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RESUME

ASUHAN KEPERAWATAN DI RUANG BEDAH ORTHOPEDI


RSD dr. SOEBANDI JEMBER

Oleh:
FIKRI ULIL ALBAB, S.Kep.
NIM. 092311101007

PROGRAM PENDIDIKAN PROFESI NERS


PROGRAM STUDI ILMU KEPERAWATAN
UNIVERSITAS JEMBER
2014

PERSETUJUAN

Asuhan Keperawatan Pasien dengan Spinal Cord Injury Vertebra Thorakal XIXII telah dilaksanakan pada tanggal 21 April 2014 di Ruang Bedah Orthopedi
(R.Seruni) RSD Dr. Soebandi Jember.

Jember, April 2014

Pembimbing Ruangan

Pembimbing Akademik

( .......... )

( ............. )

Kepala Ruangan,

( )

PERSETUJUAN

Asuhan Keperawatan Pasien dengan:


______________________________________________________
___________________________________________________________
___________________________________________________________

telah dilaksanakan pada tanggal

April 2014 di Ruang Bedah Orthopedi

(R.Seruni) RSD Dr. Soebandi Jember.

Jember, April 2014

Pembimbing Ruangan

Pembimbing Akademik

( .......... )

( ............. )

Kepala Ruangan,

( )

FORMAT RESUME KASUS KELOLAAN HARIAN


IDENTITAS PASIEN
Nama
:
Umur
:
Jenis Kelamin :
Agama
:
Pendidikan
:
Pekerjaan
:
Alamat
:
No. RM
:
Ruangan
:
Diagnosa Medis :
S (Subjektif):
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O (Objektif):
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A(Analisa/Diagnosa Keperawatan yang ditegakkan berdasarkan DS dan DO):


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P(Perencanaan):
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E (Evaluasi):
S (Subjektif):
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O (Objektif):
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A (analisa):
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P (Perencanaan):
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FORMAT RESUME KASUS KELOLAAN HARIAN


IDENTITAS PASIEN
Nama
:
Umur
:
Jenis Kelamin :
Agama
:
Pendidikan
:
Pekerjaan
:
Alamat
:
No. RM
:
Ruangan
:
Diagnosa Medis :
S (Subjektif):
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O (Objektif):
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A(Analisa/Diagnosa Keperawatan yang ditegakkan berdasarkan DS dan DO):


...............................................................................................................................................................................
...............................................................................................................................................................................
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P(Perencanaan):
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E (Evaluasi):
S (Subjektif):
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O (Objektif):
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A (analisa):
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P (Perencanaan):
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FORMAT RESUME KASUS KELOLAAN HARIAN


IDENTITAS PASIEN
Nama
:
Umur
:
Jenis Kelamin :
Agama
:
Pendidikan
:
Pekerjaan
:
Alamat
:
No. RM
:
Ruangan
:
Diagnosa Medis :
S (Subjektif):
...............................................................................................................................................................................
...............................................................................................................................................................................
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...............................................................................................................................................................................
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O (Objektif):
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A(Analisa/Diagnosa Keperawatan yang ditegakkan berdasarkan DS dan DO):


...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
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P(Perencanaan):
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E (Evaluasi):
S (Subjektif):
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O (Objektif):
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A (analisa):
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P (Perencanaan):
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FORMAT RESUME KASUS KELOLAAN HARIAN


IDENTITAS PASIEN
Nama
:
Umur
:
Jenis Kelamin :
Agama
:
Pendidikan
:
Pekerjaan
:
Alamat
:
No. RM
:
Ruangan
:
Diagnosa Medis :
S (Subjektif):
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
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O (Objektif):
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...............................................................................................................................................................................
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A(Analisa/Diagnosa Keperawatan yang ditegakkan berdasarkan DS dan DO):


...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
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P(Perencanaan):
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I (Implementasi):
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E (Evaluasi):
S (Subjektif):
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
O (Objektif):
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
A (analisa):
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...............................................................................................................................................................................
...............................................................................................................................................................................
P (Perencanaan):
...............................................................................................................................................................................
...............................................................................................................................................................................
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...............................................................................................................................................................................

FORMAT EVALUASI PENYULUHAN KEPERAWATAN


Nama Mahasiswa
NIM

:
:
Nilai
Maksimal

No

Aspek yang diteliti

Penyajian
a. Sesuai waktu yang di alokasikan
b. Menggunakan bahasa yang bisa di mengerti
c. Kelancaran dan kejelasan penyajian
d. Penampilan penyaji dalam penyuluhan
Isi Penyuluhan
a. Kesesuaian TIK dengan TIU
b. Kesesuaian materi dengan TIK
c. Kesesuaian kegiatan penyuluhan
d. Kesesuaian media/alat dan sumber
e. Kesesuaian alat evaluasi
Tanya Jawab
a. Ketepatan menjawab
b. Kemampuan mengemukakan argument
c. Sikap penyuluh menanggapi pertanyaan

Total

Nilai

40

30

30

100

Score Akhir : (Penyaji + Isi + Tanya Jawab) =

., 2014
Pembimbing,

______________________________
NIP.

FORMAT EVALUASI PENYULUHAN KEPERAWATAN


Nama Mahasiswa
NIM

:
:
Nilai
Maksimal

No

Aspek yang diteliti

Penyajian
e. Sesuai waktu yang di alokasikan
f. Menggunakan bahasa yang bisa di mengerti
g. Kelancaran dan kejelasan penyajian
h. Penampilan penyaji dalam penyuluhan
Isi Penyuluhan
f. Kesesuaian TIK dengan TIU
g. Kesesuaian materi dengan TIK
h. Kesesuaian kegiatan penyuluhan
i. Kesesuaian media/alat dan sumber
j. Kesesuaian alat evaluasi
Tanya Jawab
d. Ketepatan menjawab
e. Kemampuan mengemukakan argument
f. Sikap penyuluh menanggapi pertanyaan

Total

Nilai

40

30

30

100

Score Akhir : (Penyaji + Isi + Tanya Jawab) =

., 2014
Pembimbing,

______________________________
NIP.

FORMAT EVALUASI PENYULUHAN KEPERAWATAN


Nama Mahasiswa
NIM

:
:
Nilai
Maksimal

No

Aspek yang diteliti

Penyajian
i. Sesuai waktu yang di alokasikan
j. Menggunakan bahasa yang bisa di mengerti
k. Kelancaran dan kejelasan penyajian
l. Penampilan penyaji dalam penyuluhan
Isi Penyuluhan
k. Kesesuaian TIK dengan TIU
l. Kesesuaian materi dengan TIK
m. Kesesuaian kegiatan penyuluhan
n. Kesesuaian media/alat dan sumber
o. Kesesuaian alat evaluasi
Tanya Jawab
g. Ketepatan menjawab
h. Kemampuan mengemukakan argument
i. Sikap penyuluh menanggapi pertanyaan

Total

Nilai

40

30

30

100

Score Akhir : (Penyaji + Isi + Tanya Jawab) =

., 2014
Pembimbing,

______________________________
NIP.

FORMAT EVALUASI PENYULUHAN KEPERAWATAN


Nama Mahasiswa
NIM

:
:
Nilai
Maksimal

No

Aspek yang diteliti

Penyajian
m. Sesuai waktu yang di alokasikan
n. Menggunakan bahasa yang bisa di mengerti
o. Kelancaran dan kejelasan penyajian
p. Penampilan penyaji dalam penyuluhan
Isi Penyuluhan
p. Kesesuaian TIK dengan TIU
q. Kesesuaian materi dengan TIK
r. Kesesuaian kegiatan penyuluhan
s. Kesesuaian media/alat dan sumber
t. Kesesuaian alat evaluasi
Tanya Jawab
j. Ketepatan menjawab
k. Kemampuan mengemukakan argument
l. Sikap penyuluh menanggapi pertanyaan

Total

Nilai

40

30

30

100

Score Akhir : (Penyaji + Isi + Tanya Jawab) =

., 2014
Pembimbing,

______________________________
NIP.

FORMAT EVALUASI PENYULUHAN KEPERAWATAN


Nama Mahasiswa
NIM

:
:
Nilai
Maksimal

No

Aspek yang diteliti

Penyajian
q. Sesuai waktu yang di alokasikan
r. Menggunakan bahasa yang bisa di mengerti
s. Kelancaran dan kejelasan penyajian
t. Penampilan penyaji dalam penyuluhan
Isi Penyuluhan
u. Kesesuaian TIK dengan TIU
v. Kesesuaian materi dengan TIK
w. Kesesuaian kegiatan penyuluhan
x. Kesesuaian media/alat dan sumber
y. Kesesuaian alat evaluasi
Tanya Jawab
m. Ketepatan menjawab
n. Kemampuan mengemukakan argument
o. Sikap penyuluh menanggapi pertanyaan

Total

Nilai

40

30

30

100

Score Akhir : (Penyaji + Isi + Tanya Jawab) =

., 2014
Pembimbing,

______________________________
NIP.

DAFTAR HADIR PESERTA PENYULUHAN


NO

NAMA

ALAMAT

TANDA TANGAN

Jember, April 2014


Mengetahui
Pembimbing Ruangan,

()

KEMENTRIAN PENDIDIKAN DAN KEBUDAYAAN R.I.


UNIVERSITAS JEMBER
PROGRAM STUDI ILMU KEPERAWATAN
Jln. Kalimantan No. 37 Kampus Tegal Boto Telp./Fax. (0331) 323450
PENGESAHAN

Pada hari ini, kamis 24 april 2014 pukul 09.00 WIB bertempat di ruang bedah
orthopedic (R.seruni) RSD dr. Soebandi Jember, telah melaksanakan penyuluhan
kesehatan tentang Pentingnya Nutrisi Proses Penyembuhan Luka Pada Pasien
Post Op oleh mahasiswa Program Pendidikan Profesi Ners stase Keperawatan
Medical Bedah Universitas Jember.
Jember, April 2014
Pembimbing Ruangan

Pembimbing Akademik

( .......... )

( ............. )

Kepala Ruangan,

()

KEMENTRIAN PENDIDIKAN DAN KEBUDAYAAN R.I.


UNIVERSITAS JEMBER
PROGRAM STUDI ILMU KEPERAWATAN
Jln. Kalimantan No. 37 Kampus Tegal Boto Telp./Fax. (0331) 323450
BERITA ACARA KEGIATAN PENYULUHAN KESEHATAN DI RUANG
BEDAH ORTHOPEDI (R.SERUNI) RSD dr. SOEBANDI JEMBER

Pada hari ini, Kamis 24 April 2014 pukul 09.00 WIB bertempat di Ruang Bedah
Orthopedic (R.Seruni) RSD dr. Soebandi Jember, telah melaksanakan penyuluhan
kesehatan tentang Pentingnya Nutrisi Proses Penyembuhan Luka Pada Pasien
Post Op oleh mahasiswa Program Pendidikan Profesi Ners stase Keperawatan
Medical Bedah Universitas Jember.
Jember, April 2014
Pembimbing Ruangan

Pembimbing Akademik

( .......... )

( ............. )

Kepala Ruangan,

()