Naskah Ronde Keperawatan
Naskah Ronde Keperawatan
Naskah Ronde Keperawatan
NUM : Assalammualaikum wr.wb, Good morning everyone, thank you for your
attention and your time, according to the contract that we have been
agreed, today 16 November 2018 at 10.00 a.m, we will do nursing round.
Before that, I will introduce my team first, I am Tiur as the NUM, then Mr
Dwiko as the doctor, Ms. Simpliana as the pharmacy, Ms. Ninditha as the
nutritionist, Ns. Yohanes and Ns. Tiur as the primary nurse, Ns. Nina and
Ns Ezra as the associate nurse. This nursing round consists of case
presentation, continued patient validation, and back to ners station for
evaluation and recommendation. Our patient is An. F.Y,A 10 years old,
BPJS class 2 with medical diagnose Epilepsi State of epilepticus, With an
unresolved nursing problem is, Hipertermi and Mobility Impaired As for
the purpose of this round is to discuss the patient's problem to plan the
right intervention. For the next, please PN1 to explain the case or patient
problem.
PN1 : Thank you for the time given to me, and thanks to all the round teams that
have been present. Previously introduce my self my name is Yohanes as
PN in Room Bobo II, okay I will report the condition of patients in this
round, I start from the identity of patient ....
(Presentasi kasus)
This is a report of patient problems and the interventions we have done.
thank you
NUM : Well… the problems have been exposed by PN1, is there any question or
clarification? If no, then we just do the validation to the patient to match
the data with the patient problems .. lets go to room 2, to Farel’s room.. for
PN1 please prepare all the necessary medical equipment and patient status.
(the PN ask for help AN to prepare the equipments)
PN1 : Ners Nina please prepare tension and medical equipments, status and data
of the patients.
AN1 : Okay ners.
After the implementation of the nursing round at Ners Station, the round team visited
the patient's room for data validation
NUM : Good morning Mother ... how is the condition of Farel? Already getting
better?
Mawar’s family : Good morning. not yet . still cringing and crying
NUM : In accordance with the contract that we have agreed on, today there is a
nursing round. This nursing round is useful in order to solve the problem
of Farel’s situation so that his condition can improve faster. For the next
time please Ners Nina to do the assessment.
PN 2 : good morning mom, sir, Farel. What is the condition of Farel? Now How
about his temperature? Does he have a fever ?
Family : Farel…......... still have diferent temperature, sometimes he is fever dan
sometimes no.
AN 2 : Ners.. may I do the physical examination?
PN2 : yes.. of course
(AN do the physical examination)
(AN reports the data to the PN)
NUM : The examination has been completed by Mom, Mr .. after this we will
discuss it again for planning the action for Farel how to make him recover
quickly. thank you.