Manajemen Asuhan Keperawatan Gawat Darurat Service Excellent Pada Ny.H Dengan Head Injury Berat di Ruangan ICU Dewasa Kementerian Kesehatan RS Adam Malik Tahun 2025

room and intensive care unit (ICU). The purpose of the case study research aims to describe the manajement of emergency nursing care with excellent service for Mrs.H with severe head injury can cause increased intrakranial pressure,
impaired consciousness, and impaired vital functionts that require fast and appropriate treatment by competent emergency nursing personnel. The method used is a descriptive case study with a nursing process approach that inculeds assessment, diagnosis, planning, implementation, and evaluation. The nursing diagnoses found include impaired spontaneous ventilation, risk of ineffective cerebral perfusion, and impaired physical mobility. Nursing interventions are focused on maintaining adequate ventilation, preventing increased intracranial pressure and increasing patient mobility. The results showed that after three days of nursing care, the patient’s condition had not shown significants improvement because the patient’s level of consciousness was stil in a coma, but there was
stabilization of vital signs and no additionalcomplications. The conclusion is that implementing emergency nursing care management with the principle of service excellent can improve the quality of patient safety service, as well as the effectiveness of nurses’ action in treating patients with head injury.
Keyword: Management Emergency Nursing care, Excellent Service, Severe Head Injury