Professional Documents
Culture Documents
(because I’m too dumb to know the title, beside, its just for us)
Nurse, to Asesor: “Good (morning/afternoon) sir/ma’am, I’m (name) from 28 Jakarta High School with
major nurse assistant. today I will do phase care 3 to the client or patient. This phase will take 30-60
minutes of work. Here, I have the equipment and the patient ready, can I start? “
Nurse, to client: “Good (morning/afternoon) ma’am/sir? I am (name) from room A. May I know your
name and your age?”
Client: “Yes, I slept very well, thank you for asking” (atau apapun jawaban mereka)
Nurse: “Okay, that’s good. So, today I will help you to do your personal hygiene from defecate to
cleaning your body and teeth and also your nails. This will take 30-60 minutes. if you agree, I will
prepare the equipment required”
Client: “Yes”
Nurse: “Okay, so today, I will help you to do defecate first. It will take at least 15-20 minutes to do, it will
help your body to accomplish the need of elimination. We will do it in this bed. So, what I am have to do
is put you in dorsal recumbent position and put the chamber pot below you and I will wait outside so
you can do your matter and if you are done, I will help you to clean everything. Before we doing it, I will
keep your privacy by closing the curtain. Do you give me the permission?”
Client: “Yes”
Nurse: “Alright, first, please excuse me while I am using the protective equipment”
Pakai APD, cuci tangan > apron > masker > sarung tangan
Nurse: “So first, I will help you to keep your privacy”
tutup hordeng
Nurse: “Excuse me, ma’am/sir, I will put you into dorsal recumbent position, please follow my
instruction”
bantu pasien ke posisi dorsal recumbent atau posisi ngangkang melahirkan lalu ditutup selimut
memasang perlak dibawah pasien
Nurse: “And now, please excuse me while I am putting chamber pot under your backside, please tell me
if you feel hurt or uncomfortable. Please help me with lift your backside”
Nurse: “Okay, all set, now you may hold this bell and I will excuse myself to wait you outside until you
are done. If you already done, please ring the bell so I know when I have to come inside. Excuse me”
Nurse: “Hello, ma’am, I heard you ring the bell/I noticed you give me the signal that you already done”
Client: “Yes”
Nurse: “okay, Excuse me, Ma’am, I will help you to clean up”
Pakai kapas untuk membersihkan sisa sisa kotoran, dengan cara dari bagian vagina atau atas di
bersihkan kebagian bawah, lalu pada bagian anus diputar sambal disiram dan setelah itu buang
ke pispot.
Bersihkan vagina dari bagian labia minora kiri dan kanan, mayora kiri dan kanan, klitoris > turun
kebawah kearah anus (setiap bagian menggunakan lapisa kapas atau tisu yang berbeda?dilipat
kebagian bersih)
Keringkan bokong klien dengan handuk
Letakan pispot kebawah tempat tidur dan tutup
Nurse: “okay, now I will put you back into first position”
Nurse: “Alright, now I will help you to take a bath. This will take a little longer than the first, at least, 20-
30 minutes. Take a bath is important to you because, aside of the clean feeling you may want to feel, it
will remove the germs all over your body. We will do it in your bed. I will clean your face, your body, and
also your legs, so, if you excuse me”
Client: “Yes”
Nurse: “Before I start, do you have any special product to clean your face? You can tell me to use it”
Client: “No”
Nurse: “Before we start, I have to inform you that you have to take off your upper clothes, allow me to
help you”
Client: “yes”
Nurse: “Alright, because your face already clean, I will help you to clean your hands, if you excuse me”
Turunkan selimut mandi kearah dada, naikkan kedua tangan pasien keatas lalu letakan handuk
keatas dada pasien, dan pastikan kedua tangan pasien berada diatas handuk
Lakukan satu tangan (kanan/kiri terlebih daulu), basai washlap dengan air bersih dan bersihkan
lengan pasien dari arah bahu kearah telapak tangan lalu menuju ketiak, lalu membasahi waslap
baru dengan air sabun dan membilas dengan arah yang sama
Lakukan tangan yang lain dengan arah bilas yang sama dan cara yang sama dengan air bersih >
air sabun > air bersih
Lalu keringkan dengan handuk
Nurse: “Okay, we are done with hands, now I will help you cleaning your chest and stomach area”
Tanpa membuka selimut, basuh bagian dada, ketiak kearah perut pasien menggunakan air
bersih > air sabun > air bersih lalu keringkan
Nurse: “Your chest and stomach are done, now we will move on to back, I will put you to Sims position,
while I wash your back”
Nurse: “We are done wash your back, now excuse me while I wash your legs”
Setelah BAB BAK tadi pasien yang masih tidak memakai celana
Meletakan handuk dan perlak dibawah kaki pasien dengan membantu pasien mengangkat
Membilas kaki pasien dari yang terdekat dengan perawat dimulai dengan menyuruh pasien ke
posisi dorsal recumbent position dan membasu kaki pasien dari bagian paha kebawah
Mengeringkan kaki pasien dengan handuk lalu membantu pasien mengenakan celananya
Membersihkan perlak dan handuk yang telah dipakai dengan meletakannya ke keranjang kotor
Nurse: “Alright ma’am, I am done helping you take a bath, next if you give me permission, I will help you
to wash your hair”
Client: “Yes”
Menyiapkan peralatan: talang rambut, handuk, baskom berisi air hangat, gayung, shampoo,
sisir, kaca, kassa dan kapas, ember kosong.
Nurse: “So, the next thing is, I will help you wash your hair. After we washing your hair, you will feel
comfortable and will help you to remove the dirt and germs. It will take 10-20 minutes and we will do it
in your bed”
Client: “Yes”
Nurse: “Before we start, do you have any reference for any shampoo that you want to use?”
Nurse: “Okay ma’am, we are done with hair, now, will you allow me to help you brush your teeth, it
will take 5-10 minutes, it will help you to feel confident, feel good smell from your mouth, will
remove dirt from your mouth”
Nurse: “Alright, Now, I will put you on sitting closer to the bed headboard so you can relax”
Bantu pasien duduk bersandar pada headboard bed dengan cara dari keadaan duduk setelah
mencuci rambut, menekuk salah satu kakinya dan mendorong pinggulnya hingga ia bersandar
pada kepala tempat tidur
Siapkan bantal untuk pasien bersandar
Siapkan handuk pada pangkuan pasien
Siapkan bengkok untuk membuang air bekas kumuran pasien
Siapkan peralatan lainnya: gelas kumur, sikat gigi baru, pasta gigi, tisu, pelembab bibir
Nurse: “Excuse me ma’am, do you want to do it yourself or you want me to help you?”
Client: “Help”
Ganti handscoon
Siapkan sikat gigi dan berikan pasta gigi secukupnya lalu basahi dengan air
Berikan air dalam gelas kumur ke pasien untuk berkumur, buang ke bengkok
Sikat gigi pasien
Berikan air untuk berkumur bersih dan buang di bengkok
Keringkan bibir dan sekitarnya dengan tisu
Oleskan pelembab bibir di bibir pasien
Bersihkan handuknya
Nurse: “Okay because the teeth are done, now, we will move on to nails, if you allow me. I will clean
your nails so the dirt and germs are completely remove. It will take at least 5-10 minutes and we will do
it in your bed”
Client: “Yes”
Siapkan alas dipangkuann pasien lalu siapkan peralatan yaitu: baskom berisi air hangat, bengkok
berisi lisol 5%, sikat kuku, gunting kuku, handuk kecil/sapu tangan
Nurse: “Okay ma’am, we are done with your personal hygiene. do you want me to set up your new bed
so you can feel comfortable with it?”
Nurse: “Okay Ma’am, I will help you to stand up. While I’m doing it, you can step on my foot and follow
me to the wheelchair”
Client: “Okay”
Nurse: “Alright, on the count on three, i will lift you and we will go to the wheelchair”
Mengarahkan tangan pasien untuk memeluk leher perawat, dan perawat memeluk tubuh
pasien
Berhitung hingga tiga lalu mengangkat tubuh pasien dan menjadi tumpuan pasien
Pastikan kaki pasien menginjak kaki perawat
Iramakan agar pasien dapat mengikuti jalannya
Nurse: “Okay, now you will follow me, right and left and right and left”
Nurse: “Okay, ma’am, I am done with the bed, we can go back to your bed now”
Menarik respon pasien dengan memanggil nama pasien dengan mencoba menggoyangkan bahu
pasien
Jika tidak ada respon, melakukan stimulus nyeri yaitu memberi rasa sakit pada bagian dada atas
pasien dengan telunjuk, mengecek respon pada mata pasien, mengecek nadi pasien pada
pergelangan tangan
Nurse, to Asesor: “Hello, doc, I am (nama) from room A want to inform you that your patient, miss G has
decreased consciousness. I have done a stimulus response by calling or pain but there no response back.
What should I do, doctor?”
Asesor: “Do TTV and inform the family” (apapun nanti jawabannya tetap aja disuruh TTV dan memberi
kabar ke keluarga)
Nurse, to Asesor: “Yes, Ma’am/Sir, I will do that and I will inform the family of miss G about her
condition”
Nurse, to the family: “I’m (nama) from room A, would like to inform you that miss G has decreased
consciousness. I have informed the doctor about this and will update to you later. We will do the best
that we can to give the best possible care to miss G. please help us with pray that miss G can come back
healthy as before. And would the family of miss G could wait here? So, we can update to you as soon as
posible. I will excuse myself back into the room”
Nurse, to Asesor: “Doctor, patient miss G has decreased consciousness with blood pressure …/… (intinya
dibawah normal), with breathing …/minutes (napasnya menurun, contoh, 8/menit), and pulse beating is
…/minutes (menurun banget contoh 5/menit), and there is no response from the stimulus by calling or
pain”
Lakukan pengecekan ulang dari melihat keadaan pasien, merasakan nadi melalui pergelangan
tangan dan leher dan juga nafas pasien melalu hidung hingga memastika pasien sudah tidak
bernyawa
Nurse, to the family: “Good (morning/afternoon) miss/sir, piece of news not long ago when miss G had
decreased consciousness, and now we are here condole because the doctor had declared miss G has
gone on (hari), the (tanggal, contoh, the fourth of july 2020), at (jam meninggalnya, contoh, at seven o
clock). Once again, we are very sorry for your loss, deep my condolences. We will treat the corpse of
miss G, we will do her funeral care. Is there any family who want to participate to assist the process of
caring for the corpse?”
Family: “No”
Nurse, to the family: “Alright, if there no family that wants to join, my friend will accompany you all
here. Please to remain patient and always prays for miss G. once again, our deep condolences. Please
excuse me, I will go back to the room to the funeral care”
Family: “Yes”
Nurse, to the family: “Alright, then the person who want to join please come with me to the room”
*selanjutnya sama
Melepaskan infusan dengan cara mengehntikan tetesan air infus terlebih dahulu lalu tetap
memperhatikan kehati-hatian dengan perlahan dan menggunakan kasa untuk menutupi darah.
Lalu, infus bekas pasien digulung dan diletakan di troli atau meja terdekat
Lalu, mulai mengumpulkan barang-barang pasien seperti kacamata, jam tangan, kaus kaki,
gesper, perhiasan, dll
Memeriksa ada tidaknya luka ditubuh pasien
Ambil washlap untuk membasuh tubuh jenazah dimulai dari kepala, yaitu dar hidung, mata,
telinga lalu bilas washlap bekas jenazah
Menutup mata, telinga, dan hidung pasien dengan kapas
Mulai kegiatan tali menali dimulai dari bagian atas kepala, pergelangan tangan (harus sama
posisinya sejajar), paha, betis/pergelangan kaki, dan ibu jari kaki
Selama kegiatan tali menali, selimut pasien tidak boleh dibuka. Kegiatan menali dilakukan
dibawah selimut pasien
Ambil label jenazah (berisi nama, alamat, umur, dokter yang merawat, waktu kematian, asal
jenazah, dan catatan mengenai jenazah)
Walau sudah mejadi jenazah tetap dihormati privasinya jadi saat mengganti selimut dengan cara
meletakan selimut jenaza diatas selimut rawat lalu ditarik dari dalam selimut rawatnya dan
menutupi tubuh jenazah tanpa terlihat privasinya
Menutup selimut hingga kepala
Mundur selangkah dari bed pasien
Nurse, to Asesor: “The patient already done due to funeral care, and now time to pray”
Nurse, to the family: “Good (morning/afternoon) ma’am/sir,these are items that belong to miss G,
please accept them and check whether are any items left behind?”
Family: “No”
Nurse, to the family: “Once again, we are sorry for the loss of miss G, hopefully her soul is rest in peace
and the family who feel lost will get any patient. We are from the hospital feel lost too, so, we will give
the family time to visit the body. After this, the body will be taken care of by our other team, and maybe
the body will be directed to the morgue. That’s enough for me, next, our other hospital team will
arrange it. You can visit the body now. Thank you, good (morning/afternoon)”
Lepas APD