Medical-surgical nurses provide holistic care to adult patients experiencing acute or chronic illness in various healthcare settings. They are responsible for assessing patients' needs, developing care plans, treating patients independently and collaboratively with other healthcare professionals, educating patients and families, and coordinating care. As patient advocates, educators, managers, and researchers, medical-surgical nurses play a key role in promoting health, preventing illness, and helping patients adapt to illness or recovery from surgery. Their duties have become more important as hospitals emphasize early discharge, requiring nurses to plan for patients' continuing care needs after leaving the hospital.

1. ROHMAN AZZAM
Universitas Muhammadiyah
Jakarta
Pengantar MedSurg Nursing:
Med-Surg Nurse, Peran, Tugas, dan
Tanggung Jawab Magister Keperawatan
dalam Penatalaksanaan Keperawatan
Kamis, 24-2-2022

3. Contents:
 Who is Nurse in Medical-surgical nursing?
 The Focus of MedSurg Nursing
 What is Needed by a Nurse Specialist In Medical-surgical
Nursing?
 MedSurg Nursing Positioning
 Medical Surgical Nurse Workplace
 MedSurg Nurse Salary & Job Outlook
 Practice Setting for MedSurg Nurses (Scope)
 The Role of MedSurg Nurses
 Med-Surg Nurse Today: Tugas, Tanggung Jawab

4. Who is Nurse in Medical-surgical
nursing?
Medical-surgical nurses are
NURSES PROVIDE NURSING
CARE TO ADULTS experience
complex variation in health.
(Canadian Association of Medical and Surgical Nurses, March 2012)

5. Who is Nurse in Medical-surgical
nursing?
Registered Nurses in this specialty practice
primarily on hospital units and care for adult
patients who are acutely ill with a wide
variety of medical problems and diseases or
are recovering from surgery.
https://www.amsn.org/practice-resources/what-medical-surgical-nursing

6. Who is Medical-Surgical Nurse
Specialist?
The Medical-Surgical Clinical Nurse Specialist (CNS) is
the clinical expert in evidence-based nursing practice in
adult health care.
https://www.amsn.org/sites/default/files/documents/practice-resources/scope-and-standards/AMSN-Scope-
Standards-MS-CNS.pdf

7. The Focus of MedSurg Nursing
The Focus of MedSurg Nursing is
on the adulth client with acute
and chronic illness in any health
care setting or on the client who
is at risk for illness
(Ignatavicius & Workman, 2018)

8. What is Needed by a Nurse Specialist In
Medical-surgical Nursing?
…..need a have broad knowledge of the biologic,
psychological, and social sciences....,
because their clients have a
range of needs, to achivement of an optimal level of
wellness & the prevention of illness.
(Ignatavicius & Workman, 2018)

9. MedSurg Nursing Positioning
 MedSurg nursing adalah dasar dari semua praktik
keperawatan.
 Saat ini lebih banyak perawat memilih bekerja dlm
spesialisasi MedSurg nursing.

10. Medical Surgical Nurse Workplace
 Medical surgical nurses work in a variety of care settings
 Acute care hospital (the most common place of work)
 Inpatient clinics,
 Health maintenance organizations (HMOs),
 Education positions,
 Outpatient or ambulatory care centers,
 Nursing homes,
 Military facilities,
 Home health care facilities, or
 Outpatient surgical centers.
https://www.incrediblehealth.com/blog/complete-guide-to-med-surg-nursing/ (2021)

11. MedSurg Nurse Salary & Job Outlook
 The field of nursing has been and continues to
grow in a strong positive direction (12% growth
per the BLS)
 Income for a med-surg nurse can vary greatly
(related to geography, facility, level of education,
etc.), the average pay for a med-surg RN is
approximately $77,000/year.
https://www.incrediblehealth.com/blog/complete-guide-to-med-surg-nursing/ (2021)

12. Practice Setting for MedSurg Nurses
(Scope)—1
 Hospital setting:
 Critical care unit
 Intermediate
 Specialty care unit
 Long term care units
 Community-based (home care) setting
to provide care for primarily adult patients before
and after surgical procedures.
(http://allnurses.com/medical-surgical-nursing/; Ignatavicius & Workman, 2018)

13. Practice Setting for MedSurg Nurses
(Scope)—2
 Unit Keperawatan Kritis:
 Area utk ps dg keadaan komplek & kritis.
 Shock, trauma, neurosurgical.
 Departemen emergensi.
 Perawat:
 punya sense thd situasi krisis
 mampu tetap efektif pada situasi stresfull
 rasio p:k = 1:2 atau 1:3
(Ignatavicius & Workman, 2018)

14. Practice Setting for MedSurg Nurses
(Scope)—3
 Long-Term Care Unit:
 Pasien membutuhkan perawatan dlm waktu lama: beberapa
minggu-bulan
 Sinonim dg nursing home care
 Unit perawatan transisi
 Fasilitas perawatan kronik
 Pusat rehabilitasi
(Ignatavicius & Workman, 2018)

15. Peran
Perawat
MedSurg
Practitioner
-Caregiver
Advocate
Educator
Manager
Researcher
(Ignatavicius & Workman, 2018; Smeltzer et al, 2010)

16. The Nurse as Practitioner
 One of the central roles of the nurse is to provide
holistic care to patients and their families
 Done independently and through collaboration with
other health care professionals.
(Ignatavicius & Workman, 2018; Smeltzer et al, 2010)

17. The Nurse as Practitioner
 Assess client
 Analyzies collected information to determine
client’s need
 Develop “nursing diagnosis” and “collaborative
problems”
 Develop “care plan” and “carry out the plan with
the health care team”
 Evaluate care given.
(Ignatavicius & Workman, 2018; Smeltzer et al, 2010)

18. The Nurse as Practitioner
 Memenuhi kebutuhan fisik, psikososial dan spiritual.
 Aktivitasnya di kategorikan sbg:
 Independen
 Dilakukan perawat tanpa dipengaruhi tim kes lain.
 Misalnya: elevating the head of bed to facilitating breathing or reducting
intracranial pressure
 Kolaboratif (interdependen)
 Ditentukan bersama-sama perawat dan anggota tim kes lain.
Misalnya: pemberian diet khusus
 Diorder oleh tim kes lain tetapi membutuhkan judgment
perawat untuk melakukannya. Misalnya: pemberian medikasi
(Ignatavicius & Workman, 2018; Smeltzer et al, 2010)

19. The Nurse as Patient Advocate
 Advocate for patients by protecting their rights
(including the right to health care) and
 Assisting patients and their families to make informed
decisions about health care.
(Ignatavicius & Workman, 2018; Smeltzer et al, 2010)

20. The Nurse as Educator
 HE is a primary responsibility of the nursing profession.
 Nursing care is directed toward:
 promoting,
 maintaining, and restoring health;
 preventing illness; and
 helping patients and families adapt to the residual effects of
illness.
 Teaching, in the form of patient education and health promotion, is
central to all of nursing activities.
 Peran ini SEKARANG semakin penting, karena kebijakan RS
untuk melakukan pemulangan dini.
(Ignatavicius & Workman, 2018; Smeltzer et al, 2010)

21. Manager/Coordinator of Care
 Tidaklah mudah memenuhi semua kebutuhan pasien.
 Sebagai koordinator—perlu berkolaborasi dg tim kes
lain secara interdisiplin
 Melalui “ronde klinik interdisiplin” dan “metode
komunikasi lainnya” mempermudah proses
perencanaan dan implementasi
(Ignatavicius & Workman, 2018; Smeltzer et al, 2010)

22. Continuing Care Planner
 Saat ini pelayanan kes telah menekankan “pemulangan dini
(early discharge)” dari rumah sakit.
 Peran MedSurg Nurse sbg “perencana asuhan lanjutan” menjadi
penting
 Proses:
 Mengkaji kebutuhan kesehatan ps
 Mengkaji kebutuhan pendidikan kes
 Mengkaji keadaan rumah: sumber2, support system, dan
peralatan, jika dibutuhkan
 Dilakukan oleh discharge planner atau case manager (umumnya
perawat, dapat juga social worker)
(Ignatavicius & Workman, 2018; Smeltzer et al, 2010)

23. The Nurse as Researcher
 Nurses identify potential research problems and
questions to increase nursing knowledge and improve
patient care.
 Use and evaluation of research findings in nursing
practice are essential to further the science of nursing.
(Ignatavicius & Workman, 2018; Smeltzer et al, 2010)

24. Med-Surg Nurse Today

26. WASSALAM
Terimakasih
ROHMAN AZZAM
Universitas Muhammadiyah
Jakarta