DAFTAR NAMA MAHASISWA, PENGUJI DAN TEMPAT UJIAN AKHIR SEMESTER

PRAKTIK PROFESI NERS KEPERAWATAN MEDIKAL BEDAH

PRODI PENDIDIKAN PROFESI NERS JURUSAN KEPERAWATAN
POLTEKKES KEMENKES BENGKULU TAHUN 2021

No Nama Kelompok Ruang Ujian Penguji Lahan Penguji Akademik

Rabu, 10 Februari 2021
1 Agung Robby Seruni Ns. Afrida Ns. Idram
2 Al Adrian Dwi Amanda ICCU Ns. Yuliani Ns. Sahran
3 Aurellia Firstania ICCU Ns. Monita Ns. Sahran
4 Dahlia Habibah Seruni Ns. Afrida Ns. Hendri
5 Depi Susen Melati Ns. Andhita Ns. Husni
6 Dika Pratiwi HD Ns. Rosi Handayani Ns. Sahran
7 Elda Damayanti ICCU Ns. Budi Martoni Ns. Sahran
8 Feni Melani ICCU Ns. Yuliani Ns. Sahran
9 Fiska Melati Ns. Itasti Ns. Sahran
10 Gita Andita Seruni Ns. Desi Susanti Ns. Idram
11 Gita Novera ICU Ns. Forman Ns. Septiyanti
12 Hesti Karmila ICU Ns. Yunus Ns. Hendri
13 Indah Hafiza Seruni Ns. Desi Susanti Ns. Idram
14 Kurnia Septian Melati Ns. Istasti Ns. Husni
15 Made Lisa Sugiharti Melati Ns. Andhita Ns. Husni
16 Melinda Astuti ICU Ns. Forman Ns. Mardiani
17 Melzita HD Ns. Arayan Ns. Idram
18 Nathasa Nur Rahmah ICU Ns. Yunus Ns. Mardiani
19 Nimas Faiddah L Seruni Ns. Safrudin Ns. Septiyanti
Kamis, 11 Februari 2021
1 Nova Hijjah Suryan Seruni Ns. Nopa Apriani Ns. Hendri
2 Nurul Munawaroh Seruni Ns. Nopa Apriani Ns. Septiyanti
3 Nuzula Fitri ICU Ns. Desi susanti Ns. Septiyanti
4 Okta Fitri Yani ICU Ns. Desi Susanti Ns. Septiyanti
5 Raden Hafidh Adam HD Ns. Arayan Ns. Hendri
6 Rahma della Melati Ns. Andhita Ns. Husni
7 Ria Tella Melati Ns. Marlina Ns. Mardiani
8 Richa Anggraini ICCU Ns. Budi Martoni Ns. Mardiani
9 Rieke Chessa ICCU Ns. Monita Ns. Septiyanti
10 Ruth Kristian Seruni Ns. Mercy Ns. Hendri
11 Selvia Ika Safitri Melati Ns. Marlina Ns. Mardiani
12 Tria Putri ICU Ns. Forman Ns. Hendri
13 Widya Oktari ICCU Ns.Amin Nugroho Ns. Sahran
14 Winda Aprili Seruni Ns. Mercy Ns. Husi
15 Wisti Agustin ICU Ns. Safrudin Ns. Idram
16 Woelan Oktari ICCU Ns. Amin Nugroho Ns. Mardiani
17 Yohana Dewi Abriani Melati Ns. Andhita Ns. Idram
18 Yola Anggraeni HD Ns. Rosy Hadayani Ns. Husni

Bengkulu, Februari 2021

Koordinator M.K.

Ns. Idramsyah, M.Kep., Sp.Kep.M.B

NIP 198103012000121001

Lampiran 6

FORMAT PENILAIAN UJIAN ASKEP KOMPREHENSIF

PRAKTIK PROFESI NERS KEPERAWATAN MEDIKAL BEDAH
Nama : Kasus :
RS/Ruang :
 Tanggal :
I. DOKUMENTASI LAPORAN KASUS 40 %
Nilai Bobot x
No Aspek yang dinilai Bobot
1 2 3 4 Nilai
1. Data Fokus
a. Menggunakan pendekatan sistematis dan benar 5
b. Kemampuan menggali masalah klien 5
c. Kelengkapan data yang di kumpulkan (DS dan DO) 10
d. Kelengkapan data penunjangpada status klien 5
e. Ketepatan isi dan dokumentasi analisa data 5
2. DiagnosaKeperawatan
a. Ketepatan merumuskan diagnose keperawatan 10
b. Jumlah diagnose keperawatan minimal 3 buah 7
c. Ketepatan memprioritaskan diagnose keperawatan 5
3. Intervensi Keperawatan
a. Pendokumantasian tujuan dan criteria hasil secara 10
SMART dengan pedoam SLKI/NOC
b. Pendokumantasian intervensi mandiri, monitoring, 10
edukasi, dan kolaborasi (SIKI/NIC)
c. Tedapatnya intervensi inovasi terbaru 6
4. Evaluasi Keperawatan
a. Mendokumentasikan respon klien pada pelaksanaan 4
tindakan
b. Kualitas isi perkembangan (SO) 5
c. Keberhasilan mengatasi masalah keperawatan 5
d. Laporan tertulis pendelegasian tugas pada tim 3
kesehatan lain
5. Penulisan Sesuai dengan pedoman penulisan 5
Total 100

II. PROSEDUR TINDAKAN : 30 %

No Aspek yang dinilai Nilai
1. Sesuai dengan Standar Operasional Prosedur (SOP)
: lampiran tools / SOP dari tindakan keperawatan

III. RESPONSI : 30%

Nilai Bobot x
No Aspek yang dinilai Bobot
1 2 3 4 Nilai
1. ResponsiTahap I (SebelumTindakan)
a. Memilih dengan tepat tindakan yang dilakukan 7
b. Ketepatan dalam memberikan jawaban 7
c. Argumentasi sesuai permasalahan dan konsep teori 8

2. ResponsiTahap II (SetelahTindakan)
a. Anatomi dan Fisiologi kasus 7
b. Patofisiologi kasus 8
c. Pengkajian kasus 7
d. Diagnosa kasus 8
e. Perencanaan kasus 7
f. Implementasi kasus 7
g. Evaluasi kasus 6
3. Penampilan
a. Mampu menjawab dengan baik 10
b. Mampu berargumen dengan baik 11
c. Bersikap santun, tegas dan percaya diri 5
Total 100
Keterangan:
Nilai 1 : Kurang Bengkulu, ……………………
Nilai 2 : Cukup Preceptor
Nilai 3 : Baik
Nilai 4 : Sangat Baik

(________________________)
Lampiran 14
FORMULIR LAPORAN UJIAN STUDI KASUS
KEPERAWATAN MEDIKAL BEDAH

Nama Mahasiswa : ___________________________________

NIM : ___________________________________
Ruang Praktik : ___________________________________
Nama Penguji Lahan :
Nama Penguji kademik :

A. RINGKASAN KASUS (Identititas dan keluhan utama pasien)

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B. PENGKAJIAN RIWAYAT KESEHATAN (Narasikan Pengkajian focus perjalan penyakit pasien
secara sistematis)
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C. PEMERIKSAAN PENUNJANG
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DIAGNOSA KEPERAWATAN (1)
Subjektif :
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Objektif :
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Analisis Diagnosa keperawatan:
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Berhubungan dengan:
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NOC : Ditingkatkan ke ………………………………………
Keterangan Level
 1……………………………………………………………………………
 2……………………………………………………………………………
 3……………………………………………………………………………
 4……………………………………………………………………………
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Dengan indicator/Kriteria hasil:
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Planning NIC : ……………………………………………………………………………………

Aktivitas Keperawatan (minimal 10)
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Uraikan Implementasi dan evaluasi Prosedur tindakan utama yang dilakukan
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