The Nursing Process
Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.
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
Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.
The Nursing Process
• Assessment • Nursing Diagnosis
• Planning
• Implementation
• Evaluation
Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.
The Nursing Process
Assessment
• Data collection (subjective, objective, environmental) • Medication history • Nursing assessment • Data analysis
Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.
The Nursing Process
Nursing Diagnosis
• Judgment or conclusion about the risk for—or actual—need/problem of the patient • NANDA format
Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.
The Nursing Process
Planning
• Identification of goals and outcome criteria • Prioritization • Time frame
Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.
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
Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.
The “Five Rights” of Medication Administration
• Right drug • Right dose
• Right time
• Right route
• Right patient
Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.
The “Sixth Right”—System Analysis
• The entire “system” of medication administration: • Ordering, dispensing, preparing, administering, documenting
Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.
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
Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.
Instructors may wish to use EIC Image #9: Nursing Process and Holistic Needs
Copyright © 2002, 1998, Elsevier Science (USA). All rights reserved.