Daily Organizational Plan

Student Name: _____________________________________ Date: _____________________

Client’s Initials: _______ Room: _______ Age: _______ Staff Nurse: _____________________

Primary Diagnosis: ______________________________________________________________

Co-existing Conditions: __________________________________________________________

Hygiene: __________________ Activity: __________________ Diet: __________________

Dressings: ___________________ Tubes: ___________________ O2: _______________

Elimination: _________________ Other: _________________________________________

Tests: ______________________________ Prep Required: __________________________

MEDICAL DIAGNOSIS: Define and describe clinical manifestations of primary diagnosis

and co-existing conditions

PRIORITY ASSESSMENTS: Related to all diagnoses & conditions

PERTINENT LAB DATA DIAGNOSTIC TESTS (Pre/Post Care)

 TENTATIVE ORGANIZATIONAL PLAN

Patient 1: Patient 2:
Meds Time Original Revised Meds Time Original Revised
“ 0730 “ 0730

“ 0800 “ 0800

“ 0830 “ 0830

“ 0900 “ 0900

“ 0930 “ 0930

“ 1000 “ 1000

“ 1030 “ 1030

“ 1100 “ 1100

“ 1130 “ 1130

“ 1200 “ 1200

“ 1230 “ 1230

“ 1300 “ 1300

Client Client
Problems Problems

AM REPORT

Priority Checks Patient 1: Patient 2:

Day 1

Day 2