Sie sind auf Seite 1von 9



Oleh :


NIM : 183212850


TAHUN AJARAN 2019/2019

Nursing Reports is an online access journal, reviewed by peers, only online that aims
to influence the art and science of nursing by making research conducted easily
accessible and understood by the full spectrum of practices of nurses, academics,
educators, and interested community members. The main purpose of this journal is to
present influential scientific and empirical and theoretical studies, critical reviews and
open debate for the global nurse community. Short reports, opinions and insights about
the plight of nurses around the world will give a voice to all cultures, governments and
perspectives. The emphasis of the Nursing Report will ensure that the highest quality
of evidence and contribution is available to a large number of nurses. Purpose

from the nursing report To find out the nurse's opinion about the realization of the
nursing report when discharged from the hospital. The Nursing Report aims to make
original, evidence-based, and peer-reviewed research available to the global
community of nurses and to members of the public. The nursing report is given at the
end of the change of nurse to another nurse who will take care of the patient.

Nursing reports are usually given in locations where others cannot hear because of
patient privacy. If you are required to give a report outside the patient's room, try to
reduce your voice so that the patient and other family members cannot hear. Most
nurses use the SBAR tool as a guide to help them provide reports, which are highly
recommended. SBAR stands for Situation, Background, Assessment, and


The nursing process is a scientific method used by nurses to ensure the quality of
patient care.This approach can be broken down into five separate steps namely:
- Diagnosing Phase
- Planning Phase
- mplementing Phase
- Evaluation Phase
In admission we usually use useful expression such as:
1. excusme
2. May I …?
3. Do you mind if I…?
4. Would you mind if I…?
5. Would it be alright if I …?
6. Would it be okay if I…?
7. Is it okay if I…?
8. Can I…?
9. Yes, please…?
10. Of course.
11. Sure, go ahead.
12. Sure.
13. Okay
14. No problem
15. Please feel free
16. No, you can’t
17. No, please don’t.
18. No, you would not.
19. I’m sorry, but that’s not possible.
20. I’m afraid, but you can’t.

Definition and usage

Vocabulary is commonly defined as "all the words known and used by a particular
person".Knowing a word, however, is not as simple as merely being able to
recognize or use it. There are several aspects of word knowledge that are used to
measure word knowledge.
Productive and receptive knowledge
The first major distinction that must be made when evaluating word knowledge is
whether the knowledge is productive (also called achieve) or receptive (also called
receive); even within those opposing categories, there is often no clear distinction.
Words that are generally understood when heard or read or seen constitute a
person's receptive vocabulary. These words may range from well-known to barely
known (see degree of knowledge below). A person's receptive vocabulary is the
larger of the two. For example, although a young child may not yet be able to speak,
write, or sign, he or she may be able to follow simple commands and appear to
understand a good portion of the language to which they are exposed. In this case,
the child's receptive vocabulary is likely tens, if not hundreds of words, but his or
her active vocabulary is zero. When that child learns to speak or sign, however, the
child's active vocabulary begins to increase. It is also possible for the productive
vocabulary to be larger than the receptive vocabulary, for example in a second-
language learner who has learned words through study rather than exposure, and
can produce them, but has difficulty recognizing them in conversation.
Productive vocabulary, therefore, generally refers to words that can be produced
within an appropriate context and match the intended meaning of the speaker or
signer. As with receptive vocabulary, however, there are many degrees at which a
particular word may be considered part of an active vocabulary. Knowing how to
pronounce, sign, or write a word does not necessarily mean that the word that has
been used correctly or accurately reflects the intended message; but it does reflect
a minimal amount of productive knowledge.
3. GRAMMAR FOCUS ( arithmetic )
Languages form the terrain of computing.
Programming languages, protocol specifications, query languages, file formats, pattern
languages, memory layouts, formal languages, config files, mark-up languages,
formatting languages and meta-languages shape the way we compute.
Augmented BNF (ABNF) notation
Protocol specifications often use Augmented Backus-Naur Form (ABNF).
For example, RFC 5322 (email), uses ABNF.
RFC 5234 defines ABNF.
ABNF is similar to EBNF in principle, except that its notations for choice, option and
repetition differs.
ABNF also provides the ability to specify specific byte values exactly -- detail which
matters in protocols.
• choice is /; and
• option uses square brackets: [ ]; and
• repetition is prefix *; and
• repetition n or more times is prefix n*; and
• repetition n to m times is prefix n*m.
EBNF's { expansion } becomes *(expansion) in ABNF.
Here's a definition of a date and time format taken from RFC 5322.
date-time = [ day-of-week "," ] date time [CFWS]

day-of-week = ([FWS] day-name) / obs-day-of-week

day-name = "Mon" / "Tue" / "Wed" / "Thu" /

"Fri" / "Sat" / "Sun"
date = day month year

day = ([FWS] 1*2DIGIT FWS) / obs-day

month = "Jan" / "Feb" / "Mar" / "Apr" /

"May" / "Jun" / "Jul" / "Aug" /
"Sep" / "Oct" / "Nov" / "Dec"

year = (FWS 4*DIGIT FWS) / obs-year

time = time-of-day zone
time-of-day = hour ":" minute [ ":" second ]
hour = 2DIGIT / obs-hour
minute = 2DIGIT / obs-minute
second = 2DIGIT / obs-second
zone = (FWS ( "+" / "-" ) 4DIGIT) / obs-zone


Mr. W was treated at the RSAD IN the Ngurah Rai room. After the examination the
Nurse delivered the patient's illness, with the DM disbursement of the physical
examination results obtained. TD: 130/90 Mmhg, S: 38⸰ C, N: 80 x / min, R: 20 x /
min, patients experience weakness. for 1 week in the patient's care and the patient has
begun to improve, the patient's condition is now reported to the doctor.


Nurse : Morning doctor

Doctorr : how many patients are there in this room?

Nurse : About 5 patients dock

Doctor : patient revelation, yesterday how was the condition sus, can see the

Nurse : so this is the doc, the condition of wayu patients who have experienced
DM has improved whether the revelated patient can do treatment at the
doc's house?

Doctor : "well, so today for Wahyu the patient is doing Discharge Planning
because the patient's condition has improved and allows for treatment at
home, how is the nurse's preparation from the revelation patient?

Nurse : "well, for the preparation of discharge planning in revelation patients

are ready. Patient status and discharge planning format have been
prepared. For the problem in patients now is the wound on the patient's
left leg that allows for recurrence so it needs to be informed to the patient
about diet, place of control, how to treat foot at home, and signs of
recurrence and emergence in patients "

Doctor : Oh yes, well let's go to the patient now.

Nurse : good doc


Doctors & nurses: good morning sir

Patient : good morning sus, doc

Doctor : how are you today?

Patient : Dock has improved,

Doctor : "so, today there is good news for you. today sir allowed to go home.
But there is one more thing that needs to be done in connection with the
return of Mr. This later Nurse Rahayu will convey matters related to
your care at home, how are you willing? "

Patient : "yes. Please"

Nurse : "well sir, here I will say a few things, namely the first:

1) You must adhere to a predetermined diet that is low in fat,

low glucose, high in this to control blood fat, blood sugar and
cholesterol. (brown rice, avoid salty, organ meats, coconut milk dishes,
and regular exercise)

2) Signs of hypoglycemia (drop in blood sugar levels) such as

drowsiness, confusion, weakness, cold sweat, vomiting, then the father
must immediately seek help to immediately go to the health center.

3) Foot care and prevent new injuries such as not wearing narrow shoes
must wear footwear, avoid moist skin.

4) Keep the wound clean and dry

5) Avoid prolonged pressure on the injured leg

6) Keep control of blood sugar regularly

7) Don't stop drug therapy without consulting a doctor

8) Take medicine regularly

Nurse : "How are you asking, sir?"

Patient : "There is no sus"

Nurse : "Well, if there isn't, we continue, sir, other than what the nurse said
you also need to know this earlier, namely:

1. How to care for the feet

 the father himself or can be helped by the family must clean
the feet with soap, especially between fingers
 cut the toe nail following the curve of the toe, do not cut the
nail straight at the edges because it can cause pressure on the
adjacent fingers
 Be careful when filing rough edges of nails to prevent nail

Indari avoid soaking your feet for long periods and using hot

Nurse : "how is it clear sir?"

Patient : "already sus"

Nurse : "Well Mr. Revelation, I think everything has been conveyed and you
already understand. Now you and your family are allowed to get ready
to leave this room. And we apologize if during your treatment there is
something missing here. May you always be healthy. "

Patient : "Yes, it's OK. Thank you very much doc, sus "

Doctors & nurses: "Yes, sir, you're welcome. Good morning, sir"

Patient : "good morning"