Bulacan State University

COLLEGE OF NURSING
City of Malolos, Bulacan

NURSING CARE PLAN

Patient’s Initial: ___________ Age: ________ Gender: ________ Date Handled: _________________

Medical Diagnosis and/or Chief Complaint: _________________________ Clinical Area: __________________

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

Subjective: Short Term Goal: Independent: Short Term Evaluation:

Objective: Long Term Goal: Dependent: Long term Evaluation:

Interdependent/

Collaborative:

Student’s Name: _____________________________________ Yr&Sec/Group No. ______________

 Bulacan State University
COLLEGE OF NURSING
City of Malolos, Bulacan

DRUG STUDY

Patient’s Initial: ___________ Age: ________ Gender: ________ Date Handled: _________________

Medical Diagnosis and/or Chief Complaint: _____________________________ Clinical Area: __________________

Medications Date Route of Mechanism of Indication Contraindication Client’s Response Nursing Responsibilities
Ordered/ Administration/ Action
Given/ Dosage/
Taken Frequency
Generic: [This column Prior:
shall discuss and
Brand: untoward (side During:
and/or adverse
Classification: effects) reactions After:
on durgs]

Student’s Name: _____________________________________ Yr&Sec/Group No. ______________