Kewenangan Klinis Perawat Klinik Menurut Nanda.docx

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 RS Universitas Riau adalah Nursing Intervention Clasification (NIC), karena kami telah menerapkan SNL (Standar of Nursing Language). Daftar Kewenangan Klinis Perawat RS Universitas Riau Jason reverensi utama : Nursing Intervention Clasification (NIC). 1. KEWENANGAN KLINIS PERAWAT KLINIK (PK) I Perawat Klinik I (Novice) adalah: Perawat lulusan D-III Keperawatan dan telah memiliki pengalaman kerja ≥ 1 tahun (3-6 Tahun) atau Ners (lulusan S-1 Keperawatan plus pendidikan profesi) dengan pengalaman kerja ≥ 1 tahun (2-4 Tahun) dan mempunyai sertifikat Pra Klinik. Kewenangan Klinis PK I adalah sebagai berikut :

NO

KEWENANGAN KLINIS

1

Reduksi Cemas

2

Pembatasan Area

3

Pencegahan Aspirasi

4

Memandikan

5

Perawatan bedrest

6

Pemeriksaan laboratorium di samping TT

7

Bottle feeding

8

Teknik penenangan

9

Perawatan gips: maintenance

10

Peningkatan komunikasi : defisit pendengaran

11

Peningkatan komunikasi : defisit penglihatan

12

Perawatan kontak lensa

13

Peningkatan batuk

14

Manajemen dimensia: memandikan

15

Distraksi

16

Mengenakan pakaian (dressing)

17

Perawatan emergensi

18

Chek kartu emergensi

19

Manajemen lingkungan

20

Manajemen lingkungan : nyaman

21

Bantuan pemeriksaan

22

Therapi latihan : ambulasi

23

Memberikan makan

24

Pertolongan pertama

25

Perawatan rambut

26

Humor

27

Administrasi medikasi: telinga

28

Administrasi medikasi: mata

29

Administrasi medikasi: enteral

30

Administrasi medikasi: inhalasi

31

Administrasi medikasi: nasal

32

Administrasi medikasi: oral

33

Administrasi medikasi: rectal

34

Administrasi medikasi: kulit

35

Administrasi medikasi: vaginal

36

Manajemen mual

37

Perawatan perineal

38

Posisioning

39

Posisioning : neurologi

40

Kehadiran

41

Perawatan ulkus pressure

42

Meminta berkemih

43

Perawatan prostesis

44

Orientasi realita

45

Therapi rekreasi

46

Bantuan perawatan diri

47

Bantuan perawatan diri : mandi / hygiene

48

Bantuan perawatan diri : berpakaian

49

Bantuan perawatan diri : makan

50

Bantuan perawatan diri : toileting

51

Bantuan perawatan diri : transfer

52

Manajemen spesimen

53

Asistensi pembedahan

54

Sentuhan

55

Transfer

56

Perawatan slang

57

Perawatan slang : urinari

58

Cateterisasi urine

59

Cateterisasi urine : intermittent

60

Fasilitasi kunjungan

2. KEWENANGAN KLINIS PERAWAT KLINIK (PK) II Perawat klinik II (Advance Beginner) adalah perawat lulusan D III Keperawatan dengan pengalaman kerja ≥ 4 tahun (6-9 Tahun) atau Ners (lulusan S-1 Keperawatan plus pendidikan profesi) dengan pengalaman kerja ≥3 tahun (4-7 Tahun), dan mempunyai sertifikat PK-I. Kewenangan Klinis PK II adalah sbb :

NO

KEWENANGAN KLINIS

1

Acid base managemen

2

Acid base monitoring (pemantauan asam basa)

3

Active listening (mendengarkan secara aktif)

4

Active listening

5

Activity therapy

6

Admision care

7

Airway insertion and stabilization

8

Airway management

9

Airway suctioning

10

Allergy management

11

Amputation care

12

Analgesic administration

13

Anaphylaxis management

14

Anticipatory guidance

15

Aroma therapy

16

Artificial airway management

17

Asthma management

18

Autotranfusion

19

Behavior management

20

Behavior management : overactivity / inattention

21

Behavior management : self harm

22

Behavior management : sexual

23

Behavior modification

24

Behavior modification: social skill

25

Bladder irrigation

26

Bleeding precaution

27

Bleeding reduction

28

Bleeding reduction : antepartum uterus

29

Bleeding reduction : gastrointestinal

30

Bleeding reduction : nasal

31

Bleeding reduction : postpartum uterus

32

Bleeding reduction : wound

33

Blood product administration

34

Body image enhancement

35

Body mechanics promotion

36

Bowel incontinence care

37

Bowel incontinence care : encopresis

38

Bowel irrigation

39

Bowel management

40

Bowel training

41

Bowel examination

42

Breasfeeding assistance

43

Capillary blood sample

44

Cardiac care

45

Cardiac care : acute

46

Cardiac care : rehabilitative

47

Cardiac precautions

48

Caregiver support

49

Cast care : wet

50

Cerebral edema management

51

Cerebral perfusion promotion

52

Cesarean suction care

53

Chemical restrain

54

Chest physiotherapy

55

Childbirth preparation

56

Circulatory care : arterial insufficiency

57

Circulatory care : mechanical assist device

58

Circulatory care : venous insufficiency

59

Circulatory precautions

60

Circumcision care

61

Code management

62

Communicable desease management

63

Comunication enhancement : speech deficit

64

Constipation/Impaction management

65

Consultation

66

Controlled substance checking

67

Coping enhancement

68

Crisis Path Development

69

Cutaneous stimulation

70

Decision making support

71

Defibrillator management : external

72

Defibrillator management : internal

73

Delegation

74

Delirium management

75

Delusion management

76

Dementia managemen

77

Developmental care

78

Developmental enhancement : adolescenct

79

Developmental enhancement : child

80

Dialysis acces maintenance

81

Diare management

82

Diet staging

83

Discharge planning

84

Documentation

85

Dying care

86

Disreflexia management

87

Dysrhythmia management

88

Ear care

89

Electronic convultion therapy (ECT) management

90

Electrolyte management

91

Electrolyt monitoring

92

Electronic fetal monitoring : antepartum

93

Embolus care : peripheral

94

Embolus care : pulmonary

95

Embolus precautions

96

Emotional support

97

Endotracheal extubation

98

Energy management

99

Enteral tube feeding

100

Environmental manegement : safety

101

Environmental risk protection

102

Exercise promotion

103

Exercise promotion: strength training

104

Exercise promotion : streching

105

Exercise therapy : balance

106

Exercise therapy : joint mobility

107

Eye care

108

Fall prvention

109

Fall prvention

110

Family support

111

Fever treatment

112

Flatulence reduction

113

Fluid/electrolyte management

114

Fluid management

115

Fluid monitoring

116

Fluid resuscitation

117

Foot care

118

Gastrointestinal intubation

119

Guided imagery

120

Hallucination management

121

Health education

122

Healt screening

123

Heat exposure treatment

124

Heat/cold aplication

125

Hemodynamic regulation

126

Hemofiltration therapy

127

Hemorrhage control

128

Hope inspiration

129

Hyperglicemia management

130

Hypervolemia management

131

Hypoglicemia management

132

Hypothermia induction

133

Hypothermia treatment

134

Hypovolemia management

135

Immunization/vaccination management

136

Incident report

137

Incision site care

138

Infant care

139

Infection control

140

Infection control: intraoperative

141

Infection protection

142

Intracranial pressure (ICP) monitoring

143

Intrapartal care

144

Intravenous (IV) insersion

145

Intravenous (IV) therapy

146

Invasive hemodynamic monitoring

147

Kangaroo care

148

Lactation counseling

149

Lactation suppresion

150

Learning facilitation

151

Lower extremity monitoring

152

Malignant hyperthermia precaution

153

Massage

154

Mechanical ventilation management : invasive

155

Mechanical ventilation management : noninvasive

156

Mechanical ventilatory weaning

157

Medication administration : intradermal

158

Medication administration : intramuscular

159

Medication administration : intraspinal

160

Medication administration : intravenous

161

Medication administration : subcutaneus

162

Medication management

163

Meditation facilitation

164

Milieu therapy

165

Mood management

166

Music therapy

167

Mutual goal setting

168

Nausea management

169

Neurologic monitoring

170

Newborn car

171

Newborn monitoring

172

Nutrition therapy

173

Nutritional counseling

174

Nutritional monitoring

175

Oral health maintenance

176

Oral health promotion

177

Oral health restoration

178

Oxygen therapy

179

Pacemaker management : permanent

180

Pacemaker management : temporary

181

Pain management

182

Paperipheral sensation management

183

Peritonial dyalisis therapy

184

Pessary management

185

Phlebotomy : arterial blood sample

186

Phlebotomy : blood unit acquisision

187

Phlebotomy : cannulated vessel

188

Phlebotomy :venous bloog sample

189

Phototherapy : mood/sleep regulation

190

Phototherapy : neonate

191

Physical restrain

192

Physician support

193

Positioning : intraoperative

194

Positioning : wheelchair

195

Postanasthesia care

196

Postpartal care

197

Prenatal care

198

Preoperative coordination

199

Pressure management

200

Pressure ulcer prevention

201

Product evaluation

202

Pruritus management

203

Relaxationn therapy

204

Religius ritual enhancement

205

Respiratory monitoring

206

Resuscitation

207

Self care assistance: IADL

208

Selft esteem enhancement

209

Shift report

210

Shock management

211

Shock management : cardiac

212

Shock management : autogenic

213

Shock management : volume

214

Shock prevention

215

Sibling support

216

Skin care : topical treatment

217

Sleep enhancement

218

Spiritual growth facilitation

219

Spiritual support

220

Subarachnoid hemorhage precaution

221

Surgical preparation

222

Surveilance : safety

223

Suturing

224

Swallowing therapy

225

Teaching : desease process

226

Teaching ; foot care

227

Teaching : individual

228

Teaching : infant nutrition

229

Teaching : infant safety

230

Teaching : infant stimulation

231

Teaching : preoperative

232

Teaching : prescribed activity / exercise

233

Teaching : prescribed diet

234

Teaching : prescribed medication

235

Teaching : procedure / treatment

236

Teaching : psychomotor skill

236

Teaching : toilet training

237

Temperature regulation

238

Therapeutic play

239

Thrombolytic therapy management

240

Total parenteral nutrition (TPN) management

241

Traction/immobilitation care

242

Tube care : chest

243

Tube care : gastrointestinal

244

Tube care : ventriculostomy/lumbar drain

245

Urinary incontinentia care

246

Urinary incontinentia care : enuresis

247

Urinary retention care

248

Ventilation assistance

249

Vital sign monitoring

250

Vomiting management

251

Wound care

252

Wound care : burns

253

Wound care : closed drainase

254

Wound irrigation

255

Abuse protection support (dukungan perlindungan penyalahgunaan)

3. KEWENANGAN KLINIS PERAWAT KLINIK (PK) III Perawat Klinik III (competent) adalah perawat lulusan D III Keperawatan dengan pengalaman kerja ≥10 tahun (9-12 Tahun) atau Ners (lulusan S-1 Keperawatan plus pendidikan profesi) dengan pengalaman klinik ≥ 7 tahun (6-9 Tahun) atau Ners Spesialis dengan pengalaman kerja 0 tahun (2-4 Tahun), dan memiliki sertifikat PK-II

Kewenangan Klinis PK III adalah sbb: NO

KEWENANGAN KLINIS

1

Acupressure

2

Amnioinfusion

3

Art Therapy

4

Autogenic training

5

Bibliotherapy

6

Biofeedback

7

Bioterrorism preparedness

8

Birthing

9

Case management

10

Chemotherapy management

11

Cognitive restructuring

12

Cognitive stimulation

13

Conflict mediation

14

Counseling

15

Crisis intervention

16

Eating Disorder Management

17

Electronic Fetal Monitoring : Antepartum

18

Electronic Fetal Monitoring : Intrapartum

19

Exercise Therapy : Muscle Control

20

Family Planning : Infertility

21

Family Therapy

22

Fertility Preservation

23

Fiscal Resource Management

24

Forensic Data Collection

25

Genetic Counselling

26

Hemodialysis Therapy

27

High Risk Pregnancy Care

28

Hormon Replacemen Therapy

29

Hypnosis

30

Impulse Control Training

31

Intrapartal Care : High Risk Delivery

32

Labor Induction

33

Labor Suppression

34

Laser Precautions

35

Medication Administration : Intrapleural

36

Medication Administration : Intraosseous

37

Medication Administration : Ventricular Reservoir

38

Medication Prescribing

39

Memory Training

40

Nutrition Management

41

Ostomy Care

42

Pelvic Muscle Exercise

43

Peripherally Inserted Central (PIC) Catheter

44

Pneumatic Torniquet Precautions

45

Preconseption Counseling

46

Pregnancy Termination Care

47

Premenstrual Syndrome (PMS) Management

48

Program Development

49

Progressive Muscle Relaxation

50

Rectal Prolaps Management

51

Reminiscence Therapy

52

Reproductive Technology Management

53

Resuscitation : Fetus

54

Resuscitation : Neonate

55

Risk Identification : Genetic

56

Sedation Management

57

Self Hypnosis Facilitation

58

Sexual Counseling

59

Social Marketing

60

Substance Use Treatment : Alcohol Withdrawal

61

Substance Use Treatment : Drug Withdrawal

62

Substance Use Treatment : Overdose

63

Support Group

64

Surveilance : Late Pregnancy

65

Therapeutic Touch

66

Therapy Group

67

Trancutaneus Electrical

68

Trauma Therapy : Child

69

Tube Care : Umbilical Line

70

Urinary Bladder Training

71

Urinary Elimination Management

72

Urinary Habit Training

73

Validationn Therapy

74

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 ≥ 13tahun(9-12 Tahun) atau Ners Spesialis dengan pengalaman kerja ≥ 2 tahun (6-9 Tahun), dan memiliki sertifikat PK III. 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 (Hingga Masa Pensiun) atau Ners Spesialis Konsultan dengan pengalaman kerja 0 tahun (Hingga Masa Pensiun), dan memiliki sertifikat PK-IV. Kewenangan Klinis PK V adalah seluruh Kewenangan Klinis ditambah dengan menerima konsultasi dari PK I - IV.

DAFTAR KEWENANGAN KLINIS KEPERAWATAN RS UNIVERSITAS RIAU BERDASARKAN KEWENANGAN KLINIS INTI SESUAI AREA KLINIK

1. Area Klinik Keperawatan Anak NO

KEWENANGAN KLINIS

1

Abuse protection support: child (Dukungan pencegahan penyalahgunaan : anak)

2

Asthma management (Manajemen Asma)

3

Breastfeeding assistance (Bantuan Menyusui)

4

Caregiver support (Dukungan Pengasuh)

5

Developmental care (perawatan perkembangan)

6

Developmental enhancement: child (peningkatan perkembangan: anak)

7

Discharge planning (perencanaan pulang)

8

Documentation (Dokumentasi)

9

Emotional support (Dukungan emosi)

10

Environmental management: safety (manajemen lingkungan: keselamatan)

11

Family involvement promotion (Keluarga promosi keterlibatan)

12

Family presence fasilitation (Memfasilitasi kunjungan keluarga)

13

Feeding (Memberikan makan)

14

Fever treatment (Therapy demam)

15

Fluid/electrolyte management (Manajemen cairan/elektrolit)

16

Health education (Pendidikan kesehatan)

17

Immunization promotion (promosi imunisasi)

18

Infant care (perawatan bayi)

19

Intravenous therapy (terapi intravena)

20

Medication administration (Pemberian medikasi)

21

Multidisiplinary care conference (konferensi perawatan multidisiplinary)

22

Normalization promotion (promosi normalisasi)

23

Nutrition management (Manajemen nutrisi)

24

Oxygen therapy (Therapy oksigen)

25

Pain management (Manajemen nyeri)

26

Parent education (pendidikan orang tua)

27

Respiratory management (Manajemen respirasi)

28

Risk indentification (Identifikasi resiko)

29

Surveilance (Pengawasan)

30

Teaching : infant nutrition (Penkes : nutrisi infant)

31

Teaching : Infant safety (Pengajaran: keselamatan bayi)

32

Teaching : Infant stimulation (Pengajaran: stimulasi Bayi)

33

Teaching : Todler nutrition (Pengajaran: Todler gizi)

34

Teaching : toilet training (Penkes : toilet training)

35

Therapeutic play (Therapy bermain)

36

Total parenteral nutrition administration (Jumlah pemberian nutrisi parenteral)

37

Trauma therapy : chield (Terapi Trauma: chield)

38

Vital sign monitoring (Monitor vital sign)

2. Area Klinik Keperawatan Medikal Bedah

NO

KEWENANGAN KLINIS

1

Acid Base Management (Manajemen asam Basis)

2

Airway Suctioning (Cara penyedotan udara)

3

Artificial Airway Management (Manajemen Airway buatan)

4

Aspiration Precautions (Aspiration Precautions)

5

Asthma Management (Manajemen asma)

6

Bed Rest care ( perawatan istirahat di bed)

7

Bleedingg reduction : gastrointestinal (Pengurangan Bleedingg: gastrointestinal)

8

Blood product administration (administrasi produk darah)

9

Bowel Incontinentia Care (Perawatan Usus Inkontinensia)

10

Bowel Training (Pelatihan usus)

11

Capillary Blood Sample ( contoh kapiler darah)

12

Chemical Restraint (kimia Restraint)

13

Chemotherapy Management (Manajemen kemoterapi)

14

Circulatory Care: Arterial Insufficiency (Perawatan peredaran darah: Arteri Insufficiency)

15

Circulatory Care: Venous Insufficiency (Perawatan peredaran darah: insufisiensi vena)

16

Code Management (Manajemen kode)

17

Critical Path Development (Pembangunan Jalur Kritis)

18

Discharge Planning ((perencanaan pulang)

19

Documentation (dokumentasi)

20

Electrolyte Management (Manajemen Elektrolit)

21

Emotional Support (Bantuan emosional)

22

Enteral Tube Feeding (saluran tabung makanan)

23

Fall Prevention (Pencegahan jatuh)

24

Familiy Involvement Promotion (promosi keterlibatan keluarga)

25

Family Presence Facilitation (kehadiran fasilitas keluarga)

26

Fluid / Electrolyte Management(manajemen cairan elektrolit)

27

Gastrointestinal Intubation

28

Health Literacy Enhancement (peningkatan literasi kesehatan)

29

Hyperglycemia Management (Manajemen hiperglikemia)

30

Hypoglycemia Management (Manajemen hipoglikemia)

31

Incision Site Care (perawatan sayatan)

32

Infection Control (Pengendalian infeksi)

33

Intravenous (IV) Insertion (Intravena (IV) Penyisipan)

34

Intravenous (IV) Therapy (Intravena (IV) Terapi)

35

Laboratory Data Interpretation (interpretasi data laboratorium)

36

Mechanical ventilation management : Noninvasive (manajemen ventilasi mekanik: noninvasif)

37

Medication Administration (Administrasi obat)

38

Medication Management (Manajemen obat)

39

Medication Reconciliation (Rekonsiliasi Obat)

40

Multidisiplinary Care Conference (perawatan multidisiplinary konferensi)

41

Neusea Management (manajemen mual)

42

Neurologic Monitoring (Pemantauan neurologis)

43

Nutrition Management (manajemen nutrisi)

44

Ostomy Care (perawatan ostomy)

45

Oxygen Therapy (terapi oksigen)

46

Pacemaker management : Permanent (manajemen alat pacu jantung: Permanen)

47

Pain Management (Manajemen nyeri)

48

Patient Controlled Analgesia (PCA) Assistence (bantuan kendali analgesik pasien)

49

Patient Rights Protection (Perlindungan Hak Pasien)

50

Physical Restraint(pengekangan fisik)

51

Post mortem care (perawatan posmortem)

52

Pressure Management (Manajemen tekanan)

53

Pressure Ulcer Care (Perawatan Tekanan Maag)

54

Pressure Ulcer Prevention (Pencegahan Tekanan Maag)

55

Quality Monitoring (Pemantauan kualitas)

56

Respiratory Monitoring (Pemantauan pernafasan)

57

Seizure Management (Manajemen kejang)

58

Seizure Precautions (Kewaspadaan kejang)

59

Self Care Assistence (perawatan bantuan diri)

60

Shock Management (Manajemen syok)

61

Shock Prevention (Pencegahan syok)

62

Skin Surveillance (Skin Surveillance)

63

Staf Supervision (Staf Supervision)

64

Teaching: Desease Process (Proses pengajaran penyakit)

65

Teaching : Individual (Pengajaran: Individual)

66

Teaching : Prescribed Medication (Pengajaran: Obat yang ditetapkan)

67

Teaching : Prosedure / Treatment (Pengajaran: Prosedur / Pengobatan)

68

Total Parenteral Nutrition

69

Traction / Immobilization Care

70

Tube Crae : chast

71

Tube Care : gastrointestinal

72

Tube Care : Urinary

73

Urinary Elimination Management

74

Vital Sign Monitoring

75

Vomiting Management

76

Wound care

3. Area Klinik Keperawatan Ginjal NO

KEWENANGAN KLINIS

1

Acid Base Management

2

Bed Side Laboratory Testing

3

Bleeding Reduction : Wound

4

Capillary Blood Sample

5

Case Management

6

Constipation/Impaction Management

7

Culture Brokerage

8

Decision-Making Support

9

Delegation

10

Dialysis Acces Maintenance

11

Electrolyte Management

12

Electrolyte Monitoring

13

Emotional Support

14

Environmental Management : Comfort

15

Environmental Management: Safety

16

Family Involvement Promotion

17

Financial Resource Assistance

18

Fluid/Electrolyte Management

19

Fluid Management

20

Fluid Monitoring

21

Health Literacy Enhancement

22

Hemodialysis Therapy

23

Hyperglycemia Management

24

Hypervolemia Management

25

Hypoglicemia management

26

Hypovolemia Management

27

Infection Control

28

Infection Protection

29

Laboratory data Interpretation

30

Medication Administration

31

Medication Management

32

Multidisiplinary Care Conference

33

Nausea Management

34

Nutritional Monitoring

35

Organ Procurement

36

Peritoneal Dialysis Therapy

37

Phlebotomy: Cannulated Vessel

38

Physician Support

39

Pruritis Management

40

Self-Efficacy Enhamcement

41

Specimen managemen

42

Teaching : Desease Process

43

Teaching : Individual

44

Teaching : Prescribed Medication

45

Teaching : Procedure/Treatment

46

Teaching : Psychomotor Skill

47

Technology Management

48

Telephone Consultation

49

Values Clarification

50

Vital Signs Monitoring

51

Vomiting Management

3. Area Klinik Keperawatan Maternitas NO

KEWENANGAN KLINIS

1

Birthing

2

Bleeding Reduction : Antepartum Uterus

3

Bleeding Reduction : Postpartum Uterus

4

Bottle Feeding

5

Breastfeeding Assistance

6

Cesarean Section Care

7

Childbirth Preparation

8

Electronic Fetal Monitoring : Antepartum

9

Electronic Fetal Monitoring : Intrapartum

10

Environmental Managemen : Attachment Process

11

Family Integrity Promotion : Childbearing Family

12

Family Planning : Contraception

13

Greaf Work Facilitation : Perinatal Death

14

Health Literacy Inhancement

15

High Risk Pregnancy Care

16

Intrapartal Care

17

Intrapartal Care : High – Risk Delivery

18

Invasive Hemodynamic Monitoring

19

Labor Induction

20

Lactation Counseling

21

Medication Administration

22

Medication Administration : Intraspinal

23

Newborn Care

24

Newborn Monitoring

25

Pain Management

26

Parent Education : Infant

27

Parenting Promotion

28

Postpartal Care

29

Pregnancy Termination Care

30

Prenatal Care

31

Resuscitation : Fetus

32

Resuscitation : Neonatal

33

Risk Identification : Childbearing Family

34

Substance Use Treatment

35

Surveilance : Late Pregnancy

4. Area Klinik Keperawatan Jiwa

NO

KEWENANGAN KLINIS

1

Abuse protection support

2

Active listening

3

Anger control assistance

4

Anxiety reduction

5

Area resriction

6

Assertiveness training

7

Behavior management: overactiviity/inattention

8

Behavior management : self-harm

9

Behavior management : sexual

10

Behavior modification

11

Behavior modification : social skills

12

Bibliotherapy

13

Body image enhancement

14

Calming technique

15

Case management

16

Chemical restrain

17

Cognitive restructuring

18

Complex relationship building

19

Consultation

20

Coping enhancement

21

Conseling

22

Crisis intervention

23

Delusion management

24

Dimentia management

25

Dimentia management: bathing

26

Eating disorder management

27

Electroconvultion therapy (ECT) management

28

Elopement prcoution

29

Environmental management : violence management

30

Family involvement promotion

31

Family therapy

32

Fire-setting precaution

33

Grief work facilitation

34

Guilt work facilitation

35

Hallucination management

36

Health literacy enhancement

37

Impulse control training

38

Journaling

39

Limit setting

40

Medication administration

41

Medication management

42

Milieu therapy

43

Mood management

44

Pass facilitation

45

Phototherapy : mood/sleep regulation

46

Physical restraint

47

Reality orientation

48

Reminiscence therapy

49

Seclution

50

Self awareness enhancement

51

Self care assistance : ADL

52

Self esteem enhancement

53

Substance use prevention

54

Substance use treatment : alcohol withdrawl

55

Substance use treatment : drug withdrawl

56

Suicide prevention

57

Support group

58

Therapeutic play

59

Therapy group

5.

Area Klinik Keperawatan Kritis

NO

KEWENANGAN KLINIS

1

Acid base monitoring

2

Mechanical ventilation management : invasive

3

Airway managemen

4

Mechanical ventilation management : noninvasive

5

Airway sectioning

6

Mechanical ventilatory weaning

7

Analgesic administration

8

Medication administration

9

Anxiety reduction

10

Medication administration : intravenous

11

Artificial airway management

12

Multidisiplinary care conference

13

Cardiac care : acut

14

Nausea management

15

Cardiac precaution

16

Neurologic monitoring

17

Caregiver support

18

Oxygen therapy

19

Circulatory care : Mechanical assist device

20

Pacemaker management : permanent

21

Code management

22

Pacemaker management : temporary

23

Decision making support

24

Pain menegement

25

Devribilator managemen: external

26

Posisioning

27

Devribilator managemen : internal

28

Respiratory monitoring

29

Delegation

30

Sedation managemen

31

Discharge Planning

32

Shock managemen

33

Documantation

34

Teaching : procedure/treatment

35

Elektrolyte Management

36

Temperature regulation

37

Electrolyte monitoring

38

Thrombolitic therapy managemen

39

Emotional support

40

Vital sign monitoring

41

Family involvement support

42

Vomiting management

43

Family present facilitation

44

Fluid / Electrolyte management

45

Fluid management

46

Fluid monitoring

47

Hemodinamic regulation

48

Intracranila pressure monitoring

49

Intravenous therapy

6.

Area Klinik Midwifery

NO

KEWENANGAN KLINIS

1

Abuse protection support

2

Active listening (Mendengar aktif)

3

Admission care

4

Amnioinfusion

5

Anticipatory guidance

6

Attachment promotion

7

Birthing

8

Breast examination

9

Breast feeding assistance

10

Childbirth preparation

11

Decision-making support

12

Delegation

13

Discharge planning

14

Documentation

15

Emotional support

16

Environmental management

17

Family integrity promotion: childbearing family

18

Family planning: contraception

19

Family planning: unplaned pregnancy

20

Fertility preservation

21

Health education

22

Health screening

23

High risk pregnancy care

24

Hormone replacement therapy

25

Intrapartal care

26

Lactation counseling

27

Lactation suppresion

28

Medication administration: intraspinal

29

Medication management

30

Medication prescribing

31

Newborn care

32

Nutrition counseling

33

Paint management

34

Parent education: infant

35

Physician support

36

Postpartal care

37

Premenstrual syndrome (PMS) management

38

Refferal

39

Risk identification : childbearing family

40

Self-efficacy enhancement

41

Sexsual counseling

42

Suturing

43

Teaching : individual

7.

Area Klinik Emergency Nursing

NO

KEWENANGAN KLINIS

1

Abuse protection support : child

2

Abuse protection support : domestic partner

3

Anaphylaxis management

4

Airway management

5

Blood product administation

6

Cardiac care: acut

7

Circulatory care: arterial insuffisiency

8

Circulatory care: venous insuffisiency

9

Code management

10

Crisis intervention

11

Defribilator management : external

12

Defribilator management : internal

13

Documentation

14

Dysrithmia management

15

Electrolyte management

16

Emergency care

17

Family presence fasilitation

18

First aid

19

Fluid / electrolyte management

20

Fluid resuscitation

21

Heat exposure treatment

22

Hypovolemia management

23

Intravenouse Insertion

24

Intravonouse therapy

25

Mechanical ventilation management : noninvasive

26

Medication administration

27

Neurological monitoring

28

Oxygen therapy

29

Pacemaker management : temporary

30

Pain management

31

Phebotomy : venous blood sample

32

Rape trauma treatment

33

Respiratory monitoring

34

Resuscitation

35

Seizure management

36

Shock management

37

Teaching : individual

38

Thrombolitic therapy management

39

Transport : interfacility

40

Transport : intrafacility

41

Triage : emergency centre

42

Triage : telephone

43

Vital signs monitoring

44

Wound care

8.

Area Klinik Holistic Nursing

NO

KEWENANGAN KLINIS

1

Active listening (Mendengar aktif)

2

Accupressure

3

Animal-assisted therapy

4

Anticipatory guidance

5

Anxiety reduction

6

Aroma therapy

7

Art therapy

8

Autogenic training

9

Bibliotherapy

10

Biofeedback

11

Body image enhancement

12

Calming technic

13

Caregiver support

14

Cognitive restructuring

15

Coping enhancement

16

Counseling

17

Decision-making support

18

Emotional support

19

Energy management

20

Environmental management

21

Exercise promotion

22

Family involvement promotion

23

Guided imagery

24

Health education

25

Health screening

26

Hope inspiration

27

Humor

28

Journaling

29

Massage

30

Meditation Facilitation

31

Music therapy

32

Mutual goal setting

33

Nutritional counseling

34

Presence

35

Progresive muscle relaxan

36

Relaxation therapy

37

Self-awarenes enhancement

38

Self-efficacy enhancement

39

Self-esteem enhancement

40

Self-modification assistance

41

Self-responsibility facilitation

42

Spiritual support

43

Teaching : group

44

Teaching : individual

45

Therapeutic touch

46

Touch

47

Thruth telling

48

Values clarification