West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

Nursing Care Plan

Name of Patient: __________________ Attending Physician:_______________________________
Age: __________ Ward/Bed Number: ________________ Impression/Diagnosis:_____________________________

Nursing
Clustered Cues Nursing Rationale Outcome Criteria Interventions Rationale Evaluation
Diagnosis

Student's Name:__________________________________________
Clinical Instructor:________________________________________