FORMAT
STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN
(Dibuat setiap kali interaksi / pertemuan dengan klien)
A. PROSES KEPERAWATAN.
1. Kondisi Klien:
......................................................................................................................
......................................................................................................................
.....................................................................................................................
2. Diagnosa Keperawatan.
......................................................................................................................
3. Tujuan Khusus
.......................................................................................................................
.......................................................................................................................
.......................................................................................................................
4. Tindakan Keperawatan
.......................................................................................................................
.......................................................................................................................
.......................................................................................................................
B. STRATEGI KOMUNIKASI DALAM PELAKSANAAN TINDAKAN
KEPERAWATAN
a. FASE ORIENTASI
1. Salam Terapeutik
.......................................................................................................................
.......................................................................................................................
2. Evaluasi / validasi
.......................................................................................................................
.......................................................................................................................
3. Kontrak
Topik: ............................................................................................................
Waktu: ...........................................................................................................
Tempat: .........................................................................................................
b. FASE KERJA
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
c. FASE TERMINASI
1. Evaluasi respon klien terhadap tindakan keperawatan
Evaluasi Subyektif (Klien)
........................................................................................................................
........................................................................................................................
Evaluasi Obyekti (Perawat)
........................................................................................................................
........................................................................................................................
2, Rencana Tindak Lanjut
........................................................................................................................
........................................................................................................................
3. Kontrak yang akan datang
Topik: ............................................................................................................
Waktu: ...........................................................................................................
Tempat: .........................................................................................................