Mrs. Ibni just moved to Semarang for about 2 Mrs. : Sure.

weeks. Mrs. Ibni has a son, named Jeremy. He

got cough since 2 days, and difficulty to breath N1
since this evening. Jeremy had medical history
of asthma. Mrs. Ibni decided to bring Jeremy
to the nearest hospital from her home. Mrs.
Ibni feeling confuse to seek the emergency Ro
room after arriving to the hospital, because she
never go to that hospital. Mr. John, who was a
security officer at that hospital see Mrs. Ibni N1
and cpme to her.
Jo : Good evening, madam. I’m John, a
security officer in here. May I help Ro
you?
Ib : Good evening, I’m Ibni. I want to
bring my son to the emergency room, N1
but I don’t know where is the
emergency room. Could you please Ro
show me how can I get there?
Jo : Sure. From this point, you can go
straight along this way. After the end N1
of this way, turn to left, go straight for
about twenty five meters. You already
arrive in front of emergency room, the Ro
ER is in your left side.
Ib : I,m sorry, Sir. I’m feeling confuse. N1
Jo : Oh, okay madam. I will bring you
there, just follow me.
Ib : Thankyou, Sir. Ro
John brings Mrs. Ibni to the emergency room. Nurse Emely conduct
N1 : Hello, Mr. John. Can I help you? measurement to Jeremy.
: My name is Emely, the nurse incharge
in this evening shift. Could you please
tell me what’s your name, and your
son’s name?
: My name is Jeane Rose, you can call
me Rose, and this is my son, Jeremy.
: Okay, can you tell me what is the
matter that bring you and your son to
this hospital?
: My son got cough since 2 days ago,
and start this evening he looked
difficulty to breath.
: Did he ever has the same complain
before?
: Yes, he did. He always difficulty to
breath if he got cough. He had
medical history of asthma.
: Okay. Does he have any allergies of
medication or food?
: Yes, he has allergies of shrimp and
scallop.
: Okay, I will do vital signs
measurement to Jemery and you can
go to the registration in front of this
emergency room.
: Okay, nurse.
the vital signs

Jo : Yes, Sir. This is Mrs. Ibni. She want to N1 : Hello, Jeremy. I’m Nurse Emely, that
bring her son to this ER. will care you in this time. Is it true that
you got cough since 2 days ago, and
N1 : Okay, I’ll check him. difficulty to breath since this evening?
Jo : Mrs. Rose, you have already admited Je : Yes, nurse. I feel slightly difficult to
to the ER, may I back to my office? breath.
Ro : Yes, of course. Thankyou for your N1 : Okay, I will measure your vital signs.
help, Sir. Don’t worry, it will not take a long
Jo : You’re welcome. time. How do you prefer, in lying
down or half of sitting down position?
Mr. John leaves Mrs. Rose and her son in
emergency room. Nurse Emily start to conduct Je : half of sitting down please.
nursing assessment. N1 : Sure. Could you please roll your sleve
N1 : Okay, madam. Could you put your son up? I want to check your blood
on this bed? pressure.
Je : Yes, of course. Doctor smith start conduct physical
examination.
Nurse start to check Jeremy’s blood presssure,
respiration rate, heart rate and body DS : Mrs. Rose, from the result of
temperature. Mrs. Rose back to Jeremy’s bed. examination, jeremy need to give
nebulization. Did he ever get
Ro : How are Jeremy’s vital signs? nebulization before?
N1 : His blood pressure is quite good, Ro : yes, he did. The last nebulization that
about 100/70 mmHg, but his he got was last year.
respiration is slightly high, about 28
bpm. His pulse is 100 bpm, and his DS : Okay, Jeremy. Now you will get
body temperatur is good, 36,50C. I nebulization again. I will ask nurse to
will give him an oxygenation, and prepare it for you.
inform this result to the doctor. Just
wait for a moment. Je : Okay, doctor.

Ro : Okay nurse, thankyou. Doctor Smith ask Nurse Richard to give

Nurse Emily gives oxygen theraphy to Jeremy
and then gives the information to the doctor
N1 : Doctor Smith, this is a new patient,
Jeremy 14 years old with shortness of
breath since this evening, and cough
since 2 days ago. He had asthma, and
allergies of shrimp and scallop. His
BP= 100/ 70 mmHd, RR= 28 bpm.
HR= 100 bpm, T= 36,5 0C. I already
gave him oxygenation 3 lt/mnt.
DS : Okay nurse, thankyou. I will check
him.
Doctor Smith comes to Jeremy and his mother.
DS : Hello, I’m doctor Smith. The doctor
onduty this evening shift. May I know
your name madam?
Ro : My name is Rose.
DS : and, what is your name, boy?
Je : I’m Jeremy.
DS : Okay, Jeremy I would like to examine
your respiration. I will place this
stethoscope on your chest, and then
you just take a deep breath and relese
as I ask you.
Je : Okay, Doctor.
Ds : May I start now?
Je : Yes, please.
nebulization to Jeremy.
DS : Nurse richard, could you help me
please?
Ri : Yes, of course Doctor. What would
you like me to do?
DS : Please give nebulization with 1 tube
of ventolin plus 1 tube of flexotide to
Jeremy, a patient on bed number 10.
This is the prescription.
Ri : Okay, Doctor. I got it.
Nurse Richard preparing the nebulization for
Jeremy. After finishing the preparation he
come to Jeremy.
Ri : Hello,I’m Nurse Richard. is it true
that you are Jeremy?and Mrs. Rose?
Je : Yes, Nurse.
Ro : Yes, nurse.
Ri : Okay, Jeremy, Mrs. Rose.... I would
like to give nebulization to Jeremy.
Had you ever get nebulization before?
Je : Yes, I had. I always get nebulization
at least two times annually.
Ri : Oh, so you already familiar with this
and know the procedure of it?
Je : Yes, of course.
Ri : Okay, if you had already familiar with
this, and know how the procedure,
Can I start it now? It will take for
about 15-20 minutes.
Je : Yes, please.
Ri : Okay, Jeremy, just relax and take a
deep breath.
Je : Okay.
Ri : Okay, Mrs. Rose. I will leave you for
a moment. I will check it in 15
minutes, to see the nebulization.
Ro : Okay, Nurse. Thankyou.
Ri : You’re walcome.
Nurse Richard leaves Jeremy’s bed. After 15
minutes Nurse Richard back to Jeremy’s bed to
see the nebulization.
Ri : Hello, Jeremy. How is the
nebulization? I think it’s enough.
Je :Yes, Nurse.
Ri : Do you feel more easier to breath?
Je : Yes, Nurse. I feel better, and easier to
breath.
Ri : Okay, I will inform to doctor Smith, so
he can check you again to evaluate
your condition. If you need something
you can call me in the nurse station
right there. Just wait for a moment.
Je & Ro : Okay, Nurse. Thankyou.
Ri : You’re welcome.
Nurse richard informs to the Doctor Smith that
the nebulization has already finished. Doctor
Smith examine the Jeremy’s condition. He told
to Mrs. Rose and Jeremy that her son can go
home with a prescription from the doctor.