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CAPITOL UNIVERSITY

College of Nursing
Cagayan de Oro City
Name: Date:
Section/ CN: NCP #:

NURSING CARE PLAN

SUBJECTIVE OBJECTIVE

ASSESSMEN
T

DIAGNOSIS
(P&E/P.E.S
FORMAT)

SHORT TERM LONG TERM


Please follow S.M.A.R.T Planning.

PLANNING
(Goals and
Objective)

INTERVENTION RATIONALE
(Specify if Independent/Dependent/
Collaborative)
Intervention At least 5 interventions
(With
Rationale)

This should be based on the goals and objectives that you made.

EVALUATION

*PLEASE SAVE IN PDF FILE ONCE YOU SUBMIT THIS ACTIVITY.

MEDICAL-SURGICAL NURSING NCM 112

NURSING CARE PLAN (NCP) FORMAT Professor: Emman M. Parangue, R.N.


*ALSO, ERASE ALL HIGHLIGHTED PARTS ONCE YOU SUBMIT THIS.

MEDICAL-SURGICAL NURSING NCM 112

NURSING CARE PLAN (NCP) FORMAT Professor: Emman M. Parangue, R.N.

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