Nama group ː

1. Rizka Lailatul Amalia 202303101047

2. Faradhika Martatya Salenda 202303101069
3. Tiara Anina 202303101111
4. Bella Stevitiana putri.M. 202303101060
5. Siti Mabruroh 202303101053

Class ː 2C

English Course in Nursing

NURSING PROCEDURE HOW RUMPLE LEED TEST

Competencies:
a. Writing procedure
b. Speaking : introducing self and procedure (definition, goal, equipment, time, privacy)
c. Preparing self, equipments and environment
d. Implementation is completed by communication
e. Evaluation is completed by communication
f. Writing Documentation

STANDARD OPERATING Director Legalized

PROCEDURE

RUMPLE LEED TEST

CODE: SOPIV20 EDITION: 1 PAGE 1/2
1. Definition The Rumple Leed test is an examination of the field of
hematology by holding the upper arm for 10 minutes for a
diagnostic test of vascular fragility and platelet function. - The
Rumple Leed test is an examination of the permeability of the
blood vessel walls which is characterized by the appearance of
petechiae. - The Rumple Leede (RL) test, also known as the
Containment Experiment. The tourniquet test is one of the
tests carried out in the field of hematology. This procedure is
taught to students so that they understand that this RL test can
be used to test capillary resistance and platelet function so that
it is a diagnostic effort to detect abnormalities in the primary
hemostasis process. At the same time so that students can
prepare, implement and interpret the results of this
examination.
2. Goal 1. To detect bleeding under the skin (petechiae) as a sign
of dengue fever
2. To determine the resilience / fragility of blood vessel
walls and the number and function of platelets.
3. Equipments 1. Tool preparation: sphygmomanometer, stethoscope,
tray, mat, marker or pen, book,watch
2. Client preparation: - Say hello. - Build a trusting
relationship between the nurse and the client. - Clients
are notified of the intent, purpose and steps of foot
status checks. - Make inspection time contracts with
clients. - Adjust the position of the client's feet by
straightening the client's legs on the bed.
3. Environmental Preparation: - Maintain client privacy
by installing a sampiran or closing the room divider
curtain. - Adjust the lighting of the room. - Create a
quiet and comfortable environment.
4. Assessment 1. Negative results if in a circle with a diameter of 5 cm,
approximately 4 cm distal to the cubital fossa, there are
less than 10 petechiae
2. Positive results if in a circle with a diameter of 5 cm
approximately 4 cm distal to the cubital fossa there are
less than 10 petechiae
3. If during the period of bleeding using the Ivy method,
petechiae have occurred, then the results of the dam
test (rumple leed) are also positive.
5. Implementation 1. Bring the equipment near the client.
 2. Do hand washing
3. Explain the procedure to be carried out
4. Adjust the position in a lying position
5. Take blood pressure measurements
6. Calculate the limit of systolic pressure and diastolic
pressure then add up the limits of the two pressures
and divide by the formula.
FOLDER:
7. Take the MAP measurement by maintaining the
pressure of the MAP measurement result for
approximately 5 minutes.
8. After that lower the pressure slowly
9. Read positive results
- : No petechiae found (<20)
+ : presence of petechiae (> 20)
10. Record the measurement results
11. Clean up the tools that have been used
12. Tidy back the client.
13. Say hello.
14. Take off the gloves, then throw them in the crook
15. Do hand washing.
16. Document all data collection results in the prepared
format.
6. Evaluation Inform the client of the results, and record the measurement
results, as well as abnormal findings during the examination.
Evaluation result : The client is comfortable after the rumplee
leed examination (no complaints) Client privacy is maintained
The tools are reorganized
7. Documentation Document the rumple leed test include the patient's name, age,
time, location, number of petechiae and nurse initials.