UNIVERSITY OF SOUTHERN MINDANAO

College Of Health Sciences

Department of Nursing

NURSING CARE PLAN

Name of Patient: ______________________________________________________ Age: _________ Sex: ______ Room: ____________Date:________________

Admitting Diagnosis: ___________________________________________________ Attending physician: _________________________Diet: ________________

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

Bibliography:

Submitted by: _________________________ Submitted by:___________________________

Student nurse Clinical Instructor
 UNIVERSITY OF SOUTHERN MINDANAO
College Of Health Sciences
Department of Nursing

DRUG STUDY

Name of Patient: __________________________________________________ Age: _____________ Sex: ________ Room: ____________ Date: ___________________
Admitting Diagnosis: ______________________________________________ Attending physician: _______________________________Diet: ____________________

Name of Drug Classification Indication Mechanism of Action Contraindication Side effects Adverse Effects Nursing
Responsibilities

Submitted by: _____________________________ Submitted to: _____________________________

Student nurse Clinical Instructor
 UNIVERSITY OF SOUTHERN MINDANAO
College Of Health Sciences
Department of Nursing

Name of Patient: ______________________________________________________ Age: _________ Sex: ______ Room: ____________Date:________________

Admitting Diagnosis: ___________________________________________________ Attending physician: _________________________Diet: ________________

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

Bibliography:

Submitted by: _________________________ Submitted by:___________________________

Student nurse Clinical Instructor
 UNIVERSITY OF SOUTHERN MINDANAO
College Of Health Sciences
Department of Nursing

DRUG STUDY

Name of Patient: __________________________________________________ Age: _____________ Sex: ________ Room: ____________ Date: ___________________
Admitting Diagnosis: ______________________________________________ Attending physician: _______________________________Diet: ____________________

Name of Drug Classification Indication Mechanism of Action Contraindication Side effects Adverse Effects Nursing
Responsibilities

Submitted by: _____________________________ Submitted to: _____________________________

Student nurse Clinical Instructor
UNIVERSITY OF SOUTHERN MINDANAO
College Of Health Sciences
Department of Nursing