URDANETA CITY UNIVERSITY

San Vicente West, Urdaneta City, Pangasinan 2428

COLLEGE OF HEALTH SCIENCES

Bachelor of Science in Nursing

NURSING CARE PLAN (NCP)

Name of Student:__Rhey anne Bentillo______________________ Year Level and Group: ___Bsn ll___________

Affiliating Agency/Area: ___________________________________ Month/Year of Exposure: _____________________

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

(at least 10)

Subjective: Problem, Etiology, Signs Short Term Goal: Independent: Short Term Goal Evaluation
(P.E.S.) format S.M.A.R.T. + Evidence ⮚ Assessment

-
if FULLY MET after 8 hrs of
⮚ Therapeutic
nursing interventions

- if PARTIALLY MET after 8 hrs of

nursing interventions
⮚ Educative

- if UNMET after 8 hrs of nursing

interventions
Dependent:
⮚ Assessment
Objective: INFERENCE Long Term Goal: - Long term Goal Evaluation
(at least 5) Scientific Explanation S.M.A.R.T.+ Evidence Therapeutic
(Diagram Form) - if FULLY MET After 2-3 days of
nursing interventions
⮚ Educative
if PARTIALLY MET After 2-3
-
days of nursing interventions

Interdependent/Collaborative
if UNMET After 2-3 days of
⮚ Assessment
nursing interventions
-
 ⮚ Therapeutic
-

Educative
-

Checked by: ________Maám Jennifer Marasigan Sison__________________ Date: ____October 22________________

Clinical Instructor’s Name and Signature