STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN

RUANG (..................................)

Nama Pasien :..................................................................................................................................

Hari/Tanggal :..................................................................................................................................

Jam/Pukul :..................................................................................................................................

SP/Pertemuan :.............../..................

A. Proses Keperawatan
1. Kondisi Klien
Data Subjektif :......................................................................................................................
.......................................................................................................................
.......................................................................................................................
Data Objektif :......................................................................................................................
.......................................................................................................................
.......................................................................................................................
2. Diagnosa Keperawatan
................................................................................................................................................
3. Tujuan
...............................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
................................................................................................................................................
4. Tindakan Keperawatan
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
B. Proses Keperawatan
1. Fase Orientasi
a. Salam Teraupetik
...........................................................................................................................................
...........................................................................................................................................
..........................................................................................................................................
b. Evaluasi
...........................................................................................................................................
...........................................................................................................................................
..........................................................................................................................................
c. Kontrak
1) Topik :......................................................................................................................
.......................................................................................................................
.......................................................................................................................
2) Waktu :......................................................................................................................
........................................................................................................................
........................................................................................................................
3) Tempat :......................................................................................................................
........................................................................................................................
.......................................................................................................................
2. Fase Kerja
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
3. Fase Terminasi
a. Evaluasi
Subjektif :......................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
Objektif :......................................................................................................................
.......................................................................................................................
.......................................................................................................................
.......................................................................................................................
.......................................................................................................................
b. Rencana Tindak Lanjut (RTL)
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
..........................................................................................................................................
c. Kontrak
Topik :......................................................................................................................
.......................................................................................................................
.......................................................................................................................
.......................................................................................................................
.......................................................................................................................
Waktu :......................................................................................................................
.......................................................................................................................
.......................................................................................................................
.......................................................................................................................
........................................................................................................................
Tempat :......................................................................................................................
.......................................................................................................................
.......................................................................................................................
........................................................................................................................
 .......................................................................................................................
IMPLEMENTASI DAN EVALUASI
PERTEMUAN KE-.........
Waktu/Tanggal IMPLEMENTASI EVALUASI
Waktu/Tanggal IMPLEMENTASI EVALUASI