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    Kegiatan Uraian Kegiatan Hari Ke Keterangan: Clinical Pathway

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    Peni M. Saptoargo
    This document appears to be a clinical pathway for appendectomy (removal of the appendix) without complications. It outlines the following in 3 sentences or less: 1) The patient information, diagnosis of appendicitis, and medical history. 2) The plan for pre-operative preparation, administration of antibiotics and anesthesia, and the appendectomy procedure. 3) The post-operative monitoring plan, including checks of vital signs, urine output, incision, and pain levels over multiple days before discharge.

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    Kegiatan Uraian Kegiatan Hari Ke Keterangan: Clinical Pathway

    Uploaded by

    Peni M. Saptoargo
    68 views4 pages
    This document appears to be a clinical pathway for appendectomy (removal of the appendix) without complications. It outlines the following in 3 sentences or less: 1) The patient information, diagnosis of appendicitis, and medical history. 2) The plan for pre-operative preparation, administration of antibiotics and anesthesia, and the appendectomy procedure. 3) The post-operative monitoring plan, including checks of vital signs, urine output, incision, and pain levels over multiple days before discharge.

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    contoh clinical pathway

    Original Title

    CL Appendisitis

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    This document appears to be a clinical pathway for appendectomy (removal of the appendix) without complications. It outlines the following in 3 sentences or less: 1) The patient information, diagnosis of appendicitis, and medical history. 2) The plan for pre-operative preparation, administration of antibiotics and anesthesia, and the appendectomy procedure. 3) The post-operative monitoring plan, including checks of vital signs, urine output, incision, and pain levels over multiple days before discharge.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    68 views4 pages

    Kegiatan Uraian Kegiatan Hari Ke Keterangan: Clinical Pathway

    Uploaded by

    Peni M. Saptoargo
    This document appears to be a clinical pathway for appendectomy (removal of the appendix) without complications. It outlines the following in 3 sentences or less: 1) The patient information, diagnosis of appendicitis, and medical history. 2) The plan for pre-operative preparation, administration of antibiotics and anesthesia, and the appendectomy procedure. 3) The post-operative monitoring plan, including checks of vital signs, urine output, incision, and pain levels over multiple days before discharge.

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    © All Rights Reserved
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    of 4

    PT. NUSANTARA MEDIKA UTAMA RUMAH SAKIT TOELOENGREDJO Indikasi Nama pasien Jenis ke amin Um!

    # Diagnosa A&a : : : Laki" aki Pe#emp!an : : Appendisi'is (Tanpa Komp ikasi) No. Rekam Medis Tangga Mas!k R!$!kan Pengi#im DPJP
    HARI KE * + , . /

    CLINICAL PATHWAY
    : : : : :

    %a

    Tidak

    KEGIATAN Diagnosis Pen!n$ang diagnosis *. La1o#a'o#i!m

    URAIAN KEGIATAN Peme#iksaan dok'e# " Da#a2 Lengkap " Masa Pe#da#a2an " Masa Pem1ek!an " 3!ngsi gin$a o !#e!m o 4#ea'inin " GDS

    KETERANGAN 0

    +.

    Radio ogi

    " " " " " " " "

    T2o#ak 3o'o USG Appendi4og#am EKG Dok'e# 8eda2 Um!m Dok'e# Anes'esi Dok'e# In'e#nis Dok'e# Lainn:a

    " " " "

    A'as indikasi 5 6 -7'2 A'as indikasi A'as indikasi A'as indikasi 5 6 -7 '2

    Kons! 'asi

    " DPJP " Peme#iksaan P#e Ope#a'i9 " A'as indikasi

    Ed!kasi

    Pengisian 9o#m

    *. Pen$e asan Diagnosis Ren4ana 'indakan Ta'a 4a#a T!$!an Resiko Komp ikasi P#ognosa; d +. Ren4ana '2e#api " Lem1a# ed!kasi " In9o#men 4on4e#n Appendi4'om: I. S!#a' pengan'a# 'indakan " $ad&a #en4ana ope#asi " go ongan ope#asi " $enis anes'esi " 1ia:a " adminis'#ai < ke!angan " penda9'a#an ke kama# ope#asi STANDING ORDER *. Pe#siapan p!asa +. Men4!k!# (#am1!' ) di seki'a# dae#a2 ope#asi ,. Pemasangan I= ine -. Pem1e#ian 4ai#an ($enis) dan $!m a2 'e'esan RL5/ $am5ko 9 .. Pemasangan Do&e# >a'e'e# /. Mem1e#i 2!kna2 4 ensing 0. Pem1e#ian o1a' p#e ope#asi " An'i1io'ik 4e9'#ia?one * g#54e9o'a?ime * g#

    Di'anda"'angani ke !a#ga a'a! pasien; dok'e#; saksi

    Tindakan medis dan $ad&a

    P#osed!# adminis'#asi Pe#siapan Ope#asi I Pe#a&a'

    " 8agian kepe#a&a'an /"*+ $am Ses!ai SOP Ses!ai SOP Ses!ai DPJP Ses!ai SOP Ses!ai SOP Ses!ai SOP pem1e#ian o1a' in$ Dida2! !i 'es' a e#gi in'#ak! 'on 7;* 44

    KEGIATAN

    URAIAN KEGIATAN Peme#iksaan 'anda"'anda @i'a T5N5S5RR5T8588 " Memakaikan 1a$! ope#asi " Meme#iksa ke engkapan s!#a' o ed!kasi o in9o#men' 4on4e#n o 2asi pen!n$ang medis (EKG; '2o#aks) o a1 o adm < ke!angan STANDING ORDER *. An'i1io'ik >e9'#ia?one * g# 5 4e9o'a?ime * g# +?* g# I= +. Ana ge'ik No@a gin * amp! I.= *. An'i m!a 5m!n'a2 o Rani'idine +?* o Odansen'#on - mg 5amp (+?*) +. Ro1o#an'ia =i' > 5amp (+77 mg) *?* " Peme#iksaan 'anda"'anda @i'a . T5N5S5RR5kesada#an5&a#na k! i' " P#od!ksi !#in " Meman'a! pen!'!p !ka ope#asi (saa' peminda2an da#i OK dan se ama di pe#a&a'an) " Meman'a!5meni ai 1i a ada ke !2an : o saki' o m!a 5m!n'a2 o panas; d " Meme#iksa 'anda"'anda @i'a . T5N5S5RR5kesada#an " Meme#iksa dan meni ai 1ising !s!s " Meme#iksa dan meni ai pen!'!p5 !ka ope#asi " Meni ai p#od!ksi !#in " Meme#iksa dan me#ekomendasikan 1i a ada ke !2an : o m!a 5m!n'a2 o saki' o panas; d " Moni'o#ing komp ikasi ope#asi " Ed!kasi5pen$e asan pos' ope#asi " Meme#iksa dan moni'o#ing sem!a kondisi dan ke !2an " Moni'o#ing komp ikasi " Pe#a&a'an !ka ope#asi " Kondisi ainn:a " Die' makan !nak * +

    HARI KE , . / 0

    KETERANGAN Ses!ai SOP

    T2e#api

    Ses!ai SOP Dises!aikan dengan :ang 'e#sedia 8i a saki' Dises!aikan dengan :ang 'e#sedia 8i a m!a 5m!n'a2 Dises!aikan dengan :ang 'e#sedia

    Dises!aikan dengan :ang 'e#sedia

    Moni'o#ing I. Pe#a&a'

    Pos' ope#asi; se an$!'n:a 'iap *+ $am a'a! ses!ai kondisi pasien. Se'iap $am da am *+ $am pe#'ama (!#in 2a#!s men4apai A ,7 445$am). Peman'a!an5peni aian pos' ope#asi; se an$!'n:a 'iap / $am. 8e#koo#dinasi dengan dok'e# #!angan.

    II. Dok'e# Um!m (R!angan)

    Pos' ope#asi; se an$!'n:a se'iap 2a#i /"*+ $am pos' ope#asi (sampai 1ising !s!s <)

    8e#koo#dinasi dengan DPJP

    III. DPJP

    Di$e askan dan diisi pada em1a# ed!kasi dan di'anda"'angani pasien5ke !a#ga; dok'e#)

    Pem1e#ian n!'#isi

    " Pem1e#ian pos' ope#asi 1i a 1ising !s!s < 5 9 a'!s < " Pem1e#ian die' dises!aikan dengan kondisi dan ke !2an pasien pos' ope#asi

    KEGIATAN Pe#siapan p! ang Ed!kasi

    URAIAN KEGIATAN * *. Pe#a&a'an !ka di #!ma2 +. Pem1e#ian dan 4a#a min!m o1a' ,. Ha#i kon'#o " Tidak 'e#$adi peman$angan 2a#i pe#a&a'an " Pasien p! i2 da#i kondisi pos' ope#asi 'anpa menga ami komp ikasi +

    HARI KE , . / 0

    KETERANGAN

    Dises!aikan dengan :ang ada dan ke !2an pasien pos' pe#a&a'an

    O!' 4ome k inis

    Jaka#'a; BBBBB.BBBBB. +7*7 Dok'e# Penangg!ng Ja&a1 Pe a:anan

    (d#BBBBBBBB.BBBBBB......;Sp8)

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