Komunikasi Preconference-Postconference Keperawatan

Summary

This video outlines the processes of pre-conference and post-conference in nursing care. The pre-conference focuses on discussing and planning nursing actions for the shift, covering patient diagnoses, vital signs, and specific care plans. It highlights the responsibility of nurses in managing patients with conditions like CKD and mandibular abscess, along with treatment strategies like dialysis and wound care. The post-conference evaluates the executed nursing actions, discussing the results of care provided, patient progress, and adjustments to treatment plans. The session concludes with a commitment to smooth teamwork and patient-centered care.

Takeaways

• 😀 The pre-conference is a preparatory meeting held by PP and Pa to discuss the nursing care plan for the shift.
• 😀 The goal of the pre-conference is to ensure smooth execution of nursing actions during the shift.
• 😀 Patients discussed include Mr. A, who has CKD stage 4, and Mrs. C, who has a mandibular abscess.
• 😀 Mr. A's care plan includes dialysis, monitoring fluid intake/output, and managing edema with furosemide.
• 😀 Mrs. C's care plan focuses on wound care, administering analgesics (ketorolac), and antibiotics (ampicillin).
• 😀 The pre-conference emphasizes the importance of clear communication about each patient's care and responsibilities.
• 😀 The post-conference is a debriefing session to evaluate nursing actions after the shift has been completed.
• 😀 The post-conference includes patient reports, such as Mr. A's post-dialysis condition and Mrs. C's pain management results.
• 😀 Mr. A’s blood pressure improved after dialysis, but there was still noticeable edema, indicating the need for continued monitoring.
• 😀 Mrs. C's pain scale remains high even after analgesic administration, and consultation with the doctor is ongoing for further management.
• 😀 The post-conference also includes discussions about potential action plans for the afternoon shift, with ongoing monitoring and consultations.

Q & A

What is the purpose of a pre-conference in nursing care?

The purpose of a pre-conference is to discuss the nursing care plan for the shift, ensuring that all actions are planned and organized for smooth execution throughout the day.

How is the responsibility for patients divided during the shift?

The responsibility for each patient is divided among the nurses based on their assigned cases. In this instance, Nunik is responsible for Mr. A (CKD stage 4), and Nasdian is responsible for Mrs. C (mandibular abscess).

What is the action plan for Mr. A, who has CKD stage 4?

The action plan for Mr. A includes dialysis, monitoring fluid intake and output, and administering furosemide to manage fluid retention and edema in the lower extremities.

What is the significance of monitoring fluid intake and output for Mr. A?

Monitoring fluid intake and output is crucial for Mr. A because he is experiencing edema, and careful management of his fluids is necessary to prevent further complications, particularly in his lower extremities.

What are the key actions planned for Mrs. C, who has a mandibular abscess?

The key actions for Mrs. C include wound care, administration of analgesics (Ketorolac), and antibiotics (Ampicillin), along with regular pain assessments to monitor her condition.

Why is it important to assess pain regularly for Mrs. C?

Regular pain assessments are essential for Mrs. C to ensure that her pain management plan is effective and to adjust treatment as necessary. This is especially important given her ongoing discomfort from the abscess.

What complications did the nursing team encounter during the shift with Mr. A?

The main complication with Mr. A is fluid retention, as his intake/output monitoring revealed excess fluid. Despite dialysis, the swelling in his lower extremities persists, indicating a need for continued fluid management.

What follow-up actions are required for Mrs. C after her treatment?

For Mrs. C, the follow-up actions include waiting for confirmation from her doctor regarding further treatment plans, particularly regarding her pain and the condition of the wound. A second pain assessment and wound monitoring will also be needed.

How did Mr. A's condition change after dialysis?

After dialysis, Mr. A’s blood pressure dropped from 140 mmHg to 138 mmHg, and he lost 2 kg in weight. However, his fluid retention persisted, as indicated by the continued swelling in his lower extremities.

What was the result of the pain assessment for Mrs. C?

The pain assessment for Mrs. C revealed a pain level of 8 out of 10, indicating that the current analgesic treatment (Ketorolac) was insufficient in managing her pain. A consultation with the doctor was needed to adjust her pain management plan.