ROLE PLAY PRIMARY NURSING METHOD
Semua perawat sedang berkumpul yaitu perawat primer dan perawat associate shift malam dan shift pagi berkumpul di nurse station melakukan operan kepala ruangan pun datang Kepala ruangan : Ass, selamat pagi Semuanya : was Kepala Ruangan : Sekarang sudah pukul 07.00 dan mau melakukan operan shift dari shift malam ke shift pagi dan sebelumnya untuk menjalankan tugas sebaiknya kita berdoa dulu menurut agama masing-masing, berdoa dimulai… selesai. Baiklah, sekarang kita mulai ke ruangan saja untuk bertugas Narator : kamar 1 pasien dira dengan diagnose DHF Kepala Ruangan : Ass Keluarga pasien : Wass Kepala Ruangan : Permisi Bapak,Ibu disini saya akan melakukan operan shift dari shift malam ke shift pagi Keluarga Pasien : Iya Sus Perawat Associate : Bu, ini pasien .. dengan diagnose DHF dengan kondisi lemah, baru dikompres dingin dan askep baru diberikan paracetamol oral Perawat shift pagi : Jadi pak, bu kalau nanti perlu sesuatu bisa panggil kami di ruangan perawat Kepala Ruangan : Baiklah, sebelumnya terima kasih ya pak bu, kami pamit dulu, Ass Keluarga Pasien : Wass Narator : Kamar 2 anak atas nama … dengan diagnose diare Kepala Ruangan : Ass pak bu Keluarga Pasien : Wass Kepala Ruangan : Permisi Bapak,Ibu disini saya akan melakukan operan shift dari shift malam ke shift pagi
Terjemahan :
All nurses are gathering the primary nurse and nurse associate shift night and morning shift gathered at the nurse station doing the operant head of the room came Head of room: Ass, good morning All : wass Chief of the Room: It's 7:00 and is about to shift from the night shift to the morning shift and beforehand to perform the duty we should pray first according to their respective religions, the praying starts ... is over. All right, now we start to go to the room for duty Narrator: room 1 patient dira with DHF diagnosis Head of Room: Ass Family of patients: Wass Head of Room: Excuse me, mother here I will do the shift operan from night shift to morning shift Family Patient: Yes Sus Nurse Associate: Mom, this patient .. with DHF diagnose with weak condition, freshly compressed cold and new askep given oral paracetamol Nurse morning shift: So sir, bu when we need something later can call us in the nurse's room Head of Room: Okay, before thank you sir, we say goodbye, Ass Family Patient: Wass Narrator: Room 2 child on behalf ... with diagnose diarrhea Head of Room: Ass pak bu Family Patient: Wass Head of Room: Excuse me, mother here I will do the shift operan from night shift to morning shift Keluarga Pasien : Iya Sus Perawat Associate : Bu, ini pasien atas nama .. dari anak … dengan diagnose diare TD yaitu 190/70 RR : 18 T : 36,6 derajat C, keluhannya yaitu masih lemah, bibir terasa tambah kering seperti itu..
Perawat shift pagi: Jadi pak, bu kalau nanti perlu sesuatu bisa panggil kami di ruangan perawat Kepala Ruangan : Baiklah, Jadi dek, banyak istirahat dan banyak minum air putih oke bu sebelumnya terima kasih ya pak bu, kami pamit dulu, Ass Keluarga Pasien : Wass Narator : setelah melakukan operan seluruh perawat berkumpul ke ruang perawat untuk mendiskusikan dan mengidentifikasi masalah-masalah pasien, melaporkan tentang penerimaan pasien baru dan serta merencanakan askep Kepala ruangan : operan sudah selesai Berdasarkan laporan dari dinas malam ada pasien baru yang bernama Tari, umurnya 19 tahun TD : 90/70 RR: 18 keluhan pasien kondisi masih lemah, bibirnya sangat kering. Oleh karena itu saya ingin minta pendapat bagaimana cara intervensi yang baik umtuk mengatasi pasien tersebut. Kepala Ruangan : Jadi menurut saya intervensinya kita berikan cairan melalui oral untuk memenuhi output dan intake nya Perawat Associate : terima kasih atas waktunya, saya akan segera melaksanakan intervensi tersebut. Kepala ruangan : terima kasih juga untuk perawat-perawat semoga tugas nya berjalan dengan baik. Saya pamit dulu. Perawat associate : Berdasarkan kesepakatan saya dengan kepala ruangan … untuk itu membuat perencanaan terhadap anak yang bernama.. dengan diagnose diare yang meliputi : berikan cairan dengan oraldan parental sesuai dengan program dehidrasi, pantau intake dan output karena dengan pemberian oral dan parental akan menggantikan cairan yang keluar bersama feses yang kedua pertahankan baring dan ciptakan lingkungan yang aman dan bersih Terjemahan : Family Patient: Yes Sus Associate nurse: Mom, this patient on behalf of the child ... with a diagnosis of TD diarrhea that is 190/70 RR: 18 T: 36.6 degrees C, the complaint is still weak, the lips feel dry like that .. Nurse morning shift: So sir, bu when we need something later can call us in the nurse's room
Head of Room: All right, So deck, lots of rest and drink plenty of water ok bu bu before thank ya sir bu, we say goodbye, Ass Family Patient: Wass Narrator: after performing the operands all nurses gather to the nurses' room to discuss and identify patient problems, report on new patient admissions and as well as to plan for askep Head of room: operand is done Based on the report from the evening service there is a new patient named Dance, age 19 years TD: 90/70 RR: 18 complaints of the patient the condition is still weak, his lips very dry. Therefore I would like to ask the opinion of how to intervene well to overcome the patient. Head of Room: So I think the intervention we give fluids through oral to meet its output and intake Associate nurse: thanks for the time, I will soon implement the intervention. Head of the room: thank you also for the nurses hopefully his task goes well. I say goodbye first. Nurse associate: Based on my agreement with the head of the room ... for it makes a plan for a child named .. with diarrhea diagnosis which includes: administer fluids with oraldan parental in accordance with the dehydration program, monitor intake and output because with oral and parental administration will replace the fluid that come out with the second feces keep lying and create a safe and clean environment
Role play 1. Pre conferences Aims to discuss and identify problematic issues patients, planning for ASKEP and evacuation and prepare the things which will be found in the field. Head of the room: ass .... / good morning, this morning before we do the activity, well we make pre conference more than 10 minutes. Based on the evening night service report, there is a client who requires special attention from us as a nurse. Namely named. Hendra, age: 12 years, with a diarrhea medical diagnosis, day 3 care, with a signature vital: TD: 110/70, N: 70 / mnt, S: 36.5 ° C, P: 18x / mnt, with a complaint: the client seems weak, the lips look dry, the bowel mixed with blood. Therefore on this morning I want to ask the opinion of the nurse on what interventions are appropriate for the patient. Does anyone want to express his opinion? Nurse 1: well .. thank you, I think there are some interventions that would be applied to clients include: Give it away
oral and parentral fluids in accordance with the rehydration program, monitor the integr and output. Because with oral and parentral administration will replace the fluid that comes out with the feces. Keep it up bed rest and activity restriction during acute vase, in order to avoid the occurrence of physical immobilization. Maybe that's all I can say today, thank you. Head of room: yah..thank you..may maybe there are others that want to be delivered? Nurse II: thank you..munkin only a little that I will add about the intervention that is created a quiet, clean environment and do not forget to give the food a little fibrous but often. Because with keeping the environment calm, clean, the patient will feel comfortable and free from the bacteria that cause diarrhea itself. Munkin that's all thanks .. Head of the room: is there anything to say, .. if it is no longer there. Maybe preconference in the morning is enough until here, I ask that the intervention can be submitted in action go well. That is all and thank you. Happy work ... ass Giving an askep Physical examination Interventions Post conference Discussion of clinical aspects after implementing ASKEP in patients. Head of room: ass ... / good day .. After doing the activity, we will carry out post conference for about 10 minutes. There may be things to be conveyed in relation to the presence or condition of each patient. Nurse: yah ..terimah love..for patient hendra child already seems to do aaktivitas although still in bed. But may still have to continue the intervention, for the healing process. Thank you… Head of the room: for another nurse how, is there anything to convey? Nurse III: oh..yah .. if for patient Ny. Tb, by chance the client has shortness of breath, and after giving O2, the client still looks claustrophobic. Maybe there is a tepet intervention to apply to the client ...? Nurse IV: well I add a bit ... maybe it should be noted also the client's sleep position. For example, help client in semi fowler position. Munkin cumin that I can add. Head of the room: is there anything that wants to be conveyed about the patient's condition? if it is not there is more to be added, then I end the post conference this afternoon, please follow up again. Thank you…
ass ... Round of nursing Discusses the client's health problems in care in patients with relatively more complex problems Nurse II: good morning deck..how to be de ..? Patient: still weak nurse ... Nurse II: okay .. today we will see how the development of ade ... Previously I first introduced my friend ns. Muhriz, ns. Ibrahim, ns. Irham, ns maskur. Ns muhriz..ade this is diarrhea patient, where the condition is still weak, and the CHAPTER is still mixed with blood ... maybe there is the right intervention to apply? Nurse I: okay ... in a patient with a diarrhea medic diagnosis usually symptoms that appear weak, chapter mixed with blood, and his lips look dry. Because it requires more intensive care again. There are several interventions may be appropriate to apply ie .. may be able to encourage parents of clients to talk about anxiety and give feedback on appropriate coping mechanisms and explain about the child's disease process, its causes and consequences against the disruption of daily needs fulfillment and daily activities client. Nurse II: how else do you want to add about the interventions that apply to the client? Nurse IV: O..yah .. maybe that needs to be emphasized is to keep the client's food hygiene and examine intek and output in order to know the progress of the client's illness and to determine the next intervention. Thank you.. Nurse II: okay ... if it's not anybody who wants to be in samapaikan, maybe for now enough. And thank you all..tabe ki de ... Weigh receipt / operand Dischaner planning Routines on each client prior to return, including information on diet, client activities when at home. Nurse: good morning bu..this day mommy can go home, but before ki come home there are some that i want to convey including: 1. Do not forget to take the medicine 2. Keep anakta clean, because eat food which is not clean can cause diarrhea
CONCLUSION
So, this primary method of nursing care method is characterized by a strong and continuous interconnection between patients and nurses assigned in planning and implementing nursing care including collaborating with other health care teams assigned to primary nurse or treated patients starting from the incoming patient to hospitals based on patient needs or nursing issues tailored to the ability of primary nurse. ANALYSIS
Primary Nursing Method have advantage and disadvantage, there are ; Advantages High-quality, holistic patient care Establish rapport with patient
RN feels challenged and rewarded.
Disadvantages Primary nurse must be able to practice with a high degree of responsibility and autonomy
RN must accept 24-hour responsibility
More RNs needed; not cost-effective
