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Standar Operasional Prosedur Keperawatan

Standar Operasional Prosedur Keperawatan

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Published by: Buka Pintumu Untukq on Nov 27, 2011
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11/11/2013

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STANDAR OPERASIONAL PROSEDUR
(SOP) KEPERAWATAN

Persiapan OSCA Jawa Tengah

Page ii

DAFTAR ISI

CUCI TANGAN (BIASA DAN ANTISEPTIK) .......................................................................................... 1

ORAL HYGIENE TANPA SIKAT GIGI .................................................................................................... 3

ORAL HYGIENE DENGAN SIKAT GIGI ................................................................................................. 5

VULVA HYGIENE ...................................................................................................................................... 8

MENCUCI RAMBUT ................................................................................................................................ 12

PEMERIKSAAN SUHU BADAN (AXILLA) ........................................................................................... 16

TERAPI BERMAIN dan PENILAIAN PERKEMBANGAN ANAK MENGGUNAKAN DENVER II .. 19

PERAWATAN TALI PUSAT .................................................................................................................... 25

PERAWATAN LUKA PERINEUM .......................................................................................................... 27

PERAWATAN LUKA LECET .................................................................................................................. 31

PERAWATAN LUKA KOTOR ................................................................................................................. 33

PERAWATAN LUKA BAKAR ................................................................................................................ 37

PROSEDUR PERAWATAN KATETER WANITA ................................................................................. 41

PROSEDUR PERAWATAN KATETER PRIA ........................................................................................ 43

PEMASANGAN INFUS ............................................................................................................................ 45

PERAWATAN INFUS ............................................................................................................................... 49

PEMASANGAN TRANFUSI .................................................................................................................... 51

PEMASANGAN NASO GASTRIC TUBE (NGT) .................................................................................... 53

PENYIAPAN SPESIMEN DARAH VENA .............................................................................................. 56

PENILAIAN BALANCE CAIRAN ........................................................................................................... 59

PENGUKURAN TEKANAN DARAH ...................................................................................................... 61

PENGHISAPAN LENDIR ......................................................................................................................... 63

PENGANGKATAN JAHITAN LUKA ...................................................................................................... 66

PEMERIKSAAN NADI DAN PERNAFASAN ........................................................................................ 70

PEMERIKSAAN FISIK (KEPALA) .......................................................................................................... 72

PEMERIKSAAN FISIK ABDOMENT ...................................................................................................... 74

PEMERIKSAAN GLASGOW’S COMA SCALE (GCS) .......................................................................... 76

PEMERIKSAAN FISIK (DADA) .............................................................................................................. 79

PEMBERIAN OBAT SUPOSITORIAL .................................................................................................... 81

PEMBERIAN OBAT SUB CUTAN (SC) .................................................................................................. 83

PEMBERIAN OBAT INTRA VENA (IV) ................................................................................................ 85

PEMBERIAN OBAT INTRA MUSKULER (IM) ..................................................................................... 89

PEMBERIAN OBAT INTRA CUTAN (IC) .............................................................................................. 91

PEMBERIAN OKSIGEN (O2) BINASAL ................................................................................................ 93

PEMBERIAN KIRBAT ES ........................................................................................................................ 95

PEMASANGAN BULI-BULI PANAS ...................................................................................................... 97

Page iii

PROSEDUR PERAWATAN PELEPASAN KATETER ......................................................................... 100

MEMBIMBING RELAKSASI DISTRAKSI ........................................................................................... 102

MEMBERI MAKAN LEWAT NGT ........................................................................................................ 105

MEMANDIKAN DI TEMPAT TIDUR ................................................................................................... 107

LATIHAN ROM EKSTREMITAS ATAS ............................................................................................... 111

LATIHAN ROM EKSTREMITAS BAWAH .......................................................................................... 113

LATIHAN NAFAS DALAM ................................................................................................................... 115

INHALASI NEBULIZER ........................................................................................................................ 117

INHALASI MANUAL ............................................................................................................................. 119

HUKNAH RENDAH DAN HUKNAH TINGGI ..................................................................................... 121

HUKNAH GLYCERIN ............................................................................................................................ 126

FISIOTERAPI DADA .............................................................................................................................. 128

BREAST CARE (POST NATAL) ............................................................................................................ 130

BATUK EFEKTIF .................................................................................................................................... 134

SOP ALIH BARING ................................................................................................................................ 137

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