Wesleyan University – Philippines

College of Nursing and Allied Medical Sciences

Tel No. (044) 463-2162; Fax No 463-0596 local 126

N u r s i n g C a r e P l a n
NAME: __________________________________________________________________ GROUP NO: ______________ BLOCK: ______________ DATE: ______________

NAME OF PATIENT: ________________________________________________________ MEDICAL DIAGNOSIS: ____________________________________________________________

ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Independent Nursing Actions:
“Nakagat po ako ng Impaired skin integrity After 3 days of
ahas” as verbalized by related to snake bite nursing Wound cleaning to prevent infection
the client intervention
patient will achieve Assess for vital signs to provide a baseline data
Subjective: complete healing.
-snake bite seen in right
leg

Dependent Nursing Actions:

Administer medication as prescribed

by the pyhsician

Collaborative Nursing Actions:

NOTE: This NCP Form must be accomplished in handwriting.

Clinical Instructor: __________________________________________________ RLE Coordinator: ____________________________________________________