Care Plan

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NURSINGCAREPLANPage15.docx

NURSING CAREPLAN

Student Name _______________________ Dates of Care ___________________ Preceptor/Instructor__________________

Pt. Initials ______________ List Patient Diagnosis/Surgical Procedures:

Figure 1Careplan

ASSESSMENT

(Cluster Data)

NURSING DIAGNOSIS

(3 Diagnosis with R/T and AEB.) (Must be prioritized by Maslow.)

OUTCOMES/GOALS

(Must havea time frame.)

(Must be measurable.)

OUTCOME CRITERIA

(Overall evaluation statements of goal. Met, partially met, not met. Include criteria AEB if partially or not met.)

C =

O=

N=

C=

E=

P=

T=

S=

1.

Nursing Actions:

(4 Interventions)

Evaluation:

(EACH nursing action must have an evaluation)