Sekolah Tinggi Ilmu Kesehatan

BINA USADA BALI

SK MENDIKNAS RI. NOMOR 122/D/O/201
TERAKREDITASI BAN PT. NOMOR 351/SK/BAN- PT/Akred/PT/IV/2015
Komplek Kampus MAPINDO Jl. Padang Luwih, Tegal Jaya Dalung- Badung
Telp. (0361) 433132, Fax. 419959 Email: binausada@yahoo.com Web: binausadabali. ac.id

FORMAT STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN

Nama :
No. RM :
Umur :
Tgl MRS :
Jenis kelamin :
Dx. Medis :
Ruang :

Kondisi Klien :
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Alasan Masuk Rumah Sakit :

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Data Fokus :
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Diagnos Keperawatan ( masalah) :

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Tujuan Khusus : tujuan yang akan di capai, kriteria hasil

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Tindakan Keperawatan : tindakan apa yang akan di lakukan,SOP tindakan
tersebut
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 STRATEGI KOMUNIKASI
DALAM PELAKSANAAN TINDAKAN KEPERAWATAN

ORIENTASI
Salam Teraupetik :
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Evaluasi/ validasi
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Kontrak
Topik :
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Waktu :
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 Tempat
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KERJA(langkah-langkah tindakan keperawatan): komunikasi saat melakukan

tindakan
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TERMINASI
Evaluasi respon klien terhadap tindakan keperawatan
Evaluasi
Subjektif :
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Objektif :
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Tindak lanjut klien (apa yang perlu dilatih klien sesuai dengan hasil tindakan
yang telah dilakukan
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Kontrak yang akan datang

Topik :
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Waktu :
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Tempat
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