Daftar Kewenangan Klinis Perawat 352539
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Daftar Kewenangan Klinis Perawat RSUD Banyumas
DAFTAR KEWENANGAN KLINIS PERAWAT RSUD BANYUMAS
Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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. 2. 3. 4. 5.
Kewenangan Klinis Perawat Klinik I Kewenangan Klinis Perawat Klinik II Kewenangan Klinis Perawat Klinik III Kewenangan Klinis Perawat Klinik IV Kewenangan Klinis Perawat Klinik V
Selain kategori berdasar jenjang klinik, juga dikelompokan berdasar area klinik yang meliputi: 1. 2. 3. 4. 5. 6. 7. 8. 9.
Area Klinik Keperawatan Medikal Bedah Area Klinik Keperawatan Anak Area Klinik Keperawatan Maternitas Area Klinik Keperawatan Jiwa Area Klinik Keperawatan Kritis Area Klinik Midwifery Area Klinik Emergency Nursing Area Klinik Holistic Nursing Area Klinik Keperawatan Ginjal
Referensi utama dalam penyusunan Kewenangan Klinis di RSUD Banyumas adalah Nursing Intervention Clasification (NIC), karena kami telah menerapkan SNL (Standar of Nursing Language).
Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
DAFTAR KEWENANGAN KLINIK KEPERAWATAN RSUD BANYUMAS KEWENANGAN KLINIS BERDASAR JANJANG 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.
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 : defisit 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 istrasi medikasi: telinga istrasi medikasi: mata istrasi medikasi: enteral istrasi medikasi: inhalasi istrasi medikasi: nasal istrasi medikasi: oral Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
33. 34. 35. 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.
istrasi medikasi: rectal istrasi medikasi: kulit istrasi medikasi: vaginal Manajemen mual Perawatan perineal Posisioning 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 sbb : NO 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.
KEWENANGAN KLINIS Abuse protection Acid base managemen Acid base monitoring Active listening Active listening Activity therapy ision care Airway insertion and stabilization Airway management Airway suctioning Allergy management Amputation care Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64.
Analgesic istration 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 istration Body image enhancement Body mechanics promotion Bowel incontinence care Bowel incontinence care : encopresis Bowel irrigation Bowel management Bowel training Bowel examination Breasfeeding assistance Capillary blood sample Cardiac care Cardiac care : acute Cardiac care : rehabilitative Cardiac precautions Caregiver 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 Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. 87. 88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. 108. 109. 110. 111. 112. 113. 114. 115. 116.
Constipation/Impaction management Consultation Controlled substance checking Coping enhancement Crisis Path Development Cutaneous stimulation Decision making 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 Embolus care : pulmonary Embolus precautions Emotional 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 : t mobility Eye care Fall prvention Family Fever treatment Flatulence reduction Fluid/electrolyte management Fluid management Fluid monitoring Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
117. 118. 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129. 130. 131. 132. 133. 134. 135. 136. 137. 138. 139. 140. 141. 142. 143. 144. 145. 146. 147. 148. 149. 150. 151. 152. 153. 154. 155. 156. 157. 158. 159. 160. 161. 162. 163. 164. 165. 166. 167. 168.
Fluid resuscitation Foot care Gastrointestinal intubation Guided imagery Hallucination management Health education Healt 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 (I) monitoring Intrapartal care Intravenous (IV) insersion Intravenous (IV) therapy Invasive hemodynamic monitoring 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 istration : intradermal Medication istration : intramuscular Medication istration : intraspinal Medication istration : intravenous Medication istration : subcutaneus Medication management Meditation facilitation Milieu therapy Mood management Music therapy Mutual goal setting Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
169. 170. 171. 172. 173. 174. 175. 176. 177. 178. 179. 180. 181. 182. 183. 184. 185. 186. 187. 188. 189. 190. 191. 192. 193. 194. 195. 196. 197. 198. 199. 200. 201. 202. 203. 204. 205. 206. 207. 208. 209. 210. 211. 212. 213. 214. 215. 216. 217. 218. 219. 220.
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 Positioning : intraoperative Positioning : wheelchair Postanasthesia care Postpartal care Prenatal care Preoperative coordination 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 Skin care : topical treatment Sleep enhancement Spiritual growth facilitation Spiritual Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
221. 222. 223. 224. 225. 226. 227. 228. 229. 230. 231. 232. 233. 234. 235. 236. 237. 238. 239. 240. 241. 242. 243. 244. 245. 246. 247. 248. 249. 250. 251. 252. 253. 254. 255. 256.
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 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 sbb: NO 1. Acupressure 2. Amnioinfusion 3. Art Therapy
KEWENANGAN KLINIS
Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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. 49. 50. 51. 52. 53. 54. 55.
Autogenic training Bibliotherapy Bio 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 istration : Intrapleural Medication istration : Intraosseous Medication istration : 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 Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74.
Sedation Management Self Hypnosis Facilitation Sexual Counseling Social Marketing Substance Use Treatment : Alcohol Withdrawal Substance Use Treatment : Drug Withdrawal Substance Use Treatment : Overdose 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.
Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
DAFTAR KEWENANGAN KLINIK KEPERAWATAN RSUD BANYUMAS 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. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38.
KEWENANGAN KLINIS Abuse protection : child (Dukungan pencegahan penyalahgunaan : anak) Asthma management (Manajemen Asma) Breastfeeding assistance (Bantuan Menyusui) Caregiver (Dukungan Pengasuh) Developmental care Developmental enhancement: child Discharge planning Documentation (Dokumentasi) Emotional (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) Immunization promotion Infant care Intravenous therapy Medication istration (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 istration Trauma therapy : chield Vital sign monitoring (Monitor vital sign) Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
2. Area Klinik Keperawatan Medikal Bedah NO KEWENANGAN KLINIS 1. Acid Base Management 2. Airway Suctioning 3. Artificial Airway Management 4. Aspiration Precautions 5. Asthma Management 6. Bed Rest care 7. Bleedingg reduction : gastrointestinal 8. Blood product istration 9. Bowel Incontinentia Care 10. Bowel Training 11. Capillary Blood Sample 12. Chemical Restraint 13. Chemotherapy Management 14. Circulatory Care: Arterial Insufficiency 15. Circulatory Care: Venous Insufficiency 16. Code Management 17. Critical Path Development 18. Discharge Planning 19. Documentation 20. Electrolyte Management 21. Emotional 22. Enteral Tube Feeding 23. Fall Prevention 24. Familiy Involvement Promotion 25. Family Presence Facilitation 26. Fluid / Electrolyte Management 27. Gastrointestinal Intubation 28. Health Literacy Enhancement 29. Hyperglycemia Management 30. Hypoglycemia Management 31. Incision Site Care 32. Infection Control 33. Intravenous (IV) Insertion 34. Intravenous (IV) Therapy 35. Laboratory Data Interpretation 36. Mechanical ventilation management : Noninvasive 37. Medication istration 38. Medication Management 39. Medication Reconciliation 40. Multidisiplinary Care Conference 41. Neusea Management 42. Neurologic Monitoring 43. Nutrition Management 44. Ostomy Care 45. Oxygen Therapy 46. Pacemaker management : Permanent 47. Pain Management 48. Patient Controlled Analgesia (PCA) Assistence Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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. 75. 76.
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
Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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 9. Delegation 10. Dialysis Acces Maintenance 11. Electrolyte Management 12. Electrolyte Monitoring 13. Emotional 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 istration 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 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 Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
51.
Vomiting Management
4. 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 istration 22. Medication istration : 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
5. Area Klinik Keperawatan Jiwa NO KEWENANGAN KLINIS 1. Abuse protection 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 Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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. 52. 53. 54. 55. 56. 57. 58. 59.
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 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 istration Medication management Milieu therapy Mood management 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 group Therapeutic play Therapy group Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
6. Area Klinik Keperawatan Kritis 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. 49.
KEWENANGAN KLINIS Acid base monitoring Mechanical ventilation management : invasive Airway managemen Mechanical ventilation management : noninvasive Airway sectioning Mechanical ventilatory weaning Analgesic istration Medication istration Anxiety reduction Medication istration : intravenous Artificial airway management Multidisiplinary care conference Cardiac care : acut Nausea management Cardiac precaution Neurologic monitoring Caregiver Oxygen therapy Circulatory care : Mechanical assist device Pacemaker management : permanent Code management Pacemaker management : temporary Decision making Pain menegement 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 Vital sign monitoring Family involvement Vomiting management Family present facilitation Fluid / Electrolyte management Fluid management Fluid monitoring Hemodinamic regulation Intracranila pressure monitoring Intravenous therapy Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
50.
Invasive hemodinamic monitoring
7. 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. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43.
KEWENANGAN KLINIS Abuse protection Active listening (Mendengar aktif) ission care Amnioinfusion Anticipatory guidance Attachment promotion Birthing Breast examination Breast feeding assistance Childbirth preparation Decision-making Delegation Discharge planning Documentation Emotional 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 Lactation counseling Lactation suppresion Medication istration: intraspinal Medication management Medication prescribing Newborn care Nutrition counseling Paint management Parent education: infant Physician Postpartal care Premenstrual syndrome (PMS) management Refferal Risk identification : childbearing family Self-efficacy enhancement Sexsual counseling Suturing Teaching : individual
8. Area Klinik Emergency Nursing Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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.
KEWENANGAN KLINIS Abuse protection : child Abuse protection : domestic partner Anaphylaxis management Airway management Blood product istation 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 istration 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 Thrombolitic therapy management Transport : interfacility Transport : intrafacility Triage : emergency centre Triage : telephone Vital signs monitoring Wound care
9. Area Klinik Holistic Nursing NO
KEWENANGAN KLINIS Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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.
Active listening (Mendengar aktif) Accupressure Animal-assisted therapy Anticipatory guidance Anxiety reduction Aroma therapy Art therapy Autogenic training Bibliotherapy Bio Body image enhancement Calming technic Caregiver Cognitive restructuring Coping enhancement Counseling Decision-making Emotional 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 Teaching : group Teaching : individual Therapeutic touch Touch Thruth telling Values clarification
Jason reverensi utama : Nursing Intervention Clasification (NIC)
DAFTAR KEWENANGAN KLINIS PERAWAT RSUD BANYUMAS
Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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. 2. 3. 4. 5.
Kewenangan Klinis Perawat Klinik I Kewenangan Klinis Perawat Klinik II Kewenangan Klinis Perawat Klinik III Kewenangan Klinis Perawat Klinik IV Kewenangan Klinis Perawat Klinik V
Selain kategori berdasar jenjang klinik, juga dikelompokan berdasar area klinik yang meliputi: 1. 2. 3. 4. 5. 6. 7. 8. 9.
Area Klinik Keperawatan Medikal Bedah Area Klinik Keperawatan Anak Area Klinik Keperawatan Maternitas Area Klinik Keperawatan Jiwa Area Klinik Keperawatan Kritis Area Klinik Midwifery Area Klinik Emergency Nursing Area Klinik Holistic Nursing Area Klinik Keperawatan Ginjal
Referensi utama dalam penyusunan Kewenangan Klinis di RSUD Banyumas adalah Nursing Intervention Clasification (NIC), karena kami telah menerapkan SNL (Standar of Nursing Language).
Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
DAFTAR KEWENANGAN KLINIK KEPERAWATAN RSUD BANYUMAS KEWENANGAN KLINIS BERDASAR JANJANG 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.
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 : defisit 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 istrasi medikasi: telinga istrasi medikasi: mata istrasi medikasi: enteral istrasi medikasi: inhalasi istrasi medikasi: nasal istrasi medikasi: oral Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
33. 34. 35. 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.
istrasi medikasi: rectal istrasi medikasi: kulit istrasi medikasi: vaginal Manajemen mual Perawatan perineal Posisioning 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 sbb : NO 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.
KEWENANGAN KLINIS Abuse protection Acid base managemen Acid base monitoring Active listening Active listening Activity therapy ision care Airway insertion and stabilization Airway management Airway suctioning Allergy management Amputation care Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64.
Analgesic istration 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 istration Body image enhancement Body mechanics promotion Bowel incontinence care Bowel incontinence care : encopresis Bowel irrigation Bowel management Bowel training Bowel examination Breasfeeding assistance Capillary blood sample Cardiac care Cardiac care : acute Cardiac care : rehabilitative Cardiac precautions Caregiver 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 Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. 87. 88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. 108. 109. 110. 111. 112. 113. 114. 115. 116.
Constipation/Impaction management Consultation Controlled substance checking Coping enhancement Crisis Path Development Cutaneous stimulation Decision making 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 Embolus care : pulmonary Embolus precautions Emotional 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 : t mobility Eye care Fall prvention Family Fever treatment Flatulence reduction Fluid/electrolyte management Fluid management Fluid monitoring Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
117. 118. 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129. 130. 131. 132. 133. 134. 135. 136. 137. 138. 139. 140. 141. 142. 143. 144. 145. 146. 147. 148. 149. 150. 151. 152. 153. 154. 155. 156. 157. 158. 159. 160. 161. 162. 163. 164. 165. 166. 167. 168.
Fluid resuscitation Foot care Gastrointestinal intubation Guided imagery Hallucination management Health education Healt 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 (I) monitoring Intrapartal care Intravenous (IV) insersion Intravenous (IV) therapy Invasive hemodynamic monitoring 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 istration : intradermal Medication istration : intramuscular Medication istration : intraspinal Medication istration : intravenous Medication istration : subcutaneus Medication management Meditation facilitation Milieu therapy Mood management Music therapy Mutual goal setting Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
169. 170. 171. 172. 173. 174. 175. 176. 177. 178. 179. 180. 181. 182. 183. 184. 185. 186. 187. 188. 189. 190. 191. 192. 193. 194. 195. 196. 197. 198. 199. 200. 201. 202. 203. 204. 205. 206. 207. 208. 209. 210. 211. 212. 213. 214. 215. 216. 217. 218. 219. 220.
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 Positioning : intraoperative Positioning : wheelchair Postanasthesia care Postpartal care Prenatal care Preoperative coordination 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 Skin care : topical treatment Sleep enhancement Spiritual growth facilitation Spiritual Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
221. 222. 223. 224. 225. 226. 227. 228. 229. 230. 231. 232. 233. 234. 235. 236. 237. 238. 239. 240. 241. 242. 243. 244. 245. 246. 247. 248. 249. 250. 251. 252. 253. 254. 255. 256.
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 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 sbb: NO 1. Acupressure 2. Amnioinfusion 3. Art Therapy
KEWENANGAN KLINIS
Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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. 49. 50. 51. 52. 53. 54. 55.
Autogenic training Bibliotherapy Bio 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 istration : Intrapleural Medication istration : Intraosseous Medication istration : 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 Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74.
Sedation Management Self Hypnosis Facilitation Sexual Counseling Social Marketing Substance Use Treatment : Alcohol Withdrawal Substance Use Treatment : Drug Withdrawal Substance Use Treatment : Overdose 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.
Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
DAFTAR KEWENANGAN KLINIK KEPERAWATAN RSUD BANYUMAS 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. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38.
KEWENANGAN KLINIS Abuse protection : child (Dukungan pencegahan penyalahgunaan : anak) Asthma management (Manajemen Asma) Breastfeeding assistance (Bantuan Menyusui) Caregiver (Dukungan Pengasuh) Developmental care Developmental enhancement: child Discharge planning Documentation (Dokumentasi) Emotional (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) Immunization promotion Infant care Intravenous therapy Medication istration (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 istration Trauma therapy : chield Vital sign monitoring (Monitor vital sign) Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
2. Area Klinik Keperawatan Medikal Bedah NO KEWENANGAN KLINIS 1. Acid Base Management 2. Airway Suctioning 3. Artificial Airway Management 4. Aspiration Precautions 5. Asthma Management 6. Bed Rest care 7. Bleedingg reduction : gastrointestinal 8. Blood product istration 9. Bowel Incontinentia Care 10. Bowel Training 11. Capillary Blood Sample 12. Chemical Restraint 13. Chemotherapy Management 14. Circulatory Care: Arterial Insufficiency 15. Circulatory Care: Venous Insufficiency 16. Code Management 17. Critical Path Development 18. Discharge Planning 19. Documentation 20. Electrolyte Management 21. Emotional 22. Enteral Tube Feeding 23. Fall Prevention 24. Familiy Involvement Promotion 25. Family Presence Facilitation 26. Fluid / Electrolyte Management 27. Gastrointestinal Intubation 28. Health Literacy Enhancement 29. Hyperglycemia Management 30. Hypoglycemia Management 31. Incision Site Care 32. Infection Control 33. Intravenous (IV) Insertion 34. Intravenous (IV) Therapy 35. Laboratory Data Interpretation 36. Mechanical ventilation management : Noninvasive 37. Medication istration 38. Medication Management 39. Medication Reconciliation 40. Multidisiplinary Care Conference 41. Neusea Management 42. Neurologic Monitoring 43. Nutrition Management 44. Ostomy Care 45. Oxygen Therapy 46. Pacemaker management : Permanent 47. Pain Management 48. Patient Controlled Analgesia (PCA) Assistence Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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. 75. 76.
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
Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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 9. Delegation 10. Dialysis Acces Maintenance 11. Electrolyte Management 12. Electrolyte Monitoring 13. Emotional 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 istration 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 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 Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
51.
Vomiting Management
4. 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 istration 22. Medication istration : 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
5. Area Klinik Keperawatan Jiwa NO KEWENANGAN KLINIS 1. Abuse protection 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 Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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. 52. 53. 54. 55. 56. 57. 58. 59.
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 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 istration Medication management Milieu therapy Mood management 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 group Therapeutic play Therapy group Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
6. Area Klinik Keperawatan Kritis 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. 49.
KEWENANGAN KLINIS Acid base monitoring Mechanical ventilation management : invasive Airway managemen Mechanical ventilation management : noninvasive Airway sectioning Mechanical ventilatory weaning Analgesic istration Medication istration Anxiety reduction Medication istration : intravenous Artificial airway management Multidisiplinary care conference Cardiac care : acut Nausea management Cardiac precaution Neurologic monitoring Caregiver Oxygen therapy Circulatory care : Mechanical assist device Pacemaker management : permanent Code management Pacemaker management : temporary Decision making Pain menegement 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 Vital sign monitoring Family involvement Vomiting management Family present facilitation Fluid / Electrolyte management Fluid management Fluid monitoring Hemodinamic regulation Intracranila pressure monitoring Intravenous therapy Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
50.
Invasive hemodinamic monitoring
7. 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. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43.
KEWENANGAN KLINIS Abuse protection Active listening (Mendengar aktif) ission care Amnioinfusion Anticipatory guidance Attachment promotion Birthing Breast examination Breast feeding assistance Childbirth preparation Decision-making Delegation Discharge planning Documentation Emotional 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 Lactation counseling Lactation suppresion Medication istration: intraspinal Medication management Medication prescribing Newborn care Nutrition counseling Paint management Parent education: infant Physician Postpartal care Premenstrual syndrome (PMS) management Refferal Risk identification : childbearing family Self-efficacy enhancement Sexsual counseling Suturing Teaching : individual
8. Area Klinik Emergency Nursing Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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.
KEWENANGAN KLINIS Abuse protection : child Abuse protection : domestic partner Anaphylaxis management Airway management Blood product istation 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 istration 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 Thrombolitic therapy management Transport : interfacility Transport : intrafacility Triage : emergency centre Triage : telephone Vital signs monitoring Wound care
9. Area Klinik Holistic Nursing NO
KEWENANGAN KLINIS Jason reverensi utama : Nursing Intervention Clasification (NIC)
Daftar Kewenangan Klinis Perawat RSUD Banyumas
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.
Active listening (Mendengar aktif) Accupressure Animal-assisted therapy Anticipatory guidance Anxiety reduction Aroma therapy Art therapy Autogenic training Bibliotherapy Bio Body image enhancement Calming technic Caregiver Cognitive restructuring Coping enhancement Counseling Decision-making Emotional 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 Teaching : group Teaching : individual Therapeutic touch Touch Thruth telling Values clarification
Jason reverensi utama : Nursing Intervention Clasification (NIC)
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