Keperawatan Manajemen Rujukan Pasien_Universitas Pendidikan Indonesia

Summary

In this medical interaction, a nurse evaluates a patient named Rina, who experiences severe pain in her lower abdomen and back, accompanied by nausea and blood in her urine. After a thorough examination, it is diagnosed that she suffers from kidney stones, necessitating a procedure for stone fragmentation. Due to the lack of adequate facilities at the clinic, Rina is referred to a larger hospital for further treatment. The nurse ensures all necessary documentation is prepared, emphasizing the urgency and importance of Rina receiving appropriate care at the designated hospital.

Takeaways

• 😀 Rina is experiencing severe pain in her lower abdomen and back, along with nausea and blood in her urine.
• 🩺 The medical staff at the Puskesmas conducted a thorough examination of Rina's symptoms.
• 🏥 Rina was diagnosed with kidney stones after the doctor's examination.
• 📅 Rina has been experiencing her symptoms for three days, with increasing severity.
• 🔍 The doctor identified additional symptoms, including the presence of blood in Rina's urine.
• 📝 A referral to RS Citra Muning Jaya was necessary due to inadequate facilities at the Puskesmas.
• 🤝 Rina's relative was involved in the consultation and decision-making process regarding her treatment.
• 📑 The medical staff prepared a referral letter to ensure Rina received appropriate care at the hospital.
• 🚑 Timely referrals are crucial for patients needing specialized treatment, as demonstrated in Rina's case.
• 🙌 The staff communicated clearly with Rina and her relative to ensure they understood the next steps in her care.

Q & A

What is the main health concern of the patient, Ibu Rina?

Ibu Rina is experiencing severe pain in the lower abdomen and has symptoms of nausea and blood in her urine, which suggests a possible kidney stone issue.

How long has Ibu Rina been experiencing her symptoms?

Ibu Rina has been feeling pain for three days, and the pain has been worsening.

What procedure does the doctor recommend for Ibu Rina?

The doctor recommends a procedure for breaking down kidney stones, as Ibu Rina has been diagnosed with kidney stones.

Why is Ibu Rina being referred to a hospital?

Ibu Rina is being referred to a hospital because the local clinic (Puskesmas) does not have adequate facilities or equipment to perform the necessary procedure.

What information does the nurse need to collect from Ibu Rina?

The nurse collects personal information including Ibu Rina's name, date of birth, age, address, and details about her symptoms.

What is the patient's age and date of birth?

Ibu Rina is 29 years old and was born on March 5, 1995.

What is the response of Ibu Rina's family regarding the referral?

Ibu Rina's family agrees with the referral and expresses a desire for her to receive the best possible treatment.

What steps are taken after the doctor's examination?

After the examination, the doctor informs the family of Ibu Rina's diagnosis and discusses the need for referral to a hospital, as well as arranging the necessary referral documents.

What are the symptoms that indicate a serious condition for Ibu Rina?

The presence of blood in her urine and severe pain are significant symptoms indicating a serious condition, likely kidney stones.

Who will be responsible for handling the referral documents?

The nurse and the doctor at the Puskesmas will handle the referral documents and provide instructions for Ibu Rina's care at the hospital.