Buku Kompetensi (Log Book) Neonatal 2016

7/25/2019 Buku Kompetensi (Log Book) Neonatal 2016

http://slidepdf.com/reader/full/buku-kompetensi-log-book-neonatal-2016 1/28

KEPERAWATAN

NEONAT

ALEdisi 1 Tahun

2016

NAMA :..........................................................

.............

UNIT KERJA

:.......................................................................

B

U K U

K O M P E T E N

S I

( L O

B O

O K !



TANAL : .........................................................

..............

RUMAH SAKIT MUTIARA BUNDAKOMITE KEPERAWATAN - SUB KOMITE KREDENSIAL

JL. Lintas Timur Unit II No. 114

Ban!ar A"un"# Tu$an" Ba%an"# T&$'.()a*. +,/ 0,4 Ko2& Pos 34

&mai$ mutiara5un2a6rs78a9oo.:om



ii

KATA PENGANTAR

P&ra%at m&ru'a;an 'ro<&si 8an" san"at mu$ia. P&ra%at 5&rtu"as s&$ama 4 !am

s&$ama 9ari t&rus m&n&rus. B&;&r!a s&:ara shift 2an m&n"&m5an";an mutu asu9an;&'&ra%atan s&:ara ;om'r&9&nsi<. Di monitor 2an 2i&=a$uasi 5a9;an s&"&ra 2itin2a; $an!uti

5i$amana a2a 'ros&2ur 8an" ti2a; s&suai 2&n"an stan2art 8an" 2it&ta';an.

Da$am m&$a;sana;an tu"asn8a# '&ra%at 9arus 5&;&r!a 5&r2asar;an i$mu# &ti; 2an

9u;um# s&9in""a '&$a8anan ;&'&ra%atan 8an" 2i5&ri;an 5&rmutu 2an sa<&t8 5a"i 'asi&n.

Komit& ;&'&ra%atan s&5a"ai %a2a9 non stru;tura$ ruma9 sa;it# m&n"&m5an";an 2an

m&n"&=a$uasi ;in&r!a '&ra%at. D&n"an m&m'&rta9an;an 5a9;an m&nin";at;an

'ro<&siona$ism& '&ra%at s&9in""a '&ra%at mam'u 5&r;ari&r s&:ara 'ro<&siona$. Ditun!an"

2&n"an 2isi'$in &ti; 2an 'ro<&si 2i9ara';an '&ra%at mam'u m&m5&ri;an ;ontri5usi 2a$am

m&$a;u;an asu9an ;&'&ra%atan s&:ara int&"rasi 2&n"an '&m5&ri asu9an $ainn8a.

Kom'&t&nsi 8an" 9arus 2i:a'ai '&ra%at 5aru m&$i'uti 9a$>9a$ t&9nis 8an"

2i'&r$u;an 2a$am '&$a8anan ;&'&ra%atan 2i RS. Mutiara Bun2a. Bu;u ;om'&t&nsi (log

book / ini# s&5a"ai '&2oman 5a"i '&ra%at s&nior# ?I# ;&'a$a ruan" 2a$am m&m5im5in"

'ara '&ra%at 5aru# s&9in""a 2i9ara';an 2a$am %a;tu 3 5u$an '&rtama m&r&;a 5&;&r!a t&$a9

mam'u m&n:a'ai tar"&t ;om'&t&nsi 8an" 2i9ara';an.

Kami m&n"u:a';an t&rima;asi9 ;&'a2a s&mua 'i9a; 8an" t&$a9 m&m5antu 2a$am

'&$a;sanaan '&n:a'aian ;om'&t&nsi '&ra%at ini.

Tu$an" Ba%an"# Mar&t ,1

Komit& K&'&ra%atan RSMB



iii

DAFTAR ISI

@a$aman

Halaman Judul ............................................................................................................................... i

Kata Pengantar ..............................................................................................................................ii

Daftar Isi .......................................................................................................................................iiiHalaman Pengesaan.....................................................................................................................=

I! Tinda"an Ke#era$atan Mandiri .............................................................................................1

%! Memenui Ke&utuan Ke&ersian Diri Dan 'ing"ungan

...................................................1

A. M&man2i;an Ba8i Pr&matur ...............................................................................................1

B. M&man2i;an Ba8i Baru La9ir..............................................................................................1

?. M&ra%at Ta$i Pusat Ba8i D&n"an Um5i$i:a$ ?at9&t&r ........................................................

D. M&m&$i9ara K&5&rsi9an Iso$&t& ...........................................................................................

E. M&n""anti Lin&n Pa2a Iso$&t& ..............................................................................................

). M&ra%at Ta$i Pusat Pa2a Ba8i +Ti2a; T&r'asan" Um5i$i:a$ ?at9&t&r/ ...............................3

(! Mengu"ur Tanda) Tanda *ital ................................................................................................3A. M&n"u;ur Su9u Ba2an ........................................................................................................3

B. M&n"9itun" P&rna<asan........................................................................................................4

+! Memenui Ke&utuan Pasien Pada Fase Terminal ..............................................................4

A. M&m5&ri;an P&ra%atan Pa2a Pasi&n 8an" A;an M&nin""a$ .............................................4

B. M&m5&ri;an P&ra%atan 'a2a Pasi&n 8an" Baru M&nin""a$ ...............................................4

,! Mengu"ur Antr-#-metri ..........................................................................................................0

A. M&n"u;ur Lin";ar K&'a$a ..................................................................................................0

B. M&n"u;ur Lin";ar L&n"an Atas .........................................................................................0

?. M&n"u;ur Pan!an" Ba2an ...................................................................................................0

D. M&nim5an" B&rat Ba2an ....................................................................................................

II! Tinda"an Ke#era$atan K-la&-rasi .......................................................................................

%! Memenui Ke&utuan Nutrisi .................................................................................................

A. M&masan" Oro"astri; Tu5& ................................................................................................

B. M&m5&ri;an Minuman K&'a2a Ba8i M&$a$ui OT ...........................................................

?. M&m5&ri;an Minuman K&'a2a Ba8i P&rora$ S&n2o; .........................................................

D. M&m5&ri;an Minuman K&'a2a Ba8i P&rora$ Dot ...............................................................

E. M&m<asi$itasi Ba8i M&n&t&; K& I5un8a ..............................................................................

). M&$&'as OT ......................................................................................................................

(! Memenui Ke&utuan ."sigen ...............................................................................................

A M&m5&ri;an O;si"&n +In9a$asi O/ .....................................................................................

B. M&$a;u;an Su:tionin" .........................................................................................................?. M&m5antu RJP Pa2a Ba8i....................................................................................................

D. M&$a;u;an Ba""in" Pa2a Ba8i............................................................................................

+! Mem&eri"an .&at ...................................................................................................................1,

A. M&m5&ri;an O5at PO +P&r Ora$/ ......................................................................................1,

B. M&m5&ri;an O5at IC +Intra=&nous/ ..................................................................................1,

?. M&m5&ri;an O5at Intra Mus;u$ar +IM/ ............................................................................1,

D. M&m5&ri;an O5at Intra ?utan +I?/ ...................................................................................11

E. M&m5&ri;an O5at P&rna<asan D&n"an N&5u$i&r .............................................................11

,! Memenui Ke&utuan /airan Tu&u ..................................................................................1

A. M&n8ia';an Dan M&m5&ri;an In<us ................................................................................1

B. M&m5&ri;an Trans<usi Dara9 ...........................................................................................10! Meng-#erasi-nal"an Alat Medis ...........................................................................................1

A. M&n8ia';an Dan M&n"o'&rasiona$;an Iso$&t&..................................................................1



i=

B. M&n"o'&rasiona$;an T. Pi&:& R&sus:itator .......................................................................13

?. M&n"o'&rasiona$;an ?PAP Mo2i<i;asi ............................................................................13

D. M&n"o'&rasiona$;an ?PAP M&;ani;................................................................................13

E. M&n"o'&rasiona$;an Ja:son R&&s .....................................................................................14

1! Mengam&il Sam#el Untu" Pemeri"saan 'a&-rat-rium .....................................................14

A. M&n"am5i$ Sam'&$ Dara9 +P$&5otomi/ ............................................................................14B. M&n"am5i$ Sam'&$ )a&s&s Pa2a Ba8i ..............................................................................10

?. M&n"am5i$ Sam'&$ AB ..................................................................................................10

2! K-m#etensi 'ain .....................................................................................................................10

A. P&$a8anan Am5u$an:& .......................................................................................................10

B. M&n&rima Pasi&n Ba8i Baru La9ir .....................................................................................10

?. M&$a;u;an P&n";a!ian A%a$ Asu9an K&'&ra%atan( K&5i2anan Ba8i ..............................1

D. M&$a;u;an Do;um&ntasi Asu9an K&'&ra%atan Ana$isa Data > E=a$uasi .......................1

E. I;ut Do;t&r Cisit& ..............................................................................................................1

). La'or Do;t&r D&n"an Komuni;asi E<&;ti< Cia T&$' ........................................................1

. M&masan" &$an" I2&ntitas Pasi&n S&suai Pros&2ur ........................................................1

@. M&$&'as &$an" I2&ntitas Pasi&n S&suai Pros&2ur.............................................................1I. M&n"&r!a;an Intru;si Do;t&r ...........................................................................................1

J. M&m5uat Dan M&n8ia';an Susu .......................................................................................1

K. P&m5&rian )oto T9&ra'8 Pa2a Ba8i ................................................................................1

L. M&n8ia';an A$at IC Um5i$i:a$ ........................................................................................1

M. M&m5&ri;an Trans<usi( ?airan D&n"an S8rin"& Pum' ...................................................,

N. M&n"o'&rasiona$;an Ba$on M&n"&m5an" S&n2iri +BMS/( Am5u5a" ..............................,

O. M&masan" Dan M&n"o'&rasiona$;an O*8m&t&r...............................................................,

P. ............................................................................................................................................1

. ............................................................................................................................................1

R. ............................................................................................................................................1

S. ............................................................................................................................................1

T. ............................................................................................................................................

U. ............................................................................................................................................

/atatan .........................................................................................................................................3

Petun3u" Pela"sanaan Pra"ti" Klini" Ke#era$atan ..............................................................4



'EMBAR PENGESAHAN

PENGESAHAN D.KUMEN RS! MUTIARA BUNDA

NAMA KETERANGAN TANDA TANGAN TANGGA'

Ns. Nin"si9 Wu$an2ari# S.K&'. P&m5uat Do;um&n

E;o A2i Purnomo# A.M2.K&'. Aut9ori&2 P&rson

2r. @&rman Susi$o# S'.B.# M.K&s. Dir&;tur RS. Mutiara Bun2a

=



1

'EMBAR /ATATAN PEN/APAIAN K.MPETENSI

PERA4AT PERINATA' RISTI

I! TINDAKAN KEPERA4ATAN MANDIRI

1. MEMENUHI KEBUTUHAN KEBERSIHAN DIRI DAN LINGKUNGAN

A. MEMANDIKAN BAFI PREMATUR

No Tan""a$ Inisia$ Pasi&n G No. RMP&$a;sanaan S&suai SPO Tan2a Tan"an G

Nama J&$as

Karu(?I( K&tua TimFA TIDAK

1

3

4

0

1,

B. MEMANDIKAN BAFI BARU LA@IR


Nama J&$as


1

3

4

0

1,




Nama J&$as


1

3

4

0

1,

?. MERAWAT TALI PUSAT BAFI DENAN UMBILI?AL ?AT@ETER


Nama J&$as


1

3

4

0

1,

D. MEMELI@ARA KEBERSI@AN ISOLETE

E. MENANTI LINEN PADA ISOLETE


Nama J&$as


1

3



3


Nama J&$as


4

0

). MERAWAT TALI PUSAT PADA BAFI +TIDAK TERPASAN UMBILI?AL

?AT@ETER/


Nama J&$asKaru(?I( K&tua Tim

FA TIDAK

1

3

4

0

1,

2. MENGUKUR TANDA-TANDA VITAL

A. MENUKUR SU@U BADAN


Nama J&$as


1

3

4

0



4


Nama J&$as


1,

B. MEN@ITUN PERNA)ASAN

No Tan""a$ Inisia$ Pasi&n G No. RM

P&$a;sanaan S&suai SPO Tan2a Tan"an G

Nama J&$as


1

3

4

0

1,

3. MEMENUHI KEBUTUHAN PASIEN PADA FASE TERMINAL

A. MEMBERIKAN PERAWATAN PADA PASIEN FAN AKAN MENINAL



Nama J&$as


1

3

B. MEMBERIKAN PERAWATAN PADA PASIEN FAN BARU MENINAL


Nama J&$as


1

3



0

4. MENGUKUR ANTROPOMETRI

A. MENUKUR LINKAR KEPALA




FA TIDAK

1

3

4

0

1,

B. MENUKUR LINKAR LENAN ATAS


Nama J&$as

Karu(?I( K&tua Tim

FA TIDAK

1

3

4

0

?. MENUKUR PANJAN BADAN

No Tan""a$ Inisia$ Pasi&n G No. RM P&$a;sanaan S&suai SPO Tan2a Tan"an G Nama J&$as


1

3

4

0



D. MENIMBAN BERAT BADAN


Nama J&$as


1

3

4

0

II! TINDAKAN KEPERA4ATAN K.'AB.RASI

1. MEMENUHI KEBUTUHAN NUTRISI

A. MEMASAN OROASTRIK TUBE


Nama J&$as


1

3

4

0

1,

B. MEMBERIKAN MINUMAN KEPADA BAFI MELALUI OT


Nama J&$as


1

3

4

0




Nama J&$as


1,

?. MEMBERIKAN MINUMAN KEPADA BAFI PERORAL SENDOK


Nama J&$as


1

3

4

0

1,

D. MEMBERIKAN MINUMAN KEPADA BAFI PERORAL DOT


Nama J&$as


1

3

4

0

1,




Nama J&$as


1

3

4

0

E. MEM)ASILITASI BAFI MENETEK KE IBUNFA


Nama J&$as


1

3

4

0

1,

). MELEPAS OT


Nama J&$as


1

3

4

0

2. MEMENUHI KEBUTUHAN OKSIGEN

A. MEMBERIKAN OKSIEN + IN@ALASI O /




Nama J&$as


1,

B. MELAKUKAN SU?TIONIN


Nama J&$as


1

3

4

0

?. MEMBANTU RJP PADA BAFI


Nama J&$as


1

3

4

0

D. MELAKUKAN BAIN PADA BAFI


Nama J&$as


1

3

4

0



1,

3. MEMBERIKAN OBAT

A. MEMBERIKAN OBAT PO +PER ORAL/


Nama J&$as


1

3

4

0

1,

B. MEMBERIKAN OBAT IC +INTRA CENOUS/


Nama J&$as


1

3

4

0

1,

?. MEMBERIKAN OBAT INTRA MUSKULAR +IM/


Nama J&$as


1



11


Nama J&$as


3

4

0

D. MEMBERIKAN OBAT INTRA ?UTAN +I?/


Nama J&$as


1

3

4

0

E. MEMBERIKAN OBAT PERNA)ASAN DENAN NEBULIHER


Nama J&$as


1

3

4

0

1,




Nama J&$as


1

3

4

0

1

4. MEMENUHI KEBUTUHAN CAIRAN TUBUH

A. MENFIAPKAN DAN MEMBERIKAN IN)US


Nama J&$as


1

3

4

0

1,

B. MEMBERIKAN TRAN)USI DARA@


Nama J&$as


1

3

4

0

5. MENGOPERASIONALKAN ALAT MEDIS

A. MENFIAPKAN DAN MENOPERASIONALKAN ISOLETE



13


Nama J&$as


1,

B. MENOPERASIONALKAN T. PIE?E RESUS?ITATOR


Nama J&$as


1

3

4

0

?. MENOPERASIONALKAN ?PAP MODI)IKASI




FA TIDAK

1

3

4

0

D. MENOPERASIONALKAN ?PAP MEKANIK


Nama J&$as


1

3

4

0




Nama J&$as


1

3

4

0

1,


Nama J&$as


1

3

4

0

14

E. MENOPERASIONALKAN JA?SON REES


Nama J&$as


1

3

4

0

6. MENGAMBIL SAMPEL UNTUK PEMERIKSAAN LABORATORIUM

A.MENAMBIL SAMPEL DARA@ +PLEBOTOMI/

B. MENAMBIL SAMPEL )AESES PADA BAFI



10

C. MENAMBIL SAMPEL AB


Nama J&$as


1

3

4

0

7. KOMPETENSI LAIN

A. PELAFANAN AMBULAN?E

No Tan""a$ Inisia$ Pasi&n G No. RM P&$a;sanaan S&suai SPO Tan2a Tan"an G Nama J&$as


1

3

4

0

B. MENERIMA PASIEN BAFI BARU LA@IR


Nama J&$as


1

3

4

0

1,



1

?. MELAKUKAN PENKAJIAN AWAL ASU@AN KEPERAWATAN( KEBIDANAN

BAFI


Nama J&$as


1

3

4

0

1,

D. MELAKUKAN DOKUMENTASI ASU@AN KEPERAWATAN ANALISA DATA -

ECALUASI


Nama J&$as


1

3

4

0

1,

E. IKUT DOKTER CISITE


Nama J&$as


1



1


Nama J&$as


3

4

0

1,

). LAPOR DOKTER DENAN KOMUNIKASI E)EKTI) CIA TELP


Nama J&$as


1

3

4

0

1,

. MEMASAN ELAN IDENTITAS PASIEN SESUAI PROSEDUR


Nama J&$as


1

3

4

0



1


Nama J&$as


1,

@. MELEPAS ELAN IDENTITAS PASIEN SESUAI PROSEDUR


Nama J&$as


1

3

4

0

1,

I. MENERJAKAN INSTRUKSI DOKTER


Nama J&$as


1

3

4

0

1,



1

J. MEMBUAT DAN MENFIAPKAN SUSU


Nama J&$as


1

3

4

0

1,

K. PEMBERIAN )OTO T@ERAPF PADA BAFI


Nama J&$as


1

3

4

0

1,

L. MENFIAPKAN ALAT IC UMBILI?AL


Nama J&$as


1



,


Nama J&$as


3

4

0

M. MEMBERIKAN TRANS)USI( ?AIRAN DENAN SFRIN PUMP


Nama J&$as


1

3

4

0

N. MENOPERASIONALKAN BALON MENEMBAN SENDIRI +BMS/( AMBUBA


Nama J&$as


1

3

4

0

O. MEMASAN DAN MENOPERASIONALKAN OFMETER


Nama J&$as

Karu(?I( K&tua Tim

FA TIDAK

1

3

4

0



1

?ATATAN 1

3

4

0

Sa8a m&n8ata;an '&n:atatan '&n:a'aian ;om'&t&nsi ini s&suai 2&n"an ;on2isi 8an"

s&5&narn8a.

M&n"&ta9ui#

K&'a$a Ruan"an Unit K&r!a

+./

Fan" M&m5uat#

+/

Tan""a$



Petun3u" Pela"sanaan Pra"ti" Klini" Ke#era$atan 5 Bagi Pera$at Pela"sana

K-m#etensi 5

1. S&tia' ;a$i 2inas 2i9ara';an a;ti< m&$a;u;an ;om'&t&nsi 8an" 9arus 2i:a'ai.

. Da$am m&$a;u;an tin2a;an '&r$u t&$iti 2an :&rmat.3. Bi$a ;om'&t&nsi 8an" a2a 2i ruan"an an2a ;uran" atau ti2a; a2a# 2i9ara';an a;ti<

m&n:ari 2i ruan"an ( 5a"ian $ain# 2&n"an s&i!in K&'a$a ruan"an an2a# tan'a

m&n""an""u '&$a8anan 2i ruan"an an2a.

4. Bi$a an2a 'ra;ti; 2i ruan" $ain# 9arus i!in Mana"&r K&'&ra%atan ( Komit& K&'&ra%atan

2an ;&'a$a ruan" 8an" 2itu!u.

0. Di9ara';an t&ta' a;ti< m&n:ari ;om'&t&nsi 2i$uar tar"&t ;om'&t&nsi 2i 5u;u ini.

. Bi$a 2ua min""u s&5&$um 5atas %a;tu 8an" 2it&ta';an an2a 5&$um m&n:a'ai tar"&t#

ma;a an2a '&r$u ;omuni;asi 2&n"an ;omit& ;&'&ra%atan.

. S&t&$a9 tar"&t ;om'&t&nsi an2a t&r'&nu9i# 5u;u ini 2i;um'u$;an 2i Komit&

;&'&ra%atan 2&n"an tan2a tan"an '&rs&tu!uan ;&'a$a ruan"an an2a.

. Di9ara';an s&t&$a9 m&n:a'ai tar"&t ;om'&t&nsi ;&'&ra%atan ini# an2a t&ta' a;ti<

m&$a;u;an tin2a;an s&suai Stan2ar Pros&2ur O'&rasiona$ 8an" 5&r$a;u 2i RS. Mutiara

Bun2a.

Bagi /I 6 Ka! Ru 6 Ketua Tim 6 Su#er7is-r5

1. M&m5im5in"# m&n"a%asi# m&n"&=a$uasi 2an 5&rtan""un" !a%a5 atas Pra;ti; K$ini;

P&ra%at Baru.

. M&no$on" '&ra%at 5aru 2a$am m&n:a'ai tar"&t ;om'&t&nsi 8an" 2i9ara';an.

3. Partisi'asi 2an 5im5in"an an2a san"at 5&r"una 5a"i mutu '&$a8anan ;&'&ra%atan RS.

Mutiara Bun2a.4. Pa2a ;o$om :atatan# 2a'at 2iisi 9asi$ '&n:a'aian ;om'&t&nsi# '&rin"atan#

r&%ar2s# a$asan ;om'&t&nsi 8an" 5&$um t&r:a'ai# 2$$.

Buku Kompetensi (Log Book) Neonatal 2016

Documents