Pediatric Nursing Care Plan
NUR203- Pediatrics
Fortis College
Nursing Care Plan
Q2 2019 1
FORTIS COLLEGE CUTLER RIDGE
ASSOCIATE DEGREE OF NURSING PROGRAM
NUR203 PEDIATRICS
NURSING CARE PLAN
Q1 2018
Date:
Instructor Name
Student Name
Patient Name
D.O.B
Age
Sex
Medical Diagnosis
Allergies
Name
Frequency
Safe Dosage Range
Indication
Side Effect
Nursing Consider -
ation
Medications
Precautions
Pathophysiology of medical diagnosis
Risk Factors
Clinical Manifestation(s)
Nursing Diagnosis
Expected Outcome
Nursing Interventions
Rationale
Nursing Diagnosis
Expected Outcome
Nursing Interventions
Rationale
.
Nursing Diagnosis
Expected Outcome
Nursing Interventions
Evaluation/Patient Response
Erickson’s Level of Development
What the client is actually.
What the client should be.
S.O.A.P. Notes
S: ____________________________________________________________________________________________________________________________________________________________________________________
O:
____________________________________________________________________________________________________________________________________________________________________________________
A:
____________________________________________________________________________________________________________________________________________________________________________________
P:
____________________________________________________________________________________________________________________________________________________________________________________
Head:
____________________________________________________________________________________________________________________________________________________________________________________
Ears:
____________________________________________________________________________________________________________________________________________________________________________________
Eyes:
____________________________________________________________________________________________________________________________________________________________________________________
Nose:
______________________________________________________________________________________________________________________________________ ________________________ ______________________
Throat:
_________________________________________________________ ____________ _____________________
_________________________________________________________ ____________ _____________________ Extremities:
____________________________________________________________________________________________________________________________________________________________________________________
Skin:
____________________________________________________________________________________________________________________________________________________________________________________
Neck:
____________________________________________________________________________________________________________________________________________________________________________________
Chest:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ____________________________________ _________
Heart:
____________________________________________________________________________________________________________________________________________________________________________________
Lungs:
____________________________________________________________________________________________________________________________________________________________________________________
Abdomen:
_______________________________________________________________________________________________________________________________________________________ ________________________ _____
GU:
___________________________________________________________________________________________________________________________________________________ ________________________ _________
References: