College of Nursing
Nursing Care Plan
NAME: DATE:
SECTION: BSN 3K - D NAME OF CI:
ASSESSMEN EXPLANATI OBJECTIVES NURSING RATIONALE EVALUATION
T ON OF THE INTERVENTIONS
PROBLEM
Subjective: _____________ STO: Dx: ________________________ STO:
_____________ ________________________
______________ ________________________ ________________________ (Goal Met)
_____________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
______________ ________________________ ________________________
_____________ ________________________ ________________________
Diagnosis: ________________________ ________________________
_____________ ________________________ ________________________
________________________ ________________________
College of Nursing
Nursing Care Plan
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
______________ _____________ ________________________ ________________________ ________________________ ________________________
_____________ ________________________ ________________________