English For Nursing
English For Nursing
Percakapan B
Let Me Inject This at Your Buttock, Sir!
Nurse Rosalyn comes to Mr. Black room. She wants to give pain killer injection to him
Nurse : “good morning, Sir how are you feeling now?”
Mr. B : “I am falling bad, Nurse. I still have pain on my leg, i can’t stand it anymore.”
Nurse : “yes, I understand it, I came here to give you pain killer injection.”
Mr. B : “really! Oh... you’re very good nurse”
Nurse : “okays, I am going to prepare the instruments and wash my hands first.”
Mr. B : “Please.”
Then the nurse takes instruments for intramuscular injection, such as.
Syringe 3 ml
Alcohol swab
Pain killer injection ampoule
Medication administration record
Disposable gloves
Kidney dish
Then withdraws 2 ml of pethidine.
Into syringe and comes back to Mr. Black room.
Nurse : “Now, would you lay into your tummy, please?”
Mr. B : “No, problem.”
Nurse : “very good, and now would you mind lowering your pant down, please?
Mr. B : “No, I don’t mind.”
Nurse : “Thanks, now I am going to put on this glove.”
Mr. B : “good”
Nurse : “firstly, I will clean the site of injection using this alcohol swab (on dorsa gluteal muscle),
please don’t move while I am injecting this medicine okay, sir!”
Mr. B : “yes”
Nurse : “and now inject this needle quickly and firmly with 90 angles and then pulls back on
plunger to aspirate medication, if no blood in syringe and i will inject medication slowly. After that
withdraws it then applying alcohol gently over site and massage site lightly.”
Mr. B : “is it finish, nurse?”
Nurse : “yes, sir.”
Mr. B : “thanks a lot”
Nurse : “your welcome”
Percakapan C
A Nurse Comes To Mr. Jack’s Room To Take His Vital Signs
After the nurse pumps the bulb to inflate the cuff then she puts stethoscope over brachialis
artery and listens the sound of artery (corotcof) from beginning to ending, after she gets the
result of B/P, she releases the cuff then puts it back onto trolley.
After 5 minutes, she takes thermometer back from Mr. jack’s armpit.
Nurse : Well, Mr. Jack, your blood pressure is high enough, it’s about 160/90 mmHg and
temperature 37,5oC, pulse 88 bpm, RR : 20x/m, I will report to Dr. Frank about your complaints.
I’ll be back in a few minutes.
Mr. Jack : Thank you very much, Nurse.
Nurse : Welcome.
Janet got an accident when she drove her car. Some people helped her and called an ambulance to
bring her to a hospital. Now she is in the hospital. The doctor, helped by a nurse, is treating Janet.
Finally, Janet’s family comes and wants to visit Janet.
Janet’s mother : Hello, doctor. We are Janet’s parents. How is our daughter?
Doctor : Hello. We are taking care your daughter, and she is now getting better.
Janet’s father : My daughter does not have any serious injure?
Doctor : Lucky her that she does not have any serious injure. She was terribly
bleeding, but we had got blood for her.
Janet’s mother : Can you tell us why the accident happened?
Doctor : Some witnesses said that she got the accident because of some trouble on
the car engine. She could not brake, so she turned the gear.
Janet’s mother : It must have been terrible.
Doctor : Don’t worry. We have taken care Janet. Though she has not been
conscious, her condition develops.
Janet’s mother : Thanks a lot, doctor. Can we meet our daughter?
Doctor : Sure, you can meet her. The nurse will help you.
Janet’s mother : Thanks a lot.
Nurse : Please follow me.
Janet’s mother : Here is Janet’s room. You must wear this before come in.
Janet’s father : Sure.
Nurse : You only have 15 minutes to meet her.
Janet’ mother : But why?
Nurse : She needs more resting time. Furthermore, her condition is not stable yet.
Janet’s father : I see.
Nurse : If you have any need, just let me know.
Janet’s mother : Thanks a lot.
_________________________________________________________________________
A Patient who has been on the waiting list for admission has received a letter telling him to
report to Dixon ward at Cambury hospital for admission on 24 th July at 2.30p.m at 2.30 he arrives at
the sisters office
26 GREENEND 21-12-1934
WATERBEACH
WATERBEACH 234
CARPENTER
AS ABORT
Mr. THORPE
Patient well, I’m peter Mcleod, you sent me a letter telling me to report here at half past two
Sister that’s right. Mr. Mcleod. Would you come in and sit down, please? We have to fill in an
admission card
Sister now, your surname is Mcleod- would you mind spelling it, please?
Patient yes. I’ am
Sister it say here, Name and address of next of kind who is your nearest relation?
Patient Dr Beale
Sister ah yes. Mr. Thorpe, he’s a surgeon, you see, well, thank you, Mr. McLeod. If you would
just wait here for a minutes, I’ll get a nurse to come and take care of you…
C. TEKS ATAU BACAAN
A. Memulai percakapan awal dan bertukar informasi pribadi dan tentang pasien
NURSING STAFF
Nursing services are essentials to care for the personal needs of patients, to assist the doctors in
their diagnosis and treatment, and periodically to record their observation of patients. Nursing
departments are usually organized by patient wards or units. For each unit, there is a head nurse or
charge of nurse, under whom are a number of registered nurses and in some cases student nurses,
practical nurses, aids, and orderlies.
A group of patient units-usually for related medical specialties-is in the charge of nursing
supervisor who is concerned with the standards of care and general well-being of the patients in
those units. The entire nursing program is headed by a director of nursing with assistant directors in
charge of evening and night shift and other special responsibilities.
A recent development of nursing is progressive care, in which patients are cared for in units
arranged and staffed according to the degree of patient disabilities and intensity of care request.
There are three basic levels of care: intensive, intermediate, and limited. These levels differ chiefly in
the amount of nursing and personal care required, the complexity of the patient treatment, and the
degree of the patient’s abilities. The more the patient is able or permitted to do for himself, the less
nursing personal care are needed. Progressive patient care is aimed at improving the overall needed.
Progressive patient care is aimed at improving the overall qualities and effectiveness of hospital
care.
Ward nurses are responsible for the execution of medical order and the administration of
medication. They also assist the medical staff in diagnosis and treatment of patients. In modern
hospital practice, nurses are restricted to professional nursing duties and have been largely relieved
of the clerical and housekeeping tasks which formerly consumed much of their time.
A. VOCABULARLY
C. GRAMMAR FOCUS
Structure focus : Active participles ( ing - form) and passive participles (ed - form)
Replace the underlined clause in each of the following sentences with its participial phrased !
e.g. a. The man who entered the room is a young famous surgeon.
The man entering the room is a young famous surgeon.
b. The man who was carried to the emergency room is a victim of hit-and-run.
The man carried to the emergency room is a victim of hit-and-run.
1. When the sick woman entered the hospital, she began dying.
2. Because her family was confused, they did not know what to do.
3. The doctor shook his head while he said he could not help her.
4. I am familiar with the doctor who wrote the prescription.
5. The prescription that is left on the table is mine.
Arrange the following sentences to make a good paragraph and use the sequence of place!
1. The emergency room is situated in the first floor, close to the front office.
2. The fourth floor is for patients suffering from contagious diseases.
3. The operation room is rather separated from the main building not far from the
radiology.
4. Delivery and maternity units are in the second floor far from the wards of contagious
diseases.
5. Some of special wards are in the third floor.
6. Each floor has its own nurse’s station.
D. WRITING
Discuss the following questions with the class!
1. Why do you think that nursing services are very important for the doctors?
2. How are the nursing departments usually organized?
3. How are units usually organized? and who is in charge of each unit ?
4. In recent development, what do you mean by a progressive care? How are units
arranged and staffed?
5. In the modern practice, what do nurses not do?
Write your profile in the following space provided. Your writing must explain:
1. Why you learn nursing;
2. What you are doing now;
3. Why you want to becomes are nurse; and
4. What your career plans.
Text
A. Introduction and Questions for Patient Admission
QUESTION STATEMENT
Name What is your name? My name is Fikri
(What’s your name?) (My name’s Fikri)
Age How old are you? I am 17 years old
(I’m 17 years old)
Address Where do you live? I live in Bandung
I live on Jl. Banteng No.5
I live at Ciumbuleuit Apartment No.3
Occupation What do you do? I am a student
(I’m a student)
Origin Where are you from? I am from Soreang
(Where’re you from?) (I’m from Soreang)
Where do you come from? I come from Soreang
Religion What is your religion? I am moslem
(What’s your religion?) (I’m moslem)
Marital Status What is your marital status? I am single (I’m single)
(What’s your marital status?) I am married (I’m married)
I am divorced (I’m divorced)
I am a widow (I’m a widow)
I am a widower (I’m a widower)
Nationality What is your nationality? I am Indonesian (I’m Indonesian)
(What’s your nationality?) I am Japanese (I’m Japanese)
Reason for coming What happened to you? I fell from a ladder
to hospital/clinic What is your reason for visiting this I have a severe headache
hospital/clinic?
(What’s your reason for visiting this
hospital/clinic?)
B. Vocabulary
C. Conversation
P = Patient
N = Nurse
Occupation _____________________________________________________
Marital Status _____________________________________________________
Next of kin _____________________________________________________
Contact No. _____________________________________________________
Smoking intake _____________________________________________________
Alcohol intake _____________________________________________________
Reason for admission _________________________________________________
Medical history ______________________________________________________
Allergies ______________________________________________________
GP ______________________________________________________
E. Grammar
Basic English Structure
S+V+O+C
Or
S + to be + C
To be in English
Example:
a. I see a dog in the shop
S V O C
b. They are beautiful
S to be C
Pronouns as objects
Subject Object
I Me
You You
We Us
They Them
He Him
She Her
It It
Variations in sentence
a. With verb
( + ) S + V + O + C : They read novels every day
( - ) S + Aux + Not + O + C: They do not read novels every day
( ? ) Aux + S + O + C? : Do they read novels every day?
b. With to be
( + ) S + to be + C: They were happy
( - ) S + to be + not + C: They were not happy
( ? ) to be + S + C? : Were they happy?
Auxiliaries in English
Tense Auxilliary
Present Do (I, you, we, they)/Does (He, She, It)
Past Did
Group Work
Fill in the blanks
1. I ____________ not a doctor
2. _________________she send the letter yesterday?
3. She _____________ a dancer
4. London ________________ a big city
5. The cats _______________ cute
6. _____________ you like candy?
7. We _______________ like watching TV
8. The book __________________ interesting
9. ___________ I bring the book last week?
10. The class _________________ so fun
11. _______________they arrive yesterday?
12. ______________we need to read the book every day?
13. He ___________________very kind
14. ___________ they go to the cinema every week?
15. _____________he show up last night?
16. You __________ a smart girl
17. I ____________ a nurse
18. _____________cats like fish?
19. ___________ she often watch movies?
20. _____________ he always sing so loud?
Regarding the things that need to be asked of the patient, the nurse must first know the disease and
complaints of the patient. In addition, nurses must also know what foods or drinks can and cannot
be consumed by patients according to doctor's recommendations. Nurses must be friendly to
patients so that patients feel comfortable to explain things that are asked by nurses.
Conversations between nurses and patients about the food and drinks consumed by the patient
Nurse: "Good morning father, what have you consumed today? Is it in accordance with the food and
drinks that have been provided by the hospital?”
Patient: "Good morning nurse, for this morning I have breakfast provided by the hospital"
Nurse: "OK sir, for the food provided by the hospital is it consumed?
Nurse: "Do you mind eating rice? Or do you want to replace the porridge?”
Patient: "I don't mind, but can the nurse reduce the vegetables?"
Nurse: "I'm sorry father, for the vegetables can not be reduced. If you only eat meat, it will slow
down your digestion. So it must be balanced with a lot of vegetables."
Patient: "OK nurse, can I eat food other than what the hospital provides?"
Nurse: "you can, but you can't overdo it because you're recovering, so you have to take care of the
food"
Nurse: "Okay sir, thank you for the explanation. Get plenty of rest and eat healthy foods. Get well
soon"
Pemberian obat
4. Bandingkan nama dan nomor rekam medis pasien yang tertulis di gelang pasien dengan
nama dan nomor rekam medis pada rekam pemberian obat.
5. Tanyakan kepada pasien apakah Ia memiliki alergi terhadap makanan atau obat-obatan.
Pasien mungkin menyadari bahwa ia memiliki alergi seperti kerang , tapi mungkin Ia tidak
menyadari Ia punya alergi terhadap obat-obatan. Biasanya pasien yang alergi kerang punya
alergi pada obat tertentu.
6. Periksa kembali gelang pasien apakah punya alergi. Pada gelang alergi tersimpan pada
gelang identitas pasien.
7. Bantu pasien untuk berada dalam posisi yang nyaman saat memberikan obat.
8. Tanyakan kepada pasien apakah Ia mengetahui obat yang diterimanya dan mengapa obat
tersebut harus diberikan. Respon pasien memberikan gambaran pengetahuan akan kondisi
yang dialami dan pengobatan yang diterima.
Percakapan :
Percakapan 1
Patient: Mrs.. Erika, I have a headache. (Suster Erika, aku sakit kepala.)
Nurse: Yes, are you okay? Do you need me to call the doctor? (Ya, apa kau baik-baik saja? Apa kau
butuh kupanggilkan dokter?)
Patient: It’s just felt so dizzy and I barely can’t see it clear since everything circle around. (Ini terasa
pening dan aku hampir tidak bisa melihat jelas karena semuanya berputar-putar.)
Nurse: Did you take your medicine yet? (Apa kau sudah meminum obatmu?)
Patient: Not yet. I just finished eating. (Belum. Aku baru selesai makan.)
Nurse: Here, let me help you. Take the medicine first, and I’ll call the doctor. (Mari, aku tolong dulu.
Minum obatnya dulu, dan aku akan panggilkan dokter.)
Patient: Thanks Mrs. Erika. I think I need a rest, could you help me please I wanna lie? (Terima kasih
Suster Erika. Kurasa aku hanya butuh istirahat, bisakah kau tolong aku, aku ingin berbaring?)
Nurse: Yes, here let me help you. Do you feel comfortable now? (Ya, mari aku bantu kamu. Apa kau
sudah merasa nyaman sekarang?)
Patient: Yes, it’s much much better. The headache slowly getting better. (Ya, ini jauh lebih baik. Sakit
kepalanya perlahan mulai sembuh.)
Nurse: Okay then, I need to go now. I’ll inform the doctor right away. And where is your family?
(Baiklah, aku harus pergi sekarang. Aku akan memberitahukan dokter segera. Dan dimana
keluargamu?)
Patient: My mom is in the cafeteria and she will be back in a minute. It’s okay you can leave me.
(Ibuku di kafetaria dan dia akan segera kembali. Tidak apa-apa kau bisa tinggalkan aku.)
Nurse: Okay Ms. Tania. Don’t hesitate to push the buzzer whenever you need me okay? I’ll be here
in no time. Now take a rest and get well soon. (Baiklah Nona Tania. Jangan ragu untuk menekan
tombol kapanpun kau buth aku oke? Aku akan segera datang. Sekarang istirahatlah dulu dan semoga
lekas sembuh.)
Patient: Thanks a lot Mrs. Erika. (Terima kasih banyak Suster Erika.)
Percakapan 2
NASKAH ROLEPLAY
Pemain :
Ramdani
(Narasi)
Di sebuah rumah sakit di Sukabumi, tepatnya ruang Apel no. 2, ada seorang pasien wanita bernama
ibu Hani yang berumur 53 tahun. Ibu ini datang ke rumah sakit dengan gejala demam tinggi, dan
mengeluh sakiit di bagian perut atas ( ulu hati ) dan dada bagian kiri yang diantar keluarganya.
Maka, salah seorang perawat bernama Raya ditugaskan untuk melakukan pemberian obat intra
cutan, sebelum diberikan obat antibiotik.
Perawat Raya : Assalamualaikum…
Semua : Waalaikumsalam…
Perawat Raya : Perkenalkan, saya perawat Raya yang akan bertugas di ruangan ini. Apa benar ini
dengan ibu Hani Darwani ?
Perawat Raya : Oh iya kalau begitu. Ibu , saya di sini akan menanyakan beberapa pertanyaan kepada
ibu . Mohon dijawab dengan sebenar-benarnya ya, pak.
Perawat Raya : Nah sekarang, apa yang terasa dalam tubuh ibu ?
Suami : ibu ayo bilang saja. Ceritakan apa yang terasa ke susternya.
Pasien : Saya merasa pusing suster. Kepala saya seperti muter-muter gak karuan, badan saya
panas dan terasa sakit di mana-mana. Saya merasa gak kuat suster.
Perawat Raya : Baiklah, saya akan ukur suhu tubuh ibu. Tolong angkat ketiak ibu, ya. (perawat
memasukan termometer). Coba kita tunggu beberapa menit..
Perawat Raya : Suhu tubuh ibu 39 C, panas tubuh ibu melebihi normal. Biasanya, untuk ukuran
normal sekitar 36 C. Ibu memiliki gejala demam yang tinggi, mungkin saya akan konsultasi dulu
dengan dokter untuk penanganan pertama. Dokternya akan datang sekitar 5 jam lagi,
jadi mungkin saya akan memberikan tindakan perawatan pertama pada ibu. Sekitar 20 menit lagi
saya akan kembali, ibu bisa menunggu?
Semua : Waalaikumsalam..
Setelah perawat mendapatkan data yang diperlukan, perawat pun meninggalkan pasien dan
melakukan kontrak waktu dengan pasien untuk melakukan tindakan. Selanjutnya, pada pukul 07.30,
perawat Raya kembali dengan membawa peralatan untuk melakukan tindakan.
Semua : Waalaikumsalam..
Perawat Raya : Maaf ibu, bapak, jika menunggu lama. Saya sudah mendapatkan hasil keputusan dari
dokter. Ibu akan diberi obat antibiotik untuk agar panasnya turun. Nanti, sekitar 4 jam lagi, dokter
akan memeriksa ibu. Sebelumnya, apa ibu alergi obat antibiotik?
Suami ` : Tidak tau suster. Soalnya ini baru pertama kali berobat ke rumah sakit. Dulunya kalau
sakit, cuma minum jamu saja.
Perawat Raya : Oh iya. Kalau begitu saya akan melakukan skin test dulu pada ibu. Nanti hasilnya bisa
diketahui, ibu alergi obat antibiotik atau tidak. Ibu bersedia?
Setelah mendapat persetujuan dari pasien, maka perawat pun melakukan tindakan pemberian obat
intra cutan.
Perawat Raya : (Perawat membersihkan daerah yang akan dilakukan suntikan, kemudian daerah
tersebut agak ditegangkan. Kemudian tindakan pun dilakukan). Bagaimana perasaan ibu?
Perawat Raya : Tidak apa-apa. Maaf bu, daerah yang tadi disuntik saya lingkari dulu dengan spidol.
Nanti sekitar 15 menit obat akan bereaksi, daerah sekitar suntikan tersebut jika kemerahan berarti
tandanya ibu alergi obat antibiotik.
Perawat Raya : Kalau begitu saya permisi dulu. Saya akan membereskan peralatan dulu, nanti jika
sudah ada hasilnya, segera ibu panggil saya, ya. Assalamualaikum..
Perawat pun membereskan peralatannya, dan melakukan kontrak waktu kembali. Setelah diketahui
hasilnya, maka pasien bisa diberi obat antibiotik atau tidak dengan alasan alergi.
Perawat Raya : permisi ibu, di cek lagi ya ( melihat lingkaran ) bagus ya ibu, ibu tidak ada alergi
untuk antibiotik ini, jadi saya akan memasukan obatnya lewat infusan ya bu, rasanya agak sedikit
sakit ya, tapi kita lakukan pelan pelan ya bu, jika ibu merasa sakit tarik nafas saja ya. Ibu
bersedia ?
Perawat Raya : ( tersenyum ) berdasarkan pemeriksaan dokter pada hari kemarin, setelah ibu masuk
ke ruangan ternyata lambung ibu Hani ini asam lambungnya naik, jadi dokter jaga di ugd
meresepkan antibiotik untuk mengobati lambungya terlebih dahulu, setelah lambungnya di obati
nanti dokter yang bertugas untuk ibu Hani ini akan kembali memeriksa keadaan ibu, apakah ada
penyakit lain, atau kah ada obat yang harus masuk untuk ibu Hani ini
Perawat Raya : iya bapak, nah ibu sudah selesai, obatnya udah masuk semua, bagaimana sekarang ?
Pasien : sedikit sakit sus, tapi sekarang sudah tidak terasa perih di pagian perut ini
Perawat Raya : (Terminasi akhir) ibu, karena pemberian obatnya sudah selesai
dilakukan, saya pamit ke ruang perawat kembali, nanti pukul 11.45 dokter Doni akan memeriksa ibu,
untuk memeriksa keadaan ibu selanjutnya ya bu.
Dokter Doni dan perawat Raya bergegas menuju ruang apel tempat bu Hani di rawat
Perawat Raya : pasien ibu Hani di ruang apel, dengan diagnosa gastritis dan sudah di lakukan
pemberian obat antibiotik pada pukul 09.10 tadi pagi dok
Perawat Raya : ibu, sekarang ada pemeriksaan dokter dulu ya, ini dengan Dr.Doni, silahkan dok
Pasien : nyeri pada bagian perut sudah agak mendingan dok, tapi saya
meraskan sesak dan merasa sakit pada daerah kiri saya dok (menunjuk ke arah bagian jantung )
Dr. Doni : coba saya akan periksa terlebih dahulu, ibu bisa tarik napas dan hembuskan pelan
pelan
Pasien : baik dok
Dr. Doni : suster, ini tekanan jantungnya cepat, bu apakah ibu mempunyai riwayat penyakit
jantung?
Suami : ada dok, ayahnya dulu mempunyai penyakit jantung, apakah istri saya juga
mempunyai penyakit jantung ?
Dr. Doni : kemunginan besar memang ibu ini mempunyai penyakit darah tinggi pak, tapi jika di
kategorikan belum terlalu parah, dan ini masih bisa dengan obat, nanti saya akan resepkan obat
untuk mengobati darah tinggi istri bapak yaaa.
Pasien : tapi dokter, saya takut jika darah tinggi ini tambah parah
Dr. Doni : jangan khawatir ibu, ibu jangan terlalu cemas memikirkan penyakit ibu ini, sebab ini
belum parah dan masih bisa di sembuhkan oleh obat.
Suami : baiklah dokter, saya akan membeli resep itu asalkan istri saya sembuh
Dr. Doni : nanti suster Raya akan berikan ke bapak setelah saya menuliskan resep untuk istri
bapak. Untuk itu, saya pamit dulu, ibu jangan cemas dan jaga pola makan ibu ya.
Setelah dokter dan perawat Raya pergi meninggalakan ruang apel dan dokter telah meresepkan obat
untuk ibu Hani
Perawat Raya : oh begitu ya, ibu ini ada resep untuk ibu dan harus di beli untuk
mengobati darah tinggi, lalu setelah di beli antarkan ke ruangan perawat.
Perawat Raya : saya sekalian pamit bu, karena jam kerja saya sudah selesai dari pukul 7 sampai pukul
2 siang, kemudian akan di gantikan oleh perawat popy yang akan bertugan dari pukul 2 sampai pukul
7 malam nanti, jadi jika ibu perlu apa apa panggil saja perawat popy dan perawat
popy juga yang akan memberikan obat ibu nanti.
Perawat popy : ibu jika ibu perlu apa apa panggil saya saja ya, saya ada di ruang perawat
Suami : sudah bu
Pasien : ini ada obat yang harus di beli dan nanti kasih ke ruang perawat
Suami : baik bu
Setelah selesai membei obat di apotik, suami ibu Hani memberikan obat itu ke perawat
Suster popy : baik pa, nanti saya akan ke ruangan ibu Hani utuk memberi kan obatnya ya
Perawat popy : sekarang saya akan memberikan obat untuk ibu, untuk mengobati darah tinggi nya
ya bu
Perawat popy : coba saya periksa dulu ya, nah ibu sudah saya periksa ini ada obat dan ibu harus
segera meminumnya tapi caranya itu bukan di telan bersama air, akan tetapi obat ini di simpan di
bawah lidah ibu, biarkan larut dengan sendirinya, apakah ibu bersedia ?
Suami : kenapa mesti dibawah lidah ya sus ? kenapa enggak langsung dengan air, nanti pahit
kalo di simpen di bawah lidah
Perawat popy : tidak akan terasa pahit pak, dengan cara seperti ini justru akan lebih cepat bereaksi
obatnya
Perawat popy : baiklah kalo begitu, berarti obatnya bagus, pemberian obat sudah selesai ya bu,
saya akan kembali keruangan saya dan nanti pukul 6 sore saya akan kembali lagi kesini ya. Permisi
ibu bapak asalamualaikum
Pukul 06.00 wib perawat popy bergegas menuju ruangan ibu Hani
Perawt popy : ibu bagaimana sekarang ? apa yang ibu rasa ? pusing atau
bagaimana ?
Perawat popy : hebat, bagus ya ibu, sudah mendingan, bagian dada kirinya masih sakit bu ?
Pasien : tidak, tapi ada sesekali tapi tidak begitu sakit sus
Perawat popy : baiklah jika begitu, ibu kontrak kerja saya sudah habis sekarang akan di gantikan
dengan perawat sift malam ya bu, ada perawat tasya yang akan merawat ibu sampai besok pagi, jika
ibu ada perlu apa apa silahkan hubungi perawat tasya saja ya bu
Perawat popy : iya bu, di rumah sakit kan di sift. Baik lah saya pamit dulu ya bu, jika ada apa apa
atau perlu apa bisa hubungi ruang perawat.
Perawat Tasya : wah ibu sedang istirahat ya, maaf ya bu saya ganggu waktunya, ini ada obat yang
harus ibu minum sebelum tidur.
Pasien : engga ko sus, ini saya lagi nonton sinetron favorit saya, obatnya kaya tadi siang lagi
sus ?
Perawat Tasya : tidak ibu, ini obat yang diminumnya dengan air, ini untuk lambung ibu, tadi pagi
sudah di suntik antibiotik kan ya ? nah ini obat minumnya.
Setelah obat selesai disiapkan, suster tasya membantu ibu meminum obat nya
Perawat Tasya : ibu ini obat dan airnya, ibu minumnya satu persatu ya (klien pun
meminum obatnya)
Perawat Tasya : Kita harus melihat kondisinya beberapa hari kedepan dulu ya pak
Perawat Tasya : bapak, ibu, karena tugas saya sudah selesai saya mohon kembali ke ruangan, Ibu
jangan lupa istirahat dan jangan melakukan aktivitas yang terlalu berat ya
Perawat Tasya : Pak tolong pola makan ibu dijaga ya, agar kondisinya cepat pulih, jangan makan
yang pedas dan yang terlalu asin
Pengertian : mengukur kekuatan lateral pada dinding arteri oleh darah yang didorong dengan
tekanan dari jantung (pompa jantung)
Tujuan :
1. Mengetahui gambar interelasi dari curah jantung, tahanan vaskuler periver (TD = curag
jantung x tahanan vaskuler perifer)
2. Mengetahui tekanan nadi (perbedaan antara tekanan sistolik dengan tekanan diastolic)
3. Mengetahui respon ketidakseimbangan sistem lain (hipotensi, hipertensi, tekanan nadi
sempit atau lebar)
Prosedur :
A. Pre interaksi :
1. Cek program pasien
2. Cuci tangan
3. Siapkan alat-alat
a. Tensimeter
b. Stetoskop
c. Alat tulis
d. Buku catatan
e. Sarung tangan non steril (bila diperlukan)
B. Tahap orientasi
1. Berikan salam, panggil pasien dengan namanya dan periksa gelang identitas pasien
2. Jelaskan prosedur, tujuan, dan lamanya tindakan pada pasien/keluarga.
C. Tahap kerja
1. Berikan kesempatan pasien bertanya sebelum kegiatan dilakukan.
2. Menanyakan keluhan utama
3. Jaga privacy pasien
4. Cuci tangan dan memasang sarung tangan bila ada indikasi
5. Berikan posisi yang nyaman bagi pasien dan perawat
6. Menyisingkan lengan baju pasien
7. Memasang manset tidak terlalu erat atau terlalu longgar di atas arteri brachialis atau
arteri dorsal pedis 2 s/d 3 cm.
8. Letakkan tensimeter harus datar dengan manset
9. Menghubungkan pipa tensimeter dengan pipa manset
10. Pasang earpieces stetoskop ke telinga pemeriksa
11. Menutup sekrup balon karet
12. Membuka kunci reservoir
13. Meraba arteri brachialis, radialis atau dorsal pedis dengan 3 jaring tengah
14. Memompa balon sampai detak pada arteri tidak teraba lagi, untuk menetukan batas
nilai saat memompa, kemudian pompa balon sehingga udara masuk ke dalam manset
sampai batas nilai kemudian dinaikkan 30 mmHg pada nilai sistolik
15. Meletakkan diafragma stetoskop di atas area arteri brachialias, arteri radialis atau arteri
pedis.
16. Membuka sekrup perlahan-lahan dengan kecepatan 2-3 mmHg perdetik sambil melihat
skala dan mendengarkan bunyi Korotkoff yaitu detak pertama sistolik dan detak terakhir
(diastolic) yang tidak terdengar lagi.
17. Pada waktu melihat skala mata setinggi skala tersebut.
18. Bila hasilnya meragukan perlu diulang kembali (tunggu 1-2 menit)
19. Menurunkan air sampai 0 (nol) dan mengunci reservoir.
20. Membuka pipa penghubung.
21. Melepaskan aset dan mengeluarkan udara yang masih tertinggal di dalam manset
22. Menggulung manset dan memasukkan ke dalam tensimeter.
23. Merapikan pasien
24. Mengembalikan alat pada tempatnya
25. Lepaskan sarung tangan
Percakapan :
Percakapan 1 :
Nurse: Good morning Ms. Ari. My name is Desi and I’ll be looking after you for this morning.
(Selamat pagi Nona Ari. Nama saya Desi dan saya akan merawat anda pagi ini.)
Nurse: How are you feeling today? (Bagaimana keadaanmu hari ini?)
Patient: I’m feeling good. My fever has gone, but I’m a bit weak. (Aku merasa baik. Demamku sudah
hilang, tapi masih terasa lemas.)
Patient: Yes, I’ve eat this morning and take my medicine. (Ya, aku sudah makan pagi ini dan sudah
minum obat.)
Nurse: That’s great. Do you feel nausea? (Itu bagus sekali. Apa kau merasa mual?)
Patient: Yes, I feel nausea when I’m eating but it’s get better after I take the medicine. (Ya, aku
merasa mual ketika makan tapi sekarang baikan setelah minum obat.)
Nurse: Let’s wait for a day and you will get better. I’ll get you blood preasure first okay? (Mari kita
tunggu sehari dan kau akan lebih baik. Aku akan mengukur tekanan darahmu dulu, oke?)
Patient: Yes, please and thanks. (Ya, silahkan dan terima kasih.)
Percakapan 2 :
Nurse: My name is nurse shela, I am the nurse who will look after you during the morning shift.
Starting from 7am to 2pm
Mrs Syifa: I am good news today. It's just that at night my sleep was a little disturbed because I felt
dizzy
Nurse: okay. Now I'm going to do a check on your vital signs. Are you willing?
Mrs. Syifa: Please sus. (the nurse measures the patient's blood pressure)
Nurse: I have checked your blood pressure, then I will do your breath rate, pulse rate and body
temperature
Nurse: excuse me ma'am, I will put this thermometer in your armpit. Please raise the sleeve up,
ma'am
Nurse: okay ma'am, I have finished checking your vital signs. Are there any other complaints you
would like to raise?
Miss ira: sorry nurse, how is the result of my mother's blood pressure?
Nurse: oh yes miss, your mother's blood pressure is high, her blood pressure reading is 150/90.
Miss ira: how to solve it so that my mother's blood pressure returns to normal nurse?
Nurse: actually there are many factors that influence, it could be from the food factor. Foods that
contain too much salt can affect high blood pressure and stress factors can increase blood pressure.
So, Mrs. Syifa, don't think too hard about things
Miss ira: what about the other results of the examination, sus?
Nurse: for other examinations the results are normal, Ms. no problem.
Nurse: yes ma'am, later I will come back for the next examination,
Percakapan 1
Nurse: Good afternoon, Anna. How are you feeling today? (Selamat siang, Anna.
Bagaimana keadaan Anda hari ini?)
Patient: It’s so cold in here! I think I have a fever. (Dingin sekali di sini! Saya rasa saya
demam)
Patient: Ok. (Oke)
Nurse: You feel a bit warm. Let’s measure your body temperature, shall we? (Anda agak
panas. Mari kita ukur suhu tubuh Anda)
Patient: Sure. (Baik)
Nurse: Here, put the thermometer under your armpit please. (Ini, mohon letakkan
thermometer di ketiak Anda)
Patient: Okay. (Oke)
Nurse: You have a bit of fever, but you don’t have to be worried about it. It is normal to have
a slight fever after a surgery like yours. (Anda sedikit demam, tetapi Anda tidak perlu
khawatir. Normal jika sedikit demam setelah operasi)
Nurse: I think I will check your blood pressure as well. (Saya rasa saya akan memeriksa
tekanan darah Anda juga)
Nurse: No, don’t worry. You are in good hands. Now would you please hold out your arm so
that I can wrap this cuff around it to read your blood pressure? (Tidak, jangan khawatir.
Anda dirawat oleh orang yang tepat. Sekarang mohon ulurkan tangan Anda sehingga saya
bisa melilitkan manset ini pada tangan Anda untuk membaca tekanan darah Anda)
Patient: Ok. (Oke)
Nurse: Your blood pressure is 100/70. It’s normal. (Tekanan darah Anda adalah 100/70. Itu
normal)
Percakapan 2
Patient: I’ve got a fever and sore throat since yesterday. (Saya demam dan sakit
tenggorokan semenjak kemarin)
Doctor: Okay. Let me check your body temperature. (Oke. Izinkan saya memeriksa suhu
tubuh Anda)
Doctor: Would you please put the thermometer under your arm? (Tolong letakkan
thermometer ini di bawah ketiak Anda)
Patient: Ok. (Oke)
Doctor: Your body temperature is 39.2° C. It means you have moderate fever. Now, I would
like you to relax as I am checking your pulse and respiration rate. (Suhu tubuh Anda 39° C.
Artinya Anda mengalami demam sedang. Sekarang, saya ingin Anda rilaks saat saya
memeriksa denyut nadi dan laju pernapasan Anda)
Patient: Okay. (Oke)
Doctor: Good. Next, I am going to wrap this cuff around your arm and pump it to read your
blood pressure. (Bagus. Selanjutnya, saya akan melilitkan manset ini pada tangan Anda dan
memompanya untuk membaca tekanan darah Anda)
Patient: Okay. (Oke)
Doctor: Good. Could you please open your mouth and say “aaah” so I could check your
throat? (Bagus. Bisa tolong buka mulutnya dan bilang “aaah” sehingga saya bisa memeriksa
tenggorokan Anda)
Patient: Aaah (Aaah)
Doctor: Okay. So, your pulse rate is 80 per minute, your respiration rate is 16 per minute,
and your blood pressure is 120/80. (Bagus. Jadi, denyut nadi Anda adalah 80 per menit, laju
pernapasan Anda 16 per menit, dan tekanan darah Anda 120/80)
Doctor: It means that your vital signs are normal. There is nothing to be worried
about. (Artinya tanda-tanda vital Anda normal. Tidak ada yang perlu dikhawatirkan)
Doctor: I am going to prescribe you vitamin and some medicines to ease your fever and sore
throat. (Saya akan meresepkan Anda vitamin dan beberapa obat untuk mengurangi demam
dan sakit tenggorokan)
Patient: Okay. (Oke)
Doctor: Don’t forget to take a rest and drink a lot of water. (Jangan lupa untuk istirahat dan
minum air yang banyak)
WHO defines physical activity as any bodily movement produced by skeletal muscles that requires
energy expenditure. Physical activity refers to all movement including during leisure time, for
transport to get to and from places, or as part of a person’s work. Both moderate- and vigorous-
intensity physical activity improve health.
Popular ways to be active include walking, cycling, wheeling, sports, active recreation and play, and
can be done at any level of skill and for enjoyment by everybody.
Regular physical activity is proven to help prevent and manage noncommunicable diseases such as
heart disease, stroke, diabetes and several cancers. It also helps prevent hypertension, maintain
healthy body weight and can improve mental health, quality of life and well-being.
Although many patients would benefit from increased physical activity, discussing exercise is often
not a priority for patients or their family physicians. Family physicians can play an influential role in
encouraging patients to exercise, and the new year can be a good time to have these conversations.
Here are seven tips for developing personalized physical activity prescriptions:
1. Help the patient recognize the personal benefits of physical activity.
5. Help build the patient’s confidence to attempt his or her chosen activity.
6. Encourage the patient to log his or her activity and bring those logs to follow-up appointments for
further discussion and coaching.
N : That's great! not more than a week you can go home. But in one condition, you need to follow
some physical exercises while you stay here
N : Yes, it is. I will explain the things you need to do to make sure your body getting better. First, try
to sit at least 5-10 minutes a day, and then try to walk around the room when yu feel you can, and
don't forget to sit near the window in the morning to get the morning sun, it's good for your bones.
P : Perfect, i really want to to that since God knows when. Anything else, Nurse?