Daftar Kewenangan Klinis Perawat.docx

DAFTAR KEWENANGAN KLINIS PERAWAT RSUD SITI AISYAH LUBUKLINGGAU

KATA PENGANTAR Dalam memberikan pelayanan keperawatan kepada pasien, seluruh perawat harus dipastikan kompetensinya sesuai dengan jenjang klinis yang dimiliki. Masing-masing jenjang klinis memiliki kompetensi, dan standar kompetensi klinis itulah yang dijadikan landasan dalam penyusunan Kewenangan Klinis. Kewenangan Klinis adalah uraian intervensi keperawatan dan kebidanan yang dilakukan oleh tenaga keperawatan sesuai dengan area prakteknya. Dalam daftar kewenangan klinis ini dibagi menjadi lima kelompok sesuai dengan jenjang klinis yaitu : 1. Kewenangan Klinis Perawat Klinik I 2. Kewenangan Klinis Perawat Klinik II 3. Kewenangan Klinis Perawat Klinik III 4. Kewenangan Klinis Perawat Klinik IV 5. Kewenangan Klinis Perawat Klinik V

Selain kategori berdasar jenjang klinik, juga dikelompokan berdasar area klinik yang meliputi : 1. Area Klinik Keperawatan Medikal Bedah 2. Area Klinik Keperawatan Anak 3. Area Klinik Keperawatan Maternitas 4. Area Klinik Keperawatan Jiwa 5. Area Klinik Keperawatan Kritis 6. Area Klinik Midwifery 7. Area Klinik Emergency Nursing 8. Area Klinik Holistic Nursing 9. Area Klinik Keperawatan Ginjal

Referensi utama dalam penyusunan Kewenangan Klinis di RSUD Siti Aisyah adalah Nursing Intervention Clasification (NIC), karena kami telah menerapkan SNL (Standar of Nursing Language).

DAFTAR KEWENANGAN KLINIK KEPERAWATAN RSUD SITI AISYAH LUBUKLINGGAU KEWENANGAN KLINIS BERDASAR JENJANG KLINIS 1. KEWENANGAN KLINIS PERAWAT KLINIK ( PK ) I Perawat Klinik I ( Novice ) adalah: Perawat lulusan D-III Keperawatan dan telah memiliki pengalaman kerja 2 tahun atau Ners ( lulusan S-1 Keperawatan plus pendidikan profesi ) dengan pengalaman kerja 0 tahun, dan mempunyai sertifikat ( Penugasan Klinis ) PK-I. Kewenangan Klinis PK I adalah sebagai berikut :

NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38.

KEWENANGAN KLINIS Reduksi cemas Pembatasan area Pencegahan aspirasi Memandikan Perawatan Bedrest Pemeriksaan laboratorium di samping TT Bottle feeding Teknik penenangan Perawatan gips : maintenance Peningkatan komunikasi : deficit pendengaran Peningkatan komunikasi : defisit penglihatan Perawatan kontak lensa Peningkatan batuk Manajemen dimensia: memandikan Distraksi Mengenakan pakaian (dressing) Perawatan emergensi Chek kartu emergensi Manajemen lingkungan Manajemen lingkungan : nyaman Bantuan pemeriksaan Therapi latihan : ambulasi Memberikan makan Pertolongan pertama Perawatan rambut Humor Administrasi medikasi: telinga Administrasi medikasi: mata Administrasi medikasi: enteral Administrasi medikasi: inhalasi Administrasi medikasi: nasal Administrasi medikasi: oral Administrasi medikasi: rectal Administrasi medikasi: kulit Administrasi medikasi: vaginal Manajemen mual Perawatan perineal Posisioning

39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61.

Posisioning : neurologi Perawatan jenazah Kehadiran Perawatan ulkus pressure Meminta berkemih Perawatan prostesis Orientasi realita Therapi rekreasi Bantuan perawatan diri Bantuan perawatan diri : mandi / hygiene Bantuan perawatan diri : berpakaian Bantuan perawatan diri : makan Bantuan perawatan diri : toileting Bantuan perawatan diri : transfer Manajemen spesimen Asistensi pembedahan Sentuhan Transfer Perawatan slang Perawatan slang : urinari Cateterisasi urine Cateterisasi urine : intermittent Fasilitasi kunjungan

2. KEWENANGAN KLINIS PERAWAT KLINIK ( PK ) II Perawat klinik II ( Advance Beginner ) adalah perawat lulusan D-III Keperawatan dengan pengalaman kerja 5 tahun atau Ners ( lulusan S-1 Keperawatan plus pendidikan profesi ) dengan pengalaman kerja 3 tahun, dan mempunyai sertifikat PK-II Kewenangan Klinis PK II adalah sebagai berikut : NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43.

KEWENANGAN KLINIS Abuse protection support Acid base managemen Acid base monitoring Active listening Active listening Activity therapy Admision care Airway insertion and stabilization Airway management Airway suctioning Allergy management Amputation care Analgesic administration Anaphylaxis management Anticipatory guidance Aroma therapy Artificial airway management Asthma management Autotranfusion Behavior management Behavior management : overactivity / inattention Behavior management : self harm Behavior management : sexual Behavior modification Behavior modification: social skill Bladder irrigation Bleeding precaution Bleeding reduction Bleeding reduction : antepartum uterus Bleeding reduction : gastrointestinal Bleeding reduction : nasal Bleeding reduction : postpartum uterus Bleeding reduction : wound Blood product administration Body image enhancement Body mechanics promotion Bowel incontinence care Bowel incontinence care : encopresis Bowel irrigation Bowel management Bowel training Bowel examination Breasfeeding assistance

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Capillary blood sample Cardiac care Cardiac care : acute Cardiac care : rehabilitative Cardiac precautions Caregiver support Cast care : wet Cerebral edema management Cerebral perfusion promotion Cesarean suction care Chemical restrain Chest physiotherapy Childbirth preparation Circulatory care : arterial insufficiency Circulatory care : mechanical assist device Circulatory care : venous insufficiency Circulatory precautions Circumcision care Code management Communicable desease management Comunication enhancement : speech deficit Constipation/Impaction management Consultation Controlled substance checking Coping enhancement Crisis Path Development Cutaneous stimulation Decision making support Defibrillator management : external Defibrillator management : internal Delegation Delirium management Delusion management Dementia managemen Developmental care Developmental enhancement : adolescenct Developmental enhancement : child Dialysis acces maintenance Diare management Diet staging Discharge planning Documentation Dying care Disreflexia management Dysrhythmia management Ear care Electronic convultion therapy (ECT) management Electrolyte management Electrolyt monitoring Electronic fetal monitoring : antepartum Electronic fetal monitoring : intrapartum Embolus care : peripheral

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Embolus care : pulmonary Embolus precautions Emotional support Endotracheal extubation Energy management Enteral tube feeding Environmental manegement : safety Environmental risk protection Exercise promotion Exercise promotion: strength training Exercise promotion : streching Exercise therapy : balance Exercise therapy : joint mobility Eye care Fall prvention Family support Fever treatment Flatulence reduction Fluid/electrolyte management Fluid management Fluid monitoring Fluid resuscitation Foot care Gastrointestinal intubation Guided imagery Hallucination management Health education Health screening Heat exposure treatment Heat/cold aplication Hemodynamic regulation Hemofiltration therapy Hemorrhage control Hope inspiration Hyperglicemia management Hypervolemia management Hypoglicemia management Hypothermia induction Hypothermia treatment Hypovolemia management Immunization/vaccination management Incident report Incision site care Infant care Infection control Infection control: intraoperative Infection protection Intracranial pressure (ICP) monitoring Intrapartal care Intravenous (IV) insersion Intravenous (IV) therapy Invasive hemodynamic monitoring

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Kangaroo care Lactation counseling Lactation suppresion Learning facilitation Lower extremity monitoring Malignant hyperthermia precaution Massage Mechanical ventilation management : invasive Mechanical ventilation management : noninvasive Mechanical ventilatory weaning Medication administration : intradermal Medication administration : intramuscular Medication administration : intraspinal Medication administration : intravenous Medication administration : subcutaneus Medication management Meditation facilitation Milieu therapy Mood management Music therapy Mutual goal setting Nausea management Neurologic monitoring Newborn car Newborn monitoring Nutrition therapy Nutritional counseling Nutritional monitoring Oral health maintenance Oral health promotion Oral health restoration Oxygen therapy Pacemaker management : permanent Pacemaker management : temporary Pain management Paperipheral sensation management Peritonial dyalisis therapy Pessary management Phlebotomy : arterial blood sample Phlebotomy : blood unit acquisision Phlebotomy : cannulated vessel Phlebotomy :venous bloog sample Phototherapy : mood/sleep regulation Phototherapy : neonate Physical restrain Physician support Positioning : intraoperative Positioning : wheelchair Postanasthesia care Postpartal care Prenatal care Preoperative coordination

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Pressure management Pressure ulcer prevention Product evaluation Pruritus management Relaxationn therapy Religius ritual enhancement Respiratory monitoring Resuscitation Self care assistance: IADL Selft esteem enhancement Shift report Shock management Shock management : cardiac Shock management : autogenic Shock management : volume Shock prevention Sibling support Skin care : topical treatment Sleep enhancement Spiritual growth facilitation Spiritual support Subarachnoid hemorhage precaution Surgical preparation Surveilance : safety Suturing Swallowing therapy Teaching : desease process Teaching ; foot care Teaching : individual Teaching : infant nutrition Teaching : infant safety Teaching : infant stimulation Teaching : preoperative Teaching : prescribed activity / exercise Teaching : prescribed diet Teaching : prescribed medication Teaching : procedure / treatment Teaching : psychomotor skill Teaching : toilet training Temperature regulation Therapeutic play Thrombolytic therapy management Total parenteral nutrition (TPN) management Traction/immobilitation care Tube care : chest Tube care : gastrointestinal Tube care : ventriculostomy/lumbar drain Urinary incontinentia care Urinary incontinentia care : enuresis Urinary retention care Ventilation assistance Vital sign monitoring

252. 253. 254. 255. 256.

Vomiting management Wound care Wound care : burns Wound care : closed drainase Wound irrigation

3. KEWENANGAN KLINIS PERAWAT KLINIK ( PK ) III Perawat Klinik III ( competent ) adalah perawat lulusan D-III Keperawatan dengan pengalaman kerja 9 tahun atau Ners ( lulusan S-1 Keperawatan plus pendidikan profesi ) dengan pengalaman klinik 6 tahun atau Ners Spesialis dengan pengalaman kerja 0 tahun, dan memiliki sertifikat PK-III Kewenangan Klinis PK III adalah sebagai berikut :

NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35

KEWENANGAN KLINIS Acupressure Amnioinfusion Art Therapy Autogenic training Bibliotherapy Biofeedback Bioterrorism preparedness Birthing Case management Chemotherapy management Cognitive restructuring Cognitive stimulation Conflict mediation Counseling Crisis intervention Eating Disorder Management Electronic Fetal Monitoring : Antepartum Electronic Fetal Monitoring : Intrapartum Exercise Therapy : Muscle Control Family Planning : Infertility Family Therapy Fertility Preservation Fiscal Resource Management Forensic Data Collection Genetic Counselling Hemodialysis Therapy High Risk Pregnancy Care Hormon Replacemen Therapy Hypnosis Impulse Control Training Intrapartal Care : High Risk Delivery Labor Induction Labor Suppression Laser Precautions Medication Administration : Intrapleural

36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67 68. 69. 70. 71. 72. 73. 74.

Medication Administration : Intraosseous Medication Administration : Ventricular Reservoir Medication Prescribing Memory Training Nutrition Management Ostomy Care Pelvic Muscle Exercise Peripherally Inserted Central (PIC) Catheter Pneumatic Torniquet Precautions Preconseption Counseling Pregnancy Termination Care Premenstrual Syndrome (PMS) Management Program Development Progressive Muscle Relaxation Rectal Prolaps Management Reminiscence Therapy Reproductive Technology Management Resuscitation : Fetus Resuscitation : Neonate Risk Identification : Genetic Sedation Management Self Hypnosis Facilitation Sexual Counseling Social Marketing Substance Use Treatment : Alcohol Withdrawal Substance Use Treatment : Drug Withdrawal Substance Use Treatment : Overdose Support Group Surveilance : Late Pregnancy Therapeutic Touch Therapy Group Trancutaneus Electrical Nerve Stimulation (TENS) Trauma Therapy : Child Tube Care : Umbilical Line Urinary Bladder Training Urinary Elimination Management Urinary Habit Training Validationn Therapy Venous Acces Devica (VAD) Maintenance

4. KEWENANGAN KLINIS PERAWAT KLINIK ( PK ) IV Perawat klinik IV ( Proficient ) adalah Ners ( lulusan S-1 Keperawatan plus pendidikan profesi ) dengan pengalaman kerja 9 tahun atau Ners Spesialis dengan pengalaman kerja 2 tahun, dan memiliki sertifikat PK IV atau Ners Spesialis Konsultan dengan pengalaman kerja 0 tahun. Kewenangan Klinis PK IV adalah seluruh Kewenangan Klinis.

5. KEWENANGAN KLINIS PERAWAT KLINIK ( PK ) V

Perawat klinik V ( Expert ) adalah Ners Spesialis dengan pengalaman kerja 4 tahun atau Ners Spesialis Konsultan dengan pengalaman kerja 1 tahun, dan memiliki sertifikat PK-V. Kewenangan Klinis PK V adalah seluruh Kewenangan Klinis ditambah dengan menerima konsultasi dari PK I - IV.

DAFTAR KEWENANGAN KLINIK KEPERAWATAN RSUD SITI AISYAH LUBUKLINGGAU KEWENANGAN KLINIS INTI SESUAI AREA 1.

AREA KLINIK KEPERAWATAN ANAK NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.

KEWENANGAN KLINIS Abuse protection support: child (Dukungan pencegahan penyalahgunaan : anak) Asthma management (Manajemen Asma) Breastfeeding assistance (Bantuan Menyusui) Caregiver support (Dukungan Pengasuh) Developmental care Developmental enhancement: child Discharge planning Documentation (Dokumentasi) Emotional support (Dukungan emosi) Environmental management: safety Family involvement promotion Family presence fasilitation (Memfasilitasi kunjungan keluarga) Feeding (Memberikan makan) Fever treatment (Therapy demam) Fluid/electrolyte management (Manajemen cairan/elektrolit) Health education (Pendidikan kesehatan)

17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38.

2.

Immunization promotion Infant care Intravenous therapy Medication administration (Pemberian medikasi) Multidisiplinary care conference Normalization promotion Nutrition management (Manajemen nutrisi) Oxygen therapy (Therapy oksigen) Pain management (Manajemen nyeri) Parent education Respiratory management (Manajemen respirasi) Risk indentification (Identifikasi resiko) Surveilance Teaching : infant nutrition (Penkes : nutrisi infant) Teaching : Infant safety Teaching : Infant stimulation Teaching : Todler nutrition Teaching : toilet training (Penkes : toilet training) Therapeutic play (Therapy bermain) Total parenteral nutrition administration Trauma therapy : chield Vital sign monitoring (Monitor vital sign)

AREA KLINIK KEPERAWATAN MEDIKAL BEDAH NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25.

KEWENANGAN KLINIS Acid Base Management Airway Suctioning Artificial Airway Management Aspiration Precautions Asthma Management Bed Rest care Bleedingg reduction : gastrointestinal Blood product administration Bowel Incontinentia Care Bowel Training Capillary Blood Sample Chemical Restraint Chemotherapy Management Circulatory Care: Arterial Insufficiency Circulatory Care: Venous Insufficiency Code Management Critical Path Development Discharge Planning Documentation Electrolyte Management Emotional Support Enteral Tube Feeding Fall Prevention Familiy Involvement Promotion Family Presence Facilitation

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3.

Fluid / Electrolyte Management Gastrointestinal Intubation Health Literacy Enhancement Hyperglycemia Management Hypoglycemia Management Incision Site Care Infection Control Intravenous (IV) Insertion Intravenous (IV) Therapy Laboratory Data Interpretation Mechanical ventilation management : Noninvasive Medication Administration Medication Management Medication Reconciliation Multidisiplinary Care Conference Neusea Management Neurologic Monitoring Nutrition Management Ostomy Care Oxygen Therapy Pacemaker management : Permanent Pain Management Patient Controlled Analgesia (PCA) Assistence Patient Rights Protection Physical Restraint Postmortem care Pressure Management Pressure Ulcer Care Pressure Ulcer Prevention Quality Monitoring Respiratory Monitoring Seizure Management Seizure Precautions Self Care Assistence Shock Management Shock Prevention Skin Surveillance Staf Supervision Teaching: Desease Process Teaching : Individual Teaching : Prescribed Medication Teaching : Prosedure / Treatment Total Parenteral Nutrition Traction / Immobilization Care Tube Crae : chast Tube Care : gastrointestinal Tube Care : Urinary Urinary Elimination Management Vital Sign Monitoring Vomiting Management Wound care

AREA KLINIK KEPERAWATAN GINJAL NO. 1. 2. 3. 4.

KEWENANGAN KLINIS Acid Base Management Bed Side Laboratory Testing Bleeding Reduction : Wound Capillary Blood Sample

5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51.

4.

Case Management Constipation/Impaction Management Culture Brokerage Decision-Making Support Delegation Dialysis Acces Maintenance Electrolyte Management Electrolyte Monitoring Emotional Support Environmental Management : Comfort Environmental Management: Safety Family Involvement Promotion Financial Resource Assistance Fluid/Electrolyte Management Fluid Management Fluid Monitoring Health Literacy Enhancement Hemodialysis Therapy Hyperglycemia Management Hypervolemia Management Hypoglicemia management Hypovolemia Management Infection Control Infection Protection Laboratory data Interpretation Medication Administration Medication Management Multidisiplinary Care Conference Nausea Management Nutritional Monitoring Organ Procurement Peritoneal Dialysis Therapy Phlebotomy: Cannulated Vessel Physician Support Pruritis Management Self-Efficacy Enhamcement Specimen managemen Teaching : Desease Process Teaching : Individual Teaching : Prescribed Medication Teaching : Procedure/Treatment Teaching : Psychomotor Skill Technology Management Telephone Consultation Values Clarification Vital Signs Monitoring Vomiting Management

AREA KLINIK KEPERAWATAN MATERNITAS NO. 1. 2. 3. 4. 5. 6. 7. 8.

KEWENANGAN KLINIS Birthing Bleeding Reduction : Antepartum Uterus Bleeding Reduction : Postpartum Uterus Bottle Feeding Breastfeeding Assistance Cesarean Section Care Childbirth Preparation Electronic Fetal Monitoring : Antepartum

9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35.

5.

Electronic Fetal Monitoring : Intrapartum Environmental Managemen : Attachment Process Family Integrity Promotion : Childbearing Family Family Planning : Contraception Greaf Work Facilitation : Perinatal Death Health Literacy Inhancement High Risk Pregnancy Care Intrapartal Care Intrapartal Care : High – Risk Delivery Invasive Hemodynamic Monitoring Labor Induction Lactation Counseling Medication Administration Medication Administration : Intraspinal Newborn Care Newborn Monitoring Pain Management Parent Education : Infant Parenting Promotion Postpartal Care Pregnancy Termination Care Prenatal Care Resuscitation : Fetus Resuscitation : Neonatal Risk Identification : Childbearing Family Substance Use Treatment Surveilance : Late Pregnancy

AREA KLINIK KEPERAWATAN JIWA NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25.

KEWENANGAN KLINIS Abuse protection support Active listening Anger control assistance Anxiety reduction Area resriction Assertiveness training Behavior management: overactiviity/inattention Behavior management : self-harm Behavior management : sexual Behavior modification Behavior modification : social skills Bibliotherapy Body image enhancement Calming technique Case management Chemical restrain Cognitive restructuring Complex relationship building Consultation Coping enhancement Conseling Crisis intervention Delusion management Dimentia management Dimentia management: bathing

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6.

Eating disorder management Electroconvultion therapy (ECT) management Elopement prcoution Environmental management : violence management Family involvement promotion Family therapy Fire-setting precaution Grief work facilitation Guilt work facilitation Hallucination management Health literacy enhancement Impulse control training Journaling Limit setting Medication administration Medication management Milieu therapy Mood management Pass facilitation Phototherapy : mood/sleep regulation Physical restraint Reality orientation Reminiscence therapy Seclution Self awareness enhancement Self care assistance : ADL Self esteem enhancement Substance use prevention Substance use treatment : alcohol withdrawl Substance use treatment : drug withdrawl Suicide prevention Support group Therapeutic play Therapy group

AREA KLINIK KEPERAWATAN KRITIS NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19.

KEWENANGAN KLINIS Acid base monitoring Mechanical ventilation management : invasive Airway managemen Mechanical ventilation management : noninvasive Airway sectioning Mechanical ventilatory weaning Analgesic administration Medication administration Anxiety reduction Medication administration : intravenous Artificial airway management Multidisiplinary care conference Cardiac care : acut Nausea management Cardiac precaution Neurologic monitoring Caregiver support Oxygen therapy Circulatory care : Mechanical assist device

20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 7.

Pacemaker management : permanent Code management Pacemaker management : temporary Decision making support Pain management Devribilator managemen: external Posisioning Devribilator managemen : internal Respiratory monitoring Delegation Sedation managemen Discharge Planning Shock managemen Documantation Teaching : procedure/treatment Elektrolyte Management Temperature regulation Electrolyte monitoring Thrombolitic therapy managemen Emotional support Vital sign monitoring Family involvement support Vomiting management Family present facilitation Fluid / Electrolyte management Fluid management Fluid monitoring Hemodinamic regulation Intracranila pressure monitoring Intravenous therapy Invasive hemodinamic monitoring

AREA KLINIK MIDWIFERY NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25.

KEWENANGAN KLINIS Abuse protection support Active listening (Mendengar aktif) Admission care Amnioinfusion Anticipatory guidance Attachment promotion Birthing Breast examination Breast feeding assistance Childbirth preparation Decision-making support Delegation Discharge planning Documentation Emotional support Environmental management Family integrity promotion: childbearing family Family planning: contraception Family planning: unplaned pregnancy Fertility preservation Health education Health screening High risk pregnancy care Hormone replacement therapy Intrapartal care

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8.

Lactation counseling Lactation suppresion Medication administration: intraspinal Medication management Medication prescribing Newborn care Nutrition counseling Paint management Parent education: infant Physician support Postpartal care Premenstrual syndrome (PMS) management Refferal Risk identification : childbearing family Self-efficacy enhancement Sexsual counseling Suturing Teaching : individual

AREA KLINIK EMERGENCY NURSING NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37.

KEWENANGAN KLINIS Abuse protection support : child Abuse protection support : domestic partner Anaphylaxis management Airway management Blood product administation Cardiac care: acut Circulatory care: arterial insuffisiency Circulatory care: venous insuffisiency Code management Crisis intervention Defribilator management : external Defribilator management : internal Documentation Dysrithmia management Electrolyte management Emergency care Family presence fasilitation First aid Fluid / electrolyte management Fluid resuscitation Heat exposure treatment Hypovolemia management Intravenouse Insertion Intravonouse therapy Mechanical ventilation management : noninvasive Medication administration Neurological monitoring Oxygen therapy Pacemaker management : temporary Pain management Phebotomy : venous blood sample Rape trauma treatment Respiratory monitoring Resuscitation Seizure management Shock management Teaching : individual

38. 39. 40. 41. 42. 43. 44.

9.

Thrombolitic therapy management Transport : interfacility Transport : intrafacility Triage : emergency centre Triage : telephone Vital signs monitoring Wound care

AREA KLINIK HOLISTIC NURSING NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48.

KEWENANGAN KLINIS Active listening (Mendengar aktif) Accupressure Animal-assisted therapy Anticipatory guidance Anxiety reduction Aroma therapy Art therapy Autogenic training Bibliotherapy Biofeedback Body image enhancement Calming technic Caregiver support Cognitive restructuring Coping enhancement Counseling Decision-making support Emotional support Energy management Environmental management Exercise promotion Family involvement promotion Guided imagery Health education Health screening Hope inspiration Humor Journaling Massage Meditation Facilitation Music therapy Mutual goal setting Nutritional counseling Presence Progresive muscle relaxan Relaxation therapy Self-awarenes enhancement Self-efficacy enhancement Self-esteem enhancement Self-modification assistance Self-responsibility facilitation Spiritual support Teaching : group Teaching : individual Therapeutic touch Touch Thruth telling Values clarification

TIDAK. KEWENANGAN klinis dukungan perlindungan 1. Penyalahgunaan 2. Asam dasar managemen 3. pemantauan dasar Acid 4. Aktif mendengarkan 5. Mendengarkan aktif Terapi 6. Kegiatan 7. perawatan Admision 8. penyisipan Airway dan stabilisasi manajemen 9. Airway 10. Airway penyedotan manajemen 11. Alergi perawatan 12. Amputasi administrasi 13. Analgesik manajemen 14. Anafilaksis 15. Panduan antisipatif Terapi 16. Aroma 17. manajemen jalan napas buatan manajemen 18. Asma 19. Autotranfusion manajemen 20. Perilaku 21. Perilaku manajemen: overaktif / kurangnya perhatian manajemen 22. Perilaku: merugikan diri 23. manajemen Perilaku: seksual Modifikasi 24. Perilaku 25. Modifikasi perilaku: keterampilan sosial irigasi 26. kandung kemih 27. Pendarahan tindakan pencegahan pengurangan 28. Pendarahan Pengurangan 29. Perdarahan: uterus antepartum Pengurangan 30. Perdarahan: gastrointestinal Pengurangan 31. Perdarahan: hidung Pengurangan 32. Perdarahan: uterus postpartum Pengurangan 33. Perdarahan: luka administrasi produk 34. Darah image enhancement 35. Tubuh promosi 36. mekanik Tubuh perawatan inkontinensia 37. usus perawatan inkontinensia 38. usus: encopresis 39. usus irigasi manajemen 40. usus pelatihan 41. usus Pemeriksaan 42. usus Bantuan 43. disusui sampel darah 44. kapiler 45. perawatan jantung 46. perawatan jantung: akut 47. perawatan jantung: rehabilitatif 48. tindakan pencegahan Jantung 49. dukungan Pengasuh 50. perawatan Cast: basah 51. manajemen edema serebral 52. Cerebral promosi perfusi 53. perawatan hisap Caesar 54. Kimia menahan 55. Fisioterapi dada persiapan 56. Melahirkan 57. perawatan Peredaran Darah: insufisiensi arteri 58. perawatan Peredaran Darah: mekanik membantu perangkat 59. perawatan Peredaran Darah: insufisiensi vena 60. tindakan pencegahan peredaran perawatan 61. Sunat

manajemen 62. Kode 63. manajemen penyakit menular 64. Comunication tambahan: defisit pidato 65. Sembelit manajemen / Impaction 66. Konsultasi 67. memeriksa substansi Terkendali 68. peningkatan Mengatasi Pembangunan Jalur 69. Krisis stimulasi 70. Cutaneous 71. Pengambilan keputusan dukungan manajemen Defibrillator 72.: eksternal manajemen Defibrillator 73.: intern 74. Delegasi manajemen 75. Delirium manajemen 76. Delusion 77. Demensia managemen 78. perawatan Developmental 79. Peningkatan Pembangunan: adolescenct 80. Peningkatan Pembangunan: anak 81. Dialisis acces pemeliharaan manajemen 82. Diare pementasan 83. Diet perencanaan 84. Discharge 85. Dokumentasi 86. Sekarat perawatan manajemen 87. Disreflexia manajemen 88. dysrhythmia perawatan 89. Telinga 90. Terapi convultion Elektronik (ECT) manajemen manajemen 91. Elektrolit pemantauan 92. Elektrolit pemantauan janin 93. Electronic: antepartum pemantauan janin 94. Electronic: intrapartum 95. Embolus peduli: perifer 96. Embolus peduli: paru 97. tindakan pencegahan Embolus 98. Dukungan emosional 99. endotrakeal ekstubasi manajemen 100. Energi 101. makan tabung Enteral 102. manegement Lingkungan: aman 103. perlindungan risiko Lingkungan promosi 104. Latihan 105. Latihan promosi: latihan kekuatan promosi 106. Latihan: streching Terapi 107. Latihan: keseimbangan 108. Terapi Latihan: mobilitas sendi perawatan 109. Mata 110. Jatuh prvention dukungan 111. Keluarga 112. pengobatan Demam pengurangan 113. Perut kembung 114. Cairan manajemen / elektrolit manajemen 115. Fluid pemantauan 116. Fluid 117. Resusitasi cairan perawatan 118. Foot 119. Gastrointestinal intubasi 120. citra Dipandu 121. manajemen Halusinasi Pendidikan 122. Kesehatan screening 123. Kesehatan

pengobatan eksposur 124. Panas 125. Panas / aplikasi dingin 126. Peraturan hemodinamik Terapi 127. hemofiltration control 128. Perdarahan 129. Harapan inspirasi 130. manajemen Hyperglicemia 131. manajemen hypervolemia 132. manajemen hypoglicemia 133. Hipotermia induksi 134. pengobatan Hipotermia 135. manajemen Hipovolemia 136. Imunisasi / manajemen vaksinasi 137. Laporan Insiden 138. Sayatan perawatan situs perawatan 139. Bayi control 140. Infeksi control 141. Infeksi: intraoperatif perlindungan 142. Infeksi 143. tekanan intrakranial (ICP) pemantauan 144. perawatan Intrapartal 145. intravena (IV) insersion 146. intravena (IV) terapi 147. pemantauan hemodinamik invasif 148. perawatan Kangaroo konseling 149. Laktasi 150. Laktasi suppresion fasilitasi 151. Belajar 152. pemantauan ekstremitas bawah 153. ganas hipertermia tindakan pencegahan 154. pijat 155. manajemen Ventilasi mekanis: invasif 156. manajemen Ventilasi mekanis: noninvasif 157. penyapihan ventilasi Teknik administrasi 158. Obat: intradermal 159. administrasi Obat: intramuskular 160. administrasi Obat: intraspinal 161. administrasi Obat: intravena administrasi 162. Obat: subkutan manajemen 163. Obat fasilitasi 164. Meditasi 165. Terapi Milieu manajemen 166. Suasana Hati 167. Terapi musik 168. penetapan tujuan Reksa

PK III

TIDAK. KEWENANGAN klinis 1. Akupresur 2. Amnioinfusi 3. Terapi Seni 4. pelatihan Autogenik 5. biblioterapi 6. Biofeedback kesiapan 7. bioterorisme 8. Birthing manajemen 9. Kasus manajemen 10. Kemoterapi 11. restrukturisasi kognitif 12. stimulasi kognitif mediasi 13. Konflik 14. Konseling Intervensi 15. Krisis 16. Gangguan Makan Manajemen 17. Electronic Fetal Monitoring: antepartum 18. Electronic Fetal Monitoring: intrapartum 19. Latihan Terapi: Kontrol Otot 20. Keluarga Berencana: Infertilitas 21. Terapi Keluarga 22. Kesuburan Pelestarian Manajemen 23. Sumber Daya Fiskal 24. Pengumpulan Data Forensik 25. Konseling Genetik 26. Hemodialisis Terapi Perawatan Kehamilan 27. Risiko Tinggi 28. Hormon replacemen Therapy 29. Hypnosis Pelatihan 30. Impulse Kontrol 31. Intrapartal Perawatan: Pengiriman Risiko Tinggi 32. Induksi Buruh 33. Suppression Buruh 34. Tindakan Laser 35 Obat Administrasi: intrapleural 36. Obat Administrasi: intraosseous 37. Obat Administrasi: Ventricular Reservoir 38. Obat Peresepan Pelatihan 39. Memory 40. Nutrisi Manajemen 41. Ostomy Perawatan 42. panggul Latihan Otot 43. Perifer Disisipkan Central (PIC) Kateter 44. Tindakan Pneumatic torniquet Konseling 45. Preconseption 46. Kehamilan Penghentian Perawatan 47. Premenstrual Syndrome (PMS) Manajemen Pengembangan Program 48. 49. Progresif Relaksasi otot

Manajemen 50. rektal prolaps 51. Reminiscence Therapy Manajemen 52. Teknologi Reproduksi 53. Resusitasi: Janin 54. Resusitasi: neonatus 55. Identifikasi Risiko: Genetik Manajemen 56. Sedasi 57. Self Hypnosis Fasilitasi 58. Konseling Seksual Pemasaran 59. Sosial 60. Zat Gunakan Pengobatan: Alkohol Penarikan 61. Zat Gunakan Pengobatan: Obat Penarikan 62. Zat Gunakan Pengobatan: Overdosis Support Group 63. 64. Surveilance: Akhir Kehamilan 65. Therapeutic Touch 66. Terapi Kelompok 67 Trancutaneus saraf Listrik Stimulasi (TENS) 68. Trauma Terapi: Anak 69. Perawatan Tabung: umbilical Baris 70. kemih kandung kemih Pelatihan Manajemen 71. Eliminasi Urine 72. Kencing Pelatihan Kebiasaan 73. Validationn Terapi 74. Vena Acces Devica (VAD) Pemeliharaan

DAFTAR KEWENANGAN KLINIK KEPERAWATAN RSUD SITI AISYAH Lubuklinggau KEWENANGAN klinis INTI SESUAI AREA 1. AREA KLINIK KEPERAWATAN ANAK TIDAK. KEWENANGAN klinis dukungan 1. Penyalahgunaan perlindungan: anak (Dukungan Pencegahan penyalahgunaan: Anak) 2. manajemen Asma (Manajemen Asma) 3. Bantuan Menyusui (Bantuan Menyusui) 4. dukungan Pengasuh (Dukungan Pengasuh) 5. perawatan Developmental 6. Peningkatan Pembangunan: anak perencanaan 7. Discharge 8. Dokumentasi (Dokumentasi) 9. Dukungan emosional (Dukungan Emosi) 10. Pengelolaan lingkungan: keselamatan 11. Keluarga promosi keterlibatan 12. Keluarga kehadiran difasilitasi (Memfasilitasi Kunjungan Keluarga) 13. Feeding (Memberikan Makan) 14. pengobatan Demam (Terapi Demam) 15. Cairan manajemen / elektrolit (Manajemen Cairan / Elektrolit) Pendidikan 16. Kesehatan (Pendidikan kesehatan) promosi 17. Imunisasi perawatan 18. Bayi Terapi 19. intravena 20. administrasi Obat (Pemberian medikasi) 21. konferensi perawatan multidisiplinary promosi 22. Normalisasi manajemen Gizi 23. (Manajemen nutrisi) 24. Terapi oksigen (Terapi Oksigen) 25. Nyeri manajemen (Manajemen Nyeri) pendidikan 26. Induk 27. manajemen pernapasan (respirasi Manajemen) 28. identifikasi Risiko (Identifikasi Resiko) 29. Surveilance 30. Pengajaran: gizi bayi (Penkes: nutrisi bayi) 31. Pengajaran: keselamatan bayi 32. Pengajaran: stimulasi Bayi 33. Pengajaran: gizi Todler 34. Pengajaran: toilet training (Penkes: toilet training) 35. bermain Terapi (Terapi Bermain) 36. Jumlah pemberian nutrisi parenteral Terapi 37. Trauma: chield 38. monitoring tanda Vital (Memantau penting tanda)

2. AREA KLINIK KEPERAWATAN MEDIKAL Bedah TIDAK. KEWENANGAN klinis Manajemen 1. Asam Basis 2. Airway Menyedot 3. Buatan Airway Manajemen 4. Pencegahan Aspirasi Manajemen 5. Asma 6. Bed perawatan Istirahat 7. pengurangan Bleedingg: gastrointestinal administrasi produk 8. Darah 9. usus Inkontinensia Perawatan 10. usus Pelatihan Contoh 11. Kapiler Darah 12. Kimia Restraint Manajemen 13. Kemoterapi 14. Peredaran Darah Perawatan: Arteri Insufficiency 15. Peredaran Darah Perawatan: insufisiensi vena Manajemen 16. Kode 17. Pembangunan Critical Path Perencanaan 18. Discharge 19. Dokumentasi Manajemen 20. Elektrolit 21. Dukungan Emosional 22. Enteral Feeding Tube Pencegahan 23. Jatuh Promosi Keterlibatan 24. Familiy 25. Keluarga Kehadiran Fasilitasi 26. Cairan Manajemen / Elektrolit 27. Gastrointestinal Intubasi 28. Kesehatan Literasi Enhancement Manajemen 29. Hiperglikemia Manajemen 30. Hipoglikemia 31. Torehan Perawatan Site 32. Pengendalian Infeksi 33. intravena (IV) Penyisipan 34. intravena (IV) Terapi 35. data Laboratorium Interpretasi 36. manajemen Ventilasi mekanis: noninvasif Administrasi 37. Obat Manajemen 38. Obat 39. Obat Rekonsiliasi 40. Conference Perawatan multidisiplinary Manajemen 41. Neusea Pemantauan 42. neurologis 43. Nutrisi Manajemen 44. Ostomy Perawatan Terapi Oksigen 45. 46. manajemen Pacemaker: Permanen 47. Sakit 48. Pasien Controlled Analgesia (PCA) Assistence 49. Perlindungan Hak Pasien 50. Fisik Restraint 51. perawatan postmortem Manajemen 52. Tekanan 53. Tekanan Maag Perawatan 54. Tekanan Maag Pencegahan Pemantauan 55. Kualitas 56. Pemantauan Respiratory Manajemen 57. Kejang

58. Pencegahan kejang 59. Self Care Assistence Manajemen 60. Syok 61. Syok Pencegahan Surveillance 62. Kulit 63. Staf Pengawasan 64. Mengajar: Proses Penyakit 65. Pengajaran: Individual 66. Pengajaran: Ditetapkan Obat 67. Pengajaran: Prosedur / Pengobatan 68. Total Parenteral Nutrition 69. Traksi / Imobilisasi Perawatan 70. Tabung Crae: chast 71. Perawatan Tabung: gastrointestinal 72. Perawatan Tabung: Kemih Manajemen 73. Eliminasi Urine 74. Vital Sign Pemantauan Manajemen 75. Muntah perawatan 76. Luka