CU-QMS-NURSING-0017

CAPITOL UNIVERSITY
COLLEGE OF NURSING

Name of Student: _________________________________________________ Date of Assignment: ________________________________

Name of Patient: _________________________________________________ Ward: ____________________ Bed No. ________________

NURSING CARE PLAN

ASSESSMENT DATA NURSING DIAGNOSIS GOALS AND NURSING INTERVENTIONS AND EVALUATION
(Subjective & Objective Cues) (Problem and Etiology) OBJECTIVES RATIONALE

Issue: 05 April 2006 Revision Code : 003

CU-QMS-NURSING-0018

CAPITOL UNIVERSITY
COLLEGE OF NURSING
Name of Student: _________________________________________________ Date of Assignment: ____________________________________________
Name of Patient: _________________________________________________ Ward: ____________________ Bed No. _____________________

DRUG STUDY

DRUG ORDER NURSING

(Generic name, brand name, MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS OF RESPONSIBILITIES/
classification, dosage, route, ACTION THE DRUG PRECAUTIONS
frequency)

Issue: 05 April 2006 Revision Code :003