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minutes later....
: Excuse me, nurse Tasya. If there will be new patient?
: Yes nurse, the patient second class.
: Please prepare the facilities needed and the form of document.
: Alright.
Narrator :
At 09:00 am patient delivered by emergency nurses into the internal
room. Patients received by the NUM, second of nurse primary, and
second of nurse associate.
NUM : Morning Ms.Arisca, im nurse uchi as a NUM in this department, this is
Dyan my
nurse primary and next Melan my nurse associate. Well take care you.
Patient
: Ok nurse, thankyou.
PP 2 : please nurse, you do assessment and ill do handover with emergency
nurse.
PA 2 : Alright, nurse. Excuse me, Ms. Arisca. Ill take you into the treatment
room.
In treatment room....
PA2
Patient
PA 2
Patient
: Last night, i ate rambutan. A few minutes later, i felt weak and
tingle in all my body
and than i took a rest. But, at 05.00 oclock, i felt weaken and all my
body was
puffy. Finally, my family took me to here.
PA 2
: Yes, nurse.
Narrator :
In nurse station, Ns.Melan do documentation and nursing care about
her assement in writting. And Ns.Nurma infom about the result of
Ns.Melan assement to the doctor by phone.
PA3 : Good morning doctor, im Ns.Nurma from Interent depertement, will be
report the new
patients condition at BO3 room, bed two. Her condition are the patient
feel weak and all
of her body are looked redness and puffy.
Doctor
PA3
: Ok doctor, thankyou.
Narrator :
One hour later, the doctor is coming and he direct examination in
Ms.Arisca.
PA 3
Dokter
In patients room....
Doctor
: Good morning Ms.Arisca. Im doctor Andrew, ill take care you
during you stay in here and
now ill do examination in you.
Pasien: Ok, doctor.
The doctor direct examination....
Doctor
Patient
Doctor
Patient
: Last night, i ate rambutan. A few minutes later, i felt weak and
tingle in all my body
and than i took a rest. But, at 05.00 oclock, i felt weaken and all my
body was puffy.
Doctor
Patient
: Isnt, doctor. Usually, i eat rambutan but not until like this.
Doctor
Patient
Doctor
: Ok, i think this is only body reaction and ill give you medicine
therapy to overcome
your puffy and tingle.
Pasien: Ok doctor.
Dokter
Narrator :
After that, the doctor make medical prescription. And than, Ns.Nurma
back to the patients room to give it to the patients family. The
patients family go to the pharmacy to get some medicine. After that,
the patients family back to ward and give it to the Ns.Melan. Ns.Melan
ask help to Ns.Nurma to injection in Ms.Arisca.
In patients room....
PA 5 : Excuse me Ms.Arisca, ill injection, the function of this medicine is to
reduce your
tingle and puffy.
Patient
: Yes, nurse.
Narrator :
Three hours later, Ns.Melan back to the patients room to ask about
patients condition.
PA 2 : Excuse me, Ms.Arisca. I want check your condition after i injection to you.
What do
you feel now?
Patient
: I feel better than before, My tingle is reduce but the puffy dont
decline yet.
PA 2
: Ok, never mind, you still get injection until you already feel better.
Patient
PA 2
: Thankyou, nurse.
: Your welcome.
Narrator :
Ns. Melan back to nurse station and begun write evaluation about
Ms.Ariscas respon.
Two days later, the accreditation team is coming again and do valuation
in nurse perfomance and facilities at all of department in St.Mariam
Hospital, consist Interent department. At this department, they do
valuation in documentation method that the ward apply.
NUM : Good morning, Ms.Okta and Ms.Afli, My name is Ns.Uchi, im a NUM in
this
department, thankyou for your coming in here.
TA 1 : Your welcome, Ns.Uchi. Ok, maybe now, can you company us to see this
ward
condition?
NUM : Alright Ms.
TA 2
After the accredition team do valuation in the patients room, they back
to nurse station to look the nurse perfomance and nurse documentation
system in this ward.
TA 1 : excuse me, Ns. I ask your time, please explain to me about your
documentation
process.
PP 3 : The documentation process consist assement form, planning form and
evaluation
form.
TA 2
PA 4
TA 1
NUM : In my view, this system make my staff feel hard. Because, they must
write in a long
time and sometimes, they often forget to give treatment in the patient.
TA 2
this
: I agree with you. Well give suggest to handle this problem. We think, if
writtent system must changed into computerized documentation system,
so the
time is shorter and the nurse easier to perform interventions in patient.
PP 3 : I think so, but now we dont know how to do a computerized
documentation.
TA 1
NUM &
Nurse : Thankyou, Ms.
Narrator :
After that, a few weeks later, the accredition team
teach about
computerized documentation system in NUM and nurse primary. And
than, nurse primary continue teach to nurse associate. Two days later,
the accredition team back to St.Mariam hospital to evaluation about
nurses skill in conducting the system.
TA 2
: Good morning.
All nurs
PA 2 : Thats right, MS. My time is shorter, so the intervation that i give in the
patient is
more optimal.
TA 2 : Ok, were happy to hear that. We hope this system can be maintain in
this ward.
NUM : Yes, I also hope like that.