DESIMINASI AWAL

PRAKTIK PROFESI MANAJEMEN KEPERAWATAN

DI PAVILIUN III RUMAH SAKIT KATOLIK BUDI RAHAYU BLITAR

Disusun Oleh :

1. ELIZABETH NIKEN BUDI ANGGRAENI 1512035

2. SULISTYORINI 1512036
3. ARTISARI TRI MULYONO 1512038

PROGRAM STUDI PENDIDIKAN NERS

STIKES PATRIA HUSADA
BLITAR
2018

1
 KATA PENGANTAR

Puji syukur kami panjatkan kepada Tuhan YME atas segala rahmat dan karunia-
Nya sehingga kami dapat menyelesaikan laporan desiminasi awal praktik profesi
manajemen keperawatan di paviliun III Rumah Sakit Katolik Budi Rahayu Blitar.
Laporan ini disusun sebagai syarat dalam menyelesaikan tugas Praktek Profesi
Manajemen Keperawatan STIKes Patria Husada Blitar di Paviliun III Rumah Sakit
Katolik Budi Rahayu . Dalam penyusunsnan laporan ini kami mendapatkan bimbingan
serta motivasi dari berbagai pihak oleh karena itu pada kesempatan ini kami
menyampaikan banyak terima kasih kepada :
1. Ns. Yulistiana Rudianti, M.Kep. ( Sr. Devina SSpS) selaku Kepala Bidang
Keperawatan Rumah Sakit Katolik Budi Rahayu Blitar.
2. Ns. Ulfa Husnul Fatah, M.Kep., selaku Dosen Departemen Manajemen STIKes
Patria Husada Blitar.
3. Natalusia Rihardini,Amd. Kep., selaku kepala ruang paviliun III Rumah Sakit
Katolik Budi Rahayu
4. Seluruh perawat ruang Melati yang telah banyak mendukung dalam pelaksanaan
kegiatan peraktek MAKP di ruang Melati.
Kami menyadari bahwa dalam laporan ini masih terdapat kekurangan baik isi
maupun kalimat. Semoga laporan ini bermanfaat bagi kami mahasiswa Program Studi
Pendidikan Ners STIKes Patria Husada Blitar pada khususnya dan semua pihak rumah
sakit pada umumnya.

Blitar, Februari 2018

Penyusun,

Kelompok Manajemen

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 DAFTAR ISI

HALAMAN SAMPUL
.............................................................................................................................................
i
LEMBAR PENGESAHAN
.............................................................................................................................................
ii
KATA PENGANTAR
.............................................................................................................................................
iii
BAB I PENDAHULUAN
.............................................................................................................................................
1
1.1 LATAR BELAKANG
...............................................................................................................................
1
1.2 TUJUAN
...............................................................................................................................
2
1.2.1 Tujuan Umum
...................................................................................................................
2
1.2.2 Tujuan Khusus
...................................................................................................................
2
1.3 MANFAAT
...............................................................................................................................
3
BAB II TINJAUAN PUSTAKA
.............................................................................................................................................
4...........................................................................................................................................
2.1 DEFINISI
...............................................................................................................................
4
2.2 FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERUBAHAN
MAKP
........................................................................................................................
4

3
 2.2.1 Kualitas pelayanan keperawatan
...................................................................................................................
4
2.2.2 Standar Praktik Keperawatan
...................................................................................................................
5
2.2.3 Model praktik
...................................................................................................................
6
2.3 METODE PENGELOLAAN SISTEM PEMBERIAN ASUHAN.................
KEPERAWATAN PROFESIONAL
........................................................................................................................
6
2.3.1 Dasar pertimbangan pemilihan metode asuhan keperawatan
(MAKP)
..........................................................................................................
7
2.3.2 Jenis dan model metode asuhan keperawatan (MAKP)
...................................................................................................................
8
2.4 URAIAN TUGAS
...............................................................................................................................
18
BAB III PENGUMPULAN DATA DAN PERENCANAAN
.............................................................................................................................................
24
3.1 GAMBARAN UMUM RUMAH SAKIT KATOLIK BUDI RAHAYU
...............................................................................................................................
24
3.1.1. VISI, MISI DAN MOTTO RSK BUDI RAHAYU
...................................................................................................................
25
3.1.2. VISI MISI KEPERAWATAN RSK BUDI RAHAYU
...................................................................................................................
26
3.1.3. STRUKTUR ORGANISASI RSK BUDI RAHAYU
...................................................................................................................
26

4
 3.1.4. JUMLAH TEMPAT TIDUR RSK BUDI RAHAYU
...................................................................................................................
26
3.1.5. FASILITAS DAN PELAYANAN
...................................................................................................................
26
3..2 GAMBARAN UMUM PAVILIUN III
...................................................................................................................
27
3.3. PENGUMPULAN DATA..............................................................................
3.3.1. MI – MAN ( KETENAGAAN )
.............................................................................................................................................
28
3.3.1.1. Struktur Organisasi
.............................................................................................................................................
28
3.3.1.2. Jumlah Tenaga
.............................................................................................................................................
28
3.3.1.3. Tingkat Ketergantungan Pasien dan Kebutuhan Tenaga
.............................................................................................................................................
30
3.3.1.4. Kebutuhan Tenaga
.............................................................................................................................................
34
4.1.5 Diagnosis Penyakit Terbanyak
...................................................................................................................
36
4.2MATERIAL
...............................................................................................................................
37
4.2.1 Denah Lokasi Ruangan
...................................................................................................................
37
4.2.2 Alur Pengadaan Barang
...................................................................................................................
38
4.2.3 Peralatan Medis
...................................................................................................................
38

5
 4.2.4Inventaris
...................................................................................................................
39
4.3 METHOD
...............................................................................................................................
45
4.3.1 Penerapan Model MAKP
...................................................................................................................
45
4.3.2 Timbang Terima
...................................................................................................................
47
4.3.3 Ronde Keperawatan
...................................................................................................................
49
4.3.4 Pengelolaan Obat dan Logistik
...................................................................................................................
50
4.3.5 Penerimaan Pasien Baru
...................................................................................................................
51
4.3.6 Discharge Planning
...................................................................................................................
52
4.3.7 Supervisi
...................................................................................................................
52
4.3.8 Dokumentasi
...................................................................................................................
55
4.4 MONEY
...............................................................................................................................
56
4.5 MUTU
...............................................................................................................................
60
4.5.1Efisiensi Ruang Rawat Inap
...................................................................................................................
60

6
 4.5.2Pasien Safety
...................................................................................................................
61
4.5.3 Kepuasan Pasien
...................................................................................................................
64
4.5.4 Gelang Pasien………………………………………………………
65
4.5.5 Resiko Jatuh
...................................................................................................................
65
4.5.6 Infeksi Nosocomial
...................................................................................................................
65
4.6 MARKETING
...................................................................................................................
66
BAB V ANALISIS SWOT DAN PRIORITAS MASALAH
.............................................................................................................................................
67
5.1 ANALISIS SWOT
...............................................................................................................................
67
5.2 DIAGRAM LAYANG
...............................................................................................................................
78
5.3 IDENTIFIKASI MASALAH
...............................................................................................................................
82
5.4 PRIORITAS MASALAH
...............................................................................................................................
85
BAB VI RENCANA STRATEGIS
.............................................................................................................................................
86
6.1 PLAN OF ACTION
.............................................................................................................................................
86

7
 6.2 KEGIATAN
.............................................................................................................................................
89
6.2.1 Pengorganisasian
...................................................................................................................
89
6.2.2 Metode Asuhan Keperawatan Profesional (MAKP)
...................................................................................................................
90
6.2.3 Penerimaan Pasien Baru
...................................................................................................................
91
6.2.4 Timbang Terima
...................................................................................................................
96
6.2.5 Ronde Keperawatan
...................................................................................................................
99
6.2.6 Sentralisasi Obat
...................................................................................................................
104
6.2.7 Supervisi
...................................................................................................................
112
6.2.8 Discharge Planing
...................................................................................................................
120
BAB VII HASIL DAN PEMBAHASAN.........................................................................
7.1 MAKP..........................................................................................................
7.2 DOKUMENTASI ASUHAN KEPERAWATAN.......................................
7.3 IDENTIFIKASI PASIEN SEBELUM PEMBERIAN OBAT.....................
7.4 KOMUNIKASI EFEKTIF...........................................................................
7.5 TIMBANG TERIMA...................................................................................
7.6 RONDE KEPERAWATAN........................................................................
7.7 PENGELOLAAN LOGISTIK DAN OBAT...............................................
7.8 PENERIMAAN PASIEN BARU................................................................
7.9 DISCHARGE PLANNING.........................................................................
7.10 SUPERVISI.................................................................................................
7.12 KEPATUHAN PERAWAT UNTUK MELAKUKAN CUCI TANGAN...
7.13 PASIEN SAFETY........................................................................................

8
 7.14 KEPUASAN PASIEN.................................................................................
7.15 GELANG PASIEN......................................................................................
7.16 RESIKO JATUH..........................................................................................
7.17 INFEKSI NOSOKOMIAL..........................................................................
7.18 FLEBITIS.....................................................................................................
7.19 PENYULUHAN..........................................................................................
BAB VIII SIMPULAN DAN SARAN..............................................................................
8.1 SIMPULAN.....................................................................................................
8.2 SARAN............................................................................................................
DAFTAR PUSTAKA
.............................................................................................................................................
iv
LAMPIRAN