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NurseReview.Org - Nursing Process

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  • 1. The Nursing Process
  • 2. The Nursing Process
    • An organizational framework for the practice of nursing
    • Orderly, systematic
    • Central to all nursing care
    • Encompasses all steps taken by the nurse in caring for a patient
  • 3. The Nursing Process
    • Assessment
    • Nursing Diagnosis
    • Planning
    • Implementation
    • Evaluation
  • 4. The Nursing Process
    • Assessment
    • Data collection (subjective, objective, environmental)
    • Medication history
    • Nursing assessment
    • Data analysis
  • 5. The Nursing Process
    • Nursing Diagnosis
    • Judgment or conclusion about the risk for—or actual—need/problem of the patient
    • NANDA format
  • 6. The Nursing Process
    • Planning
    • Identification of goals and outcome criteria
    • Prioritization
    • Time frame
  • 7. The Nursing Process
    • Implementation
    • Initiation and completion of the nursing care plan as defined by the nursing diagnoses and outcome criteria
    • Follow the “five rights” of medication administration
  • 8. The “Five Rights” of Medication Administration
    • Right drug
    • Right dose
    • Right time
    • Right route
    • Right patient
  • 9. The “Sixth Right”—System Analysis
    • The entire “system” of medication administration:
    • Ordering, dispensing, preparing, administering, documenting
  • 10. The Nursing Process
    • Evaluation
    • Ongoing part of the nursing process
    • Determining the status of the goals and outcomes of care
    • Monitoring the patient’s response to drug therapy
  • 11.
    • Instructors may wish to use EIC Image #9: Nursing Process and Holistic Needs