DAFTAR STANDAR TINDAKAN KEPERAWATANA. TINDAKAN KEPERAWATAN DASAR1. KATEGORI INOKEWENANGAN KLINIS
1. Bantuan perawatan diri
2. Bantuan perawatan diri : mandi / hygiene
3. Bantuan perawatan diri : berpakaian
4. Bantuan perawatan diri : makan
5. Bantuan perawatan diri : toileting
6. Bantuan perawatan diri : transfer
7. Memandikan
8. Mengenakan pakaian (dressing)
9. Memberikan makan
10. Admission care
11. Monitor Vital sign
12. Perawatan rambut
13. Administrasi medikasi Oral
14. Bantu toileting
15. Oral Higiene
16. Bantu perawatan diri: makan
17. Bantu perawatan diri: berpakaian
18. Posisioning
19. Transport
20. Monitor nutrisi
21. Monitor cairan
22. Perawatan kuku
23. Perawatan kaki
24. Perawatan telinga
25. Heat/cold aplication
26. Respiratory monitoring
2. KATEGORI IINOKEWENANGAN KLINIS
27. Reduksi Cemas
28. Pembatasan Area
29. Pencegahan Aspirasi
30. Perawatan bedrest
31. Pemeriksaan laboratorium di samping TT
32. Bottle feeding
33. Teknik penenangan
34. Perawatan gips: maintenance
35. Peningkatan komunikasi : defisit pendengaran
36. Peningkatan komunikasi : defisit penglihatan
37. Perawatan kontak lensa
38. Peningkatan batuk
39. Distraksi
40. Perawatan emergensi
41. Manajemen lingkungan
42. Manajemen lingkungan :kenyamanan
43. Bantuan pemeriksaan
44. Therapi latihan : ambulasi
45. Pertolongan pertama
46. Administrasi medikasi: telinga
47. Administrasi medikasi: mata
48. Administrasi medikasi: enteral
49. Administrasi medikasi: inhalasi
50. Administrasi medikasi: nasal
51. Administrasi medikasi: oral
52. Administrasi medikasi: rectal
53. Administrasi medikasi: kulit
54. Administrasi medikasi: vaginal
55. Manajemen mual
56. Perawatan perineal
57. Posisioning
58. Posisioning : neurologi
59. Perawatan jenazah
60. Kehadiran
61. Perawatan ulkus pressure
62. Perawatan prostesis
63. Orientasi realita
64. Therapi rekreasi
65. Manajemen spesimen
66. Asistensi pembedahan
67. Perawatan slang : urinari
68. Cateterisasi urine
69. Cateterisasi urine : intermittent
70. Fasilitasi kunjungan
71. Discharge planning
72. Pendidikan Kesehatan
73. Kontrol Infeksi
74. Pentahapan diet
75. manajemen lingkungan
76. Pencegahan jatuh
77. perawatan kaki
78. Interpretasi data laboratorium
79. Fall prventionpk 1
80. Fever treatment pk1
81. Electrolyt monitoring
82. Bantu perawatan diri: transfer
3. KATEGORI IIINOKEWENANGAN KLINIS
1. Amputation care
2. Analgesic administration
3. Bladder irrigation
4. Bleeding precaution
5. Bleeding reduction
6. Bleeding reduction : antepartum uterus
7. Bleeding reduction : gastrointestinal
8. Bleeding reduction : nasal
9. Bleeding reduction : postpartum uterus
10. Bleeding reduction : wound
11. Blood product administration
12. Body image enhancement
13. Body mechanics promotion
14. Bowel incontinence care
15. Bowel incontinence care : encopresis
16. Bowel irrigation
17. Bowel management
18. Bowel training
19. Bowel examination
20. Breasfeeding assistance
21. Capillary blood sample
22. Chest physiotherapy
23. Childbirth preparation
24. Circumcision care
25. Cutaneous stimulation
26. Aroma therapy
27. Dialysis acces maintenance
28. Diare management
29. Diet staging
30. Discharge planning
31. Electronic fetal monitoring : antepartum
32. Electronic fetal monitoring : intrapartum
33. Enteral tube feeding
34. Environmental manegement : safety
35. Environmental risk protection
36. Exercise promotion
37. Exercise promotion: strength training
38. Exercise promotion : streching
39. Exercise therapy : balance
40. Exercise therapy : joint mobility
41. Family support
42. Flatulence reduction
43. Airway management
44. Airway suctioning
45. Gastrointestinal intubation
46. Incision site care
47. Phlebotomy : arterial blood sample
48. Health education
49. Health screening
50. Hyperglicemia management
51. Hypervolemia management
52. Hypoglicemia management
53. Hypothermia induction
54. Hypothermia treatment
55. Hypovolemia management
56. Immunization/vaccination management
57. Infant care
58. Infection control
59. Infection control: intraoperative
60. Infection protection
61. Intracranial pressure (ICP) monitoring
62. Intrapartal care
63. Intravenous (IV) insersion
64. Intravenous (IV) therapy
65. Invasive hemodynamic monitoring
66. Kangaroo care
67. Massage
68. Medication administration : intradermal
69. Medication administration : intramuscular
70. Medication administration : intraspinal
71. Medication administration : intravenous
72. Medication administration : subcutaneus
73. Nausea management
74. Neurologic monitoring
75. Newborn care
76. Newborn monitoring
77. Oxygen therapy
78. Positioning : wheelchair
79. Postanasthesia care
80. Postpartal care
81. Prenatal care
82. Sleep enhancement
83. Tube care : chest
84. Tube care : gastrointestinal
85. Tube care : ventriculostomy/lumbar drain
86. Urinary incontinentia care
87. Urinary incontinentia care : enuresis
88. Urinary retention care
89. Teaching : desease process
90. Teaching ; foot care
91. Teaching : individual
92. Teaching : infant nutrition
93. Teaching : infant safety
94. Teaching : infant stimulation
95. Teaching : preoperative
96. Teaching : prescribed activity / exercise
97. Teaching : prescribed diet
98. Teaching : prescribed medication
99. Teaching : procedure / treatment
100. Teaching : psychomotor skill
101. Teaching : toilet training
102. Temperature regulation
103. Traction/immobilitation care
104. Vomiting management
105. Wound care
106. Wound care : closed drainase
107. Wound irrigation
108. Ostomy Care
109. Tube Care : Umbilical Line
110. Urinary Bladder Training
111. Urinary Elimination Management
112. Urinary Habit Training
113.
4. KATEGORI IVNOKEWENANGAN KLINIS
114. Allergy management
115. Anaphylaxis management
116. Anticipatory guidance
117. Artificial airway management
118. Asthma management
119. Autotranfusion
120. Behavior management
121. Behavior management : overactivity / inattention
122. Behavior management : self harm
123. Behavior management : sexual
124. Behavior modification
125. Behavior modification: social skill
126. Cardiac care
127. Cardiac care : rehabilitative
128. Cardiac precautions
129. Caregiver support
130. Cast care : wet
131. Cerebral perfusion promotion
132. Circulatory care : arterial insufficiency
133. Circulatory care : mechanical assist device
134. Circulatory care : venous insufficiency
135. Circulatory precautions
136. Code management
137. Communicable desease management
138. Comunication enhancement : speech deficit
139. Constipation/Impaction management
140. Consultation
141. Controlled substance checking
142. Coping enhancement
143. Decision making support
144. Delegation
145. Delirium management
146. Delusion management
147. Dementia managemen
148. Developmental care
149. Developmental enhancement : adolescenct
150. Developmental enhancement : child
151. Documentation
152. Dying care
153. Disreflexia management
154. Dysrhythmia management
155. Electronic convultion therapy (ECT) management
156. Electrolyte management
157. Embolus care : peripheral
158. Embolus care : pulmonary
159. Embolus precautions
160. Emotional support
161. Endotracheal extubation
162. Energy management
163. Fluid/electrolyte management
164. Fluid management
165. Fluid resuscitation
166. Guided imagery
167. Hallucination management
168. Heat exposure treatment
169. Hemorrhage control
170. Hope inspiration
171. Lactation counseling
172. Lactation suppresion
173. Learning facilitation
174. Lower extremity monitoring
175. Malignant hyperthermia precaution
176. Medication management
177. Meditation facilitation
178. Milieu therapy
179. Mood management
180. Music therapy
181. Mutual goal setting
182. Nutrition therapy
183. Nutritional monitoring
184. Oral health maintenance
185. Oral health promotion
186. Oral health restoration
187. Pain management
188. Paperipheral sensation management
189. Peritonial dyalisis therapy
190. Pessary management
191. Phlebotomy : blood unit acquisision
192. Phlebotomy : cannulated vessel
193. Phlebotomy :venous blood sample
194. Phototherapy : mood/sleep regulation
195. Phototherapy : neonate
196. Physical restrain
197. Physician support
198. Preoperative coordination
199. Pressure management
200. Pressure ulcer prevention
201. Product evaluation
202. Pruritus management
203. Relaxationn therapy
204. Religius ritual enhancement
205. Selft esteem enhancement
206. Shift report
207. Shock management
208. Shock management : cardiac
209. Shock management : autogenic
210. Shock management : volume
211. Shock prevention
212. Sibling support
213. Skin care : topical treatment
214. Spiritual growth facilitation
215. Spiritual support
216. Subarachnoid hemorhage precaution
217. Surgical preparation
218. Suturing
219. Swallowing therapy
220. Ventilation assistance
B. TINDAKAN KEPERAWATAN KOMPLEKS1. KATEGORI INOKEWENANGAN KLINIS
1. Chemotherapy management
2. Birthing
3. Bibliotherapy
4. Hemodialysis Therapy
5. High Risk Pregnancy Care
6. Trancutaneus Electrical Nerve Stimulation (TENS)
7. Exercise Therapy : Muscle Control
8. Family Planning : Infertility
9. Electronic Fetal Monitoring : Antepartum
10. Electronic Fetal Monitoring : Intrapartum
2. KATEGORI IINOKEWENANGAN KLINIS
11. Intrapartal Care : High Risk Delivery
12. Labor Induction
13. Labor Suppression
14. Wound care : burns pk3
15. Surveilance : safety pk3
16. Resuscitation pk3
17. Positioning : intraoperative pk3
18. Acupressure
19. Amnioinfusion
20. Art Therapy
21. Autogenic training
22. Hypnosis
23. Biofeedback
24. Case management
25. Cognitive restructuring
26. Cognitive stimulation
27. Conflict mediation
28. Counseling
29. Crisis intervention
30. Eating Disorder Management
31. Therapeutic Touch
3. KATEGORI IIINOKEWENANGAN KLINIS
32. Hemofiltration therapy pk3
33. Defibrillator management : external pk3
34. Defibrillator management : internal pk3
35. Chemical restrain pk 3
36. Cerebral edema management pk 3
37. Cardiac care : acutepk 3
38. Nutritional counseling
39. Hemodynamic regulation pk3
40. Total parenteral nutrition (TPN) management
41. Mechanical ventilation management : invasive pk3
42. Mechanical ventilation management : noninvasive pk3
43. Mechanical ventilatory weaning
44. Pacemaker management : permanent pk3
45. Pacemaker management : temporary pk3
46. Validationn Therapy
47. Venous Acces Device (VAD) Maintenance
48. Airway insertion and stabilizationpk 3
49. Thrombolytic therapy management pk3
50. Nutrition Management
51. Family Therapy
52. Fertility Preservation
53. Fiscal Resource Management
54. Forensic Data Collection
55. Genetic Counselling
56. Hormon Replacemen Therapy
57. Impulse Control Training
58. Laser Precautions
59. Medication Administration : Intrapleural
60. Medication Administration : Intraosseous
61. Medication Administration : Ventricular Reservoir
62. Medication Prescribing
63. Memory Training
64. Pelvic Muscle Exercise
65. Peripherally Inserted Central (PIC) Catheter
66. Pneumatic Torniquet Precautions
67. Preconseption Counseling
68. Pregnancy Termination Care
69. Premenstrual Syndrome (PMS) Management
70. Program Development
71. Progressive Muscle Relaxation
72. Rectal Prolaps Management
73. Reminiscence Therapy
74. Reproductive Technology Management
75. Resuscitation : Fetus
76. Resuscitation : Neonate
77. Risk Identification : Genetic
78. Sedation Management
79. Self Hypnosis Facilitation
80. Sexual Counseling
81. Social Marketing
82. Substance Use Treatment : Alcohol Withdrawal
83. Substance Use Treatment : Drug Withdrawal
84. Substance Use Treatment : Overdose
85. Support Group
86. Surveilance : Late Pregnancy
87. Therapy Group
88. Trauma Therapy : Child