FINAL

DESIMINATION
GROUP V
NURSING
MANAGEMENT
IMPLEMENTATION AND EVALUATION

01 Handover 03 Nursing supervision

02 Discharge Planning 04 Nursing Round

 HANDOVER

a.Compile POA Handover

-Date and time :April 14, 2022
-Person responsible :Eka Yulianingsih,Fitri Rohmayani,Heri Kuswandi,Habibi
b.Create a balance sheet report.
c.Implementation
-Held every shift change.
-Held in the nurse station room.
-Performed in the patient room.
-Person responsible:Eka Yulianingsih,Fitri Rohmayani,Heri Kuswandi,Habibi
d.Supporting factors :
1. 1.There is a collaboration between the Nursing Profession students of the Mataram Health Polytechnic
and nurses room.
2. 2.There are students whomake a receipt book.
3. 3. Adequate supporting facilities and infrastructure are available

e.Obstacle factor
1.There are higher demands from the community to get more professional services.
2.Amount problem client with disease different and the complications.
3.Increased public awareness about the responsibility and accountability of nurses as care givers nursing

f.Evaluation
1.Student Practitioners mention medical diagnoses and nursing diagnoses as well as patient complaints.
2.Students continue nursing interventions that have not been resolved
3.Students do and understand how to handover that is good and right.
4.When doing a handover to the patient room, students and nurses validate patient complaint data.
DischargePlanning

a.Prepare POA Discharge Planning

-Date :April 20, 2022
-Person responsible:Lilik Sugianti, Sang Ayu Made W, Sri Mulyati
b.Determine the Discharge Planning team
c.Prepare a Discharge Planning proposal
d.Preparing Sheets Discharge Planning
e.Prepare and provide discharge planning cards.
f.Prepare leaflets and provide leaflets to patients.
g.Implementation of Discharge Planning
-Date and time:April 20, 2022
-Room : IRNA IA
-Person responsible:Lilik Sugianti, Sang Ayu Made W, Sri Mulyati
h.Supporting factors :
1.Existence cooperation Among college student Mataram Health Polytechnic Nurse Profession with nurse
clinic.
2.There is good cooperation between students and room nurses
3.There is a willingness of the patient / family to the nurse's recommendation.

i.Obstacle factor
1.There are higher demands from the community to get more services professional.
2.Amount problem client with disease different and the complications.
3.Increased public awareness about the responsibility and accountability of nurses as a care giver nursing

j.Evaluation
1. could carry out discharge planning in accordance with the planning of the return plan whichaccording to
standard
2. College student give leaflets and Discharge Planning cards
3.College student receive and provide counseling when patients enter.
4.The patient and the patient's family understand and understand the explanation of the disease patient,
prevention, care, nutrition, activity, and rest in accordance withlaa given flyer.
5.Patient and family seem cooperative
 NURSING SUPERVISION

a.Develop nursing supervision POA

-Date and time :19,April 2022
-Person responsible :Reka Sopiyanti,Siamin Fariadi
b.Determine actions for supervision activities
-Documentation of patient nursing care
c.Determine the supervision teaminursing
d.Prepare nursing supervision proposals
-Implementation of nursing supervision
Date and time :19,April 2022
Room : IRNA IA
Person responsible : Reka Sopiyanti,Siamin Fariadi
-Supervision is carried out by primary nurses to associate nurses regarding the administration of intravenous
injections.
d.Supporting factors :
1.There is cooperation between the Nursing Profession students of the Mataram Polytechnic of the in group
2.implementation of nursing supervision.
3.There is a collaboration between the Mataram Health Polytechnic Nurse Profession student and the land
supervisor and nurse in the room.
4.There is cooperation between students and patients in nursing supervision.
5.There is collaboration between nursing students and supervisorsacademic

e.Obstacle factor
1.There are higher demands from the community to get more services professional
2.There is competition in the provision of health services between health care places.

f.Evaluation
1.Action preparation (pre, intra, post) is very good
2.It is necessary to review the benefits of giving drug injections to patients.
3.Maintain recaping number during injection
4.Using two-way communication
5.Supervision is carried out in stages
6.documentation format supervisori nursing in the form of a supervision checklist
4.NURSING ROUND
a.Prepare POA for nursing rounds
-Date and time :April 20, 2022
-Person responsible :group 5
b.Define problem for nursing round
-The problem taken is the problem with the diagnosis medical TB Lungs ,with diagnosis
nursing Damage integrity skin,which has been going on for 20day on Tn.A
c.Determine the nursing round team
d.Prepare nursing round proposals
e.Implementation of nursing rounds
-Date and time :April 20, 2022
-Room : IRNA IA
-Person responsible :group 5
f.Supporting factors:
1.Existence cooperation between the Nursing Profession students of the Mataram Poltekkes group in
implementation nursing round.
2.Existence collaboration between the Nursing Profession students of the Mataram Poltekkes and land guide
and nurse in the room.
3.Existence collaboration between students and patients in the nursing process.
4.Existence collaboration between nursing students and mentor academic

g.Obstacle factor
1.Nursing rounds have not been carried out optimally
2.Lack of power medical that is doctor
3.There is busyness each from team which make round not enough

h.Evaluation
1.Patients expressed satisfaction with the implementationnursing care and plansround nursing and services
provided by students in overcoming problems nursing experience of the patient.
2.The nursing round team consisting of students is able to overcome nursing problems patient.
3.Discussions can be carried out well and are followed by all students so that students understand and be able
to solve the patient's nursing problems.
4.Some of the cases in the IRNA IA room did not meet the criteria for the round
 A.CONCLUSION

1.IRNA IA Room Analysis

IRNA IA room is one of the internal rooms that treat patients with problem diagnose
medical TB Lungs. Own 9 bed, serenity consists of S.Kep as many nurses 7 people,
S.Kep as much1people,Diploma III as many as 1 person, Diploma IV/S1 as many
as13 people, Doctor on duty 3 people, supervisor 1 person, nutritionist 1 person. 1
pharmacist, 1 pharmacist assistant, administration 2 people, cleaning service 5 people.
The IRNA I room uses the Team and Primer modified MPKP
CONTINUED…

2.The need for nursing personnel in the IRNA IA room

To calculate the need for nursing staff in the IRNA IA room, we use the
calculation of the workforce according to the calculation of the labor
requirements of the Ministry of Health in 2005. Based on the calculation of the
need for nurses in the IRNA IA room already enough with10 people.
ADVANCED…

3. Continuity of services carried out, namely patient acceptance to discharge,

including the provision of nursing care and the implementation of discharge
planning has not been optimal. The discharge planning implementation in the
IRNA IA Room has been carried out by the team leader but the media for
delivering health education is only through verbal information, so we Mataram
Poltekkes students have made efforts to optimize the discharge planning
implementation where we make and reproduce leaflets according to the room
conditions.
ADVANCED….

4.Nursing Round
The nursing round in the IRNA IA room has never been carried out, because there
are no special cases that require nursing round actions,existence limitations time
for doctor specialist To do round nursing When we were students of the Mataram
Poltekkes, the round ofatreatment has not been carried out optimally due to lack
ofpower medicalwhichfollow round nursing,and existence limitations time
between power medical for To do round nursing
 B.SUGGESTION

1. For To increase the job satisfaction of nurses in the room, nurses must do all actions
according to the established proceduresset
2. On When carrying out the handover, it is expected to include nursing problems and actions
that have been taken, as well as report the situationtools
3. Requiredthe development of the latest sciences by health care providers, especially nurses in
preparation for the era of globalization
4. Inproviding nursing care services to patients must pay attention to therapeutic
communication techniques to motivate patient recovery and to avoid negative sigma towards
nursing services by patients and families
 THANKYOU FOR
YOUR ATTENTION