Louis: Mosby.
Risenberg, CS. (1990). Wound healing in the patient with diabetes mellitus. Nursing Clinics
of North America, 25(1), 247-262.