NCP Form

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DAVAO DOCTORA COLLEGE

General Malvar St., Davao City


Nursing Program

NURSING CARE PLAN

Name of Patient: ______________________________________ Date of Admission: ___________________ Room: __________ Age: _________ Sex: _______ Civil
Status: _______ Chief Complaint: _____________________________________ Religion: ____________________ Attending Physician:
__________________________________
PROBLEM SCIENTIFIC BASIS GOALS/OBJECTIVES NURSING RATIONALE EVALUATION
CRITERIA INTERVENTIONS

REFERENCES:

BBN/DTS/2020
___________________________________
_ NAME OF STUDENT

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