NURSING PROCESS TEMPLATE

NURSING PROCESS TEMPLATE

NURSING PROCESS TEMPLATE:

Assessment (Recognizing Cues)

Which patient information is relevant? What patient data is most important? Which patient information is of immediate concern? Consider signs and symptoms, lab work, patient statements, H & P, and others. Consider subjective and objective data.

47456318800

Analysis (Analyzing Cues)

Which patient conditions are consistent with the cues? Do the cues support a particular patient condition? What cues are a cause for concern? What other information would help to establish the significance of a cue?

-38827046100

Analysis (Prioritizing Hypotheses)

What explanations are most likely? What is the most serious explanation? What is the priority order for safe and effective care?

47456444700

Planning (Generate Solutions)

What are the desirable outcomes? What interventions can achieve these outcomes? What should be avoided? (SMART Planning- specific, measurable, attainable, realistic/relevant, time-restricted- Goal setting)

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Implementation (Take actions)

How should the intervention or combination of interventions be performed, requested, communicated, taught, etc.? What are the priority interventions? (Mark with asterisk)

47455973800

Evaluation (Evaluating Outcomes)

What signs point to improving/declining/unchanged status? What interventions were effective? Are there other interventions that could be more effective? Did the patient’s care outlook or status improve?

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CONCEPT MAP TEMPLATE:

Recognizing Cues, (S&S)Disease Process/Pathophysiology/Risk Factors

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68694319016900301752056922

199263048524

34333132241191.

2.

3.

001.

2.

3.

Analyzing Cues/ConcernsPrioritizing Hypotheses

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Concerning

00Supporting

Concerning

862641066300

307100444809

94615989600

2941224458900

37266123067890034290002421991.

2.

3.

4.

5.

001.

2.

3.

4.

5.

Generate Solutions/Outcomes/Interventions Taking Action – (How To)SMART Planning

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2.

3.

4.

5.

001.

2.

3.

4.

5.

3053344106045

409754735476

left1848331.

2.

3.

4.

5.

001.

2.

3.

4.

5.

Evaluating Outcomes

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