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NurseReview.Org - Nursing Process - Presentation
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The Nursing Process
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
The Nursing Process
• Assessment
• Nursing Diagnosis
• Planning
• Implementation
• Evaluation
The Nursing Process
• Assessment
• Data collection (subjective, objective, environmental)
• Medication history
• Nursing assessment
• Data analysis
The Nursing Process
• Nursing Diagnosis
• Judgment or conclusion about the risk for—or actual—need/problem of
the patient
• NANDA format
The Nursing Process
2. • Planning
• Identification of goals and outcome criteria
• Prioritization
• Time frame
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
The “Five Rights” of Medication Administration
• Right drug
• Right dose
• Right time
• Right route
• Right patient
The “Sixth Right”—System Analysis
• The entire “system” of medication administration:
• Ordering, dispensing, preparing, administering, documenting
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
• Instructors may wish to use EIC Image #9: Nursing Process and Holistic
Needs