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Assessment
Human need statements
Panning
Implementation
Evaluation
Guidelines for nursing care planning
Assessment
Collecting baseline data
Contraindications
Prohibits use of a drug under critical circumstances
Precautions
Significantly increases the risk of an adverse reaction to a drug
Planning: outcome identification
Provides a standard for measuring movement toward goals
Right drug
Medication order must be checked against the label or profile 3 times
Right dose
Dosage may differ depending on which indication the drug is used for.
Right reason or indication
Addresses the appropriateness in use of medication
Evaluation
Monitoring the fulfillment of outcomes
Documentation
Clear, concise, abbreviation-free documentation that records information
Formula for unit capsule
Formula for manual IV infusions
Routine or single “one time”
Given on a regular schedule with or without termination date
Stat
For administration once and given immediately
PRN
“As needed”