STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN

(SPTK)

Nama Mahasiswa : ..................................................................

NPM : ..................................................................
Nama Pasien (inisial) : ..................................................................
No. Medrek : ..................................................................
Hari ke- / Pertemuan ke: ..................................................................
Hari/ Tanggal : ..................................................................
Fase : ..................................................................

PROSES KEPERAWATAN
1. Kondisi Klien :
Subyektif : ......................................................................................................................
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Objektif : ........................................................................................................................
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2. Diagnosa Keperawatan :
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3. Tujuan Keperawatan
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4. Tindakan Keperawatan
(SP) : .............................................................................
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B. STRATEGI KOMUNIKASI DALAM PELAKSANAAN
TINDAKAN KEPERAWATAN
1. Fase Orientasi
 SalamTerapeutik : ..................................................................................................
 Perkenalan : .............................................................................................
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 Pembicaraan dengan topik netral : .......................................................................
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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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2. Fase Kerja (langkah-langkah tindakan keperawatan)

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3. Fase terminasi
a. Evaluasi Respon klien terhadap tindakan keperawatan
Evaluasi klien (subjektif) : ................................................................................
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Evaluasi perawat (objektif setelah reinforcement) : ...........................................
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b. RencanaTindak lanjut : ....................................................................................
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c. Kontrak yang akan datang (topik, waktu, tempat)
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