Foundations (Foundations (NUR3130))

The nursing process: Assessment Diagnosis Planning (Patient will…)(SMART) Implementation (Nurse will..) Evaluation subjective and objective data Subjective: What the patient says, feels, experiences Objective: Measurable data (Vital signs, Diagnostics, Pain) What to document when giving medication 1. Right patient 2. Right medication 3. Right Dose 4. Right Route 5. Right Time 6. Right Documentation Three checks: 1.MAR 2. Band 3. Verbal Confirmation (DOB, F/L NAME) Routes: ...