Kewenangan Klinis Perawat Klinik Menurut Nanda

KATA PENGANTAR
Dalam memberikan pelayanan keperawatan kepada pasien, seluruh perawat harus

dipastikan kompetensinya sesuai dengan jenjang klinis yang dimiliki. Masing-masing jenjang
klinis memiliki kompetensi, dan standar kompetensi klinis itulah yang dijadikan landasan
dalam penyusunan Kewenangan Klinis.
Kewenangan Klinis adalah uraian intervensi keperawatan dan kebidanan yang

dilakukan oleh tenaga keperawatan sesuai dengan area prakteknya. Dalam daftar kewenangan
klinis ini dibagi menjadi lima kelompok sesuai dengan jenjang klinis yaitu :
1. Kewenangan Klinis Perawat Klinik I
2. Kewenangan Klinis Perawat Klinik II
3. Kewenangan Klinis Perawat Klinik III
4. Kewenangan Klinis Perawat Klinik IV
5. Kewenangan Klinis Perawat Klinik V
Selain kategori berdasar jenjang klinik, juga dikelompokan berdasar area klinik yang
meliputi:
1. Area Klinik Keperawatan Medikal Bedah
2. Area Klinik Keperawatan Anak
3. Area Klinik Keperawatan Maternitas
4. Area Klinik Keperawatan Jiwa
5. Area Klinik Keperawatan Kritis
6. Area Klinik Midwifery
7. Area Klinik Emergency Nursing
8. Area Klinik Holistic Nursing
9. Area Klinik Keperawatan Ginjal
Referensi utama dalam penyusunan Kewenangan Klinis di RS Universitas Riau adalah

Nursing Intervention Clasification (NIC), karena kami telah menerapkan SNL (Standar of
Nursing Language). Daftar Kewenangan Klinis Perawat RS Universitas Riau
Jason reverensi utama : Nursing Intervention Clasification (NIC).
1. KEWENANGAN KLINIS PERAWAT KLINIK (PK) I
Perawat Klinik I (Novice) adalah: Perawat lulusan D-III Keperawatan dan telah memiliki
pengalaman kerja ≥ 1 tahun (3-6 Tahun) atau Ners (lulusan S-1 Keperawatan plus
pendidikan profesi) dengan pengalaman kerja ≥ 1 tahun (2-4 Tahun) dan mempunyai
sertifikat Pra Klinik. Kewenangan Klinis PK I adalah sebagai berikut :

NO KEWENANGAN KLINIS
1 Reduksi Cemas
2 Pembatasan Area
3 Pencegahan Aspirasi
4 Memandikan
5 Perawatan bedrest
6 Pemeriksaan laboratorium di samping TT
7 Bottle feeding
8 Teknik penenangan
9 Perawatan gips: maintenance
10 Peningkatan komunikasi : defisit pendengaran
11 Peningkatan komunikasi : defisit penglihatan
12 Perawatan kontak lensa
13 Peningkatan batuk
14 Manajemen dimensia: memandikan
15 Distraksi
16 Mengenakan pakaian (dressing)
17 Perawatan emergensi
18 Chek kartu emergensi
19 Manajemen lingkungan
20 Manajemen lingkungan : nyaman
21 Bantuan pemeriksaan
22 Therapi latihan : ambulasi
23 Memberikan makan
24 Pertolongan pertama
25 Perawatan rambut
26 Humor
27 Administrasi medikasi: telinga
28 Administrasi medikasi: mata
29 Administrasi medikasi: enteral
30 Administrasi medikasi: inhalasi
31 Administrasi medikasi: nasal
32 Administrasi medikasi: oral
33 Administrasi medikasi: rectal
34 Administrasi medikasi: kulit
35 Administrasi medikasi: vaginal
36 Manajemen mual
37 Perawatan perineal
38 Posisioning
39 Posisioning : neurologi
40 Kehadiran
41 Perawatan ulkus pressure
42 Meminta berkemih
43 Perawatan prostesis
44 Orientasi realita
45 Therapi rekreasi
46 Bantuan perawatan diri
47 Bantuan perawatan diri : mandi / hygiene

48 Bantuan perawatan diri : berpakaian
49 Bantuan perawatan diri : makan
50 Bantuan perawatan diri : toileting
51 Bantuan perawatan diri : transfer
52 Manajemen spesimen
53 Asistensi pembedahan
54 Sentuhan
55 Transfer
56 Perawatan slang
57 Perawatan slang : urinari
58 Cateterisasi urine
59 Cateterisasi urine : intermittent
60 Fasilitasi kunjungan
2. KEWENANGAN KLINIS PERAWAT KLINIK (PK) II
Perawat klinik II (Advance Beginner) adalah perawat lulusan D III Keperawatan dengan
pengalaman kerja ≥ 4 tahun (6-9 Tahun) atau Ners (lulusan S-1 Keperawatan plus
pendidikan profesi) dengan pengalaman kerja ≥3 tahun (4-7 Tahun), dan mempunyai
sertifikat PK-I.
Kewenangan Klinis PK II adalah sbb :

1 Acid base managemen
2 Acid base monitoring (pemantauan asam basa)
3 Active listening (mendengarkan secara aktif)
4 Active listening
5 Activity therapy
6 Admision care
7 Airway insertion and stabilization
8 Airway management
9 Airway suctioning
10 Allergy management
11 Amputation care
12 Analgesic administration
13 Anaphylaxis management
14 Anticipatory guidance
15 Aroma therapy
16 Artificial airway management
17 Asthma management
18 Autotranfusion
19 Behavior management
20 Behavior management : overactivity / inattention
21 Behavior management : self harm
22 Behavior management : sexual
23 Behavior modification
24 Behavior modification: social skill
25 Bladder irrigation
26 Bleeding precaution
27 Bleeding reduction
28 Bleeding reduction : antepartum uterus
29 Bleeding reduction : gastrointestinal
30 Bleeding reduction : nasal
31 Bleeding reduction : postpartum uterus
32 Bleeding reduction : wound
33 Blood product administration
34 Body image enhancement
35 Body mechanics promotion
36 Bowel incontinence care
37 Bowel incontinence care : encopresis
38 Bowel irrigation
39 Bowel management
40 Bowel training
41 Bowel examination
42 Breasfeeding assistance
43 Capillary blood sample
44 Cardiac care
45 Cardiac care : acute
46 Cardiac care : rehabilitative
47 Cardiac precautions
48 Caregiver support
49 Cast care : wet
50 Cerebral edema management
51 Cerebral perfusion promotion
52 Cesarean suction care
53 Chemical restrain
54 Chest physiotherapy
55 Childbirth preparation
56 Circulatory care : arterial insufficiency
57 Circulatory care : mechanical assist device
58 Circulatory care : venous insufficiency
59 Circulatory precautions
60 Circumcision care
61 Code management
62 Communicable desease management
63 Comunication enhancement : speech deficit
64 Constipation/Impaction management
65 Consultation
66 Controlled substance checking
67 Coping enhancement
68 Crisis Path Development
69 Cutaneous stimulation
70 Decision making support
71 Defibrillator management : external

72 Defibrillator management : internal
73 Delegation
74 Delirium management
75 Delusion management
76 Dementia managemen
77 Developmental care
78 Developmental enhancement : adolescenct
79 Developmental enhancement : child
80 Dialysis acces maintenance
81 Diare management
82 Diet staging
83 Discharge planning
84 Documentation
85 Dying care
86 Disreflexia management
87 Dysrhythmia management
88 Ear care
89 Electronic convultion therapy (ECT) management
90 Electrolyte management
91 Electrolyt monitoring
92 Electronic fetal monitoring : antepartum
93 Embolus care : peripheral
94 Embolus care : pulmonary
95 Embolus precautions
96 Emotional support
97 Endotracheal extubation
98 Energy management
99 Enteral tube feeding
100 Environmental manegement : safety
101 Environmental risk protection
102 Exercise promotion
103 Exercise promotion: strength training
104 Exercise promotion : streching
105 Exercise therapy : balance
106 Exercise therapy : joint mobility
107 Eye care
108 Fall prvention
109 Fall prvention
110 Family support
111 Fever treatment
112 Flatulence reduction
113 Fluid/electrolyte management
114 Fluid management
115 Fluid monitoring
116 Fluid resuscitation
117 Foot care
118 Gastrointestinal intubation
119 Guided imagery

120 Hallucination management
121 Health education
122 Healt screening
123 Heat exposure treatment
124 Heat/cold aplication
125 Hemodynamic regulation
126 Hemofiltration therapy
127 Hemorrhage control
128 Hope inspiration
129 Hyperglicemia management
130 Hypervolemia management
131 Hypoglicemia management
132 Hypothermia induction
133 Hypothermia treatment
134 Hypovolemia management
135 Immunization/vaccination management
136 Incident report
137 Incision site care
138 Infant care
139 Infection control
140 Infection control: intraoperative
141 Infection protection
142 Intracranial pressure (ICP) monitoring
143 Intrapartal care

144 Intravenous (IV) insersion
145 Intravenous (IV) therapy
146 Invasive hemodynamic monitoring
147 Kangaroo care
148 Lactation counseling
149 Lactation suppresion
150 Learning facilitation
151 Lower extremity monitoring
152 Malignant hyperthermia precaution
153 Massage
154 Mechanical ventilation management : invasive
155 Mechanical ventilation management : noninvasive
156 Mechanical ventilatory weaning
157 Medication administration : intradermal
158 Medication administration : intramuscular
159 Medication administration : intraspinal
160 Medication administration : intravenous
161 Medication administration : subcutaneus
162 Medication management
163 Meditation facilitation
164 Milieu therapy
165 Mood management
166 Music therapy
167 Mutual goal setting

168 Nausea management
169 Neurologic monitoring
170 Newborn car
171 Newborn monitoring
172 Nutrition therapy
173 Nutritional counseling
174 Nutritional monitoring
175 Oral health maintenance
176 Oral health promotion
177 Oral health restoration
178 Oxygen therapy
179 Pacemaker management : permanent
180 Pacemaker management : temporary
181 Pain management
182 Paperipheral sensation management
183 Peritonial dyalisis therapy
184 Pessary management
185 Phlebotomy : arterial blood sample
186 Phlebotomy : blood unit acquisision
187 Phlebotomy : cannulated vessel
188 Phlebotomy :venous bloog sample
189 Phototherapy : mood/sleep regulation
190 Phototherapy : neonate
191 Physical restrain

192 Physician support
193 Positioning : intraoperative
194 Positioning : wheelchair
195 Postanasthesia care
196 Postpartal care
197 Prenatal care
198 Preoperative coordination
199 Pressure management
200 Pressure ulcer prevention
201 Product evaluation
202 Pruritus management
203 Relaxationn therapy
204 Religius ritual enhancement
205 Respiratory monitoring
206 Resuscitation
207 Self care assistance: IADL
208 Selft esteem enhancement
209 Shift report
210 Shock management
211 Shock management : cardiac
212 Shock management : autogenic
213 Shock management : volume
214 Shock prevention
215 Sibling support

216 Skin care : topical treatment
217 Sleep enhancement
218 Spiritual growth facilitation
219 Spiritual support
220 Subarachnoid hemorhage precaution
221 Surgical preparation
222 Surveilance : safety
223 Suturing
224 Swallowing therapy
225 Teaching : desease process
226 Teaching ; foot care
227 Teaching : individual
228 Teaching : infant nutrition
229 Teaching : infant safety
230 Teaching : infant stimulation
231 Teaching : preoperative
232 Teaching : prescribed activity / exercise
233 Teaching : prescribed diet
234 Teaching : prescribed medication
235 Teaching : procedure / treatment
236 Teaching : psychomotor skill
236 Teaching : toilet training
237 Temperature regulation
238 Therapeutic play

239 Thrombolytic therapy management
240 Total parenteral nutrition (TPN) management
241 Traction/immobilitation care
242 Tube care : chest
243 Tube care : gastrointestinal
244 Tube care : ventriculostomy/lumbar drain
245 Urinary incontinentia care
246 Urinary incontinentia care : enuresis
247 Urinary retention care
248 Ventilation assistance
249 Vital sign monitoring
250 Vomiting management
251 Wound care
252 Wound care : burns
253 Wound care : closed drainase
254 Wound irrigation
255 Abuse protection support (dukungan perlindungan penyalahgunaan)
3. KEWENANGAN KLINIS PERAWAT KLINIK (PK) III
Perawat Klinik III (competent) adalah perawat lulusan D III Keperawatan dengan
pengalaman kerja ≥10 tahun (9-12 Tahun) atau Ners (lulusan S-1 Keperawatan plus
pendidikan profesi) dengan pengalaman klinik ≥ 7 tahun (6-9 Tahun) atau Ners Spesialis
dengan pengalaman kerja 0 tahun (2-4 Tahun), dan memiliki sertifikat PK-II
Kewenangan Klinis PK III adalah sbb:
1 Acupressure
2 Amnioinfusion
3 Art Therapy
4 Autogenic training
5 Bibliotherapy
6 Biofeedback
7 Bioterrorism preparedness
8 Birthing
9 Case management
10 Chemotherapy management
11 Cognitive restructuring
12 Cognitive stimulation
13 Conflict mediation
14 Counseling
15 Crisis intervention
16 Eating Disorder Management
17 Electronic Fetal Monitoring : Antepartum
18 Electronic Fetal Monitoring : Intrapartum
19 Exercise Therapy : Muscle Control
20 Family Planning : Infertility
21 Family Therapy
22 Fertility Preservation
23 Fiscal Resource Management
24 Forensic Data Collection
25 Genetic Counselling
26 Hemodialysis Therapy
27 High Risk Pregnancy Care
28 Hormon Replacemen Therapy
29 Hypnosis
30 Impulse Control Training
31 Intrapartal Care : High Risk Delivery
32 Labor Induction
33 Labor Suppression
34 Laser Precautions
35 Medication Administration : Intrapleural
36 Medication Administration : Intraosseous
37 Medication Administration : Ventricular Reservoir
38 Medication Prescribing
39 Memory Training
40 Nutrition Management
41 Ostomy Care
42 Pelvic Muscle Exercise
43 Peripherally Inserted Central (PIC) Catheter
44 Pneumatic Torniquet Precautions
45 Preconseption Counseling
46 Pregnancy Termination Care

47 Premenstrual Syndrome (PMS) Management
48 Program Development
49 Progressive Muscle Relaxation
50 Rectal Prolaps Management
51 Reminiscence Therapy
52 Reproductive Technology Management
53 Resuscitation : Fetus
54 Resuscitation : Neonate
55 Risk Identification : Genetic
56 Sedation Management
57 Self Hypnosis Facilitation
58 Sexual Counseling
59 Social Marketing
60 Substance Use Treatment : Alcohol Withdrawal
61 Substance Use Treatment : Drug Withdrawal
62 Substance Use Treatment : Overdose
63 Support Group
64 Surveilance : Late Pregnancy
65 Therapeutic Touch
66 Therapy Group
67 Trancutaneus Electrical
68 Trauma Therapy : Child
69 Tube Care : Umbilical Line
70 Urinary Bladder Training

71 Urinary Elimination Management
72 Urinary Habit Training
73 Validationn Therapy
74 Venous Acces Devica (VAD) Maintenance
4. KEWENANGAN KLINIS PERAWAT KLINIK (PK) IV
Perawat klinik IV (Proficient) adalah Ners (lulusan S-1 Keperawatan plus pendidikan
profesi) dengan pengalaman kerja ≥ 13tahun(9-12 Tahun) atau Ners Spesialis dengan
pengalaman kerja ≥ 2 tahun (6-9 Tahun), dan memiliki sertifikat PK III.
Kewenangan Klinis PK IV adalah seluruh Kewenangan Klinis.
5. KEWENANGAN KLINIS PERAWAT KLINIK (PK) V
Perawat klinik V (Expert) adalah Ners Spesialis dengan pengalaman kerja ≥ 4 tahun
(Hingga Masa Pensiun) atau Ners Spesialis Konsultan dengan pengalaman kerja 0 tahun
(Hingga Masa Pensiun), dan memiliki sertifikat PK-IV. Kewenangan Klinis PK V adalah
seluruh Kewenangan Klinis ditambah dengan menerima konsultasi dari PK I - IV.

DAFTAR KEWENANGAN KLINIS KEPERAWATAN
RS UNIVERSITAS RIAU BERDASARKAN KEWENANGAN
KLINIS INTI SESUAI AREA KLINIK
1. Area Klinik Keperawatan Anak
1 Abuse protection support: child (Dukungan pencegahan penyalahgunaan : anak)
2 Asthma management (Manajemen Asma)
3 Breastfeeding assistance (Bantuan Menyusui)
4 Caregiver support (Dukungan Pengasuh)
5 Developmental care (perawatan perkembangan)
6 Developmental enhancement: child (peningkatan perkembangan: anak)
7 Discharge planning (perencanaan pulang)
8 Documentation (Dokumentasi)
9 Emotional support (Dukungan emosi)
10 Environmental management: safety (manajemen lingkungan: keselamatan)
11 Family involvement promotion (Keluarga promosi keterlibatan)
12 Family presence fasilitation (Memfasilitasi kunjungan keluarga)
13 Feeding (Memberikan makan)
14 Fever treatment (Therapy demam)
15 Fluid/electrolyte management (Manajemen cairan/elektrolit)
16 Health education (Pendidikan kesehatan)
17 Immunization promotion (promosi imunisasi)
18 Infant care (perawatan bayi)

19 Intravenous therapy (terapi intravena)
20 Medication administration (Pemberian medikasi)
21 Multidisiplinary care conference (konferensi perawatan multidisiplinary)
22 Normalization promotion (promosi normalisasi)
23 Nutrition management (Manajemen nutrisi)
24 Oxygen therapy (Therapy oksigen)
25 Pain management (Manajemen nyeri)
26 Parent education (pendidikan orang tua)
27 Respiratory management (Manajemen respirasi)
28 Risk indentification (Identifikasi resiko)
29 Surveilance (Pengawasan)
30 Teaching : infant nutrition (Penkes : nutrisi infant)
31 Teaching : Infant safety (Pengajaran: keselamatan bayi)
32 Teaching : Infant stimulation (Pengajaran: stimulasi Bayi)
33 Teaching : Todler nutrition (Pengajaran: Todler gizi)
34 Teaching : toilet training (Penkes : toilet training)
35 Therapeutic play (Therapy bermain)
36 Total parenteral nutrition administration (Jumlah pemberian nutrisi parenteral)
37 Trauma therapy : chield (Terapi Trauma: chield)
38 Vital sign monitoring (Monitor vital sign)

2. Area Klinik Keperawatan Medikal Bedah
1 Acid Base Management (Manajemen asam Basis)
2 Airway Suctioning (Cara penyedotan udara)
3 Artificial Airway Management (Manajemen Airway buatan)
4 Aspiration Precautions (Aspiration Precautions)
5 Asthma Management (Manajemen asma)
6 Bed Rest care ( perawatan istirahat di bed)
7 Bleedingg reduction : gastrointestinal (Pengurangan Bleedingg: gastrointestinal)
8 Blood product administration (administrasi produk darah)
9 Bowel Incontinentia Care (Perawatan Usus Inkontinensia)
10 Bowel Training (Pelatihan usus)
11 Capillary Blood Sample ( contoh kapiler darah)
12 Chemical Restraint (kimia Restraint)
13 Chemotherapy Management (Manajemen kemoterapi)
14 Circulatory Care: Arterial Insufficiency (Perawatan peredaran darah: Arteri
Insufficiency)
15 Circulatory Care: Venous Insufficiency (Perawatan peredaran darah: insufisiensi vena)
16 Code Management (Manajemen kode)
17 Critical Path Development (Pembangunan Jalur Kritis)
18 Discharge Planning ((perencanaan pulang)
19 Documentation (dokumentasi)
20 Electrolyte Management (Manajemen Elektrolit)

21 Emotional Support (Bantuan emosional)
22 Enteral Tube Feeding (saluran tabung makanan)
23 Fall Prevention (Pencegahan jatuh)
24 Familiy Involvement Promotion (promosi keterlibatan keluarga)
25 Family Presence Facilitation (kehadiran fasilitas keluarga)
26 Fluid / Electrolyte Management(manajemen cairan elektrolit)
27 Gastrointestinal Intubation
28 Health Literacy Enhancement (peningkatan literasi kesehatan)
29 Hyperglycemia Management (Manajemen hiperglikemia)
30 Hypoglycemia Management (Manajemen hipoglikemia)
31 Incision Site Care (perawatan sayatan)
32 Infection Control (Pengendalian infeksi)
33 Intravenous (IV) Insertion (Intravena (IV) Penyisipan)
34 Intravenous (IV) Therapy (Intravena (IV) Terapi)
35 Laboratory Data Interpretation (interpretasi data laboratorium)
36 Mechanical ventilation management : Noninvasive (manajemen ventilasi mekanik:
noninvasif)
37 Medication Administration (Administrasi obat)
38 Medication Management (Manajemen obat)
39 Medication Reconciliation (Rekonsiliasi Obat)
40 Multidisiplinary Care Conference (perawatan multidisiplinary konferensi)
41 Neusea Management (manajemen mual)
42 Neurologic Monitoring (Pemantauan neurologis)
43 Nutrition Management (manajemen nutrisi)

44 Ostomy Care (perawatan ostomy)
45 Oxygen Therapy (terapi oksigen)
46 Pacemaker management : Permanent (manajemen alat pacu jantung: Permanen)
47 Pain Management (Manajemen nyeri)
48 Patient Controlled Analgesia (PCA) Assistence (bantuan kendali analgesik pasien)
49 Patient Rights Protection (Perlindungan Hak Pasien)
50 Physical Restraint(pengekangan fisik)
51 Post mortem care (perawatan posmortem)
52 Pressure Management (Manajemen tekanan)
53 Pressure Ulcer Care (Perawatan Tekanan Maag)
54 Pressure Ulcer Prevention (Pencegahan Tekanan Maag)
55 Quality Monitoring (Pemantauan kualitas)
56 Respiratory Monitoring (Pemantauan pernafasan)
57 Seizure Management (Manajemen kejang)
58 Seizure Precautions (Kewaspadaan kejang)
59 Self Care Assistence (perawatan bantuan diri)
60 Shock Management (Manajemen syok)
61 Shock Prevention (Pencegahan syok)
62 Skin Surveillance (Skin Surveillance)
63 Staf Supervision (Staf Supervision)
64 Teaching: Desease Process (Proses pengajaran penyakit)
65 Teaching : Individual (Pengajaran: Individual)
66 Teaching : Prescribed Medication (Pengajaran: Obat yang ditetapkan)
67 Teaching : Prosedure / Treatment (Pengajaran: Prosedur / Pengobatan)

68 Total Parenteral Nutrition
69 Traction / Immobilization Care
70 Tube Crae : chast
71 Tube Care : gastrointestinal
72 Tube Care : Urinary
73 Urinary Elimination Management
74 Vital Sign Monitoring
75 Vomiting Management
76 Wound care
3. Area Klinik Keperawatan Ginjal
1 Acid Base Management
2 Bed Side Laboratory Testing
3 Bleeding Reduction : Wound
4 Capillary Blood Sample
5 Case Management
6 Constipation/Impaction Management
7 Culture Brokerage
8 Decision-Making Support
9 Delegation
10 Dialysis Acces Maintenance

11 Electrolyte Management
12 Electrolyte Monitoring
13 Emotional Support
14 Environmental Management : Comfort
15 Environmental Management: Safety
16 Family Involvement Promotion
17 Financial Resource Assistance
18 Fluid/Electrolyte Management
19 Fluid Management
20 Fluid Monitoring
21 Health Literacy Enhancement
22 Hemodialysis Therapy
23 Hyperglycemia Management
24 Hypervolemia Management
25 Hypoglicemia management
26 Hypovolemia Management
27 Infection Control
28 Infection Protection
29 Laboratory data Interpretation
30 Medication Administration
31 Medication Management
32 Multidisiplinary Care Conference
33 Nausea Management
34 Nutritional Monitoring
35 Organ Procurement
36 Peritoneal Dialysis Therapy
37 Phlebotomy: Cannulated Vessel
38 Physician Support
39 Pruritis Management
40 Self-Efficacy Enhamcement
41 Specimen managemen
42 Teaching : Desease Process
43 Teaching : Individual
44 Teaching : Prescribed Medication
45 Teaching : Procedure/Treatment
46 Teaching : Psychomotor Skill
47 Technology Management
48 Telephone Consultation
49 Values Clarification
50 Vital Signs Monitoring
51 Vomiting Management
3. Area Klinik Keperawatan Maternitas
1 Birthing
2 Bleeding Reduction : Antepartum Uterus
3 Bleeding Reduction : Postpartum Uterus
4 Bottle Feeding
5 Breastfeeding Assistance
6 Cesarean Section Care
7 Childbirth Preparation
8 Electronic Fetal Monitoring : Antepartum
9 Electronic Fetal Monitoring : Intrapartum
10 Environmental Managemen : Attachment Process
11 Family Integrity Promotion : Childbearing Family
12 Family Planning : Contraception
13 Greaf Work Facilitation : Perinatal Death
14 Health Literacy Inhancement
15 High Risk Pregnancy Care
16 Intrapartal Care
17 Intrapartal Care : High – Risk Delivery
18 Invasive Hemodynamic Monitoring
19 Labor Induction
20 Lactation Counseling
21 Medication Administration
22 Medication Administration : Intraspinal
23 Newborn Care
24 Newborn Monitoring
25 Pain Management
26 Parent Education : Infant
27 Parenting Promotion
28 Postpartal Care
29 Pregnancy Termination Care
30 Prenatal Care
31 Resuscitation : Fetus
32 Resuscitation : Neonatal
33 Risk Identification : Childbearing Family
34 Substance Use Treatment
35 Surveilance : Late Pregnancy

4. Area Klinik Keperawatan Jiwa
1 Abuse protection support
2 Active listening
3 Anger control assistance
4 Anxiety reduction
5 Area resriction
6 Assertiveness training
7 Behavior management: overactiviity/inattention
8 Behavior management : self-harm
9 Behavior management : sexual
10 Behavior modification
11 Behavior modification : social skills
12 Bibliotherapy
14 Calming technique
15 Case management
16 Chemical restrain
18 Complex relationship building
19 Consultation
21 Conseling
23 Delusion management
24 Dimentia management
25 Dimentia management: bathing
26 Eating disorder management
27 Electroconvultion therapy (ECT) management
28 Elopement prcoution
29 Environmental management : violence management
30 Family involvement promotion
31 Family therapy
32 Fire-setting precaution
33 Grief work facilitation
34 Guilt work facilitation
35 Hallucination management
36 Health literacy enhancement
37 Impulse control training
38 Journaling
39 Limit setting
40 Medication administration
42 Milieu therapy
43 Mood management
44 Pass facilitation
45 Phototherapy : mood/sleep regulation
46 Physical restraint
47 Reality orientation
48 Reminiscence therapy
49 Seclution
50 Self awareness enhancement
51 Self care assistance : ADL
52 Self esteem enhancement
53 Substance use prevention
54 Substance use treatment : alcohol withdrawl
55 Substance use treatment : drug withdrawl
56 Suicide prevention
57 Support group
58 Therapeutic play
59 Therapy group
5. Area Klinik Keperawatan Kritis
1 Acid base monitoring
2 Mechanical ventilation management : invasive
3 Airway managemen
5 Airway sectioning
6 Mechanical ventilatory weaning
7 Analgesic administration
9 Anxiety reduction
10 Medication administration : intravenous
11 Artificial airway management
12 Multidisiplinary care conference
13 Cardiac care : acut
14 Nausea management
15 Cardiac precaution
16 Neurologic monitoring
18 Oxygen therapy
19 Circulatory care : Mechanical assist device
20 Pacemaker management : permanent

21 Code management
23 Decision making support
24 Pain menegement
25 Devribilator managemen: external
26 Posisioning
27 Devribilator managemen : internal
29 Delegation
30 Sedation managemen
31 Discharge Planning
32 Shock managemen
33 Documantation
34 Teaching : procedure/treatment
35 Elektrolyte Management
36 Temperature regulation
37 Electrolyte monitoring
38 Thrombolitic therapy managemen
40 Vital sign monitoring
41 Family involvement support
42 Vomiting management
43 Family present facilitation
44 Fluid / Electrolyte management

45 Fluid management
46 Fluid monitoring
47 Hemodinamic regulation
48 Intracranila pressure monitoring
49 Intravenous therapy
6. Area Klinik Midwifery
1 Abuse protection support
2 Active listening (Mendengar aktif)
3 Admission care
4 Amnioinfusion
6 Attachment promotion
7 Birthing
8 Breast examination
9 Breast feeding assistance
10 Childbirth preparation
11 Decision-making support
12 Delegation
13 Discharge planning
14 Documentation
16 Environmental management
17 Family integrity promotion: childbearing family
18 Family planning: contraception
19 Family planning: unplaned pregnancy
20 Fertility preservation
21 Health education
22 Health screening
23 High risk pregnancy care
24 Hormone replacement therapy
25 Intrapartal care
26 Lactation counseling
27 Lactation suppresion
28 Medication administration: intraspinal
30 Medication prescribing
31 Newborn care
32 Nutrition counseling
33 Paint management
34 Parent education: infant
35 Physician support
36 Postpartal care
37 Premenstrual syndrome (PMS) management
38 Refferal
39 Risk identification : childbearing family

40 Self-efficacy enhancement
41 Sexsual counseling
42 Suturing
7. Area Klinik Emergency Nursing
1 Abuse protection support : child
2 Abuse protection support : domestic partner
3 Anaphylaxis management
4 Airway management
5 Blood product administation
6 Cardiac care: acut
7 Circulatory care: arterial insuffisiency
8 Circulatory care: venous insuffisiency
9 Code management
11 Defribilator management : external
12 Defribilator management : internal
13 Documentation
14 Dysrithmia management
15 Electrolyte management
16 Emergency care
17 Family presence fasilitation

18 First aid
19 Fluid / electrolyte management
20 Fluid resuscitation
21 Heat exposure treatment
22 Hypovolemia management
23 Intravenouse Insertion
24 Intravonouse therapy
27 Neurological monitoring
28 Oxygen therapy
30 Pain management
31 Phebotomy : venous blood sample
32 Rape trauma treatment
34 Resuscitation
35 Seizure management
36 Shock management
38 Thrombolitic therapy management
39 Transport : interfacility
40 Transport : intrafacility
41 Triage : emergency centre

42 Triage : telephone
43 Vital signs monitoring
44 Wound care
8. Area Klinik Holistic Nursing
1 Active listening (Mendengar aktif)
2 Accupressure
3 Animal-assisted therapy
5 Anxiety reduction
6 Aroma therapy
7 Art therapy
8 Autogenic training
9 Bibliotherapy
10 Biofeedback
12 Calming technic
16 Counseling
17 Decision-making support
19 Energy management
20 Environmental management
21 Exercise promotion
22 Family involvement promotion
23 Guided imagery
24 Health education
25 Health screening
26 Hope inspiration
27 Humor
28 Journaling
29 Massage
30 Meditation Facilitation
31 Music therapy
32 Mutual goal setting
33 Nutritional counseling
34 Presence
35 Progresive muscle relaxan
36 Relaxation therapy
37 Self-awarenes enhancement
38 Self-efficacy enhancement
39 Self-esteem enhancement
40 Self-modification assistance
41 Self-responsibility facilitation
42 Spiritual support
43 Teaching : group
45 Therapeutic touch
46 Touch
47 Thruth telling
48 Values clarification

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KATA PENGANTAR

Dalam memberikan pelayanan keperawatan kepada pasien, seluruh perawat harus

Kewenangan Klinis adalah uraian intervensi keperawatan dan kebidanan yang

Referensi utama dalam penyusunan Kewenangan Klinis di RS Universitas Riau adalah

1. KEWENANGAN KLINIS PERAWAT KLINIK (PK) I

sertifikat Pra Klinik. Kewenangan Klinis PK I adalah sebagai berikut :

6 Pemeriksaan laboratorium di samping TT

9 Perawatan gips: maintenance

10 Peningkatan komunikasi : defisit pendengaran

11 Peningkatan komunikasi : defisit penglihatan

12 Perawatan kontak lensa

14 Manajemen dimensia: memandikan

16 Mengenakan pakaian (dressing)

18 Chek kartu emergensi

20 Manajemen lingkungan : nyaman

22 Therapi latihan : ambulasi

27 Administrasi medikasi: telinga

28 Administrasi medikasi: mata

29 Administrasi medikasi: enteral

30 Administrasi medikasi: inhalasi

31 Administrasi medikasi: nasal

32 Administrasi medikasi: oral

33 Administrasi medikasi: rectal

34 Administrasi medikasi: kulit

35 Administrasi medikasi: vaginal

41 Perawatan ulkus pressure

46 Bantuan perawatan diri

47 Bantuan perawatan diri : mandi / hygiene

49 Bantuan perawatan diri : makan

50 Bantuan perawatan diri : toileting

51 Bantuan perawatan diri : transfer

57 Perawatan slang : urinari

59 Cateterisasi urine : intermittent

2. KEWENANGAN KLINIS PERAWAT KLINIK (PK) II

Kewenangan Klinis PK II adalah sbb :

1 Acid base managemen

2 Acid base monitoring (pemantauan asam basa)

3 Active listening (mendengarkan secara aktif)

7 Airway insertion and stabilization

16 Artificial airway management

20 Behavior management : overactivity / inattention

21 Behavior management : self harm

22 Behavior management : sexual

28 Bleeding reduction : antepartum uterus

29 Bleeding reduction : gastrointestinal

30 Bleeding reduction : nasal

31 Bleeding reduction : postpartum uterus

32 Bleeding reduction : wound

33 Blood product administration

34 Body image enhancement

35 Body mechanics promotion

36 Bowel incontinence care

37 Bowel incontinence care : encopresis

43 Capillary blood sample

45 Cardiac care : acute

46 Cardiac care : rehabilitative

49 Cast care : wet

50 Cerebral edema management

51 Cerebral perfusion promotion

52 Cesarean suction care

56 Circulatory care : arterial insufficiency

57 Circulatory care : mechanical assist device

58 Circulatory care : venous insufficiency