TINDAKAN KEPERAWATAN DASAR

1. VITAL SIGN
NAMA DIAGNOS MELAKUKAN TEMPAT
NO TANGGAL PARAF
PASIEN A PASIEN 1 2 3 PRAKTIK

KET: 1. Melihat 2. Dibantu 3. Mandiri

2. PEMASANGAN KATETER
NAMA DIAGNOS MELAKUKAN TEMPAT
NO TANGGAL PARAF
PASIEN A PASIEN 1 2 3 PRAKTIK

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 19
KET: 1. Melihat 2. Dibantu 3. Mandiri

3. VULVA HYGIENE
NAMA DIAGNOS MELAKUKAN TEMPAT
NO TANGGAL PARAF
PASIEN A PASIEN 1 2 3 PRAKTIK

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 20
KET:1. Melihat 2. Dibantu 3. Mandiri

4. PEMBERIAN INFUS
NAMA DIAGNOS MELAKUKAN TEMPAT
NO TANGGAL PARAF
PASIEN A PASIEN 1 2 3 PRAKTIK

KET: 1. Melihat 2. Dibantu 3. Mandiri

5. MENCUCI RAMBUT
Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan
STIKES Mitra Adiguna Palembang
Page 21
 NAMA DIAGNOS MELAKUKAN TEMPAT
NO TANGGAL PARAF
PASIEN A PASIEN 1 2 3 PRAKTIK

KET: 1. Melihat 2. Dibantu 3. Mandiri

6. MEMANDIKAN PASIEN
NAMA DIAGNOS MELAKUKAN TEMPAT
NO TANGGAL PARAF
PASIEN A PASIEN 1 2 3 PRAKTIK

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 22
KET: 1. Melihat 2. Dibantu 3. Mandiri

7. MEMANDIKAN PASIEN
NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF
1 2 3
PASIEN A PASIEN PRAKTIK

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 23
KET: 1. Melihat 2. Dibantu 3. Mandiri

8. PEMBERIAN HUKNAH TINGGI/RENDAH/GLISERIN

NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF
1 2 3
PASIEN A PASIEN PRAKTIK

KET: 1. Melihat 2. Dibantu 3. Mandiri

9. PENCEGAHAN INFEKSI
NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF
1 2 3
PASIEN A PASIEN PRAKTIK

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 24
KET: 1. Melihat 2. Dibantu 3. Mandiri

10. PERAWATAN JENAZAH

NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF
1 2 3
PASIEN A PASIEN PRAKTIK

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 25
KET: 1. Melihat 2. Dibantu 3. Mandiri

11. PEMBERIAN POT DAN URINAL

NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF
1 2 3
PASIEN A PASIEN PRAKTIK

KET: 1. Melihat 2. Dibantu 3. Mandiri

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan
STIKES Mitra Adiguna Palembang
Page 26
12. PEMBERIAN OKSIGEN
NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF
1 2 3
PASIEN A PASIEN PRAKTIK

KET: 1. Melihat 2. Dibantu 3. Mandiri

13. PEMBERIAN POSISI

NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF
1 2 3
PASIEN A PASIEN PRAKTIK

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 27
KET: 1. Melihat 2. Dibantu 3. Mandiri

14. PEMBERIAN KOMPRES

NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF

1 2 3
PASIEN A PASIEN PRAKTIK

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 28
KET: 1. Melihat 2. Dibantu 3. Mandiri

15. PEMBERIAN MAKAN MELALUI NGT

NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF
1 2 3
PASIEN A PASIEN PRAKTIK

KET: 1. Melihat 2. Dibantu 3. Mandiri

16. MELAKUKAN HEATING

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 29
NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF
1 2 3
PASIEN A PASIEN PRAKTIK

KET: 1. Melihat 2. Dibantu 3. Mandiri

17. VERBEDEN
NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF
1 2 3
PASIEN A PASIEN PRAKTIK

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 30
KET: 1. Melihat 2. Dibantu 3. Mandiri

18. PEMBERIAN OBAT MELALUI INJEKSI

NO TANGGAL NAMA DIAGNOS MELAKUKAN TEMPAT PARAF
1 2 3
PASIEN A PASIEN PRAKTIK

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 31
KET: 1. Melihat 2. Dibantu 3. Mandiri

REKAPITULASI KETERAMPILAN

Telah mendapatkan keterampilan

TINDAKAN KEPERAWATAN DASAR

Jumlah :.....................orang/kasus

Catatan Pembimbing:

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Palembang........................................20

Mengetahui
Pembimbing CI

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 32
 ..........................................

FORMAT LAPORAN PENDAHULUAN

1. Definisi
2. Anatomi Fisiologi
3. Etiologi
4. Patoflow
5. Manifestasi Klinik
6. Pemeriksaan Penunjang
7. Penatalaksanaan
8. Konsep Askep Teoritis
a. Pengkajian
b. Diagnosa Keperawatan
c. Intervensi Keperawatan
d. Rasional
9. Askep Tinjauan Kasus
a. Pengkajian
b. Diagnosa Keperawatan
c. Intervensi Keperawatan
d. Implementasi Keperawatan
e. Evaluasi Keperawatan

Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 33
 LAPORAN PENDAHULUAN

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STIKES Mitra Adiguna Palembang
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STIKES Mitra Adiguna Palembang
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STIKES Mitra Adiguna Palembang
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STIKES Mitra Adiguna Palembang
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STIKES Mitra Adiguna Palembang
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STIKES Mitra Adiguna Palembang
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Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
Page 40
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Buku Panduan Praktik Klinik Keperawatan Dasar Prodi SI Keperawatan

STIKES Mitra Adiguna Palembang
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