Dapus.docx

KATA PENGANTAR

Puji syukur kami panjatkan kehadirat Allah SWT atas rahmat dan karunianya sehingga dapat menyelesaikan Laporan Praktik Manajement di Ruang Melati RSUD Mardi Waluyo Blitar. Dalam penyusunan Laporan Praktik Manajement di Ruang Melati RSUD Mardi Waluyo Blitar ini tidak terlepas dari adanya bimbingan, arahan dan dukungan dari berbagai pihak yang ikut membantu terselesaikannya laporan ini. Pada kesempatan ini, memperkenankan kami mengucapkan terima kasih yang sebesar-besarnya dengan hati yang tulus kepada: 1. Eko sugiyono S.Kep, Ns selaku Kepala Ruang Melati RSUD Mardi Waluyo Blitar 2. Sri Anah Puji L S.Kep, Ns selaku Wakil Kepala Ruang sekaligus pembimbing lahan Ruang Melati RSUD Mardi Waluyo Blitar 3. Ns. Sih Ageng Lumadi., M.Kep selaku Pembimbing Institusi STIKes Maharani Malang

Semoga Allah SWT membalas semua pihak yang telah memberikan bantuan dan dukungannya dalam menyelesaikan laporan ini. Tentu saja Laporan Praktik Profesi Ners Departemen Manajemen ini agar lebih sempurna, sehingga memerlukan saran dan masukan. Semoga laporan ini memberi manfaat untuk kemajuan pelayanan keperawatan Rumah Sakit Umum Daerah Mardi Waluyo Blitar.

Blitar,

Maret 2019

Penulis

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DAFTAR ISI

HALAMAN SAMPUL ................................................................................. i LEMBAR PENGESAHAN ........................................................................ ii KATA PENGANTAR ................................................................................ iii DAFTAR ISI ............................................................................................... iv BAB 1 PENDAHULUAN 1.1.Latar Belakang .................................................................................. 1 1.2.Rumusan Masalah ............................................................................. 2 1.3.Tujuan ............................................................................................... 2 1.3.1

Tujuan Umum ....................................................................... 2

1.3.2

Tujuan Khusus ...................................................................... 2

1.4.Manfaat ............................................................................................. 3 1.4.1

Bagi Mahasiswa ..................................................................... 3

1.4.2

Bagi Perawat Ruang Melati RSUD Mardi Waluyo Blitar ..... 3

1.4.3

Bagi Pasien dan Keluarga Pasien .......................................... 3

1.4.4

Bagi Instituti .......................................................................... 3

BAB 2 PROFIL RUMAH SAKIT UMUM DAERAH MARDI WALUYO BLITAR 2.1 Gambaran Umum Rumah Sakit Umum Daerah Mardi Waluyo Blitar Diruang Melati ........................................................................ 4 2.2 Fasilitas dan Pelayanan Rumah Sakit Mardi Waluyo ........................ 6 2.3 Denah Lokasi ..................................................................................... 6 2.4 Falsafah Keperawatan ....................................................................... 7 2.5 Visi Rumah Sakit Umum Daerah Mardi Waluyo Blitar ................... 7 2.6 Misi rumah sakit umum daerah mardi waluyo blitar ........................ 7 2.7 Motto ruang melati ............................................................................ 7 2.8 Tujuan keperawatan .......................................................................... 8 2.9 Tujuan ruang keperawatan penyakit dalam (ruang melati) ............... 8 iv

BAB 3 HASIL PENGKAJIAN DAN ANALISA SERTA SINTESA PERMASALAHAN MANAJEMEN KEPERAWATAN DI RUANG MELATI 3.1 Man (M1) .......................................................................................... 9 3.1.1

Pengorganisasian ................................................................... 9

3.1.2

Jumlah Tenaga Perawat ....................................................... 10

3.1.3

Jumlah Pasien ...................................................................... 11

3.1.4

Kualitas Tenaga ................................................................... 12

3.1.5

Kebutuhan tenaga keperawatan ........................................... 20

3.1.6

Diagnosis Penyakit Terbanyak ............................................. 25

3.1.7

Kegiatan Intervensi Bedah ................................................... 25

3.2 Material Dan Machine (M2) ........................................................... 26 3.2.1 Penataan Gedung / Lokasi dan Denah Ruangan .................... 26 3.2.2 Peralatan dan Fasilitas ............................................................ 27 3.2.3 Fasilitas Alat-alat Keperawatan ............................................. 28 3.2.4 Fasilitas Alat-alat Rumah Tangga .......................................... 29 3.2.5 Failitas Alat-alat Tenun .......................................................... 32 3.2.6 Fasilitas Investaris Medik ....................................................... 34 3.3 Metode Asuhan Keperawatan (M3 Methode) ................................. 38 3.3.1 Penerpan Model Asuhan Asuhan Keperawatan Profesional ... 38 3.3.2 Fungsi Manajemen Keperawatan ............................................ 39 3.3.3 Timbang Terima ..................................................................... 51 3.3.4 Ronde Keperawatan ................................................................ 79 3.3.5 Penerimaan Pasien Baru ......................................................... 79 3.3.6 Discharge Pleaning ................................................................. 81 3.3.7 Supervisi Keperawatan ........................................................... 82 3.3.8 Pengelolan Sentrilisasi Obat .................................................. 82 3.3.9 Dokumentasi Perawatan ......................................................... 83

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3.4 Money .............................................................................................. 87 3.4.1

Sistem Gaji dan Remunerisasi SDM .................................... 87

3.4.2

Sumber pendapatan ruangan melati .................................... 87

3.4.3

Tata cara pembayaran penagihan ........................................ 88

3.4.4

Tarif rawat inap ................................................................... 90

3.4.5

Rancangan Anggaran Belanja Rumah Sakit ........................ 95

3.5 Market ............................................................................................. 96 3.5.1 Efisiensi Ruang Rawat Inap .................................................. 96 3.5.2 ALOS (Length Of Stay) ........................................................... 96 3.5.3 BTO (Bed Turn Over) ............................................................. 97 3.5.4 BOR (Bed Occupancy Ratio) .................................................. 97 3.5.5 TOI (Turn Of Interval) ............................................................ 98 3.5.6 Keselamatan Pasien ................................................................. 99 BAB 4 ANALISA SWOT DAN PRIORITAS MASALAH 4.1 Skor Analisa SWOT ..................................................................... 131 4.2 Diagram Layang............................................................................ 148 4.3 Perumusan Masalah ...................................................................... 149 4.4 Prioritas Masalah .......................................................................... 150 4.5 Penentuan Prioritas Cara Pemecahan Masalah ............................. 153 4.6 POA (Plan Of Actions) ................................................................. 156 BAB 5 HASIL DAN PEMBAHASAN 5.1 Implementasi ................................................................................. 160 5.1.1 Masalah ................................................................................. 160 5.2 Hasil Implementasi ........................................................................ 161 5.2.1 Resiko Infeksi ....................................................................... 161 5.2.2 Five moment hand hygiene pre dan post .............................. 162 vi

5.2.3 Kejadian Jatuh....................................................................... 163 5.2.4 Handover .............................................................................. 169 5.2.5 Orientasi Pasien Baru............................................................ 170 5.2.6 Supervisi ............................................................................... 174 5.2.7 Ronde Keperawatan .............................................................. 174 5.3 Pembahasan 5.3.1 Resiko Jatuh .......................................................................... 175 5.3.2 Kejadian Plebitis ................................................................... 175 5.3.3 Orientasi Pasien Baru............................................................ 176 5.3.4 HandOver.............................................................................. 177 5.3.5 Five Moment cuci tangan ...................................................... 178 5.3.6 Supervisi ............................................................................... 180 5.3.7 Ronde Keperawatan .............................................................. 181 BAB VI PENUTUP 6.1 Kesimpulan ................................................................................... 182 6.2 Saran .............................................................................................. 182 DAFTAR PUSTAKA .............................................................................. 184 LAMPIRAN-LAMPIRAN

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