FORMAT STRATEGI PELAKSANAAN DAN STRATEGI KOMUNIKASI DALAM

PELAKSANAAN TINDAKAN KEPERAWATAN

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1. FORMAT STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN (SP)
Nama Pasien :.....................................................
Dx Medis :.....................................................
Kamar :.....................................................
a. Kondisi Klien
1) Alasan Masuk RS
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2) Data Fokus
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b. Diagnosa Keperawatan
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c. Tujuan & Kriteria Hasil
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d. Tindakan Keperawatan
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SOP/Checklist Tindakan (Terlampir)

2. FORMAT STRATEGI KOMUNIKASI (SK) DALAM PELAKSANAAN TINDAKAN
KEPERAWATAN
a. Orientasi
Salam Terapeutik
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Evaluasi/Validasi
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Kontrak
 Tujuan...............................................................................................................................
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 Prosedur............................................................................................................................
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 Waktu...............................................................................................................................
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 Tempat..............................................................................................................................
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b. Tahap Kerja (Langkah-langkah tindakan keperawatan) Komunikasi Saat
Melakukan Tindakan
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c. Terminasi
Evaluasi Respon Klien Terhadap Tindakan Keperawatan
 Subjektif...........................................................................................................................
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 Objektif.............................................................................................................................
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d. Kontrak Yang Akan Datang
 Topik.................................................................................................................................
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 Waktu...............................................................................................................................
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 Tempat..............................................................................................................................
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