NURSING CARE PLAN

PATIENT INITIALS: AGE:

DATE: MEDICAL DIAGNOSIS:

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: SHORT TERM PLAN INDEPENDENT
EXPECTED OUTCOME :

OBJECTIVE:

OUTCOME:

LONG TERM PLAN

NAHEDA M. ACLA, SN-III

 LABORATORY
PROCEDURE RESULT NORMAL RANGE CLINICAL SIGNIFICANCE NURSING IMPLICATIONS
 DOSE/
NAME OF CLASSIFI ROUTE/ MECHANISM OF INDICATION CONTRAINDICA SIDE EFFECTS NURSING
DRUG CATION FREQUENCY ACTION TION IMPLICATIONS

GENERIC
NAME:

BRAND
NAME:

DRUG STUDY