You are on page 1of 2

West Visayas Sate University COLLEGE OF NURSING La Paz, Iloilo City

NURSING CARE PLAN


Name of Patient:_______________________________ Age: ___________ Clustered Cues Nursing Diagnosis Rationale Ward/Bed Number:______________ Outcome Criteria Nursing Interventions Attending Physician: ___________________ Impression/Diagnosis: _________________ Rationale Evaluation

Students Name: Clinical Instructor:

West Visayas Sate University COLLEGE OF NURSING La Paz, Iloilo City

DRUG STUDY
Name of Patient:_______________________________ Age: ___________ Name of Drug Dosage, Route, Frequency and Timing Dosage: Brand name: Route: Classification Frequency: Contraindications Side Effects Ward/Bed Number:______________ Indication Adverse Reactions Attending Physician: ___________________ Impression/Diagnosis: _________________ Special Precautions Nursing Responsibilities

Mechanism of Action

Generic name:

Timing:

Students Name: Clinical Instructor:

You might also like