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BSU NCP Format Updated With Rubrics

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15 views

BSU NCP Format Updated With Rubrics

Uploaded by

2ryb2bbk4g
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NURSING CARE PLAN Document QF-CN-25 Revision 1

Code Number
(NCP)
Effectivity August 17, 2018

NAME/ INITIALS OF PATIENT:________________________________________________ AGE:____________ SEX: ___________ STATUS: ______________


ADDRESS: ________________________________________________________________ HOSPITAL: ______________________ WARD: _______________
PRINCIPAL MEDICAL DIAGNOSIS: ___________________________________________________________________________________________________
NURSING CARE PLAN DEVISED BY:_______________________________________________ YEAR AND SECTION:______________ GROUP______________
SCORING IMPLEMENTATION
CRITERIA VL L H VH

Correct 3 5 7 10
Clean 1 2 3 5
Complete 1 2 3 5
Assessment 3 5 7 10
Parameters
Nursing 3 5 7 10
Diagnosis
Short-term 1 2 3 5
Outcome
Long-term 1 2 3 5
Outcome
Nursing 3 5 7 10
Orders
Rationales 3 5 7 10
Actual 1 2 3 5
outcome
TOTAL SCORE

VH – Very High
H – High
L – Low
VL – Very Low

Rated by:

Date: __________________

Conforme:

Date:__________________ ACTUAL OUTCOME DATE AND TIME-RESOLVED


NURSING CARE PLAN Document QF-CN-25 Revision 1
(NCP) Code Number
Effectivity August 17, 2018
DATE AND TIME NURSING DIAGNOSIS SHORT–TERM AND LONG–TERM OUTCOMES

ASSESSMET PARAMETERS IMPLEMENTATION


NURSING ORDERS / APPROACHES RATIONALE

ACTUAL OUTCOME DATE AND TIME RESOLVED

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