ROLE PLAY MANAGEMENT

SUPERVISION

BY:

Maria Theresia O 9103017007

Maria Iriani P. Aran 9103017009
Maria Anitha F 9103017034
Raden Roro W. W. A 9103017058
Benni Selfianus 9103017059
Manuel 9103017066
Artha Umbu B 9103016052

FAKULTAS KEPERAWATAN

UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

2020
 SUPERVISION THEORY

Supervision is the active process of directing, guiding, and influencing the outcome of an individual’s
performance of an activity.

The purpose of supervision:

1. The development of knowledge and skills within a role or clinical area: the focus being safe and
effective practice and benefit to patient care
2. Nurses in non-clinical roles though providing an opportunity to discuss issues pertinent to the
delivery of safe and effective care and or professional issues
3. Nurses through difficult circumstances such as the challenging patient case loads or difficult
interpersonal contact with other team members
4. The development of competence, knowledge and skills through facilitation of personal and
professional growth.

Three levels of supervision:

1. Unsupervised
2. Initial direction
3. Continuous supervision

Step doing the supervision:

1. Prepare the supervision

a. Determine the goal
b. Determine the appropriate method
c. Determine the standard/outcome criteria
2. Doing supervision
a. Make and determine plan for supervision
b. Doing the supervision
c. Asses the supervision
3. Fix the problem
a. Collecting information
b. Identifying the problem
c. Analyzing the problem
d. Looking for and decide the alternative solution
e. Doing problem solving
Supervision flow:

1. Pre supervision
2. Implementation
3. Post supervision :
a. Fair
b. Feedback
c. Follow up
Roles:

Maria Iriani : NUM

Raden Roro : Primary Nurse 1

Maria Theresia : Primary Nurse 2

Maria Anitha : Associate Nurse 1

Artha Umbu : Associate Nurse 2

Manuel : Associate Nurse 3

Benni Selfianus : Doctor

One day in an Evav Hospital in the surgical room (OK) there was a primary nurse, There who was
receiving patients from D4 ward with a medical diagnosis of a liver abscess and a Laparotomy
(major) operation will be performed on the second turn at 12:00. At that time there were handover
between Associate Nurse 3 of D4 ward and Primary Nurse 2 of surgical room.

At the surgical handover’s area…

10.00 am…

Artha : Good morning, I’m delivering the patient.

There : Ah a liver abscess , the patient of Doctor Benni?

Artha : Yap! Mr. Tomy with medical diagnosis of liver abscess, laparotomy surgery. In the
room already given anesthetic drugs Propofol, Fentanyl, Atracurium IV and Sefoflurane
2% Inhalation

There : And then?

Manuel : The planning is to have a catheter placed right after direct surgery and while in the ICU
advise the patient to change the right and left tilt position, for every every 20 minutes.

There : alright

Artha : Doctor Benni asked 1500 asering liquid during surgery

There : Okay nurse Manuel, thank you now you can go back.
After Manuel left 15 minutes later Doctor Benni came and immediately changed into the surgical
gown.

There : ( looking for the medical records of Mr.Arip and about to give it to the doctor)

Benni : (looking at the patient's medical record along with the results of the patient's laboratory
and nodding) All the anesthetics have entered?

There : Yes doc

Benni : (wearing sterile masks and gloves) Who participated?

There : Me with nurse Nita doc

Soon the doctor began to operate for 4 hours.

In another room, Nurse station D3.

Roro : Artha, patient D404 bed 2 has been moved?

Artha : Already ma'am, a few minutes ago me with nurse Manuel drove him.

Roro : Manuel, have you submitted all plans according to the doctor's request and plans for
nursing?

Manuel : Yes, nurse There received the patient

Roro : Ahh okay, well I guess she will easily understand it and do it right

Manuel : Yes

4 Hours after operation in the surgical room.

02.00 pm…

Nita : Doc, the vital sign’s of the patient has stabilized

Benni : Keep the monitoring related to vital signs and other conditions of patients, if within 10
minutes it remains stable then transfer to the ICU

Nita : Ok doc
4 hours after the surgery, nurse There immediately put a urine catheter on the patient, continuing
the 14 tpm asering infusion . After taking the action Nurse There washed her hands and returned
to the table of nurses who were still with Doctor Benni and Nurse Nita there.

There : Good afternoon doc

Benni : Nurse There, please monitor the incision wounds if there are manifestations of
infection or other things, calculate the patient's intake and output before sending it in the
ICU. Make sure the patient's GCS is normal within 15 minutes

There :Ok doctor (write all doctor's requests in the patient's medical record intervention sheet)

Benni : I’m leaving

All :Ok doc, thank you

In D3 ward , Doctor Benni does the visit with nurse Roro to the patients.

02.30 pm…

Benni :Haloo nurse

All :Oh good afternoon doc

Manuel : (Gives the stethoscope to doctor)

Artha :(Gives the medical reports of Mrs. Lauren D409 to nurse there)

Artha : The patient said she could defecate already, but still refused the foods

Benni :Nebulation?

Artha :I did it exactly in 20 minutes ago, the patient said it was no longer tight, SpO₂ without
nasal oxygen 99%

Benni : stop the nasal oxygen for a while and keep the monitoring of the SpO₂ and the
breathing of the patient. (walkes into room 309 with nurse Roro who followed while
carrying the patient's medical record) Haloo Oma, good afternoon (touch the patient's
shoulder slowly)

Px :Good afternoon doc

Benni :Good afternoon Oma, Oma why you don’t want to eat?
Px : I don’t want to. Its tasteless

Benni : Well, I want to check your wound first. (lift the patient's clothes and take a look at the
condition of the incision wound then examine the patient with a stethoscope as usual.)

Px :Doc when will I go back home?

Benni :You must to hear what the nurses say here, if you want to be allowed to go back home
soon.

Px : Hmm okay.

Benni : Okay don’t lie to me okay.

The next day, at the surgical room

07.00 am

Ani : Good morning everyone , before we starts, lets pray.. Ameenn..

Nita : At 7:25 a.m. patient Winni with doctor Laila operating a matectomy in the second
operating room, the patient was in critical in the ICU but during the day had improved
and she sent to the room.

Ani : Doctor Laila? Is it supposed to be doctor Yura?

Nita :Yes ma'am, but doctor Yura was urged to the Cito surgery so he being transffered to
Doctor Yura

Ani : How was the patient?

Nita :The patient and the husband already accepted it

Ani : Okay continue

Nita :At 12:40 pm a patient entered with a diagnosis of a liver abscess and a Laparotomy was
going to performed in the surrounding area

Ani : Ok then, I think this handover is done now. You all can turn back and do the rest of your
duties. And for nurse There, please wait for a moment, there’s something that I want to
discuss with you.

There : Okay ma’am

After all the nurses leaving the room…

Ani : Okay nurse There, straight to the point, due to our hospital that want to do the
accreditation, that requires us to be understood about all the things about our hospital
especially for the nurses, we are to be required to be understood with all the nursing
documentation. Because if the accreditation team coming, and make the test to the nurses
about the nursing documentation, it will facilitate our accreditation process.

There : Hmm okay ma’am I get it

Ani : Ok, based on what I said, you as the primary nurse 2 as the leader of your team, I want
to do a supervision of the nursing documentation to you, I’ll do the same with the primary
nurse 1 as well.

There : But, what is your main purpose to do this supervision on me?

Ani : I’m doing this supervision just want to know that all the nurses here in this surgical
room are deserved to the accreditation, so, I can know all of your ability to do the nursing
documentation completely and correctly.

There : So what will you do to me during this supervision?

Ani : During we’re running this supervision, I will asses all your process of supervision with
this sheet. You may take a look on it, here ( Pass the nursing documentation checklist to
There) So based on this sheet, the things that will assed on you during this process are
include the assessment, nursing diagnosis, intervention,implementation and then the
evaluation.

There : Okay ma’am, I already read all the things here on this sheet.

Ani : If that so, are you agree if I want to do the supervision on you?

There : Sure ma’am, its for the goods.

Ani : Alright then here is the application sheet to state you on written if you are agree. Please
sign here at this blank column.

There : Okay ma’am (signing the sheet)

Here you go ma’am, I signed it already.
Ani : Okay nurse There, thank you for your cooperation. From now on you are under my
supervision, I hope you will do your best according to what we’ve talked.

There : Okay ma’am. I wont let you down.

Ani : Well okay, you may go back now.

There : Thank you ma’am.

For 3 days in a row, nurse There routinely doing her task due to the supervision, during that time
nurse There is trying to do her best. Till one day, she is being called from the nursing unit manager
at her office.

At nursing unit manager’s room

There : Excuse me ma’am, did you call me?

Ani : Yes please have a sit

There : Thank you ma’am

Ani : Nurse There, today I will do the supervisor on you. Now please give me your nursing
documentations that you already doing during this time.

There : Here ma’am.

Ani : (take a look at her nursing documentation)……..

Hmmm okay, so far its good, hmm but wait, what is this? What is on your intervention
here. Is this the delegation of the doctor that you written down here?

There : Hmmm no ma’am I think its my nursing intervention.

Ani : Here, look its obviously, it’s the delegation of the doctor, because this is not your own
intervention There. Look, you written here “took the blood sample” it reverse to the
medical diagnose, and that’s not support your nursing diagnose at all. Look there at the
checklist, its written there that the intervention of the nursing care plan must includes of
the nursing therapy and the observational nursing actions.

There : Honestly, I’m still confused with that part ma’am.

Ani : Hmm okay, the way you make the assessment, the nursing diagnose, are pretty good,
but to continue to the intervention itself, you need to know what is the suitable
 intervention with your nursing diagnose, based on our nursing diagnose not according to
the medical diagnose, it belongs to the doctor. You can use the 3S as well.

There : Okay ma’am, now I get it ma’am. Thank you for your clarification ma’am.

Ani : Hmm okay, I’ll give you the other chance to make it right, okay?! Impress me.

There : Okay ma’am I will. And thank you ma’am.

Ani : You can go back to continue your shift.

There : Excuse me ma’am.

After get the supervisor and the clarification about the problem she has, then nurse There returned
to her duty.

The next day in the surgical room

08.30 am…

Roro : Good morning nurse Nita

Nita : Good morning nurse Roro, delivering patient?

Roro : yep

Nita : This morning's surgery schedule is only one, the patient of doctor Doctor Benni yeah?

Roro : Yes, Mrs. Milea, with CA Cervix , will be performed a radical hysterectomy

Soon Manuel and Artha came into the surgical room.

Nita : Ouch, I haven't seen each other for a long time after I was transferred to this operating
room

Artha :Don’t you miss me?

Manuel : Hahaa

Roro :Sst! Come on, the anesthesia is coming in, as often as 21 tpm when the surgery is done
and the doctor asks if normal vital signs are immediately moved to the room.

Nita :Ok, thank you

10 minutes later Dr. Benni came and changed into a surgical suit.

Nita : Good morning doc

Benni : Hallo, everything is set?

There :Yes doc

Benni : Ok

2 hours later after a radical hysterochtomy operation, There been called from the nursing unit
manager. Then, there goes to the nursing unit manager’s room.

There : (ttok ttok ttok!)

Ani : Yes come in

There : Ok.

Ani : How’s today?

There : Radical hysterectomy surgery this morning with doctor Benny, the patient said he was
able to fart, infusion of metacarpal dextra asering 7 tpm, continued drug therapy
according to the room

Ani :It's good enough from you. Now I’m about to ask you about your process and your
progress during this supervision. What do you feel during this process?

There : I think, I learning a lot ma’am.

Ani : Okay if that so, I want you to do your nursing documentation of Mrs.Milea, the new
patient here. I want to see how you make the nursing documentation.

There : Okay ma’am.

Ani : Here is the medical records of that patient. You may start now.

There : (starts writing her nursing documentation)

15 minutes later…

There : Excuse me ma’am, here I’m done with the documentation

Ani : Hmm good, I’ll check it 1st. (checks the documentation of nurse There while checking
the nurse documentation checklist)
Hmm.. okay, okay,,

There : How is it ma’am?

Ani : I’ve looked at your works, and its pretty good There, and I already sign the checklist as
well, look here you’re results are good. I’m proud of you. You can do this supervision
well even though you were a bit confused about the process but its okay.

There : So what is this mean ma’am? Am I passed?

Ani : Exactly There! Congratulation! Now, I’m pretty sure about your ability and to assumed
this result of your supervision, please sign this sheet There. So I have my prove to
supervised you.

There : Sure ma’am (signing the sheet)

Ani : Okay, I think it’s all done here, and congratulation There. You may go back now.

There : Thank you so much ma’am. Excuse me.

THE END