CAPITOL UNIVERSITY
College of Nursing
Cagayan de Oro City
CU-QMS-NURSING-0017
Name of Student: _________________________________________________ Date of Assignment: ________________________________
Name of Patient: _________________________________________________ Ward: ____________________ Bed No. ________________
NURSING CARE PLAN
ASSESSMENT DATA NURSING DIAGNOSIS GOALS AND OBJECTIVES NURSING INTERVENTIONS AND EVALUATION
(Subjective & Objective Cues) (Problem and Etiology) RATIONALE
Issue: 05 April 2006 Revision Code : 003
CAPITOL UNIVERSITY
College of Nursing
Cagayan de Oro City
CU-QMS-NURSING-0018
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