FORMAT
STRATEGI PELAKSANAAN TINDAKAN KEPERAWATAN
(Dibuat setiap kali sebelum interaksi / pertemuan dengan klien)
A. PROSES KEPERAWATAN.
1. Kondisi Klien
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2. Diagnosa Keperawatan
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3. Tujuan Khusus (TUK)
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4. Tindakan Keperawatan
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B. STRATEGI KOMUNIKASI DALAM PELAKSANAAN TINDAKAN KEPERAWATAN
a. FASE ORIENTASI
1. Salam Terapeutik
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2. Evaluasi / validasi
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3. Kontrak
Topik : ............................................................................................................
Waktu : ...........................................................................................................
Tempat : ...........................................................................................................
b. FASE KERJA
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c. FASE TERMINASI
1. Evaluasi respon klien terhadap tindakan keperawatan
Evaluasi Subyektif (Klien)
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Evaluasi Obyekti (Perawat)
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2. Rencana Tindak Lanjut
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3. Kontrak yang akan datang
Topik : ............................................................................................................
Waktu : ...........................................................................................................
Tempat : ...........................................................................................................