Keperawatan

Medikal-Bedah
Novian Mahayu Adiutama
Contents:
 Perawat Medikal-Bedah
 Fokus Kep. Medikal-Bedah
 Apa yang Dibutuhan Perawat Medikal-Bedah
 Positioning Kep. Medikal-Bedah
 Lingkup Praktik Kep. Medikal-Bedah
 Peran Perawat Medikal-Bedah
 Who is Nurse in Medical-
surgical nursing?

Medical-surgical nurses are

nurses provide nursing care to
adults experience complex
variation in health.

(Canadian Associatio of Medical and Surgical Nurses, March 2018)

The Focus of MedSurg
Nursing

The Focus of MedSurg Nursing is

on the adulth client with acute
and chronic illness in any health
care setting or on the client who
is at risk for illness

(Ignatavicius & Workman, 2016, p 6)

What is Needed by a Nurse
Specialist In Medical-surgical
Nursing?
..need a have broad knowledge of the
biologic, psychological, and social
sciences....,
because their clients have a
range of needs, to achivement of an
optimal level of wellness & the
prevention of illness.

(Ignatavicius & Workman, 2016, p 6)

Positioning

 MedSurg nursing adalah dasar dari

semua praktik keperawatan.
 Saat ini lebih banyak perawat
memilih bekerja dlm spesialisasi
MedSurg nursing.
Practice Setting for MedSurg
Nurses (Scope)—1
 Hospital setting:
 Critical care unit
 Intermediate or specialty care unit
 Long term care units
 Community-based (home care) setting

to provide care for primarily adult patients

before and after surgical procedures.

(Ignatavicius & Workman, 2016)

Practice Setting for MedSurg
Nurses (Scope)—2
 Unit Keperawatan Kritis:
 Area utk ps dg keadaan komplek & kritis.
 Shock, trauma, neurosurgical.

 Departemen emergensi.
 Perawat:
 punya sense thd situasi krisis
 mampu tetap efektif pada situasi stresfull
 rasio p:k = 1:2 atau 1:3

(Ignatavicius & Workman, 2016)

Practice Setting for MedSurg
Nurses (Scope)—3
 Long-Term Care Unit:
 Pasien membutuhkan perawatan dlm
waktu lama: beberapa minggu-bulan
 Sinonim dg nursing home care
 Unit perawatan transisi
 Fasilitas perawatan kronik
 Pusat rehabilitasi

(Ignatavicius & Workman, 2016)

The Role of MedSurg Nurse

 Coordinator of care
 Caregiver
 Continuing care planner
 Educator
 Researcher

(Ignatavicius & Workman, 2016, pp. 6-7)

 Caregiver

Researcher Advocate
Peran
Perawat
MedSug

Manager Educator
Coordinator of care

 Tidaklah mudah memenuhi semua

kebutuhan pasien.
 Sebagai koordinator—perlu
berkolaborasi dg tim kes lain secara
interdisiplin
 Melalui “ronde klinik interdisiplin” dan
“metode komunikasi lainnya”
mempermudah proses perencanaan dan
implementasi
(Ignatavicius & Workman, 2016, p 6)
Caregiver
 Assess client
 Analyzies collected information
to determine client’s need
 Develop “nursing diagnosis”
and “collaborative problems” Nursing
process
 Develop “care plan” and “carry
out the plan with the health
care team”
 Evaluate care given.

(Ignatavicius & Workman, 2016, p 6)

Caregiver
 Memenuhi kebutuhan fisik, psikososial dan spiritual.
 Aktivitasnya di kategorikan sbg:
 Independen
 Dilakukan perawat tanpa dipengaruhi tim kes lain.
 Misalnya: elevating the head of bed to facilitating
breathing or reducting intracranial pressure
 Kolaboratif (interdependen)
 Ditentukan bersama-sama perawat dan anggota
tim kes lain. Misalnya: pemberian diet khusus
 Diorder oleh tim kes lain tetapi membutuhkan
judgment perawat untuk melakukannya. Misalnya:
pemberian medikasi

(Ignatavicius & Workman, 2016, p 6)

Continuing care planner
 Saat ini pelayanan kes telah menekankan “pemulangan
dini (early discharge)” dari rumah sakit.
 Peran MedSurg Nurse sbg “perencana asuhan lanjutan”
menjadi penting
 Proses:
 Mengkaji kebutuhan kesehatan ps
 Mengkaji kebutuhan pendidikan kes

 Mengkaji keadaan rumah: sumber2, support system,

dan peralatan, jika dibutuhkan
 Dilakukan oleh discharge planner atau case manager
(umumnya perawat, dapat juga social worker)

(Ignatavicius & Workman, 2016, p 6)

Educator

 Pendidikan pd klien merupakan

komponen utama dalam Kep. MedSurg.
 Bekerja dalam tim kes. utk
meningkatkan kes klien melalui proses
belajar klien ttg promkes, penanganan
keadaan sakit, dan penanganan khusus.
 Peran ini semakin penting lagi, karena
kebijakan rumah sakit untuk melakukan
pemulangan dini.
(Ignatavicius & Workman, 2016, p 6)
Researcher

 Terlibat aktif dlm penelitian

 Menggunakan hasil penelitian ke dalam
praktik
Terimakasih
WASSALAM