FM-POLTEKKES-SMG-BM-09-04B/R1

LESSON PLAN SEMESTER (LPS)

1. SUBJECT IDENTITY

Program Study : Nursing of Purwokerto

Subject : Medical Surgical Nursing 2
Subject Code : Kep 5.04
Semester/Class/Academic Year : IV/Reguler A/2017-2018
Credit : 3 Credits (2T, 1P)
Time (day, time) : Thursday : 07.30 – 11.50 WIB
Lecturers : Asrin, Handoyo, Widjijati, Munjiati,
Subandiyo.

2. Graduate Achievement :
a. Mastery of technique, principle, and nursing procedure/nursing practice for
personal or group.
b. Capable in giving nursing care for healthy and illness individual by paying
attention of bio, psycho, social, cultural, and spiritual that is assured the
patient safety as a nursing standard based on nursing intervention.

3. Final Goal :
All students can understand and apply nursing care for patient with
fluid, nutritional, elimination, activity, rest and sleep, comfort and safety
disturbances. The nursing implementation for solving all problems is a transferable
skill that can be applied for acute medical and surgical adult patients at home or
hospital.

4. Theme :
a. Disturbance of fluid need fulfillment as an pathological endocrine and urinary
system.
b. Disturbance of nutritional need as an pathology endocrine and digestive system.
c. Disturbance of activity need as an pathology of musculoskeletal and nerves
system.
d. Disturbance of rest and sleep need as an pathology neurology and
neurobehaviour system.
e. Disturbance of safety and comfort need as an pathology integument and
immunity system.
f. Perioperative nursing
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All these theme are described in schedule below :

SESSION TOPIC LECTURE

Disturbance of activity need as an pathology of
musculoskeletal system :
- Assessment of musculoskeletal system (anamnese,

I physical assessment, diagnostic evaluation, and

Thursday laboratorium evaluation).
15-2-2018 Asrin & Team
07.30 - 11.50 - The nursing problem of fracture and amputation.
- Doing practice for patients by using walking aid : wheel
chair, cruck, three pot
- ROM practice
- Doing therapy program.
Disturbance of activity need as an pathology of
II
Thursday musculoskeletal system :
22-2-2018 Asrin & Team
07.30 - 11.50 - Nursing problem of osteomyelitis and osteoporosis.

III Disturbance of nutritional need as an pathology

Thursday
1-3-2018
metabolic endocrine system : Asrin & Team
07.30 - 11.50
- The nursing problem of DM

Disturbance of nutritional need as an pathology

metabolic endocrine system :
IV
Thursday - Assessment of endocrine system (anamnese, Handoyo &
8-3-2018 Team
physical assessment, diagnostic evaluation, and
07.30 - 11.50
laboratorium evaluation).

Disturbance of fluid need fulfillment as an pathology

urinary system :
- Assessment of fluid need fulfillment system
V
Thursday (anamnese, physical assessment, diagnostic evaluation, Handoyo &
15-3-2018 and laboratorium evaluation). Team
07.30 - 11.50
- The nursing problem of pyelonephritis,
glomerulonephritis, nephrotic syndrome, kidney stone,
renal failure.
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SESSION TOPIC LECTURE

- The nursing process :
a) IV care.
VI b) Catheter care.
Thursday Handoyo &
22-3-2018 c) Bladder training. Team
07.30 - 11.50 d) Drug program.
e) Evaluate of fluid and electrolyte need fulfillment.

- Assessment of immunity system

VII (anamnese, physical assessment, diagnostic evaluation,
Thursday and laboratorium evaluation). Widjijati &
29-3-2018 Team
07.30 - 11.50 - The nursing problem : drug and allergic, SLE,
HIV/AIDS.

2 - 6 April
Middle Semester Team
2018

XIII
- The nursing implementation :
Thursday Widjijati &
a) Allergic test as an collaboration result.
12-4-2018 Team
b) Give drug as a therapy program.
07.30 - 11.50

Disturbance of rest and sleep need as an pathology

IX neurology and neurobehaviour system :
Thursday
- Assessment of nerves system Widjijati &
19-4-2018
Team
07.30 - 11.50 (anamnese, physical assessment, diagnostic evaluation,
and laboratorium evaluation).

Disturbance of rest and sleep need as an pathology

X
Thursday
neurology and neurobehaviour system :
- The nursing problem : stroke, encephalitis, meningitis, Munjiati &
26-4-2017
traumatic brain injury, trauma of medulla spinal, polio, Team
07.30 - 11.50
tetanus.

Disturbance of safety and comfort need as an

XI pathology integument and immunity system.
Thursday
- Assessment of integument system Munjiati &
3-5-2018
Team
07.30 - 11.50 (anamnese, physical assessment, diagnostic evaluation,
and laboratorium evaluation).

XII
- The nursing problem : wound burn, dermatitis
Thursday
- The implementation of nursing :
17-6-2018 Munjiati &
a) Wound care.
07.30 - 11.50 Team
b) Wound dressing.
c) Give drug as a therapy program.
 FM-POLTEKKES-SMG-BM-09-04B/R1

SESSION TOPIC LECTURE

Perioperative nursing :
a. Perioperative concept
XIII
b. An aplication of perioperative nursing care.
31 June 2018
c. Implementation of perioperative nursing : Subandiyo &
07.30 - 11.50
1) Cleansing of operative area. Team
2) Hair removal of operative area.
3) Preparation of inform consent.

Implementation of perioperative nursing :

a. Preparation of ether bed.
b. Anamnese and observation of circulation (heart
pressure, pulse, breath, and temperature).
XIV
c. Observation of blooding.
7 June 2018
d. Assessment of consciousness Subandiyo &
07.30 - 11.50
e. Observation of abdomen peristaltic Team
f. Guiding of inner breathing.
g. Guiding of effective cough.
h. Ambulation training.
i. Evaluation of perioperative nursing.

25 – 29 June 2018
08.00 - Finish Semester Team

5. Learning Method :
Learning process will give an experience, understanding, and skill in assessment,
intervention, implementation, and evaluation of nursing care of patients by teaching,
discussion, practice, and assignment.

6. Assignment Description :
a. Individual assignment :
1) Preliminary nursing report.
2) Reading and submitted reading material assignment.
b. Group assignment :
The report of nursing care.

7. Evaluation (Criteria, Indikacor, and Score)

Criteria for evaluation as below :

Evaluation Mechanism Requirement

Evaluation Item Bobot 1. Minimun presence is 75 % of
- Semester 40 % total.
- Middle Semester 20 % 2. All assigment must submitted
- Assignment 20 % 1 day before semester.
- Quiz -
- Presence -
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- Lab 20 %
Total 100%

Attention :

Student and lectures must be obeyed the schedule. If student is not present in
the class more than 15 minutes from the schedule time, they will not be allowed
enter to the class. If lecturer do not present 15 minutes from the schedule time,
the lecture will be canceled and they must be exchange the session for another
time by agreement with Administration Education Unit.

8. References :
a. Bucher, L., & Melander, S. (1999). Critical care nursing. Philadelphia: W.B.
Saunders Company.

b. Doenges, M.E., Moorhouse, M.F., and Geissler, A.C. (1993). Nursing care
plane: guidelines for planning and documenting patient care. The United States
of America: F.A. Davis Company.

c. Ignatavicius, D.D., and Bayne, M.V. (1991). Medical surgical nursing: A nursing
process approach. The United States of America: W.B. Saunders Company.

d. Smeltzer, S.C., & Bare, B.G. (2000). Brunner & Suddarth's textbook of medical
surgical nursing. Philadelphia: Lippincott William & Wilkins.

e. Wilson, S.F., and Giddens, J. F. (2001). Health assessment for nursing practice
(2nd ed.). The United States of America: Mosby, Inc.

Purwokerto, 12 January 2018

Prepared by : Assessed by : Approved by :

Coordinator, Secretary, Head of School,

Asrin Sugeng Riyadi Walin, SST, M.Kes

NIP.196605231990031001 NIP. 197011231998031004 NIP.196504231988032002