Professional Documents
Culture Documents
Narrator : langgeng
Nurse 1 : lina
Nurse 2 : basuki
Bowo (BW)
Patient : mahmudi
Doctor : suroyo
Lina's nurse in charge of the internal medicine ward will check vital signs in Room
212 in mahmudi patients with thypoid fever, treated at the Internal Medicine Unit of the
Muhammadiyah STIKES Hospital Klaten the first day in the patient's room.
(BW N KR)
Nurse LN : Introduce my name nurse Lina, I am the nurse in charge of this room. Whose
name are you?
Nurse 1 : Yes sir / ma'am, right with Pak Mahmudi yes (looking at the patient's bracelet
and making sure by looking at the status of the patient's medical record)
Nurse 1 : Oh yeah. Well, this afternoon I will check blood pressure, pulse, breathing,
temperature and ask complaints to Mr. Mahmudi this activity will last for 5
minutes.
Nurse 1 : Okay, now I want to check blood pressure huh? Excuse me. (After finishing
checking) Mr. Mahmudi has a blood pressure of 150/90 mmHg.
Nurse : Yes sir. This blood pressure is still high. The normal value is 120/80. Now I
will check the temperature and pulse. Excuse me, bro ... (After completing the
inspection) It will be 90 x per minute, it's normal, sir, sir, it's 36.30 C, the
temperature is normal too.
Nurse : Yes sir / ma'am. Ummm ... Well, I have finished checking blood pressure,
pulse, breathing, temperature and asking for complaints to Pak Mahmudi.
Later, I will come again at 12 to give medicine to the father.
Suroyo doctor visite the mahmudi patients accompanied by the head of the team
namely nurse wiwin Then the doctor makes a prescription medication to the nurse. Mr.
Mahmudi gets Oral Drug therapy
Doctor (SR) : nurse wiwin , because Mr. Mahmudi there is still a complaint of his stomach
ache I prescribe oral drug ranitidine, please give it every 8 hours one tablet
Head Team ( W ) : O yes, doctor, I will get the medicine then it will immediately program it
every 8 hours
Mr. Basuki, ask for your help, get the patient's medicine to the pharmacy
Nurse 2 (B) : ok, Mrs . wiwin I'm going to the pharmacy to get it
Then the nurse goes to the pharmacy department and gives a prescription to the
Pharmacist .
Then the Pharmacist and nurse 2 (B) go to the patient's room to educate the patient regarding
the medication to be given. In the patient's room.
The nurse identifies the patient's bracelet and the patient's medical record status. Then.
Nurse 2 : Okay, ma'am, introduce this person from pharmacy. Her name is Ms. Nia.
After the doctor's visit, patient, Mr. Mahmudi, received drug therapy for
Ranitidine. So Ms. Nia will explain about the drug Ranitidine.
Pharmacist : okey , Ma'am. I introduce myself once again. My name is Nia, I am in charge
of the pharmacy room at the Muhammadiyah STIKES Hospital in Klaten.what
you relationship with mr. mahmudi mom ?
Pharmacist : o yes ma'am, here I will explain the new medicine that must be drunk by the
mr. mahmudi , ma'am
Pharmacists explain the purpose of giving drugs, drug indications, drug delivery
routes, drug use rules, drug contraindications, drug side effects, drug interactions with food,
and drug interactions with other drugs. After the family understands.
Pharmacist : Okay ma'am, I have finished giving an explanation. If you have no more
questions. Excuse me.
Pharmacist : You're welcome sir / ma'am. I'll excuse you, sir. (Looking at the patient) sir, I
beg you to excuse me first. Assalaamu Alaikum
Family : Wa alaikumussalaam.
The nurse identifies again to ensure that the medication is correct. that is :
1. True DRUG
2. True PATIENT
3. Correct DOSAGE
Then the nurse also conducted an assessment of the ability to swallow the patient by asking
the family. After making sure the patient is able to swallow the nurse to bring medicine and
water near the patient. The nurse gives medication to the patient and makes sure the
medication is swallowed. After the nurse finished tidying the tools. Then ask the patient's
family to sign on the drug administration sheet. The nurse returns to the nurse station and
performs documentation (drug given, dose, time, route, time and date of administration &
name and signature of the patient / family of the patient and nurse)