FORMAT

STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN

(Dibuat setiap kali sebelum interaksi/pertemuan dengan klien)
Hari...........................................tgl.............................

A. PROSES KEPERAWATAN

1. Kondisi Klien :

2. Diagonsa Keperawatan:

3. Tujuan Khusus (TUK):

4. Tindakan Keperawatan :

B. STRATEGI KOMUNIKASI DALAM PELAKSANAAN TINDAKAN KEPERAWATAN

a. FASE ORIENTASI
1. Salam terapeutik :..........................................................................................................
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2. Evaluasi/validasi :...........................................................................................................
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3. Kontrak
Topik :...........................................................................................................................
Waktu : .........................................................................................................................
Tempat :........................................................................................................................
b. FASE KERJA
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c. FASE TERMINASI
1. Evaluasi respon klien terhadap tindakan keperawatan
Evaluasi Subjektif (Klien)
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Evaluasi Objektif (Perawat)
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2. Rencana Tindak Lanjut
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3. Kontrak yang akan datang
Topik:.............................................................................................................................

Waktu:............................................................................................................................

Tempat:...........................................................................................................................