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ST.

JOHN PAUL II COLLEGE OF DAVAO


Ecoland Drive, Matina, Davao City
COLLEGE OF NURSING

NURSING CARE PLAN

Name of Patient Age Sex Civil Status Chief Complain


Admitting Diagnosis Attending Physician
Date/Shift Ward Bed No. Care Plan By

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION WITH RATIONALE EVALUATION


ST. JOHN PAUL II COLLEGE OF DAVAO
Ecoland Drive, Matina, Davao City
COLLEGE OF NURSING

NAME:

DRUG STUDY

DRUG ORDER MECHANISM OF ACTION INDICATIONS CONTRAINDICATIONS ADVERSE EFFECT NURSING RESPONSIBILITIES
Generic Name:

Brand Name:

Classification:
COMPREHENSIVE QUESTION

NAME OF PT. WEIGHT.


DATE OF BIRTH. HEIGHT.
SEX. CHIEF COMPLAIN.
AGE. AGE OF MENARCHE
CIVIL STATUS. PATTERN OF MENSES
ADDRESS. GTPAL
RELIGION
NATIONALITY.
DATE OF ADMISSION.
ADMITTING DX.
ATTENDING PHYSICIAN.

FAMILY BACKGROUND. HX OF PAST ILLNESS


TYPES OF FAMILY VACCINATED SINCE BIRTH
WORK BOTH CHICKEN FOX
FINANCIAL RESOURCES HX OF HEREDITARY DIS.
HOW MANY SIBLINGS
AGE OF HUSBAND

HX OF PRESENT ILNESS
CURRENT SITUATION WHY ADMITTED
ST. JOHN PAUL II COLLEGE OF DAVAO
Ecoland Drive, Matina, Davao City
COLLEGE OF NURSING

ENDORSEMENT SHEET

DATE/SHIFT: AREA: CENSUS:

BED NO. PATIENT NAME DIAGNOSES DIET IVF/RATE/SITE LEVEL GADGETS/LABS MONITORING

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