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  • Nursing Care Plan Evaluation Form

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    Susmita Behera
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    This document outlines an evaluation proforma used to assess nursing care plans. It lists 11 criteria being evaluated, including identification data, history collection, physical examination, investigations, treatment, documentation in kardex and notes, prioritization of nursing diagnoses, use of the nursing process, health education provided, and a summary and conclusion. Points are allocated to each criterion, with a total of 50 points possible. Space is provided for remarks and signatures of the student and evaluator.

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    This document outlines an evaluation proforma used to assess nursing care plans. It lists 11 criteria being evaluated, including identification data, history collection, physical examination, investigations, treatment, documentation in kardex and notes, prioritization of nursing diagnoses, use of the nursing process, health education provided, and a summary and conclusion. Points are allocated to each criterion, with a total of 50 points possible. Space is provided for remarks and signatures of the student and evaluator.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    24 views2 pages

    Nursing Care Plan Evaluation Form

    Uploaded by

    Susmita Behera
    This document outlines an evaluation proforma used to assess nursing care plans. It lists 11 criteria being evaluated, including identification data, history collection, physical examination, investigations, treatment, documentation in kardex and notes, prioritization of nursing diagnoses, use of the nursing process, health education provided, and a summary and conclusion. Points are allocated to each criterion, with a total of 50 points possible. Space is provided for remarks and signatures of the student and evaluator.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    EVALUATION PROFORMA FOR NURSING CARE PLAN (GNM/B.

    SC)

    Name of the student :


    Clinical area :
    Name of the evaluator :
    Date & time :
    Course :

    S.NO CRITERIA MARKS MARKS


    ALLOTTED AWARDED
    1. Identification data 04

    2. History collection 04

    3. Nutritional assessment 05

    4. Physical examination 04

    5. Investigations 03

    6. Treatment 03

    7. Kardex & Nurses notes 08

    8. Prioritization of Nursing Diagnosis 05

    9. Nursing Process 08

    10. Health education 04

    11. Summary & conclusion 02

    TOTAL 50

    REMARKS :

    Signature of the Student Signature of the Evaluator

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