FORMAT STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN

Nama : ............................................. No RM : ............................................

Umur : ............................................. Tgl MRS : ............................................
Jenis kelamin : ............................................. Dx Medis : ............................................
Ruang : .............................................

 Kondisi klien :
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Alasan masuk RS :
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Data fokus :
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 Diagnosa keperawatan (masalah)

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 Tujuan khusus : tujuan yang akan dicapai, kriteria hasil

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 Tindakan keperawatan : tindakan apa yang akan dilakukan, SOP tindakan tersebut
( terlampir)
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 STRATEGI KOMUNIKASI DALAM PELAKSANAAN TINDAKAN KEPERAWATAN

A. ORIENTASI
- Salam terapeutik : ...................................................................................................................
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- Evaluasi/validasi : ...................................................................................................................
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- Kontrak
Topik : .................................................................................................................................
Waktu : .................................................................................................................................
Tempat : .................................................................................................................................

B. KERJA
(Langkah-langkah tindakan keperawatan) : komunikasi saat melakukan tindakan
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C. TERMINASI
- Evaluasi respon klien terhadap tindakan keperawatan
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- Tindak lanjut klien (apa yang perlu dilatih klien sesuai dengan hasil tindakan yang telah
dilakukan
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