Ncp Form.docx

SAINT GABRIEL COLLEGE COLLEGE OF NURSING

NURSING CARE PLAN Name of Patient: _________________________________ Age: _____________________ Ward/Bed Number: ________ Clustered Cues

Nursing Diagnosis

Rationale (Scientific Basis)

Objectives of Care/ Outcome Criteria (Subject+Verb+ Condition+ Criteria + Target Time)

Student’s Name: ______________________________________ Clinical Instructor: _____________________________________

Attending Physician: ________________ Impression/Diagnosis: ________________________ Nursing Interventions

Rationale (Scientific Basis)

Evaluation