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    RESUME

    ASUHAN KEPERAWATAN DI RUANG BEDAH ORTHOPEDI

    RSD dr. SOEBANDI JEMBER

    Oleh:

    FIKRI ULIL ALBAB, S.Kep.NIM. 092311101007

    PROGRAM PENDIDIKAN PROFESI NERS

    PROGRAM STUDI ILMU KEPERAWATAN

    UNIVERSITAS JEMBER

    2014

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    PERSETUJUAN

    Asuhan Keperawatan Pasien dengan Spinal Cord Injury Vertebra Thorakal XI-

    XII telah dilaksanakan pada tanggal 21 April 2014 di Ruang Bedah Orthopedi

    (R.Seruni) RSD Dr. Soebandi Jember.

    Jember, April 2014

    Pembimbing Ruangan Pembimbing Akademik

    ( .......... ) ( ............. )

    Kepala Ruangan,

    ( )

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    PERSETUJUAN

    Asuhan Keperawatan Pasien dengan:

    ______________________________________________________

    ___________________________________________________________

    ___________________________________________________________

    telah dilaksanakan pada tanggal April 2014 di Ruang Bedah Orthopedi

    (R.Seruni) RSD Dr. Soebandi Jember.

    Jember, April 2014

    Pembimbing Ruangan Pembimbing Akademik

    ( .......... ) ( ............. )

    Kepala Ruangan,

    ( )

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    FORMAT RESUME KASUS KELOLAAN HARIAN

    IDENTITAS PASIENNama :

    Umur :

    Jenis Kelamin :

    Agama :

    Pendidikan :

    Pekerjaan :

    Alamat :

    No. RM :

    Ruangan :

    Diagnosa Medis :

    S (Subjektif):

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

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    O (Objektif):

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    A(Analisa/Diagnosa Keperawatan yang ditegakkan berdasarkan DS dan DO):

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    P(Perencanaan):

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    E (Evaluasi):

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    O(Objektif):

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    A(analisa):

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    P(Perencanaan):

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    FORMAT RESUME KASUS KELOLAAN HARIAN

    IDENTITAS PASIENNama :

    Umur :

    Jenis Kelamin :

    Agama :

    Pendidikan :

    Pekerjaan :

    Alamat :

    No. RM :

    Ruangan :

    Diagnosa Medis :

    S (Subjektif):

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

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    O (Objektif):

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    A(Analisa/Diagnosa Keperawatan yang ditegakkan berdasarkan DS dan DO):

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

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    P(Perencanaan):

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    I (Implementasi):

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    E (Evaluasi):

    S(Subjektif):

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    O(Objektif):

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    A(analisa):

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    P(Perencanaan):

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    FORMAT RESUME KASUS KELOLAAN HARIAN

    IDENTITAS PASIENNama :

    Umur :

    Jenis Kelamin :

    Agama :

    Pendidikan :

    Pekerjaan :

    Alamat :

    No. RM :

    Ruangan :

    Diagnosa Medis :

    S (Subjektif):

    ...............................................................................................................................................................................

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    O (Objektif):

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    A(Analisa/Diagnosa Keperawatan yang ditegakkan berdasarkan DS dan DO):

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    ...............................................................................................................................................................................

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    P(Perencanaan):

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    I (Implementasi):

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    E (Evaluasi):

    S(Subjektif):

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    O(Objektif):

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    A(analisa):

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    P(Perencanaan):

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    FORMAT RESUME KASUS KELOLAAN HARIAN

    IDENTITAS PASIENNama :

    Umur :

    Jenis Kelamin :

    Agama :

    Pendidikan :

    Pekerjaan :

    Alamat :

    No. RM :

    Ruangan :

    Diagnosa Medis :

    S (Subjektif):

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

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    O (Objektif):

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    A(Analisa/Diagnosa Keperawatan yang ditegakkan berdasarkan DS dan DO):

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

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    P(Perencanaan):

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    I (Implementasi):

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    E (Evaluasi):

    S(Subjektif):

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

    O(Objektif):

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

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    ...............................................................................................................................................................................

    ...............................................................................................................................................................................

    A(analisa):

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    P(Perencanaan):

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    FORMAT EVALUASI PENYULUHAN KEPERAWATAN

    Nama Mahasiswa :

    NIM :

    No Aspek yang ditelitiNilai

    MaksimalNilai

    1 Penyajian

    a. Sesuai waktu yang di alokasikanb. Menggunakan bahasa yang bisa di mengertic. Kelancaran dan kejelasan penyajiand. Penampilan penyaji dalam penyuluhan

    40

    2 Isi Penyuluhana. Kesesuaian TIK dengan TIU

    b. Kesesuaian materi dengan TIKc. Kesesuaian kegiatan penyuluhand. Kesesuaian media/alat dan sumbere. Kesesuaian alat evaluasi

    30

    3 Tanya Jawab

    a. Ketepatan menjawabb. Kemampuan mengemukakan argumentc. Sikap penyuluh menanggapi pertanyaan

    30

    Total 100

    Score Akhir : (Penyaji + Isi + Tanya Jawab) =

    ., 2014

    Pembimbing,

    ______________________________

    NIP.

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    FORMAT EVALUASI PENYULUHAN KEPERAWATAN

    Nama Mahasiswa :

    NIM :

    No Aspek yang ditelitiNilai

    MaksimalNilai

    1 Penyajian

    e. Sesuai waktu yang di alokasikanf. Menggunakan bahasa yang bisa di mengertig. Kelancaran dan kejelasan penyajianh. Penampilan penyaji dalam penyuluhan

    40

    2 Isi Penyuluhanf. Kesesuaian TIK dengan TIUg. Kesesuaian materi dengan TIKh. Kesesuaian kegiatan penyuluhani. Kesesuaian media/alat dan sumber

    j. Kesesuaian alat evaluasi

    30

    3 Tanya Jawab

    d. Ketepatan menjawabe. Kemampuan mengemukakan argumentf. Sikap penyuluh menanggapi pertanyaan

    30

    Total 100

    Score Akhir : (Penyaji + Isi + Tanya Jawab) =

    ., 2014

    Pembimbing,

    ______________________________

    NIP.

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    FORMAT EVALUASI PENYULUHAN KEPERAWATAN

    Nama Mahasiswa :

    NIM :

    No Aspek yang ditelitiNilai

    MaksimalNilai

    1 Penyajian

    i. Sesuai waktu yang di alokasikanj. Menggunakan bahasa yang bisa di mengertik. Kelancaran dan kejelasan penyajianl. Penampilan penyaji dalam penyuluhan

    40

    2 Isi Penyuluhank. Kesesuaian TIK dengan TIUl. Kesesuaian materi dengan TIKm. Kesesuaian kegiatan penyuluhann. Kesesuaian media/alat dan sumbero. Kesesuaian alat evaluasi

    30

    3 Tanya Jawab

    g. Ketepatan menjawabh. Kemampuan mengemukakan argumenti. Sikap penyuluh menanggapi pertanyaan

    30

    Total 100

    Score Akhir : (Penyaji + Isi + Tanya Jawab) =

    ., 2014

    Pembimbing,

    ______________________________

    NIP.

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    FORMAT EVALUASI PENYULUHAN KEPERAWATAN

    Nama Mahasiswa :

    NIM :

    No Aspek yang ditelitiNilai

    MaksimalNilai

    1 Penyajian

    m. Sesuai waktu yang di alokasikann. Menggunakan bahasa yang bisa di mengertio. Kelancaran dan kejelasan penyajian

    p. Penampilan penyaji dalam penyuluhan

    40

    2 Isi Penyuluhanp. Kesesuaian TIK dengan TIUq. Kesesuaian materi dengan TIKr. Kesesuaian kegiatan penyuluhans. Kesesuaian media/alat dan sumbert. Kesesuaian alat evaluasi

    30

    3 Tanya Jawab

    j. Ketepatan menjawabk. Kemampuan mengemukakan argumentl. Sikap penyuluh menanggapi pertanyaan

    30

    Total 100

    Score Akhir : (Penyaji + Isi + Tanya Jawab) =

    ., 2014

    Pembimbing,

    ______________________________

    NIP.

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    FORMAT EVALUASI PENYULUHAN KEPERAWATAN

    Nama Mahasiswa :

    NIM :

    No Aspek yang ditelitiNilai

    MaksimalNilai

    1 Penyajian

    q. Sesuai waktu yang di alokasikanr. Menggunakan bahasa yang bisa di mengertis. Kelancaran dan kejelasan penyajiant. Penampilan penyaji dalam penyuluhan

    40

    2 Isi Penyuluhanu. Kesesuaian TIK dengan TIUv. Kesesuaian materi dengan TIKw. Kesesuaian kegiatan penyuluhanx. Kesesuaian media/alat dan sumbery. Kesesuaian alat evaluasi

    30

    3 Tanya Jawab

    m. Ketepatan menjawabn. Kemampuan mengemukakan argumento. Sikap penyuluh menanggapi pertanyaan

    30

    Total 100

    Score Akhir : (Penyaji + Isi + Tanya Jawab) =

    ., 2014

    Pembimbing,

    ______________________________

    NIP.

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    DAFTAR HADIR PESERTA PENYULUHAN

    NO NAMA ALAMAT TANDA TANGAN

    Jember, April 2014

    Mengetahui

    Pembimbing Ruangan,

    ()

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    PENGESAHAN

    Pada hari ini, kamis 24 april 2014 pukul 09.00 WIB bertempat di ruang bedah

    orthopedic (R.seruni) RSD dr. Soebandi Jember, telah melaksanakan penyuluhan

    kesehatan tentang Pentingnya Nutrisi Proses Penyembuhan Luka Pada Pasien

    Post Op oleh mahasiswa Program Pendidikan Profesi Ners stase Keperawatan

    Medical Bedah Universitas Jember.

    Jember, April 2014

    Pembimbing Ruangan Pembimbing Akademik

    ( .......... ) ( ............. )

    Kepala Ruangan,

    ()

    KEMENTRIAN PENDIDIKAN DAN KEBUDAYAAN R.I.

    UNIVERSITAS JEMBER

    PROGRAM STUDI ILMU KEPERAWATANJln. Kalimantan No. 37 Kampus Tegal Boto Telp./Fax. (0331) 323450

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    BERITA ACARA KEGIATAN PENYULUHAN KESEHATAN DI RUANG

    BEDAH ORTHOPEDI (R.SERUNI) RSD dr. SOEBANDI JEMBER

    Pada hari ini, Kamis 24 April 2014 pukul 09.00 WIB bertempat di Ruang Bedah

    Orthopedic (R.Seruni) RSD dr. Soebandi Jember, telah melaksanakan penyuluhan

    kesehatan tentang Pentingnya Nutrisi Proses Penyembuhan Luka Pada Pasien

    Post Op oleh mahasiswa Program Pendidikan Profesi Ners stase Keperawatan

    Medical Bedah Universitas Jember.

    Jember, April 2014

    Pembimbing Ruangan Pembimbing Akademik

    ( .......... ) ( ............. )

    Kepala Ruangan,

    ()

    KEMENTRIAN PENDIDIKAN DAN KEBUDAYAAN R.I.

    UNIVERSITAS JEMBER

    PROGRAM STUDI ILMU KEPERAWATANJln. Kalimantan No. 37 Kampus Tegal Boto Telp./Fax. (0331) 323450