BSN 3 Sec 1 Grp X College of Nursing ASSESSMENT EXPLANATION OF OBJECTIVES NURSING INTERVENTIONS RATIONALE Expected THE PROBLEM outcome
Subjective: STO: Dx: STO:
Objective: SOURCE/S: Tx: LTO:
LTO: Edx:
Nursing Diagnosis:
1.1 NCP Guidelines and Format
College of Nursing Nursing Care Plan Assessment Explanation Objective intervention Rationale Evaluation of the /Expected problem outcome ( narrative or in diagram)
s> covert discussed goals based dx- must be Scientific Statements
data(symptom) what caused on the based on the principles, stating if client o > overt data the patient to nursing objectives theories or met the goals set (signs, develop the diagnoses – and concepts for patient or observable and problem should be subjective underlying not. Include measurable) S-M-A-R-T tx – nursing proposed A> nursing dx independent interventio modifications or that best reference: Short term dependent n present plan for describes the Long term collaborative/ improvement of problem being supportive nursing care. identified edx – based on the nursing assessment
Actual ncp- stated in past tense potential ncp – stated in future tense Last column – “evaluation” last column – “expected outcome”