Medical Surgical Nursing Department

‫قسم التمريض الباطنى والجراحى‬ Nursing care plan

Student name: …………………………………………..
Patient name: ………………………. Age : ………….. Date of admission : ………… Room No: ………………
Diagnosis: …………………………. Sex : …………. Operation date: ……………. Bed No: ………………..
Diet : ……………………….. Level of activity: ………………………………… Hospital No: ………………

Date Nursing diagnosis Patient goal Nursing interventions Evaluation

Nursing Student's Signature

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