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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

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RESUMEASUHAN KEPERAWATAN DI RUANG BEDAH ORTHOPEDIRSD dr. SOEBANDI JEMBER

Oleh:FIKRI ULIL ALBAB, S.Kep.NIM. 092311101007

PROGRAM PENDIDIKAN PROFESI NERSPROGRAM STUDI ILMU KEPERAWATANUNIVERSITAS JEMBER2014

PERSETUJUANAsuhan 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,

( )

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,

( )

FORMAT RESUME KASUS KELOLAAN HARIAN

IDENTITAS PASIENNama:Umur:Jenis Kelamin:Agama:Pendidikan:Pekerjaan:Alamat:No. RM:Ruangan:Diagnosa Medis:

S (Subjektif):.......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

O (Objektif):.......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

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

P(Perencanaan):...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

I (Implementasi):.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

E (Evaluasi):S (Subjektif): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................O (Objektif): ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................A (analisa): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. P (Perencanaan): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ FORMAT RESUME KASUS KELOLAAN HARIAN

IDENTITAS PASIENNama:Umur:Jenis Kelamin:Agama:Pendidikan:Pekerjaan:Alamat:No. RM:Ruangan:Diagnosa Medis:

S (Subjektif):.......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

O (Objektif):.......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

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

P(Perencanaan):...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

I (Implementasi):.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

E (Evaluasi):S (Subjektif): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................O (Objektif): ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................A (analisa): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. P (Perencanaan): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ FORMAT RESUME KASUS KELOLAAN HARIAN

IDENTITAS PASIENNama:Umur:Jenis Kelamin:Agama:Pendidikan:Pekerjaan:Alamat:No. RM:Ruangan:Diagnosa Medis:

S (Subjektif):.......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

O (Objektif):.......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

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

P(Perencanaan):...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

I (Implementasi):.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

E (Evaluasi):S (Subjektif): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................O (Objektif): ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................A (analisa): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. P (Perencanaan): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ FORMAT RESUME KASUS KELOLAAN HARIAN

IDENTITAS PASIENNama:Umur:Jenis Kelamin:Agama:Pendidikan:Pekerjaan:Alamat:No. RM:Ruangan:Diagnosa Medis:

S (Subjektif):.......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

O (Objektif):.......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

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

P(Perencanaan):...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

I (Implementasi):.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

E (Evaluasi):S (Subjektif): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................O (Objektif): ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................A (analisa): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. P (Perencanaan): ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ FORMAT EVALUASI PENYULUHAN KEPERAWATAN

Nama Mahasiswa: NIM: NoAspek yang ditelitiNilai MaksimalNilai

1Penyajian1. Sesuai waktu yang di alokasikan 1. Menggunakan bahasa yang bisa di mengerti1. Kelancaran dan kejelasan penyajian1. Penampilan penyaji dalam penyuluhan40

2Isi Penyuluhan1. Kesesuaian TIK dengan TIU1. Kesesuaian materi dengan TIK1. Kesesuaian kegiatan penyuluhan1. Kesesuaian media/alat dan sumber1. Kesesuaian alat evaluasi30

3Tanya Jawab1. Ketepatan menjawab1. Kemampuan mengemukakan argument1. Sikap penyuluh menanggapi pertanyaan30

Total100

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

., 2014Pembimbing, ______________________________NIP.

FORMAT EVALUASI PENYULUHAN KEPERAWATAN

Nama Mahasiswa: NIM: NoAspek yang ditelitiNilai MaksimalNilai

1Penyajian1. Sesuai waktu yang di alokasikan 1. Menggunakan bahasa yang bisa di mengerti1. Kelancaran dan kejelasan penyajian1. Penampilan penyaji dalam penyuluhan40

2Isi Penyuluhan1. Kesesuaian TIK dengan TIU1. Kesesuaian materi dengan TIK1. Kesesuaian kegiatan penyuluhan1. Kesesuaian media/alat dan sumber1. Kesesuaian alat evaluasi30

3Tanya Jawab1. Ketepatan menjawab1. Kemampuan mengemukakan argument1. Sikap penyuluh menanggapi pertanyaan30

Total100

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

., 2014Pembimbing, ______________________________NIP.

FORMAT EVALUASI PENYULUHAN KEPERAWATAN

Nama Mahasiswa: NIM: NoAspek yang ditelitiNilai MaksimalNilai

1Penyajian1. Sesuai waktu yang di alokasikan 1. Menggunakan bahasa yang bisa di mengerti1. Kelancaran dan kejelasan penyajian1. Penampilan penyaji dalam penyuluhan40

2Isi Penyuluhan1. Kesesuaian TIK dengan TIU1. Kesesuaian materi dengan TIK1. Kesesuaian kegiatan penyuluhan1. Kesesuaian media/alat dan sumber1. Kesesuaian alat evaluasi30

3Tanya Jawab1. Ketepatan menjawab1. Kemampuan mengemukakan argument1. Sikap penyuluh menanggapi pertanyaan30

Total100

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

., 2014Pembimbing, ______________________________NIP.

FORMAT EVALUASI PENYULUHAN KEPERAWATAN

Nama Mahasiswa: NIM: NoAspek yang ditelitiNilai MaksimalNilai

1Penyajian1. Sesuai waktu yang di alokasikan 1. Menggunakan bahasa yang bisa di mengerti1. Kelancaran dan kejelasan penyajian1. Penampilan penyaji dalam penyuluhan40

2Isi Penyuluhan1. Kesesuaian TIK dengan TIU1. Kesesuaian materi dengan TIK1. Kesesuaian kegiatan penyuluhan1. Kesesuaian media/alat dan sumber1. Kesesuaian alat evaluasi30

3Tanya Jawab1. Ketepatan menjawab1. Kemampuan mengemukakan argument1. Sikap penyuluh menanggapi pertanyaan30

Total100

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

., 2014Pembimbing, ______________________________NIP.

FORMAT EVALUASI PENYULUHAN KEPERAWATAN

Nama Mahasiswa: NIM: NoAspek yang ditelitiNilai MaksimalNilai

1Penyajian1. Sesuai waktu yang di alokasikan 1. Menggunakan bahasa yang bisa di mengerti1. Kelancaran dan kejelasan penyajian1. Penampilan penyaji dalam penyuluhan40

2Isi Penyuluhan1. Kesesuaian TIK dengan TIU1. Kesesuaian materi dengan TIK1. Kesesuaian kegiatan penyuluhan1. Kesesuaian media/alat dan sumber1. Kesesuaian alat evaluasi30

3Tanya Jawab1. Ketepatan menjawab1. Kemampuan mengemukakan argument1. Sikap penyuluh menanggapi pertanyaan30

Total100

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

., 2014Pembimbing, ______________________________NIP.

DAFTAR HADIR PESERTA PENYULUHANNONAMAALAMATTANDA TANGAN

Jember, April 2014MengetahuiPembimbing Ruangan,

()

KEMENTRIAN PENDIDIKAN DAN KEBUDAYAAN R.I.UNIVERSITAS JEMBERPROGRAM STUDI ILMU KEPERAWATANJln. Kalimantan No. 37 Kampus Tegal Boto Telp./Fax. (0331) 323450PENGESAHAN

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

()