That day, Friday October 27, 2017

Activities in the Rose Room, Husada Hospital running conducive. The nurses perform
their duties deftly, the patients quite a lot and the Rose Room looks crowded. At noon at about
12:20, the patient and family members come to the nurse's room to look for an inpatient room
with a tuberculosis medical diagnosis.
Family 1 : Good afternoon nurse, I’m is patient’s 1 family, I came from the ER and wanted
to find a room for hospitalization.
Nurse 1 : Good afternoon also Madam, before the capital can fill out the registration form
of patients as our document. In our room there are still class 1 and class 2.
Family 1 : well nurse, are there 3rd class rooms still empty? For economic reasons we feel
unable to pay classes 1 and 2.
Nurse 1 : I’m so sorry,the classes 3 is full. If Madam is willing to be in class 1 or 2 rooms,
you can use BPJS so as not to pay fully.
Family 1 : So if I use BPJS, what details do I have to pay?
Nurse 1 : Sorry Madam, we can not give details of the cost as a whole, because it is not
our authority. But at least with BPJS can alleviate the cost of hospitals that should be exhausted.
Family 1 : oh like that nurse, okay I agree. In that case, I'll take a 2nd class room.

After that nurse 1 instructs nurse 2 to prepare rooms that have been approved by the patient's
family 1.

Nurse 1 : P2, please prepare the 2nd class room booked by the patient's family.
Nurse 2 : well, I will prepare

After the room was ready, the nurse 2 drove the patient to her room.

Nurse 2 : Madam and the family, I have finished preparing the room, now I will take
Madam to the room
Family 1 : of cours nurse,
Arriving in the room.

Nurse 2 : This room is a book. Let me help down

Patient 1 : thank you nurse, can you please raise the bed?
Nurse 2 : now I elevate. Is it enough?
Patient 1 : enough nurse, thank you
Nurse 2 : before I leave, is there anything I need to help again,or maybe you have
something to ask?
Patient 1 : not yet nurse, thank you
Nurse 2 : Well, if later you need something, you can call me or another nurse in the
nurse's room. I excuse myself.

10 minutes later, came the second patient with a SNH medical diagnosis, the patient
coming from the ICU was delivered by his family. The patient's family went to the nurse 1 to
look for an inpatient room.
Nurse 1 : Good afternoon sir, can I help you?
Family 2 : Good afternoon nurse, I’m is patient’s 2 family, Iwant to book an inpatient
room.
Nurse 1 : previously, you can complete the registration form as a document in our room.
Family 2 : okaynurse. Here I want to order first class room to make the room more spacious
Nurse 1 : well sir, the room will be prepared by my colleague, father can wait here briefly.

Nurse 1 instructed nurse 3 to prepare the room and deliver the patient to the booked room.

Nurse 3 : Excuse me sir, I have finished preparing the room that my father ordered, let me
bring the father and family to the room terseMadamt.
Patient 2 : okay nurse, thankyou

Arriving in the room.

Nurse 3 : let me help you to bed.
Family 2 : nurse, my sister's infusion is jammed, can you please check?
Nurse 3 : oh well Madam, I check it now.
Patient 2 : nurse, I also feel pain in my infusion-mounted hands. What can I do?
Nurse 3 : oh, your hand is swollen. This is what causes the infusion to jam. I will remove
the infusion, and put it back later. To overcome the swelling on your hands, you can put warm
compress on the swollen area about 5 minutes. For the family please help your sister.. (while
removing the patient's IV).
Family 2 : okay nurse, later I will give warm compress to my sister. Thank you for the
information.
Nurse 3 : well I’m done. If there is something you need, you can find me in the nurse
room
Patient 2 : of course nurse, thank you very much

Arriving at nurse 3 in the nursing room, came the patient's family 1 who said that the infusion of
patient 1 was exhausted.

Family 1 : nurse, my mother's infusion is exhausted, could you please help?

Nurse 2 : well, wait a minute Madam.

Nurse 2 went to the action room to take an IV and went straight to patient room 1 to replace her
IV. Arriving in the patient room nurse 2 immediately replace the infusion of patient 1

Nurse 2 : excuse me, I will replace the infusion of Madam Mona.

Patient 1 : yes please. Nurse, when will a doctor check me out?
Nurse 2 : doctor's arrival schedule tomorrow morning. Is there a complaint?
Family 1 : like this nurse, this afternoon my mother was rather hot and she was shivering
cold. I am afraid something will happen
Nurse 2 : what do you do when the heat comes up?
Family 1 : Nothing nurses.
Nurse 2 : well, I'll check the temperature of the patient, wait a moment I will take the
thermometer first.

Nurse 2 leaves the patient room and heads to the action room to pick up the thermometer, then
back again to measure the patient's temperature

Nurse 2 : excuse me, I came to measure the patient's temperature.

Patient 1 : yes please nurse.
Nurse 2 : sorry Madam, please clip the thermometer.
Patient 1 : okay nurse.

A few minutes later…

Nurse 2 : your body temperature still high, temperature 38,5ºc.

Patient 1 : Really? Then what can I do nurse?
Nurse 2 : yes it is true, look at this! (show temperature measurement result). Later I will
ask the nurse 1 to write prescription febrifuge, you can find a nurse 1 in the nurse's room to take
the prescription.
Patient 1 : okay nurse, my doughter will be there later
Nurse 2 : I wait in the nurse room, yes.

Nurse 2 leaves the patient’s 1 room , and goes to the nursing room to see the nurse 1. Arriving
there nurse 2 instructs the nurse 1 to write the prescription of the patient 1.

Nurse 2 : nurse, the temperature of patient’s 1 is very high, please write down prescription
febrifuge.
Nurse 1 : okay nurse, I'll write the prescription now.
Family 1 : excuse me nurse, I’m here to take prescription medication of patient 1.
Nurse 1 : While I write the recipe, you can wait here first. Please sit down there!
Family 1 : okay nurse, thank you
Nurse 1 : Madam, this is the prescription of patient 1, you will be able to do it at the
pharmacy.
Family 1 : sorry nurse, I do not know where the pharmacy department. Could you please
show me the way to the pharmacy?
Nurse 1 : From this room turn left, then go straight until found Ponek Room, in front of
Ponek Room straight then turn left then turn right, there the pharmacy is located. Do you
understand?
Family 1 : yes I understand, I excuse nurse. Thanks for the information

After knowing the way to the pharmacy, family 1 immediately go to the pharmacy. Arriving at
the pharmacy, family 1 met with apoterker who guard there.

Pharmacist : good afternoon Madam, can I help you?

Family 1 : good afternoon. I’m is patient's 1 family want to redeem the prescription.
Pharmacist : previously I wanted to ask, patient 1 was treated in what room and with what
medical diagnosis?
Family 1 : in the MawarRoom with TBC.
Pharmacist : then why patient 1 get prescription of paracetamol medicine?
Family 1 : That's because my mother got have high temperaturin the afternoon, and until
now the heat has not gone down yet.
Pharmacist : oh like that, well Madam wait a minute here, I will process the prescription.
Family 1 : well, thank you

Then, The pharmacist processes the patient's 1 prescription and prepare the medication as
requested. A few minutes later.

Pharmacist : patient's 1 family .......

Family 1 : oh me.
Pharmacist : Madam, this is medicine’s patient 1, the type of medicine is a drug capsule, the
name of the drugis paracetamol. Patient 1 consumes this medication only during heat. Drink one
only, and if the heat has go down do not take this drug again. Do you understand?
Family 1 : well, I understand
Pharmacist : oh yes, don’t forget to ask the nurse in the room to monitor patient’s 1
temperature, so that the drug can be adjusted
Family 1 : of course, thank you very much. I will back into the room.

After getting the medicine, family 1 returns to the patient's 1 room. Meanwhile in the
nursing room, the nurse 3 is preparing the equipment to apply the infussion in the patient 2.
When the equipment is ready, the nurse 3 goes to the patient's 2 room to apply the infussion.
Nurse 3 : Excuse me. Now I will pair the infusion to you. Previously whether the swelling
on your hands already in compress?
Patient 2 : already nurse, my sister had compressed with warm water.
Nurse 3 : then how do you feel? Has the pain decreased?
Patient 2 : already nurse, now I feel more comfortable.
Nurse 3 : Great. Well, now I will apply the infusion on the other hand, the purpose of this
infusion is tomeet the fluid needs. Do you agree?
Patient 2 : yes of course I’m agree.
Nurse 3 : Well, I'll start the installation process. (pairing the infusion there are 2 patients).
Madam, the infusion is already installed, the hands are infused please do not move too much to
not swell again. Do you understand?
Patient 2 : Well the nurse I understand, I will limit the movement on my hand which is
infused. Thanks.
Nurse 3 : Later if there's something you need, I'm in the nurse’s room.

The next day, nurses and doctors were gathering to discuss the situation of patients in the
Mawar Room. That morning the doctor wanted to visit patient 1 because yesterday patient 1
complained of high temperature. Nurse 1 accompanies the doctor to the patient's room 1.
Nurse 1 : good morning Madam, how is your feeling this morning?
Patient 1 : good morning nurse, this morning I feel better because my temperature is back
to normal.
Nurse 1 : Madam, this is doctor A, today doctor A will check the state of your condition.
Please doctor
Doctor A : thank you nurse. Good morning Madam, I’m Doctor A, today I will check the
condition of your body.
Patient 1 : yes please dock.
Doctor A : (checking). The heat has come down, when the heat come increased what is your
feel?
Patient 1 : I feel very uncomfortable, I am anxious, and also difficult to sleep
Doctor A : was it before getting treated in this room you got the medicine?
Patient 1 : yes dock, previously in the ER I was given medicine, but I forgot what the name
of the medicine.
Doctor A : oh, it must be a sputum-thinning drug. The drug does cause side effects that
cause the temperature of your body increased, so don’t worry. Well now I will check your throat.
Please your mouth!
Patient 1 : (open her mouth)
Doctor A : there is no infection in the throat, and I see the phlegm is also reduced. Is it when
the cough spit phlegm can come out?
Patient 1 : yes dock, but only slightly.
Doctor A : nice Madam, later I'll add prescription medicine for you. I also want to ask you
one thing, is your dietary habit disturbed?
Patient 1 : no dock, until now I can still eat normally, but in consuming the food takes a
long time.
Doctor A : oh no problem, that sounds good. I’m done and now I will leave this room, come
on nurse!
Nurse 1 : yes dock

After a visit to patient 1, next doctor A and nurse 1 go back to the nursing room and negotiate the
patient's 1 situation. 20 minutes later, doctor A visits patient 2 accompanied by nurse 3

Nurse 3 : good morning Madam. Today you will be examined by doctor A

Patient 2 : good morning too, ok nurse
Doctor A : good morning Madam, I am doctor A today I will check your condition.
Patient 2 : yes please!
Doctor A : how are you doing right now? (while checking the patient)
Patient 2 : still the same as yesterday doc, I still feel weak, and can not move freely
Doctor A : is there a complaint? Like dizziness, nausea, pain or something else?
Patient 2 : yes I feel dizzy but not so disturbing, but the pain in my leg is very disturbing
dock, I can’t sleep normally because the pain.
Doctor A : well sir, I will prescribe painkillers for reduce the pain in your feet. I hope you
can consume foods that are low in salt, drink plenty of water and booze.
Patient 2 : of course doctor, thank you for suggestion.
Doctor A : I’m done and now I will leave this room, come on nurse!
Nurse 3 : yes dock.

After that Doctor A writes each patient's prescription and instructs the nurse to give it to
the patient's family. After the patient's family receives the prescription, each family goes to the
pharmacy to prescribe drugs. Arriving at the pharmacy ....
Family 1 & 2 : Good afternoon,
Pharmacist : good afternoon, Is there anything I can help?
Family 1 : I want to prescribe medication from patient 1 in Mawar room.
Family 2 : I also want to prescribe medication from patient 2 in Mawar room.
Pharmacist : okay, I will process the prescription, you can sit next to it.

A few minutes later…

Pharmacist : patient’s 2 family ,,,

Family 2 : yes me.
Pharmacist : madam, this is the medicine, please check it.

Family 2 : yes this is correct

Pharmacist : the type of medicine is analgesic or pain relievers, here I have given the
medicine in accordance with prescription given by doctor A. Because this medicine is injection
drug so you can ask the nurse to give it to patient 2. Do you understand?
Family 2 : yes I understand, thanks for the information. I excused myself back into the
room.
Pharmacist : yes please sir.
Pharmacists : patient's 1 family ,,,,,
Family 1 : yes me.
Pharmacist : this is a medicine for patient 1, I have given it as prescribed by doctor A. please
check it!
Family 1 : is correct.
Pharmacist : Madam, this is an oral drug in the form of syrup, the drug is given to help thin
the sputum of patient 1, according to the dosage Madam can give 3x a day after meals. Make
sure drug delivery is not too late for patient 1 recovery to work well. Do you understand?
Family 1 : well I understand, thanks for the information. I excused myself back into the
room
Pharmacist : yes please!

Arriving in the room, family 1 give medicine to his mother because it happened to be
lunchtime, while the family 2 give the patient 2 drugs to the nurse because the drug is an
injection drug that is only eligible to be done by nurses.
Family 2 : excuse me nurse, I’m patient’s 2 family, I want to give this medicine to you
because, pharmacist had instructed me to give this medicine to the nurse.
Nurse 2 : yes mam, I will give the medicine directly to the patient 2. you can wait in the
room, I'll be there in 5 minutes.
Family 2 : okay nurse, thank you.

In patient 2 room... ..

Nurse 2 : excuse me mam, i will give the injection.

Patient 2 : oh yes please nurse.
Nurse 2 : the medicine is ready, I'll inject it now, it will feel a little pain pack, please
arrested.
Patient 2 : okay nurse, no problem
Nurse 2 : (inject drugs). Both packs of medicine have come in, I excuse mam
Patient & family 2: thanks nurse.

After finishing giving the injection the nurse back to the nursing room. And so on, the
activity in the Mawar Room Husada Hospital, every nurse performs her duties well, and serves
the patient patiently. The end_