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Scenario 3 (setting: ward) Rachel needs the surgery due to the inflammatory in her Appendices.

The day before surgery procedure, a nurse come to Rachel and her parent, Explains the operation procedure as well as disease processes. Rachel seems scare; Because It's her first surgery experience. Nurse tries to explain again and assure that everything will be under control. Today's schedule of surgery Rachel, Rachel prepares nurse in the ward and deliver to surgery department. Nurse in surgery department checks the patien first and explain the procedure, then Rachel is delivered to chamber operation.

Players: Rachel: Noor Latifah Father: M. Sultan Firdaus Mother: Miftahul Zannah Rachel's uncle: Syarwani Physician: Puput Angraeni Ns 1: Selvia Harum Sari Ns 2: Suardianto Ns 3: Irham Receptionist: M. Akbar Nugraha

Having examined by physician, Rachel get the suspect appendicitis and must have surgery. The day before surgery, she talked with her parents (the room is maintenance). Rachel: mom, dad. Rachel is scare. Thats gonna be hurt. Mother: sweetheart! Calm down, everythings gonna be okay. physician and nurses must know what the best for you. Father: You will passed it dear, listen to papa. Papa believes, Rachel will be cured, when Rachel have cured, Rachel will get the gift from me. Rachel: Horray!!! Thank u dad .. I love u. Suddenly, there knocking the door from the outside. (Tok.tok.tok) Ns 1: good morning! May I come in Father: morning, come in please. The nurse come in the ward. Ns 1: Rachel how are you feeling today? Rachel: Im so scare nurse, because tomorrow I will get the surgery. Does it hurt?

Ns 1: please be calm Rachel, you have nothing to fear. Everythings gonna be okay. physician have prepared the best for you. Well ... now I will check you first, any questions? Rachel: ooohh .. ok sus!! Mmmm ... where do you want to check me, nurrse? Ns 1: ok Rachel. I will check your pulse and your body temperature and your breath in a minute and your blood pressure. Any questions? Rachel: mm .... does it hurt? Ns 1: you may will have tingling on your fingers when I pumping this bulb to inflate the cuff. Rachel: ooooo ... okay .. The nurse check vital signs of rachel Ns 1:I have done rachel, how are you feeling? Rachel: that was hurts, a little. Ns 1: ohh .. that was hurt .. but dont worry. Take a deep breath and just flow it out. Rachel: mmm ..now I feel better. Ns 1: ok! Now, get rest well. Then Ns. 1 tell the results of the examination to the rachels parents. Ns 1: sir, maam, based on the results, her physical condition was fine. Rachels blood pressure was normal 110/70 mmHg, rachel breath was normal, 20 times per minute. However, pulse was rapid, which is 105 times per minute, because Rachel was afraid for sugery. please be accompany rachel. Mother: O.K. Ns 1: there will be a physician and my colleagues will be here to explain the operating procedures, and if anyone wants to ask, just ask to physician. I will back to my room. Father: yes nurse, thank you very much, good morning. 1 hour later Ns 2 and dietitians into a room to meet Rachel, father and mother Physician: how is rachel now? Mother: she was afraid and not ready, yet. Physician: I suggest to convince Rachel to prepare for surgery. Mother: Yes, i will try. Then the physician to get closer to rachel for examining her. Physician: how are you, rachel? Rachel: I was scare, yet. Physician: why!!! the surgery will not have a long time and will not be painfull. So, dont worry. Rachel: ooo .. O.K, i will try.

Physician: . Well, just try it. excuse me. The physician left the room and followed with rachels parent, and ns. 2 still in the room. Dad: is there a worst possibility will happen to rachel? Physician: there will be a risk possibility. but we will try for the best for rachel. Father & Mother: ooohhh .. okay ... well, Thank you doctor ... The physician going in his room. And rachels parent.going back to the rachels room The next day in the nursing room. Ns2: good morning rachel Rachel: morning ... Ns2: rachel, how are you this morning? Rachel: I'm scare , nurse ... Ns2: why! There was the doctor and nurse with you. Rachel: (worried about surgery) Mother: Sister, what the time of surgical? Ns2: at 10.00am, we will do it. Mother: ooh .. okay. please do the best for Rachel. Ns 2: we will try for the best .. now, I will check the condition before rachel have a surgical. Mother: yes, please do In the surgical room, Ns 1, Ns 3 and physician prepare the surgical room for Rachel physician: how is it, nurse? Ns 1, ns 3:that was ready, doc physician: Ns. Irham (Ns 3) please take Rachel to the surgical room, because we will be begin immediately Ns 3: alright, sir. Then, ns 3 go to the rachels room,

Ns 3: Excuse me sir, maam. I was ordered to pick her up to the surgical room , because the surgery will be begin immediately. Father: oh. Please do. Ns 3 prepare wheelchair for rachel and quickly take rachel into the surgical room. Rachel's parents are following up in front of the surgical room. Ns 3: sir, maam, please please wait here, we will begin the surgery Father, mother: oh, alright. Please help our daughter. Ns 3: will we try father's mother. Ns 3 going into the surgical room Ns 2 meet Rachel's parents to agree to surgery procedure. Ns 2: Excuse me sir, maam ... may I have a minute for ask something. Mother: what's the matter? Ns 2: would you mind if you sign the surgical agreement for surgical procedure. Father: Well (and read and sign the informed concent) After the surgical agreement was signed, rachelss father contact his sister, rachels aunt. Father: Assalammualaikum Rachel's uncle: Waallaikum salam, whats going on? Father: please come to the hospital, rachel will get a surgary. Rachel's uncle: What ..? was Rachel treated in hospital, since when ..? why didnt you told me ..? Dad: Yeah,, Since 2 days ago. Sorry, I have just told you now, because im panic so much. Rachel's uncle: Well,where was rachel get care? Father: Medika Hospital Banjarbaru Rachel's uncle: oh yeah well, then I'll get there soon. Dad: Well, take care. Assalamualaikum Rachel's uncle: waalaikumsalam Rachel's uncle went to the hospital to visit Rachel in the hospital when she got them to the reception to ask where the room where Rachel surgery. Receptionist: good morning,sir, ma'am, may I help you? Rachel's uncle: good morning pa, we want to see our nephew who get surgery today. But we do not know where the surgical room. Can you help us? Receptionist: oh of course, surgical room, from here straight ahead. Then turn right, just straight sir, and then you will find first intersection, turn right about 20 meters and then turn

left, go straight a head about 10 meters and then you will find the elevator on the left. Use the elevator to get the third floor. After you reach the third floor, straight about 10 meters. Well you will find the surgical room opposite with midwifery room. What you already know? Uncle: hemmmm .... Use the elevator to third floor and then go straight a head about 10 meters. The operating room is located opposite with the midwifery room. Receptionist: thats right, sir. Rachel's uncle: Thank you very much. Receptionist: you're welcome. Arriving Rachel uncle on the 3rd floor, they met with parents Rachel in front of the operating room Rachel's uncle: How is Rachel? Mom: Still in the process of operation .. Rachel's uncle: kaka patient yes, everything would go well. Mom: Yes,, (Aunt Mom hugged Rachel to calm her feelings) After 1 hour of waiting, the operation was completed. The physician came out of the operating room and tell the family Rachel on operating results. Physician: I'm sorry sir, ma'am, have waited a long time (with a flat expression) Mom: So, what about the dock? The surgery was successful right? Physician: Alhamdulillah .. Rachel operations running smoothly. (Smile) Fathers, mothers, uncles and aunts: Alhamdulillah.

Everyone is waiting Rachel was relieved to hear from the physician. And finally, she was transferred to the ward to continue treatment after surgery.

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