Care Plan
NURSING CAREPLAN
Student Name _______________________ Dates of Care ___________________ Preceptor/Instructor__________________
Pt. Initials ______________ List Patient Diagnosis/Surgical Procedures:
Figure 1Careplan
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ASSESSMENT (Cluster Data)
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NURSING DIAGNOSIS (3 Diagnosis with R/T and AEB.) (Must be prioritized by Maslow.)
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OUTCOMES/GOALS (Must havea time frame.) (Must be measurable.)
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OUTCOME CRITERIA (Overall evaluation statements of goal. Met, partially met, not met. Include criteria AEB if partially or not met.) |
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Nursing Actions: (4 Interventions)
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Evaluation: (EACH nursing action must have an evaluation) |