NURSE’S DUTY

IN THE WARDS
Name group :
• Malika Ayu Cahyani ` (18C10041)
• I Gusti Agung Mas Diah Novitasari
(18C10042)
• Ni Putu Meilisa Erlina Kusuma Dewi
(18C10043)
• Ni Kadek Mila Damayanti (18C10044)
• Ni Putu Mutiara Shandra Ningsih
(18C10045)
• Ni Kadek Nefi Widiastuti (18C10046)
• Ni Wayan Nonik Yudiani (18C10047)
• Nur Fadila Haryanti (18C10048)
• Ni Wayan Oktiani (18C10049)
• Ni Made Putri Dewi (18C10050)
• Luh Putu Rena Dewi Agustini
(18C10051)
• Ni Luh Riana Octaviani (18C10052)
• Ni Kadek Rika Zeni Praawati
(18C10053)
• Putu Ronanza Pretynda (18C10054)
A. EDUCATION REQUIREMENTS
Hospitals require an associate degree and many prefer bachelor's
degrees in nursing for job applicants. These can be obtained in a
number of ways. Some hospitals offer a diploma program that lasts
about three years and includes on-the-job training and employment. To
receive a Bachelor of Science degree, the applicant must attend a
college or university. A licensed graduate of any of these programs is
qualified for an entry-level position as a staff nurse. With continued
education and some specialization, along with excellent references and
staff recommendations, an applicant can be promoted to a charge
nurse.
 B. JOB DUITS
1. CHEKING VITAL SIGN
Vital signs are measurement of the body’s most basic functions. The
4 main vital signs rountinely monitored by medical professionals and
health care providers include the following:
a.Body temperature
b.Pulse rate
c.Respiration rate
d.Blood pressure
 2. DIAGNOSTING

Nursing diagnosis is a clinical decision about the response of an

individual, family, or community life process (Nanda International,
2007) while medical diagnosis is the identification of a disease
condition based on certain evaluations of physical signs, symptoms,
client’s medical history, examination results, and diagnostic
procedures(Potter & perry 2009)
 3.PROMOTING HYGIENE
a. Complete Bathing
b. Oral care
c. Hair care
d. Foot and Nail Care
e. bed making
 4. Feeding Dependent Clients

Steps help to the patient to eat and drink:

• Ask the patient what he or she needs help to complete. Some patients may not be able to open
beverage containers or cut foos into smaller pieces. You can complete these tasks for the patient
and then allow him or her to eat on their own.
• If the patient is visually impared, they may only need a few verbal cues from you in order to eat
their meal.
• If a patient is unable to fees himself or herself due to paralysis or weakness, you will need to cut
each bite into smaal pieces and feed it to them. Again, remember not to rush your patient, and
look for signs that the patient is having difficulty with the size or texture of food.
• After each bite, make sure that the patient has completely chewes and swallowed the foos
before offering another bite. Be sure that the temperature of food is correcy, as food that is too
hot may cause painful burns to the mouth.
 5. Assisting With Elimination

Elimination is the process of removing the rest of the body’s metabolism in

the form of urine or alvi (bowel movements). Elimination needs consist of
two, namely elimination of urine (need to urinate) and alvi elimination (need
to defecate).

6.Patient Assement

The documentation of nursing assement is the recording of the process

about how a judgment was made and its related factors, in addition to the
result of the judgment. It makes the process of nursing assement visible
through what is presentd in the documentation content.
 7. Caring Patients

Caring is a nurse's concern to clients was form of aention,

appreciation and able was meet their needs. Phenomenon who had
four out of five clients interviewed mentioned nurses less caring for
clients. The behavior displayed by nurses is to provide comfort,
attention, affection, care, health care, give encouragement, empathy,
interest, love, trust, protect, attendance, support, give touch and are
ready to help and visit clients (Watson, 2012 ).
 8. Client Teaching

• Procedures or ways nurses help patients use crutches :Nurses wash their hands
• Measuring crutch length 3 to 4 fingers width from axilla to a point 15 cm lateral to the
client's heel is standard
• Position the crutch handle with the elbow flexed at an angle of 20 to 25 degrees. Elbow
angles must be confirmed with a goniometer
• Make sure that the distance between the crutch and axillary pads is 3 to 4 fingers wide
• Instruct clients to use the stand shaft. A standing shaft is formed when crutches are placed
15 cm in front and 15 cm beside each leg.
• Teach the client one of four ways to walk. Generally, the programmed way of walking has
been obtained from physical therapy or a doctor.
 9. Lifting Moving and Positioning a Patient

ROM is a basic technique used to assess movement and for initial movement
into a therapeutic intervention program. Factors that can reduce ROM, namely
systemic, joint, neurological or muscular diseases (due to the surgery, inactivity
or immobility). Types of ROM exercises :
a.Passive ROM (PROM)
b.Active ROM (AROM)
c. Active-Assistive ROM (A-AROM), is a type of AROM where assistance is
provided through external forces whether manually or mechanically, because
the primary movers need help to complete the movement
 9. Nursing Documentation
Nursing Documentation is the record of nursing care that is planned and
delivered to individual clients by qualified nurses of orther caregivers
under the direction of a qualified nurses. It contains information in
accordance with the steps of the nursing process.

10. Transferring a Patient to a Wheelchair

• Preparation
• Getting a Patient Ready to Transfer
• Pivot Turn
 11. Ambulating a Patient and Breaking a Fall

A. Changes in position can avoid:

• 1. Musculoskeletal deformitus and loss of bone calcium.
• 2. Poor skin nutrition and the development of pressure sores.
• 3. Respiratory complications such as pneumonia.
• 4. Reduced circulation which can cause thrombophlebitis and kidney calculus.
• 5. Missing opportunities for social exchange between patients and staff. According to Potter & Perry
(2005. p. 1215)
B. General instructions that must be followed in each transfer procedure are as follows:
• Raise the moving side of the bed in the opposite position to the nurse to prevent the patient from falling
out of bed.
• Raise the bed to a comfortable height.
• Assess patient mobilization and strength to prevent patients who can be used when transferring.
• Determine the need for assistance.
• Explain the procedure and describe what is expected of the patient.
• Assess the correct body alignment and pressure area after each move
 12. Giving an Injection

Injection is often referred to as ‘shot’ or ‘jab’ is the process of entering fluid

into the body using a needle. In medical practice, fluids that are often put
into the body through injection are drugs and vitamins. Here are some types
of injection that exist in the medical world, and how to do this :
1) Intravenous Injection
2) Intramuscular Injection
3) Subcutaneous Injection
4) Intracutane Injection
 13. Applying An Infusion

• Intravenous therapy is inserting a needle or cannula into a vein for intravenous

fluids/treatment, with the aim that a certain amount of fluid or medication can
enter the body through the vein for a certain period of time. Broadly speaking, the
indication for infusion consists of 4 situations namely: the need for intravenous
drug administration, intravenous hydration, blood transfusion or blood
components and other situations where direct access to blood flow is needed.
• Possible infusion sites are the dorsal surface of the hand (supervisial dorsal vein,
basal vein, cephalic vein), inner arm (basalic vein, cephalic vein, median cubital
vein, median forearm vein, radial vein), dorsal vein (inner vein) magna, ramus
dorsalis).
THANK YOU