Daftar Kewenangan Klinis Perawat RS JIWA DAERAH JAMBI

reverensi utama : Nursing Intervention Clasification (NIC)

KOMITE KEPERAWATAN
RUMAH SAKIT JIWA DAERAH JAMBI

KATA PENGANTAR

Dalam memberikan pelayanan keperawatan kepada pasien, seluruh perawat

harus dipastikan
kompetensinya sesuai dengan jenjang klinis yang dimiliki. Masing-masing
jenjang klinis memiliki
kompetensi, dan standar kompetensi klinis itulah yang dijadikan landasan
dalam penyusunan
Kewenangan Klinis.

Kewenangan Klinis adalah uraian intervensi keperawatan dan kebidanan yang

dilakukan oleh tenaga
keperawatan sesuai dengan area prakteknya. Dalam daftar kewenangan klinis ini
dibagi menjadi lima
kelompok sesuai dengan jenjang klinis yaitu :

1. Kewenangan Klinis Perawat Klinik I

2. Kewenangan Klinis Perawat Klinik II
3. Kewenangan Klinis Perawat Klinik III
4. Kewenangan Klinis Perawat Klinik IV
5. Kewenangan Klinis Perawat Klinik V

Selain kategori berdasar jenjang klinik, juga dikelompokan berdasar area klinik yang
meliputi:

1. Area Klinik Keperawatan Medikal Bedah

2. Area Klinik Keperawatan Anak
3. Area Klinik Keperawatan Maternitas
4. Area Klinik Keperawatan Jiwa
5. Area Klinik Keperawatan Kritis
6. Area Klinik Midwifery
7. Area Klinik Emergency Nursing
8. Area Klinik Holistic Nursing
9. Area Klinik Keperawatan Ginjal

Referensi utama dalam penyusunan Kewenangan Klinis RUMAH SAKIT JIWA

DAERAH JAMBI adalah Nursing Intervention Clasification (NIC).

DAFTAR KEWENANGAN KLINIK KEPERAWATAN RS JIWA DAERAH

JAMBI
KEWENANGAN KLINIS BERDASAR JANJANG KLINIS

1. KEWENANGAN KLINIS PERAWAT KLINIK (PK) I

Perawat Klinik I (Novice) adalah: Perawat lulusan D-III Keperawatan dan telah
memiliki
pengalaman kerja 2 tahun atau Ners (lulusan S-1 Keperawatan plus pendidikan
profesi) dengan
pengalaman kerja 0 tahun, dan mempunyai sertifikat (Penugasan Klinis) PK-I.

Kewenangan Klinis PK I adalah sebagai berikut :

NO KEWENANGAN KLINIS
1.

Reduksi Cemas

2.

Pembatasan Area

3.

Pencegahan Aspirasi

4.

Memandikan

5.

Perawatan bedrest

6.

Pemeriksaan laboratorium di samping TT

7.

Bottle feeding

8.

Teknik penenangan

9.

Perawatan gips: maintenance

10. Peningkatan komunikasi : defisit pendengaran

11. Peningkatan komunikasi : defisit penglihatan
12. Perawatan kontak lensa
13. Peningkatan batuk
14. Manajemen dimensia: memandikan
15. Distraksi
16. Mengenakan pakaian (dressing)
17. Perawatan emergensi
18. Chek kartu emergensi
19. Manajemen lingkungan
20. Manajemen lingkungan : nyaman

21. Bantuan pemeriksaan

22. Therapi latihan : ambulasi
23. Memberikan makan
24. Pertolongan pertama
25. Perawatan rambut
26. Humor
27. Administrasi medikasi: telinga
28. Administrasi medikasi: mata
29. Administrasi medikasi: enteral
30. Administrasi medikasi: inhalasi
31. Administrasi medikasi: nasal
32. Administrasi medikasi: oral
33. Administrasi medikasi: rectal
34. Administrasi medikasi: kulit
35. Administrasi medikasi: vaginal
36. Manajemen mual
37. Perawatan perineal
38. Posisioning
39. Posisioning : neurologi
40. Perawatan jenazah
41. Kehadiran
42. Perawatan ulkus pressure
43. Meminta berkemih
44. Perawatan prostesis
45. Orientasi realita
46. Therapi rekreasi
47. Bantuan perawatan diri
48. Bantuan perawatan diri : mandi / hygiene
49. Bantuan perawatan diri : berpakaian
50. Bantuan perawatan diri : makan
51. Bantuan perawatan diri : toileting
52. Bantuan perawatan diri : transfer
53. Manajemen spesimen
54. Asistensi pembedahan
55. Sentuhan

56. Transfer
57. Perawatan slang
58. Perawatan slang : urinari
59. Cateterisasi urine
60. Cateterisasi urine : intermittent
61. Fasilitasi kunjungan

2. KEWENANGAN KLINIS PERAWAT KLINIK (PK) II

Perawat klinik II (Advance Beginner) adalah perawat lulusan D III Keperawatan

dengan
pengalaman kerja 5 tahun atau Ners (lulusan S-1 Keperawatan plus pendidikan
profesi) dengan
pengalaman kerja 3 tahun, dan mempunyai sertifikat PK-II

Kewenangan Klinis PK II adalah sbb :

1.

Abuse protection support

2.

Acid base managemen

3.

Acid base monitoring

4.

Active listening

5.

Active listening

6.

Activity therapy

7.

Admision care

8.

Airway insertion and stabilization

9.

Airway management

10. Airway suctioning

11. Allergy management
12. Amputation care
13. Analgesic administration
14. Anaphylaxis management
15. Anticipatory guidance
16. Aroma therapy
17. Artificial airway management

18. Asthma management

19. Autotranfusion
20. Behavior management
21. Behavior management : overactivity / inattention
22. Behavior management : self harm
23. Behavior management : sexual
24. Behavior modification
25. Behavior modification: social skill
26. Bladder irrigation
27. Bleeding precaution
28. Bleeding reduction
29. Bleeding reduction : antepartum uterus
30. Bleeding reduction : gastrointestinal
31. Bleeding reduction : nasal
32. Bleeding reduction : postpartum uterus
33. Bleeding reduction : wound
34. Blood product administration
35. Body image enhancement
36. Body mechanics promotion
37. Bowel incontinence care
38. Bowel incontinence care : encopresis
39. Bowel irrigation
40. Bowel management
41. Bowel training
42. Bowel examination
43. Breasfeeding assistance
44. Capillary blood sample
45. Cardiac care
46. Cardiac care : acute
47. Cardiac care : rehabilitative
48. Cardiac precautions
49. Caregiver support
50. Cast care : wet
51. Cerebral edema management
52. Cerebral perfusion promotion

53. Cesarean suction care

54. Chemical restrain
55. Chest physiotherapy
56. Childbirth preparation
57. Circulatory care : arterial insufficiency
58. Circulatory care : mechanical assist device
59. Circulatory care : venous insufficiency
60. Circulatory precautions
61. Circumcision care
62. Code management
63. Communicable desease management
64. Comunication enhancement : speech deficit
65. Constipation/Impaction management
66. Consultation
67. Controlled substance checking
68. Coping enhancement
69. Crisis Path Development
70. Cutaneous stimulation
71. Decision making support
72. Defibrillator management : external
73. Defibrillator management : internal
74. Delegation
75. Delirium management
76. Delusion management
77. Dementia managemen
78. Developmental care
79. Developmental enhancement : adolescenct
80. Developmental enhancement : child
81. Dialysis acces maintenance
82. Diare management
83. Diet staging
84. Discharge planning
85. Documentation
86. Dying care
87. Disreflexia management

88. Dysrhythmia management

89. Ear care
90. Electronic convultion therapy (ECT) management
91. Electrolyte management
92. Electrolyt monitoring
93. Electronic fetal monitoring : antepartum
94. Electronic fetal monitoring : intrapartum
95. Embolus care : peripheral
96. Embolus care : pulmonary
97. Embolus precautions
98. Emotional support
99. Endotracheal extubation
100.

Energy management

101.

Enteral tube feeding

102.

Environmental manegement : safety

103.

Environmental risk protection

104.

Exercise promotion

105.

Exercise promotion: strength training

106.

Exercise promotion : streching

107.

Exercise therapy : balance

108.

Exercise therapy : joint mobility

109.

Eye care

110.

Fall prvention

111.

Family support

112.

Fever treatment

113.

Flatulence reduction

114.

Fluid/electrolyte management

115.

Fluid management

116.

Fluid monitoring

117.

Fluid resuscitation

118.

Foot care

119.

Gastrointestinal intubation

120.

Guided imagery

121.

Hallucination management

122.

Health education

123.

Healt screening

124.

Heat exposure treatment

125.

Heat/cold aplication

126.

Hemodynamic regulation

127.

Hemofiltration therapy

128.

Hemorrhage control

129.

Hope inspiration

130.

Hyperglicemia management

131.

Hypervolemia management

132.

Hypoglicemia management

133.

Hypothermia induction

134.

Hypothermia treatment

135.

Hypovolemia management

136.

Immunization/vaccination management

137.

Incident report

138.

Incision site care

139.

Infant care

140.

Infection control

141.

Infection control: intraoperative

142.

Infection protection

143.

Intracranial pressure (ICP) monitoring

144.

Intrapartal care

145.

Intravenous (IV) insersion

146.

Intravenous (IV) therapy

147.

Invasive hemodynamic monitoring

148.

Kangaroo care

149.

Lactation counseling

150.

Lactation suppresion

151.

Learning facilitation

152.

Lower extremity monitoring

153.

Malignant hyperthermia precaution

154.

Massage

155.

Mechanical ventilation management : invasive

156.

Mechanical ventilation management : noninvasive

157.

Mechanical ventilatory weaning

158.

Medication administration : intradermal

159.

Medication administration : intramuscular

160.

Medication administration : intraspinal

161.

Medication administration : intravenous

162.

Medication administration : subcutaneus

163.

Medication management

164.

Meditation facilitation

165.

Milieu therapy

166.

Mood management

167.

Music therapy

168.

Mutual goal setting

169.

Nausea management

170.

Neurologic monitoring

171.

Newborn car

172.

Newborn monitoring

173.

Nutrition therapy

174.

Nutritional counseling

175.

Nutritional monitoring

176.

Oral health maintenance

177.

Oral health promotion

178.

Oral health restoration

179.

Oxygen therapy

180.

Pacemaker management : permanent

181.

Pacemaker management : temporary

182.

Pain management

183.

Paperipheral sensation management

184.

Peritonial dyalisis therapy

185.

Pessary management

186.

Phlebotomy : arterial blood sample

187.

Phlebotomy : blood unit acquisision

188.

Phlebotomy : cannulated vessel

189.

Phlebotomy :venous bloog sample

190.

Phototherapy : mood/sleep regulation

191.

Phototherapy : neonate

192.

Physical restrain

193.

Physician support

194.

Positioning : intraoperative

195.

Positioning : wheelchair

196.

Postanasthesia care

197.

Postpartal care

198.

Prenatal care

199.

Preoperative coordination

200.

Pressure management

201.

Pressure ulcer prevention

202.

Product evaluation

203.

Pruritus management

204.

Relaxationn therapy

205.

Religius ritual enhancement

206.

Respiratory monitoring

207.

Resuscitation

208.

Self care assistance: IADL

209.

Selft esteem enhancement

210.

Shift report

211.

Shock management

212.

Shock management : cardiac

213.

Shock management : autogenic

214.

Shock management : volume

215.

Shock prevention

216.

Sibling support

217.

Skin care : topical treatment

218.

Sleep enhancement

219.

Spiritual growth facilitation

220.

Spiritual support

221.

Subarachnoid hemorhage precaution

222.

Surgical preparation

223.

Surveilance : safety

224.

Suturing

225.

Swallowing therapy

226.

Teaching : desease process

227.

Teaching ; foot care

228.

Teaching : individual

229.

Teaching : infant nutrition

230.

Teaching : infant safety

231.

Teaching : infant stimulation

232.

Teaching : preoperative

233.

Teaching : prescribed activity / exercise

234.

Teaching : prescribed diet

235.

Teaching : prescribed medication

236.

Teaching : procedure / treatment

237.

Teaching : psychomotor skill

238.

Teaching : toilet training

239.

Temperature regulation

240.

Therapeutic play

241.

Thrombolytic therapy management

242.

Total parenteral nutrition (TPN) management

243.

Traction/immobilitation care

244.

Tube care : chest

245.

Tube care : gastrointestinal

246.

Tube care : ventriculostomy/lumbar drain

247.

Urinary incontinentia care

248.

Urinary incontinentia care : enuresis

249.

Urinary retention care

250.

Ventilation assistance

251.

Vital sign monitoring

252.

Vomiting management

253.

Wound care

254.

Wound care : burns

255.

Wound care : closed drainase

256.

Wound irrigation

3. KEWENANGAN KLINIS PERAWAT KLINIK (PK) III

Perawat Klinik III (competent) adalah perawat lulusan D III Keperawatan dengan
pengalaman
kerja 9 tahun atau Ners (lulusan S-1 Keperawatan plus pendidikan profesi) dengan
pengalaman

klinik 6 tahun atau Ners Spesialis dengan pengalaman kerja 0 tahun, dan memiliki
sertifikat PK-III

Kewenangan Klinis PK III adalah sbb:

NO KEWENANGAN KLINIS
1.

Acupressure

2.

Amnioinfusion

3.

Art Therapy

4.

Autogenic training

5.

Bibliotherapy

6.

Biofeedback

7.

Bioterrorism preparedness

8.

Birthing

9.

Case management

10. Chemotherapy management

11. Cognitive restructuring
12. Cognitive stimulation
13. Conflict mediation
14. Counseling
15. Crisis intervention
16. Eating Disorder Management
17. Electronic Fetal Monitoring : Antepartum
18. Electronic Fetal Monitoring : Intrapartum
19. Exercise Therapy : Muscle Control
20. Family Planning : Infertility
21. Family Therapy
22. Fertility Preservation
23. Fiscal Resource Management
24. Forensic Data Collection
25. Genetic Counselling
26. Hemodialysis Therapy
27. High Risk Pregnancy Care
28. Hormon Replacemen Therapy
29. Hypnosis

30. Impulse Control Training

31. Intrapartal Care : High Risk Delivery
32. Labor Induction
33. Labor Suppression
34. Laser Precautions
35. Medication Administration : Intrapleural
36. Medication Administration : Intraosseous
37. Medication Administration : Ventricular Reservoir
38. Medication Prescribing
39. Memory Training
40. Nutrition Management
41. Ostomy Care
42. Pelvic Muscle Exercise
43. Peripherally Inserted Central (PIC) Catheter
44. Pneumatic Torniquet Precautions
45. Preconseption Counseling
46. Pregnancy Termination Care
47. Premenstrual Syndrome (PMS) Management
48. Program Development
49. Progressive Muscle Relaxation
50. Rectal Prolaps Management
51. Reminiscence Therapy
52. Reproductive Technology Management
53. Resuscitation : Fetus
54. Resuscitation : Neonate
55. Risk Identification : Genetic
56. Sedation Management
57. Self Hypnosis Facilitation
58. Sexual Counseling
59. Social Marketing
60. Substance Use Treatment : Alcohol Withdrawal
61. Substance Use Treatment : Drug Withdrawal
62. Substance Use Treatment : Overdose
63. Support Group
64. Surveilance : Late Pregnancy

65. Therapeutic Touch

66. Therapy Group
67. Trancutaneus Electrical Nerve Stimulation (TENS)
68. Trauma Therapy : Child
69. Tube Care : Umbilical Line
70. Urinary Bladder Training
71. Urinary Elimination Management
72. Urinary Habit Training
73. Validationn Therapy
74. Venous Acces Devica (VAD) Maintenance

4. KEWENANGAN KLINIS PERAWAT KLINIK (PK) IV

Perawat klinik IV (Proficient) adalah Ners (lulusan S-1 Keperawatan plus pendidikan
profesi)
dengan pengalaman kerja 9 tahun atau Ners Spesialis dengan pengalaman kerja 2
tahun, dan
memiliki sertifikat PK IV atau Ners Spesialis Konsultan dengan pengalaman kerja 0
tahun.
Kewenangan Klinis PK IV adalah seluruh Kewenangan Klinis.

5. KEWENANGAN KLINIS PERAWAT KLINIK (PK) V

Perawat klinik V (Expert) adalah Ners Spesialis dengan pengalaman kerja 4 tahun
atau Ners
Spesialis Konsultan dengan pengalaman kerja 1 tahun, dan memiliki sertifikat PK-V.
Kewenangan Klinis PK V adalah seluruh Kewenangan Klinis ditambah dengan
menerima
konsultasi dari PK I - IV.

DAFTAR KEWENANGAN KLINIK KEPERAWATAN RS JIWA DAERAH JAMBI

Area Klinik Keperawatan Jiwa

NO KEWENANGAN KLINIS

1.

Abuse protection support

2.

Active listening

3.

Anger control assistance

4.

Anxiety reduction

5.

Area resriction

6.

Assertiveness training

7.

Behavior management: overactiviity/inattention

8.

Behavior management : self-harm

9.

Behavior management : sexual

10. Behavior modification

11. Behavior modification : social skills
12. Bibliotherapy
13. Body image enhancement
14. Calming technique
15. Case management
16. Chemical restrain
17. Cognitive restructuring
18. Complex relationship building
19. Consultation
20. Coping enhancement
21. Conseling
22. Crisis intervention
23. Delusion management
24. Dimentia management
25. Dimentia management: bathing
26. Eating disorder management
27. Electroconvultion therapy (ECT) management
28. Elopement prcoution
29. Environmental management : violence management
30. Family involvement promotion
31. Family therapy
32. Fire-setting precaution
33. Grief work facilitation
34. Guilt work facilitation
35. Hallucination management

36. Health literacy enhancement

37. Impulse control training
38. Journaling
39. Limit setting
40. Medication administration
41. Medication management
42. Milieu therapy
43. Mood management
44. Pass facilitation
45. Phototherapy : mood/sleep regulation
46. Physical restraint
47. Reality orientation
48. Reminiscence therapy
49. Seclution
50. Self awareness enhancement
51. Self care assistance : ADL
52. Self esteem enhancement
53. Substance use prevention
54. Substance use treatment : alcohol withdrawl
55. Substance use treatment : drug withdrawl
56. Suicide prevention
57. Support group
58. Therapeutic play
59. Therapy group

Area Klinik Emergency Nursing

NO KEWENANGAN KLINIS
1.

Abuse protection support : child

2.

Abuse protection support : domestic partner

3.

Anaphylaxis management

4.

Airway management

5.

Blood product administation

6.

Cardiac care: acut

7.

Circulatory care: arterial insuffisiency

8.

Circulatory care: venous insuffisiency

9.

Code management

10. Crisis intervention

11. Defribilator management : external
12. Defribilator management : internal
13. Documentation
14. Dysrithmia management
15. Electrolyte management
16. Emergency care
17. Family presence fasilitation
18. First aid
19. Fluid / electrolyte management
20. Fluid resuscitation
21. Heat exposure treatment
22. Hypovolemia management
23. Intravenouse Insertion
24. Intravonouse therapy
25. Mechanical ventilation management : noninvasive
26. Medication administration
27. Neurological monitoring
28. Oxygen therapy
29. Pacemaker management : temporary
30. Pain management
31. Phebotomy : venous blood sample
32. Rape trauma treatment
33. Respiratory monitoring
34. Resuscitation
35. Seizure management
36. Shock management
37. Teaching : individual
38. Thrombolitic therapy management
39. Transport : interfacility

40. Transport : intrafacility

41. Triage : emergency centre
42. Triage : telephone
43. Vital signs monitoring
44. Wound care