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PRN 0120C Weekly Clinical Planning Sheet Student Name:: P I: A /S: A: N D: A D: A P: C: C: A L: D: P H D

This document contains a weekly clinical planning sheet for a nursing student. It includes sections for patient information, history, diagnoses, pathophysiology, treatments, references, vital signs, medications, labs/diagnostic tests, nurses' notes, nursing diagnoses, and goals. The sheet is used to plan care for a patient and includes spaces for the patient's details, condition, treatment plan, medications and their implications, lab results and nursing considerations, and developing nursing diagnoses and interventions to achieve desired outcomes.

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200 views7 pages

PRN 0120C Weekly Clinical Planning Sheet Student Name:: P I: A /S: A: N D: A D: A P: C: C: A L: D: P H D

This document contains a weekly clinical planning sheet for a nursing student. It includes sections for patient information, history, diagnoses, pathophysiology, treatments, references, vital signs, medications, labs/diagnostic tests, nurses' notes, nursing diagnoses, and goals. The sheet is used to plan care for a patient and includes spaces for the patient's details, condition, treatment plan, medications and their implications, lab results and nursing considerations, and developing nursing diagnoses and interventions to achieve desired outcomes.

Uploaded by

FindIt NowUsa
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PRN 0120C

Weekly Clinical Planning Sheet

Student Name:

PATIENT INITIALS: AGE/SEX: ALLERGIES: NURSE ON DUTY:

ADMISSION DATE: ADMITTING PHYSICIAN: CONSULTING PHYSICIAN: CODE STATUS:

ACTIVITY LEVEL: DIET:

PATIENT HISTORY AND DIAGNOSES:

PATHOPHYSIOLOGY:

PRN 0120C - Weekly Clinical Planning Sheet


TREATMENTS AND THERAPIES/NURSING INTERVENTIONS:

REFERENCES:

1. PATHOPHYSIOLOGY REFERENCE:

2: MEDICATION REFERENCE:

3. LAB AND DIAGNOSTIC REFERENCE:

4. NURSING DIAGNOSES REFERENCE:

OTHER REFERENCES:

VITAL SIGNS: TEMP PULSE RESPIRATIONS BLOOD PRESSURE PAIN LEVEL

TEMP PULSE RESPIRATIONS BLOOD PRESSURE PAIN LEVEL

ACCU-CHECKS

PRN 0120C - Weekly Clinical Planning Sheet


MEDICATIONS

NURSING IMPLICATIONS/SIDE EFFECTS


CLASSIFICATION AND PRIMARY ACTION OF
IS THIS ROUTE (WHAT SHOULD THE NURSE DO PRIOR TO GIVING
MEDICATION NAME MEDICATION
DOSAGE A SAFE FREQUENCY (HOW DO YOU ANY MEDICATION AND ESPECIALLY THIS
(TRADE & GENERIC NAMES) (WHY IS THIS PATIENT RECEIVING THIS DRUG
DOSE? GIVE IT?) MEDICATION AND WHAT ARE THE SIDE EFFECTS
AND WHAT IS THE THERAPEUTIC CLASS?)
COMMON TO THIS DRUG?)

LABS AND DIAGNOSTIC TESTS

PRN 0120C - Weekly Clinical Planning Sheet


TEST NAME ANALYSIS OF THE LAB RESULT NURSING CONSIDERATIONS
NORMAL VALUES LAB VALUE
(EX. CHEMISTRY, HEMATOLOGY/NA+, (WHAT ARE THE POSSIBLE (WHAT MIGHT YOU ANTICIPATE FOR
(WHAT IS THE REFERENCE RANGE?) (WHAT IS THE PATIENT’S RESULT?)
K+, HCT, HGB, XRAY, CULTURES) REASONS FOR THIS PATIENT?) THIS VALUE?)

PRN 0120C - Weekly Clinical Planning Sheet


NURSES’ NOTES:

PRN 0120C - Weekly Clinical Planning Sheet


NURSES’ NOTES:

PRN 0120C - Weekly Clinical Planning Sheet


NURSING DIAGNOSIS NOC – DESIRED PATIENT NIC - NURSING SCIENTIFIC RATIONALE EVALUATION
OUTCOME INTERVENTIONS
1.

2.

3.

PRN 0120C - Weekly Clinical Planning Sheet

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