Mid Exam
Nursing Communication Theraupetic
Dosen: Yesian Dwi Wahyuni Werdani,. S.Kep,.Ns,.M.Kep
Group: 1A
1. Solfince Titing (9103017056 )
2. Agnes Yenita P.A (91030020029)
3. Nafa Zul Islamia (91030020027)
4. Daffa Putra Pratama (91030020028)
5. Thalia Patessa Tio (9103020014 )
NURSING FACULTY OF WIDYA MANDALA KHATOLIK UNIVERSITY
SURABAYA
202
Thalia : Emergency Doctor and Room Doctor
Nafa : emergency room nurse and nurse 3
Agnes : Nurse 1 and nurse 4
Fince : nurses2, family and Laboratrium Officer
Dafa : patient
Thalia: One day at the Widya Mandala Catholic hospital in Surabaya there was
a jasmine inpatient room consisting of 4 nurses and 1 doctor who were famous
for their kind, polite and disciplined nurses. in the emergency room came a
patient diagnosed with asthma
Emergency nurse : Good morning, I am nurse Nafa, I am on duty in the ER this
morning, how can I help you?
Family : Good morning nurse, my husband has hard to breath
Emergency nurse : Previously, you may state your name, age and address?
Family : Yes nurse, my husband's name is Dava, 37 years old, address
is Jl. Apple No.2
Emergency nurse : Fine mom, how long has it been tight?
Family : 3 years ago already suffocating but already healed, yesterday
afternoon the tightness recurred ...
Emergency nurse : During the shortness of Mr. Dava take what medicine?
Family : Just drink warm water
Emergency nurse : I have permission to measure blood pressure, body
temperature, and body weight, please, ma'am
Family : OK nurse please ...
Emergency nurse : It's finished, I'll take you to the doctor's room for examination
Fince : Nurse 1 escorts the patient to the doctor's office
ER doctor : Good morning, sir
Patient : Morning doc
ER doctor : I'm doctor Thalia I checked the father first (while examining the
patient)
Patient : Yes doc
ER doctor : What do you feel now
Patient : I feel hard to breath doc
ER doctor : I have finished doing the examination and there is a blockage in your
airway, so I suggest that you be hospitalized until your condition recovers.
Patient : Yes doc,
Agnes :The doctor asks the nurse to call the patient's family to be
explained for inpatient approval
ER Nurse : Mr. Dava's family
Family : Yes, Nurse
ER Nurse : Mother, please enter the doctor's room
Agnes : Mr. Dava's family entered the doctor's room to explain the
inpatient consent letter
Family : (knocking on the door knock ... tokk.tokk)
ER doctor : Please come in
Family : Excuse me doc
ER doctor : Yes, please sit down
Family : (sit on the chair)
ER doctor : Is it true that the mother of the family Mr.Dava ?
Family : Yes, it is true that I am his wife
ER Doctor : Well, Mother because your husband feels cramped and I recommend
it to be hospitalized because several examinations have to be done, is the mother
approve it?
Family : I agree with the doc which is important that my husband is healthy
ER doctor : OK, then please sign this letter of agreement (submit the letter)
Family : Good doc (signed the letter and submitted it to the doctor)
ER doctor : Mom, please take care of the hospitalization letters in the
adminstration
Family : Okey doctor, thank you
ER doctor : you're welcome
Agnes :After leaving the family doctor's room, the patient immediately
takes care of the papers for hospitalization preparation, after handling the
family letter notifying the emergency room nurse
Family : Good morning Nurse
ER Nurse : Morning mom
Family : I have already arranged the letter for hospitalization
Er Nurse : Okay mom, I'll confirm with the officers in the inpatient room for a
moment, mom please wait in the waiting room
Family : OK nurse
ER Nurse : (call the inpatient room officer)
Fince : At the nurstation, the nurses carry out their duties as usual, fill in the
patient's status and other activities. Suddenly the telephone in the nursestation
rings ... dry ... kringg
Nurse 1 : (while picking up the phone), good afternoon, with me, Agnes, the
orchid room nurse, can I help you?
ER Nurse : Yes, good afternoon, I am an ER nurse, would you like to ask if there
is an empty bed in the orchid room?
Nurse 1 : Okay for a moment (while asking the other nurses), this is a bed with
an empty nurse
IGD Nurse : OK, at 11.00, please go to the ER to take patients with a diagnosis of
Asthma
Nurse 1 : OK nurse
Dava: At 11 .00 a.m the nurse 1 went to the ER to escort the patient to
the Orchid room
Nurse 1 : (while pressing the bell)
ER Nurse : (Open the door and let nurse 1 come in.) Please come in
Dava: The emergency room nurse and nurse 1 performed the operand
ER Nurse : This is Mr. D 37 years old with a diagnosis of asthma vital signs:
temperature 37 0C, blood pressure 125/80 mmHg, the patient complains of shortness
of breath, RR: 23x / minute
Nurse 1 : OK nurse, thanks
ER Nurse : You're welcome, Nurse
Dava: The emergency room nurse pushed the patient out and nurse 1
and Mr. Dava went to the inpatient room until the Orchid inpatient room. The
nurse calls Doctor Thalia about a new patient
Nurse 1 : (call the doctor) dry ... kringg ... kringgg
Doctor : Good afternoon, with whom?
Nurse 1 : In the afternoon, my doctor is Agnes, nurse of the orchid room at
Widya Mandala Hospital, Surabaya
Doctor : She is a nurse, what's wrong?
Nurse : Doctor, here is a patient from the ER with a diagnosis of asthma
Doctor : Okay, please review the patient first, I came to the hospital at 13:00
a.m.
Nurse : Okay, doc. Thank you
Doctor : You are welcome
Fince: Nurse Agnes immediately took the ttv device and also the study
book and took the patient to the room to do the assessment.
Nurse 1 : Good morning sir, my name is Agnes. I'm on duty this afternoon in
the orchid room. Sorry, before I asked you for a moment ... can I ?
Patient : Yes of course
Nurse1 : (sitting next to the patient holding the patient's hand, looking into the
patient's eyes and asking the patient and while doing ttv). What's your name?
Patient : My name is Dava, nurse
Nurse 1 : How old are you?
Patient : 37 years Nurse
Nurse 1 : What is your address?
Patient : jl apple no 2
Nurse 1 : What are you feeling right now?
Patient : I find it difficult to breathe
Nurse 1 : Have you ever smoked?
Patient : Yes, nurse
Nurse 1 : Since when age to smoke ?
Patient : Since 15 years old until now nurse
Nurse 1 : Okay, do you have a family who have hard breathing like you?
Patient : Yes, my father and brother also experienced nurse shortness
Nurse1 : OK sir, I'll report your complaint to the doctor
Patient : Well nurse .
Nurse 1 : The doctor who is in charge of your condition will make a visit at
13.00, a.m so the next action will only be done after the doctor visits. For a while, if
you experience shortness of breath, you can do the deep breathing technique. This
technique can relieve shortness of breath that you feel, how to find a deep breath
through your nose and then exhale slowly through your mouth. (nurse 1 while
demonstrating) Sir, excuse me to raise your bed so that the semifowler's position is to
help make it easier for you to breathe (position the semifowler patient)
Patient : (Following nurse 1)
Nurse 1 : Fine then I'll go back to work first
Patient : Yeds nurse, thank you
Nurse 1 : You're welcome (nurse leaves the room)
Nafa: After leaving the patient's room at exactly 13.00 a,m the thalia doctor
arrived at the nursetation to do a vistit
Doctor : Good afternoon nurse
Nurse 2 : Afternoon doc (while taking a stetescope and patient status book)
Doctor : What number of rooms is my patient?
Nurse 2 : In room 2B, doc
Doctor : Okey
Nafa: Doctors and nurses 2 headed for room number 2B for a visit
Doctor : Good morning, sir
Patient : Morning Doc
Doctor : How do you feel now? (while examining the patient)
Patient : I have difficulity breating
doc
Doctor : Okay, later I will prescribe medicine and for a while the nurse will
inject you and will be put on oxygen
Patient : Okay doc
Doctor : Yes, I'll go back to work
Patient : Thnak you, doctor
Doctor : You're welcome (doctor and nurse leave the room)
Nafa: Nurse 2 and doctor return to nursestation
Doctor : (write prescription medicine). Nurse please give the patient an
infusion of RL 1500/ hour and wear a 6 lpm oxygen mask
Nurse2 : Okay doctor
Doctor : Excuse me
Nurse 2 : Ok doctor, thank you
Thali: Nurse 2 prepares the equipment to carry out the infusion and
oxygen
Nurse 3 : Afternoon nurse, what are you doing?
Nurse 2 : Good afternoon, I am preparing the equipment to insert a new patient
infusion
Nurse 3 : Oh there is a new patient?
Nurse 2 : Yes patient diagnosed with asthma, the patient doctor Thalia
Nurse 3 : Okey nurse, have a nice work
Nurse 2 : Okay, Hmm, RL liquid gloves, infusion set, bent, alcohol swab,
plaster, turniqet and oxygen mask, the oxygen cylinder is already in the room (While
putting the equipment into the trolley)
Thalia :After preparing the nurse's equipment 2 headed for Mr. Dava to
do an IV installation and put on an oxygen mask
Nurse2 : Good morning sir, introduce my self my name is fince in this
morning I will taking care of you, the doctor recommends that I put in an IV to
increase fluids in the body and this is an oxygen mask to reduce tightness, sir, before
that, was this really Mr. Dava (fit the patient's wristband)
Patient : Yes, nurse
Nurse 2 : Age, 37 years?
Patient : Right, nurse
Nurse 2 : OK sir for a moment I will put the infusion, you will feel a little pain.
If you feel sick take a deep breath then exhale through your mouth (demonstrating)
Patient : OK, nurse
Nurse 2 : OK sir, I will put on the infusion now (put on the infusion), take a
breath sir (the nurse inserts the needle into the vein), finish sir, do you feel pain
(while on tpm)
Patient : It hurts a little
Nurse 2 : Okay, I have finished putting the infusion, now I put on the oxygen
mask, sir (put on the oxygen mask), okay sir, I have finished installing
it. If you feel uncomfortable pressing the bell, the officer will come to
help you, are there any questions?
Patient : No, nurse
Nurse 2 : Ok if there is no question I go back to work, sir
Patient : Okey nurse, thank you
Nurse 2 : You're welcome (the nurse leaves the patient's room)
Agnes: A few minutes later it was time for the day and night shift shift, the
nurses were doing the operand.
Nurse 3 : Well before we start work today let's pray .... Amen
Nurse 2 : (reading patient status), there is a new patient, patient dr. Thalia
diagnosed with Ashma and the patient complained of shortness of breath, TTV:
Temperature 37 0c, RR. 23, TD. 125/90 mmHg and pulse, 102x / minutes, wheezing
breath sound, the patient has been put on an infusion of RL 1500 / hour, and has also
put on an oxygen mask of 6 lpm.
Nurse3 : Have you been given medication for shortness of breath?
Nurse 2 : The doctor has just prescribed medicine and I have not taken it at
the pharmacy, please take a nurse
Nurse 3 : Okay ,, nurse
Thalia: After the operative, nurse 1 and nurse 2 go home and the other nurses
are doing their normal activities. Suddenly a bell sounds from room 2B (kring ...
kring ... kringg) Nurse 3 goes to room 2B and nurse 4 goes to the pharmacy to
get medicine
Nurse 3 : Good afternoon sir, my name is Nafa, I am the nurse on duty today
sir. Is there anything can I help you ?
Patient : Good afternoon Nurse
Nurse3 : What do you feel now (looking at the patient's face)
Patient : I feel hard to breathe nurse, but I don't want to use this thing (take
off the oxygen mask)
Nurse 3 : Be patient sir (holding Mr. Dava's shoulder), for the time being
the doctor advised you to wear this oxygen mask to help relieve your hard to breathe
Patient : I don't want to, anyway I don't want to wear this thing (while
taking off the mask)
Nurse 3 : (stroking the patient's shoulder), calm down, sir, don't scream, it
will hurt more, you have to follow the doctor's advice to get well soon and go your
home
Patient : I don't want to use this thing,,,,!! I feel uncomfortable..!!
Nurse 3 : Yes sir, I understand, you really feel uncomfortable because this is
the first time you use an oxygen mask. It will take 2-3 days for you to get used to it.
In order to get well soon, sir
Patient : No nurse..
Nurse3 : be patient so you can get well soon, don't get stressed because it will
get because one of the causes of tightness is stress, so I beg you to calm down and
follow the doctor's advice, sir (stroking the patient's shoulder
Patient : (pause)
Fince : Suddenly nurse 4 came to the patient room
Nurse 4 : Good afternoon sir, sir, introduce me nurse Agnes this afternoon with
nurse nafa on duty,, what is your name?
Patient : I am Dava nurse
Nurse4 : How old are you?
Patient : 37 years nurse
Parawat4 : Yes, Mr. Dava, according to Mr. Dava's complaint that he felt tight
and the doctor had prescribed a medicine for tightness for mr, Dava, so now I want to
inject asthma medicine.
Patient : What is the name of the medicine?
Parawat 4 : The name of the medicine is Aminofilin, this is the benefit to relieve
the tightness that Mr. Dava feels, this medicine is injected through an infusion 2x a
day. This is the first dose and the second dose will be given at night.
Dava : Okay nurse.
Nurse4 : Do you have a history of medicine allergy?
Dava : No , nurse.
Nurse4 : Now I want to inject the medicine, is Mr. Dava willing?
Dava : Yes, I am willing
Nurse4 : Later when I get the injection you will feel a little pain, if it hurts,
Mr. Dava takes a breath. Now I am injecting the medicine, sir.
Patient : Okey, nurse
Nurse4 : Take a breath, sir, (while putting in the medicine) it hurts, sir
Patient : I feel a little sick
Nurse4 :Okay sir, I already injected the medicine, if a few minutes later, you
felt sleepy or nausea don't worry because it is a side effect of the medicine and is not
dangerous for your condition.
Patient : Oker nurse. Thank you
Nurse4 : If later Mr. Dava feels itching or redness on the skin, Mr. Dava,
please call the officer by pressing the brell, later I or the other officers will come.
(while tidying the patient)
Patient : Yes Nurse.
Nurse4 : Is there anything Mr. Dava asked or is there anything I can help you ?
Patient : There is no nurse.
Nurse4 : If there is no excuse me sir
Dava : Yes nurse, thank you
Nurse 4 : you’re welcome (leaving the room)
Fince : The next day as usual the nurses were doing their activities.
Suddenly the doctor came to make a visit
Doctor : Good morning Nurse
Nurse 3 : Morning doctor
Doctor : how is my patient's condition? is there any change
Nurse 3 : Not yet doc, the patient is still complaining of tightness
Doctor : Okay Nurse
Fince :The nurse and doctor headed to the patient room
Doctor : Good morning, sir
Patient : Morning Doc
Doctor : How are you today?
Patient : I feel short of breath doc
Nafa: While doing the examination the doctor asks the patient
Doctor : Do you still feel cramped
Patient : Yes doc, I still feel cramped doc
Doctor : Oke, then today you will do a complete blood test and I will also
prescribe a medicine to add a dose so that you will get well soon.
Patient : Yes doc
Thalia : After leaving the patient's room the doctor advised the nurse to
call the lab staff for a complete blood count
Nurse 3 : (calling the lab officer) Kringg ,,,, kringgg
Lab Officer : Good morning I am nurse fince Is there anything I can help?
Nurse 3 : Good morning, I am the nurse of the orchid room, Nafa, a patient has
to have a complete blood count
Lab Officer : Okey, after this I will go to the orchid room
Nurse 3 : Okey nurse, thank you
Lab Officer : You're welcome
After a few minutes the lab staff arrived at the orchid inpatient room
Lab Officer : Good morning nurse, what number of room blood does the
patient want to take?
Nurse 4 : There is 2 B nurse in the room
Lab officer : Okay nurse, thank you
Nurse 4 : You’re welcome
Lab staff to patient room
Lab Officer : Good morning sir, my name is Fince, I am a laboratory officer, I will
take a complete blood count to find out your next condition, before that, is this true
with Mr. Dava is 37 years old? (while shaking the patient's wristband)
Patient : Yes nurse
Lab clerk : Oke sir I will take your blood, you will have a little pain if you feel
pain inhale then exhale (while demonstrating)
Patient : Okay nurse
Lab clerk : Okay, now I will take your blood (while placing a tourniquet on the
patient's arm) you inhale (take the patient's blood) sir, do you feel sick?
Patient : It hurts a little nurse
Lab clerk : Oke sir, then I'll go back to work first and the doctor will tell you the
results
Patient : OK nurse, thanks
Lab clerk : welcome (leave the room)
Thalia : After the laboratory nurse draws blood and returns to the room,
the nurses carry out other activities as usual and the time for changing the night
shift and morning shift
Nurse 2 : Good morning everyone.
All nurses : God morning too.
Nurse 2 : Before we start our activitys today lets pray. Amin.
Nurse 3 : (read the patient's status). Here is a new patient, Mr. D who was
diagnosed with Asthma and at the time of the assessment the patient was short of
,
breath Vital Signs: Temperature is 36,7o C, RR is 22, TD. 120/90 mmHg, HR is
102x / minutes, the patient has been put on an RL 1.500/jam infusion, and has also
put on 6 lpm of oxygen.
Nurse 2 : Are there any additional medicine?
Nurse 3 : Nothing but the doctor has suggested to do a complete blood count
and the results have not been taken if there is a phone call to collect the results asking
for help to take the nurse.
Nurse 3 : Okay nurse.
Fince :After the oprand, nurse 3 and nurse 4 went home and the other
nurses worked as usual and gave the patient medication
Nurse 1 : Good morning sir, my name is Nafa who taking care of you in this
morning, (while fitting the patient's wristband)
Patient : Yes nurse.
Nurse 1 : Okay sir, I will inject it medicine trough vena tube then if you feel
pain please take a deep breath sir.
Patient : Yes nurse
Nurse 1 : okay now I inject the medicine sir, so please take a breath (the nurse
inject the medicine through the IV tube) do tou feel pain?
Patient : Yes, but just a little.
Nurse 1 : Okay sir, I’m done so i have to go because i want to chek another
patien, is there something that can I help or do you have a question?
Patient : No nurse, thank you.
Nurse 1 : You are welcome.
Thali :After leaving the room suddenly the telephone from the nurse
station rang dry ... ring
Nurse : Good morning, I am nurse Nafa Jasmine room, can I help you?
Lab clerk : I’m Fince Laboratory staff, I wan to tell you about the complete
blood test results of Mr, Dava that can be taken now.
Nurse t : Okay, thank you the information.
Lab Officer : You're welcome
Thalia :Nurse 1 goes to the lab room to get the lab results
Nurse 1 : (knocking on the door)
Laboratory staff : Please come ini.
Nurse 1 : Excuse me, I’m from Jasmine room I want to take Mr. Dava’s
complete blood test results.
Laboratory staff : Okay, please sign here as proof (submit the sheet to be signed)
Nurse 1 : Okay. (sign)
Laboratory staff : This is the results nurse
Nurse 1 : (Take) Thank you
Laboratory staff : You are welcome
Agnes :After the thalia doctor's laboratory arrived at the visit to visit
Doctor : Good morning nurse
Nurse 3 : morning doctor.
Doctor : how about my patient condition? is there a change?
Nurse 3 : (While taking a stetescop and Mr. Dava’s health record book).
Doctor earlier at 7 I had injected the medicine and the patient said that shortness of
breath had decreased and this is the laboratory test results doctor (while give it ot
doctor)
Doctor : Okay nurse (while reading the lab results), these are normal results,
please tell the patient that he can go back today.
Fince :Nurse 3 and the doctor go to room 2B for the doctor to visit
Doctor : Good morning, nurse
Nurse1 : Morning doctor
Doctor : How are you today?
Patient : I’ feel short of breath
Fince :While doing the examination the doctor asks the patient
Doctor : Do you still feel cramped?
Patient : Yes doctor, but the i can breathe normally now.
Doctor : Okay, so today you can go home, the results of your laboratory test
are normal, everything is normal, but there is a control schedule and about that the
nurse will explain after you pack up.
Patient : Okay doctor, thank you.
Dava :After the doctor and the nurse return to the nursestation the
doctor will prescribe medicine to take him home
Doctor : (while handing over the prescription). Please give this prescription
to the patient's family so they can take it at the pharmacy.
Nurse 4 : Okay doctor.
Doctor : You’re welcome
Dava :After the doctor left, nurse 4 called the patient's family to get the
medicine at the pharmacy
Nurse 4 : Good morning mum.
Family : Good morning nurse
Nurse 4 : Mum this is the medicine prescription that will be taken home, please
help me to take it at the pharmacy.
Family : Okay nurse, thank you.
Nurse : You are welcome.
Thalia :The nurse returns to the nursestation and the patient's family to
the pharmacy to collect the medicine after taking the medicine the family gives
the medicine to the nurse 3 and it's time for the patient to go home
Family : Nurse his is the medicine.
Nurse 3 : Yes Mom thank you, if you have packed up please come here because
i wan to explain the medication and the control schedule for your husband.
Family : Okay nurse.
Thalia :The family prepares things and the patient sits in a wheelchair
towards the nursery to hear the advice of the nurse
Family :Nurse, I;m done.
Nurse3 : Mom, please sit down and I will explain
Family : Okay nurse. (while sitting in a chair)
Attend 3 : So Mr. and Mrs. Dava, there is a medicine for shortness of breath that
must be consumed and medicine is salbutamol, yu can take it twice a day after eating
and stop taking the medication if you don’ feel short of breath anymore, you also
have a control schedule every Wednesday, and don't smoke so that you get better
quickly. Drinking water, eating fruits, vegetables, fish and nuts to help speed up
healing, fathers, don't stress because stress can cause congestion, mothers are also
diligent in cleaning the house to avoid dust every morning, have to open the window
so that the air at home is good. if possible every morning do a leisurely walk for 20-
30 minutes to keep you healthy. Do you have any questions, sir / ma'am?
Family : There is no nurse, thank you for your help.
Nurse 3 : You're welcome, I hope Mr. Dava gets well soon
Family : Fine, thank you.
Dava :After that the patient is escorted by the keloby nurse to go home
THE END
