Showing posts with label implementation. Show all posts
Showing posts with label implementation. Show all posts


1.   client preparation
1.1    Greetings therapeutic delivered to the patient / family friendly upon meeting
1.2    Plan of action described to the patient / family understand
1.3    Plan validated program back
1.4    Readiness patients be re-examined
2.  persipan tool
2.      Prepared a complete tool premises:
- Mask the balk
- Handscoen
- Aprons
- Closed kpala
- Shoes
- Tensimeter and stetoscop
 
- Thermometer
- Sujar Cuiger / suction
- Sonde stomach
- Cutlery and drink
- Tool bath
- Looms
- Drugs
- The trash
- The hand washing
- Place dirty clothes
2.2.   Tools are neatly
2.3. Equipment was brought to a close patient
3.  action procedures
3.1.   Nurses wear aprons, headgear, shoes and masks in seclusion rooms
3.2.   Nurses wash their hands
3.3.   Wearing handscoen
3.4    Provide pertolangan to patients as needed such as bathing, feeding giving bedpans, change looms, mesinfeksi-style tool in solitary confinement
3.5.   Opening masks, head cover, apron and put in a bucket of Lysol solution of 3-5% hit with a stick if not completely submerged
3.6. - Opening shoes
3.7.   Hand washing to limit arms, apron with robes and rinse under running water
3. 8.  Bring a bucket to the sink to be washed
4.  documenting actions
4.1    Response of patients documented
4.2    The timing of the preparation of documented pasier
4.3    Documentation recorded jetas / easy, readable
4.4    Documentation signed and the full name and clearly
1. persipan client
1.1.Greetings therapeutic delivered to the patient / family friendly upon meeting
1.2 Plan of action described to the patient / family understand
1.3 Plan validated program back
1.4 Readiness patients be re-examined
 2. persipan tool
2.1. A1AT prepared to complete:
- Tray and pengalas
- Drugs are needed
- Spuit sterile no. 20-25
- Plaster hypoalergik
- Cotton alcohol in its place
- Handscoen sterile tempamya
- Pedestal
- Cards drug / notebook
- Rubber hedge (tourniquet)
- Nierbekken
2.2. Drug injection was prepared in the nurse
2.3. Tools are neatly
2.4. Equipment was brought to a close patient
3. action procedures
3.1. Check back order of treatment (patient name, drug name, drug dosage, time of administration, delivery time), check the state of medicine and state drug to be used
3.1. Bantu arrange a comfortable position
3.2. Determine the area to be injected
3.3. Attach pengalas in part to be injected and hold nierbekken
3.4. Nurses wash their hands
3.5. Nurses wear handsccen
3.6. Torniquet tide over the area to be injected
3.7. The surface of the skin to be injected tensed and disinfected with alcohol cotton
3.8. Needles are inserted into a blood vessel to form an angle of 45 ° with a pinhole facing up
3.9. Perform aspiration, remove the tourniquet when the blood and enter the drug slowly as he slowly ¬ note the patient's reaction, if there is an unwanted reaction, immediately stop giving
3.14. After all the drugs go, immediately removed and used syringes prick pressed with cotton alcohol
3.12. Syringes, cotton, and alcohol has been used handscoen put in nierbekken
3.13. Nurses wash their hands
3.14. Trim the patient and set in a convenient position
3.15. trimming equipment back into place
3.16. Observation of the patient's reaction after drug administration, when the reaction occurs immediately report to the person in charge of the room
4. documenting actions
4.1 Response of patients documented
4.2 The timing of the preparation of documented pasier
4.3 Documentation recorded jetas / easy, readable
4.4 Documentation signed and the full name and clearly
1. preparation tool

  • Stationery
2. Identidikasi problem
2.1 Validating data relating identified during history collection and physical assessment
2.2 Group related data that is generally the signs and symptoms that indicate a public health problem
2.3 Identify the need - the need of the client (the problem - the problem)
2.4 Creating nursing diagnosis: constipation, incontinence Alvi, diarrhea
2.5 Evaluation of the list of individual nursing diagnoses developed untuksetiap client meetings
3. documentation
3.1 Implementation of the formulation of the problem of nursing
3.2 Health issues arising
3.3 Documentation recorded with clear / easy to read
3.4 Documentation signed and the full name and clearly

1. Client preparation
1.1. Greetings therapeutic delivered to the client / family friendly upon meeting
1.2. Action plan described to the client / family understand
1.3. Plan validated program back
1.4. The need for tools and materials are identified
1.5. Preparedness, the client reviewed.
2. Preparation tool
2.1. Prepared with a complete tool:
- Tray and perlap
- 1 (one) pairs of underwear replacement
- Towel 2 pieces: the face, bathroom
- Talk / deodorant
- Soap in its place
- Washcloths 2 pieces
- Camphor spritus in place
- Blankets bath
- Pengalas (base buttocks)
- 2 pieces of basin of cold water and warm
- Pot / urinals
- Sampiran
- Handscoen
 - Bottle of water for wiping
- Ember place dirty clothes
- Notebook
- Thermometers bath
2.2. Tools are neatly
2.3. Equipment was brought to a close patient
3. Implementation of procedures
3.1. Nurses wash their hands
3.2. Installing sampiran
3.3. Offer pot or urinals, empty and clean before continuing with bathing, washing hands
3.4. Attach blanket tnandi
3.5. Remove clothing and place it in the dirty clothes
3.6. Wear gloves when necessary
3.7. Waving a towel under the head
3.8. Wash and rinse the patient's face, ears, neck, and dry with a towel
3.9. open the patient's arm farthest, hentangkan hunduk shower under the arm, wash your fingers up to the armpits with a washcloth with soap, wash and dry, do first dal: the arm pit away from nurses, put the deodorant or powder if the patient asked
3.10. cover the patient's chest with towels, bath kemudiar fold the blanket up to her waist, under a towel wash, rinse and dry the chest, lightly powder if necessary
3.1.1. put to the blood bath blanket pubis, wash, rinse and dry the area abdoment. folding bath blanket up to cover the abdomen and chest, grab a towel from under the blanket bath
3.12. Ask the patient to bend his knees, if possible, fold the blanket bath upstairs, so your thighs, legs and feet exposed. Spread your towel under the thighs and feet, wipe your fingers down to her thighs and sabuni and rinse with a washcloth to dry, then dry, do the leg and the other leg
3.13. Change the water and check the water temperature with a thermometer accuracy bath
3.14. Help the patient to tilt in the opposite direction to you. Place the bath towel lengthwise herdekatan the patient's back, then wash, rinse and dry the neck, back and buttocks
3.15. Utau talc spritus give the place if necessary
 3.16. Then Bantu pasicn tcrlcntang
3.17. Put a towel under the buttocks and upper leg, ask the patient to clean genitalianya, if not able to help 
   the patient.
If it helps the patient use disposable gloves, then cover with a towel and comb banal hair
3.18. Attach clothes neatly
3.19. Clean and restore tools
3.20. washing hands
4. Documenting actions
    4.1. Documented patient response
     4.2. The timing of the action, route of administration, dosage administration, drug name and the name of the patient
     4.3. Documentation note with clear / easy to read
     4.4. Documentation signed and diheri full name and clearly