LAPORAN AKHIR

PRAKTEK PROFESI MANAJEMEN KEPERAWATAN

PROGRAM PENDIDIKAN PROFESI NERS (P3N)
MAHASISWA PSIK ANGKATAN B14
DI RUANG BOBO II RSUD DR. SOETOMO SURABAYA
PERIODE 23 DESEMBER 2013 S/D 24 ANUARI 2014

DISUSUN OLEH:

Ana Yuni Astuti, S.Kep (131213143141)

Anik Widayati, S.Kep (131213143125)
Ashof Yus Miko, S.Kep (131213143130)
Endri Eka Yamti, S.Kep (131213143136)
La Rakhmat Wabula, S.Kep (131213143159)
Riza Kusumawati, S.Kep (131213143145)
Rohmat Aprilianto, S.Kep (131213143132)
Septi Nursanindah S, S.Kep (131213143129)
Sultina, S.Kep (131213143154)
Yoventa F.S Seba, S.Kep (131213143150)

PROGRAM PENDIDIKAN PROFESI NERS (P3N)

FAKULTAS KEPERAWATAN
UNIVERSITAS AIRLANGGA
2014
 LEMBAR PENGESAHAN

Laporan ini telah diseminarkan

Tanggal: 24 Januari 2014

Menyetujui,

Pembimbing Klinik I

Sulistiawati Ningsih, S.Kep., Ns

NIP. 196807161988032005

Pembimbing Akademik I Pembimbing Akademik II Pembimbing Akademik III

Purwaningsih, S.Kep., M.Kes Mira Triharini,S.Kp.,M.Kes Nuzul Qur’aniati, S.Kep.,Ns.,M.Ng

NIP. 196611212000032001 NIP. 197904242006042002 NIK. 139040676

Mengetahui,
Kepala Ruang Bobo II
RSUD Dr. Soetomo Surabaya

Sulistiawati Ningsih, S.Kep., Ns

NIP. 196807161988032005

Ka. Keperawatan IRNA Anak

RSUD Dr. Soetomo Surabaya

Ertawati, S.Kep., Ns
NIP. 196303161984022001

Kepala Bidang Keperawatan

RSUD Dr. Soetomo Surabaya

Muzhidah, S.Kep., Ns
NIP. 196512141986032005

Penanggung Jawab
Profesi Manajemen Keperawatan
PSIK FKp UNAIR

Dr. Nursalam, M.nurs (Hons)

NIP. 196612251959031004
DAFTAR ISI
DAFTAR ISI

ii
Sampul depan .................................................................................................................... i
Lembar Pengesahan .......................................................................................................... ii
Daftar isi ........................................................................................................................... iii
Daftar Lampiran ............................................................................................................... vi
BAB 1 PENDAHULUAN ............................................................................................... 1
1.1 Latar Belakang ......................................................................................................... 1
1.2 Tujuan....................................................................................................................... 2
1.2.1 Tujuan umum ................................................................................................. 2
1.2.2 Tujuan khusus ................................................................................................ 3
1.3 Manfaat .................................................................................................................... 3
1.3.1 Manfaat bagi pasien ....................................................................................... 3
1.3.2 Manfaat bagi mahasiswa .................................................................... 3
1.3.3 Manfaat bagi perawat ruang neonatus................................................ 3
1.3.4 Manfaat bagi rumah sakit .................................................................. 4
BAB 2 PENGKAJIAN ................................................................................................... 5
2.1 Visi, Misi, dan Motto ................................................................................... 5
2.1.1 Visi RSUD Dr. Soetomo Surabaya ..................................................... 5
2.1.2 Misi RSUD Dr. Soetomo Surabaya..................................................... 5
2.1.3 Motto RSUD Dr. Soetomo Surabaya.................................................. 5
2.1.4 Visi, Misi, dan Motto IRNA Anak...................................................... 5
2.2 Pengumpulan Data .......................................................................................6
2.2.1 Ketenagaan (M1-Man) .......................................................................6
2.2.2 Sarana dan Prasarana (M2-Material)..................................................18
2.2.3 Metode Pemberian Asuhan Keperawatan (M3-Metode) ...................22
2.2.4 Pembiayaan (M4) ...............................................................................29
2.2.5 Pemasaran (M5-Market) ....................................................................30
2.2.6 Analisa SWOT ...................................................................................31
BAB 3 PERENCANAAN................................................................................................45
3.1 Pengorganisasian ..........................................................................................45
3.2 Strategi Kegiatan ..........................................................................................45
3.2.1 Timbang terima ..................................................................................45
3.2.2 Supervisi keperawatan .......................................................................48
3.2.3 Penerapan MAKP...............................................................................52
3.2.4 Discharge planning.............................................................................58
3.2.5 Sentralisasi Obat.................................................................................61
3.2.6 Ronde Keperawatan............................................................................66
3.2.7 Dokumentasi Keperawatan.................................................................68
3.2.8 Penerimaan Pasien Baru......................................................................73
3.2 Plan of Action ...............................................................................................77

BAB 4 PELAKSANAAN................................................................................................85
4.1 Pengorganisasian ..........................................................................................85
4.2 M1-MAN ......................................................................................................86
4.2.1 Persiapan ............................................................................................86
4.2.2 Pelaksanaan ........................................................................................86
4.2.3 Hambatan dan dukungan.....................................................................86
4.3 M2-Material .................................................................................................87
4.3.1 Persiapan ............................................................................................87
4.3.2 Pelaksanaan ........................................................................................87
4.3.3 Hambatan dan dukungan.....................................................................88
4.4 MAKP .........................................................................................................88
4.4.1 Persiapan ............................................................................................88

iii
 4.4.2 Pelaksanaan ........................................................................................89
4.4.3 Hambatan dan dukungan.....................................................................89
4.5 PPB dan sentralisasi obat ............................................................................89
4.5.1 Persiapan ............................................................................................89
4.5.2 Pelaksanaan ........................................................................................90
4.5.3 Pengorganisasian.................................................................................90
4.5.4 Hambatan dan Dukungan ...................................................................93
4.6 Ronde keperawatan .....................................................................................93
4.6.1 Persiapan ............................................................................................93
4.6.2 Pelaksanaan ........................................................................................93
4.6.3 Hambatan dan dukungan.....................................................................95
4.7 Timbang terima ............................................................................................95
4.7.1 Persiapan ............................................................................................95
4.7.2 Pelaksanaan ........................................................................................96
4.7.3 Hambatan dan dukungan.....................................................................97
4.8 Supervisi .......................................................................................................98
4.8.1 Persiapan ............................................................................................98
4.8.2 Pelaksanaan ........................................................................................98
4.8.3 Hambatan dan dukungan.....................................................................100
4.9 Discharge planning ......................................................................................100
4.9.1 Persiapan ............................................................................................100
4.9.2 Pelaksanaan ........................................................................................100
4.9.3 Hambatan dan dukungan...............................................................101
4.10 Dokumentasi Asuhan Keperawatan ...........................................................102
4.10.1 Persiapan ..........................................................................................102
4.10.2 Pelaksanaan.......................................................................................102
4.10.3 Hambatan dan dukungan...................................................................102
4.11 M4 (Money) ...............................................................................................103
4.11.1 Persiapan ..........................................................................................103
4.11.2 Pelaksanaan ......................................................................................103
4.12 M5 (Mutu) ..................................................................................................103
4.12.1 Persiapan ..........................................................................................103
4.12.2 Pelaksanaan ......................................................................................103
4.12.3 Hambatan dan dukungan .................................................................104
BAB 5 EVALUASI........................................................................................................105
5.1 Sistem MAKP ..............................................................................................105
5.1.1 Evaluasi struktur MAKP ....................................................................105
5.1.2 Evaluasi proses sistem MAKP ...........................................................105
5.1.3 Evaluasi hasil sistem MAKP ..............................................................106
5.2 Dokumentasi asuhan keperawatan ...............................................................106
5.2.1 Evaluasi struktur ................................................................................106
5.2.2 Evaluasi proses....................................................................................106
5.2.3 Evaluasi hasil......................................................................................106
5.3 PPB dan sentralisasi obat .............................................................................107
5.3.1 Evaluasi struktur PPB dan sentralisasi obat........................................107
5.3.2 Evaluasi proses PPB dan sentralisasi obat..........................................107
5.3.3 Evaluasi hasil PPB dan sentralisasi obat.............................................108
5.4 Supervisi keperawatan .................................................................................108
5.4.1 Evaluasi struktur ................................................................................108
5.4.2 Evaluasi proses....................................................................................108
5.4.3 Evaluasi hasil......................................................................................109
5.5 Discharge planning ......................................................................................109

iv
 5.5.1 Evaluasi struktur ................................................................................109
5.5.2 Evaluasi proses....................................................................................110
5.5.3 Evaluasi hasil......................................................................................111
5.6Timbang terima .............................................................................................111
5.6.1 Evaluasi struktur ................................................................................111
5.6.2 Evaluasi proses....................................................................................111
5.6.3 Evaluasi hasil......................................................................................112
5.7 Ronde keperawatan ......................................................................................112
5.2.1 Evaluasi struktur ................................................................................112
5.2.2 Evaluasi proses....................................................................................113
5.2.3 Evaluasi hasil......................................................................................114
5.8 Kasus klien yang dikelola ............................................................................114
5.9 Indikator mutu ..............................................................................................115
5.9.1 Keselamatan pasien ............................................................................115
5.9.2 Penilaian tingkat kepuasan keluarga pasien........................................118
5.9.3 Gambaran ALOS kelolaan ruang neonatus.........................................120
BAB 6 KESIMPULAN.................................................................................................121
6.1 Simpulan ......................................................................................................121
6.2 Saran .............................................................................................................123
Daftar Pustaka ................................................................................................................125
Lampiran ........................................................................................................................126

DAFTAR LAMPIRAN

Denah Ruang Neonatus ................................................................................................................126

Jadwal Dinas ................................................................................................................................127
Gann Chart ...................................................................................................................................128
Indikator Mutu Pelayanan Keperawatan .....................................................................................129
BOR Ruang Neonatus ..................................................................................................................139
Time Motion Study ......................................................................................................................140
Laporan MAKP ............................................................................................................................152

v
Laporan Penerimaan Pasien Baru dan Sentralisasi Obat ............................................................167
Laporan Timbang Terima .............................................................................................................200
Laporan Discharge Planning .......................................................................................................221
Laporan Supervisi ........................................................................................................................256
Laporan Ronde Keperawatan ......................................................................................................286
Foto Dokumentasi Kegiatan Ruang Neonatus .............................................................................357

vi
 KATA PENGANTAR

Dengan memanjatkan puji syukur kepada Tuhan Yang Maha Esa,

kami Kelompok 3 Angkatan B14 Program Studi Ilmu Keperawatan Fakultas
Keperawatan Universitas Airlangga dapat menyelesaikan laporan desiminasi
akhir praktik profesi manajemen keperawatan di Ruang Neonatus RSUD Dr.
Soetomo Surabaya. Dengan tersusunnya laporan ini, kami mengucapkan
terima kasih kepada yang terhormat:
1. dr. Dodo Anondo, MPH selaku Direktur RSUD Dr. Soetomo Surabaya
yang telah memberi kesempatan kepada kami untuk melaksanakan praktik
profesi manajemen keperawatan di ruang Neonatus.
2. Purwaningsih, SKp., M.Kes. selaku Dekan Fakultas Keperawatan
Universitas Airlangga dan supervisor praktik profesi manajemen
keperawatan.
3. Dr. Nursalam, M.Nurs (Hons), selaku penanggung jawab dan
supervisor praktik profesi manajemen keperawatan.
4. Muzhidah, S.Kep., Ns, selaku Kepala Bidang Keperawatan RSUD Dr.
Soetomo Surabaya yang telah memberikan kesempatan dan dukungan kepada
kami untuk melaksanakan Praktek Profesi Manajemen Keperawatan di Ruang
Neonatus RSUD Dr. Soetomo Surabaya.
5. Ertawati, S.Kep., Ns, selaku Kepala Keperawatan IRNA Anak dan
supervisor yang telah memberikan arahan dan bimbingan dalam kegiatan
praktek profesi manajemen
6. Marsiyah, Amd.Kep, selaku Kepala Ruang Neonatus yang telah
memberikan fasilitas dan bimbingan kepada kami.
7. Mira Triharini, S.Kep., M.Kep, selaku pembimbing akademik yang
telah memberikan arahan dan bimbingan dengan sabar kepada kami.
8. Nuzul Qur’aniati, S.Kep., Ns., M.Ng, selaku pembimbing akademik
yang telah memberikan arahan dan bimbingan dengan sabar kepada kami.
9. Peni Indrarini, S.Kep., Ns selaku pembimbing klinik yang telah
memberikan arahan dan bimbingan dengan sabar kepada kami.
10. Semua staf Ruang Neonatus RSUD Dr. Soetomo Surabaya
11. Seluruh teman-teman PSIK Angkatan B14 khususnya kelompok 3
manajemen Ruang Neonatus terimakasih atas kerjasama dan partisipasinya.
Kami menyadari bahwa laporan desiminasi akhir praktik profesi
manajemen keperawatan yang kami buat ini banyak kekurangan, untuk itu
kami mengharapkan saran dan kritik yang membangun demi sempurnanya
laporan ini.

Surabaya, 22 November 2013

Penyusun

vii
 Kelompok 3

viii
9