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Nursing Process Checklist for Patient Care

The document provides instructions for nurses to complete a checklist assessing patients' personal needs and preferences over a 21-day period. Nurses are to check off daily that needs are being met, order tasks carefully, and have their work evaluated each morning and evening. The checklist includes sections to record patients' preferences and dislikes, and select orders from a list of 9 categories of needs including safety, comfort, cleanliness, elimination, nourishment, communication, acceptance, dignity, and mobility/rest.

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Ignatius Kashume
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59 views2 pages

Nursing Process Checklist for Patient Care

The document provides instructions for nurses to complete a checklist assessing patients' personal needs and preferences over a 21-day period. Nurses are to check off daily that needs are being met, order tasks carefully, and have their work evaluated each morning and evening. The checklist includes sections to record patients' preferences and dislikes, and select orders from a list of 9 categories of needs including safety, comfort, cleanliness, elimination, nourishment, communication, acceptance, dignity, and mobility/rest.

Uploaded by

Ignatius Kashume
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

20-07/120

MINSTRY OF HEALTH AND SOCIAL SERVICES


NURSING PROCESS: PHASE 1,2 AND 3 – PLANNING IMPLEMENTATION
Checklist FOR PATIENT’S PERSONAL NEEDS FOR SPECIAL ASSISTANCE PREFERENCES

INSTRUCTIONS: 1. Check each day that patient’s needs and preferences are being met.
2. Responsible nurse to supervise and order carefully and accurately each day
3. Sister/Nurse in charge to check above mentioned on evaluation round- morning,evening.

Name: ………………………………………………………………………… Reg no: ……………………………………………………… Ward: ………………………………………………………

3. Write down and sign each order.


4. Each order to be ticked off in appropriate Signature of Night Nurse:
box when it has been carried out

1. Tick off √daily all items selected/checked.


2. Do first thing in the morning

Indicate operating and number of


Year: Month: Date: post with red circle ●on the
Patient day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 appropriate day
Order Signature

Patient’s preferences

Patient’s dislikes

Signature of Night Nurse:


SELECT ORDERS TO CATER FOR SPECIAL ASSISTANCE REQUIRES TO MEET PERSONAL NEEDS
1. NEED FOR SAFETY, SECURITY, PROTECTION 4. NEED TO ELIMINATE

Bed guards Ambulant to toilet

Restrainer Assist to toilet – taxi

Bed steps Remain near patient in toilet

Bell at hand Provide commode

Provide bedpan/urinal

2. NEED FOR COMFORT/MAINTENANCE OF BODY TISSUE INTEGRITY


5. NEED FOR NOURISHMENT

Maintain body support/posture alignment by: Assist with food/fluid intake


Feed patient

Position: High/Semi-Fowlers Give tube feeds


Prone/Supine Encourage food/fluid intake

Fracture Board
Food Board
Foam pads (for heels, limbs etc.) 6. NEED TO COMMUNICATE
Pillows – 1,2,3 or more.
Encourage talking to others
Maintain circulation and integrity of skin and underlying tissue by:
7. NEED FOR ACCEPTANCE
Cradle
Change of position 1/2/4 hourly
Sheepskin Encourage group participation
Mattress – ripple/air/foam
Keep skin surface supple, dry, soft, undamaged (state how) 8. NEED TO RETAIN DIGNITY

Maintain body temperature homeostasis by: Encourage self -help


Allow personal choices re:
Blankets – 1,2,3 Clothing, belongings, bath-time, sleeping-time
Sheet only Create privacy

3. NEED FOR CLEANLINESS 9. NEED FOR MOBILITY, REST


Ambulant to bath/shower
Assist with care of mouth, nails, hair
Provide bowl wash/assist with bowl wash
Give full bed bath

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