3.Nursing Process Upd

The Nursing Process

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

The Nursing Process
• An organizational framework for the practice of nursing • Orderly, systematic • Central to all nursing care • Encompasses all steps taken by the nurse in caring for a patient

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

The Nursing Process
• Assessment • Nursing Diagnosis • Planning • Implementation • Evaluation

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

The Nursing Process
Assessment
• Data collection (subjective, objective, environmental) • Medication history • Nursing assessment • Data analysis

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

The Nursing Process
Nursing Diagnosis
• Judgment or conclusion about the risk for—or actual —need/problem of the patient • NANDA format

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

The Nursing Process
Planning
• Identification of goals and outcome criteria • Prioritization • Time frame

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

The Nursing Process
Implementation
• Initiation and completion of the nursing care plan as defined by the nursing diagnoses and outcome criteria • Follow the “five rights” of medication administration

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

The “Five Rights” of Medication Administration
• Right drug • Right dose • Right time • Right route • Right patient

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

The “Sixth Right”—System Analysis
• The entire “system” of medication administration: • Ordering, dispensing, preparing, administering, documenting

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

The Nursing Process
Evaluation
• Ongoing part of the nursing process • Determining the status of the goals and outcomes of care • Monitoring the patient’s response to drug therapy

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

Instructors may wish to use EIC Image #9: Nursing Process and Holistic Needs

Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.

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