DILAKUKAN **PARAF/
NO KOMPETENSI Mandiri Di bimbing Observasi PERA
TGL WAT
1 Melaksanakan triage pada pasien gawat
darurat
2 Melakukan pengkajian gawat darurat;
A B C (Airway, Breathing, Circulation)
3 Melakukan pengkajian gawat darurat;
C A B(Circulation, Airway, Breathing)
4 Membebaskan jalan nafas tanpa alat
(Head Tilt, Chin lift, Jaw thrust, Cross
Finger, Finger Sweep)
5 Membebaskan jalan nafas dengan OPA
(Oropharingeal Air Way)
6 Melakukan Suctioning /Nebulizer pada
kegawatan pernafasan
7 Melakukan resusitasi jantung paru (RJP)
pasien dengan henti jantung dan nafas.
8 Melakukan penghentian perdarahan
pada pasien perdarahan, dan syok
9 Melakukan perawatan pada pasien tidak
sadar
10 Melaksanakan penanganan gawat
darurat pada pasien syok
11 Melakukan bilas lambung pada pasien
keracunan/intoksikasi
12 Mengeluarkan benda asing pada
saluran nafas atas
13 Melakukan pertolongan pada pasien
akibat luka gigitan/sengatan
14 Melakukan pembidaian dan
penatalaksanaan luka akibat trauma
15 Melakukan pertolongan dan perawatan
awal pada luka bakar
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**Yang memberi paraf adalah perawat yang bertugas pada saat itu yang melihat
pelaksanaan tindakan
(Pembimbing Ruangan)
FORMAT LOG BOOK PRAKTIK KLINIK
KEPERAWATAN GAWAT DARURAT
1. Pengertian
2. Penyebab
3. Manifestasi klinik (Tanda dan Gejala)
4. Patofisiologi (WOC)
B. Konsep Askep
1. Pengkajian
a. Survey primer
b. Survey sekunder
2. Diagnose keperawatan
3. Intervensi keperawatan
NIM : ...........................................
NO. REGISTER :
TANGGAL/JAM MASUK :
TANGGAL PENGKAJIAN:
RUANG :
Dx MEDIS :
A. IDENTITAS PASIEN
Nama :
Umur :
Jenis kelamin :
Pekerjaan :
Alamat :
Penanggung jawab :
Nama :
Umur :
Jenis kelamin :
Pekerjaan :
Hubungan dg Pasien :
B. PENGKAJIAN
1. Keluhan Utama :
..........................................................................................................
2. Riwayat Kesehatan
............................................................................................................................. .........
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3. Pengkajian Primer (Primary Survey)
AIRWAY:........................................................................................................................
............................................................................................................................. ............
............................................................................................................................. ............
Masalah :.......................................................................................................................
BREATHING:.................................................................................................................
.........................................................................................................................................
............................................................................................................................... .......
...
Masalah:.......................................................................................................................
CIRCULATION :...........................................................................................................
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................................................................................................................ .........................
Masalah :. .....................................................................................................................
..
DISABILITY : .................................................................................................................
............................................................................................................................. ............
.......................................................................................................................................
.. Masalah : .
......................................................................................................................
EXSPOSURE : ............................................................................................................
............................................................................................................................. ............
........................................................................................................................................
. Masalah :.
.......................................................................................................................
4. Pengkajian Sekunder (Secondary Survey)
............................................................................................................................. ............
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... .........................................................................................................................................
... .........................................................................................................................................
D. INTERVENSI KEPERAWATAN
E. IMPLEMENTASI KEPERAWATAN
F. EVALUASI KEPERAWATAN
No Evaluasi
S : ............
O : ...........
A : ...........
P : ...........
Bengkulu ..................2021
2. Kasus yang diambil adalah kasus dari salah satu anggota kelompok
mahasiswa, didiskusikan bersama untuk dijadikan makalah yang akan
diseminarkan
h. Bab V Penutup
Yang terdiri dari kesimpulan dan saran
i. Daftar Pustaka
Minimal 5 handbook dan 2 jurnal dari internet