assignment sheet nursing

The Ultimate Nursing Report Sheet Guide - Free Downloads!

As a nurse, you know the importance of clear and concise communication, especially when it comes to patient care. Nursing report sheets play a vital role in ensuring seamless handovers between shifts, ultimately contributing to improved patient outcomes. However, navigating these sheets can sometimes feel overwhelming, especially for new nurses.

What are Nursing Report Sheets?

Nursing report sheets are standardized forms used to document a patient's condition, including vital signs, medications, treatments, and any relevant observations. They serve as a communication tool between nurses, ensuring continuity of care throughout the patient's journey.

Benefits of Using Nursing Report Sheets:

• Improved patient care: Clear and accurate documentation facilitates better communication and collaboration among healthcare professionals, leading to improved patient care.
• Enhanced safety: Reporting potential risks and concerns helps identify and address issues promptly, ensuring patient safety.
• Reduced errors: Standardized formats minimize the risk of errors and omissions associated with free-form documentation.
• Increased efficiency: Pre-structured templates save time and improve efficiency during shift changes.

Essential Components of a Nursing Report Sheet:

• Patient demographics: Basic information like name, age, diagnosis, and admitting date.
• Vital signs: Temperature, pulse, blood pressure, respiratory rate, and oxygen saturation.
• Medications: Current medication list, including dosages, frequencies, and routes of administration.
• Treatments: Treatments received and planned, including interventions like dressing changes, oxygen therapy, and suctioning.
• Laboratory and diagnostic reports: Summary of recent tests and results.
• Neurological status: Level of consciousness, orientation, and any neurological deficits.
• Pain assessment and management: Description of pain, pain score, and current pain management strategies.
• Fluid intake and output: Total intake and output for the shift.
• Activity and mobility: Level of independence and assistance required for daily activities.
• Skin integrity: Assessment of skin condition and any pressure injuries.
• Nutritional status: Dietary intake and any nutritional concerns.
• Discharge planning: Current discharge plan and any anticipated needs.

Tips for Using Nursing Report Sheets Effectively:

• Complete the sheet comprehensively and accurately.
• Use clear and concise language.
• Document all relevant observations and concerns.
• Proofread the sheet carefully before handing off to the next nurse.
• Ask questions and clarify any uncertainties.
• Utilize standardized abbreviations and terminology.

By mastering nursing report sheets, you can enhance communication, improve patient care, and ensure a smooth and safe transition between shifts. Remember, accurate and efficient reporting is not just a good practice, it's a vital aspect of providing quality patient care.

10 Free Nursing Report Sheet Downloads

Our report sheets are used extensively throughout health systems across the country.

• Download and print PDFs, or edit in Google Docs/Microsoft Word.
• 1-4 patients per sheet, with portrait and landscape options.
• SBAR and Brain format:  Perfect for Med-Surg, ICU, Tele, Step-Down, and ER units.

1. Full-Size SBAR Nurse Report Sheet

• Perfect for new grads and nursing students
• Fly through report by circling options instead of writing everything
• 1 patient per sheet
• SBAR format
• Great for all units

2. Brain Nursing Report Sheet Template

• Brain format

3. ICU Nurse Report Sheet

• Great for ICU

4. Mini SBAR Nursing Report Sheet

• 3 patients per sheet
• Quick report taking with circling options
• Great for med surg and tele units

5. 4 Patient Nurse Report Sheet

• 4 patients per sheet

6. Brain Nursing Report Sheet

7. 2 Patient Landscape Nurse Report Sheet

• 2 patients per sheet

8. 3 Patient SBAR Nurse Report Sheet

9. Full-size Nurse Report Sheet Template

10. History and Physical Template

• H&P format
• Great for nurse practitioners and NP students

Free Downloads!

The importance of ai in nurse clinical tracking systems.

In the rapidly advancing field of healthcare, the integration of Artificial Intelligence (AI) has become a cornerstone of innovation, transforming various aspects of healthcare.

Comprehensive Guide to Nursing Clinical Tracking

Clinical tracking systems are indispensable tools for nursing education programs that provide robust solutions for managing and tracking clinical hours, competencies, and student performance. As the demand for skilled nursing professionals increases, educational institutions must adopt efficient tracking systems to ensure their students meet all required clinical competencies. This article

The Role of Clinical Tracking Systems in Nursing Education

Clinical tracking systems have become indispensable tools in nursing education, revolutionizing how programs manage and assess clinical competencies. These systems provide real-time data collection, streamline reporting, and enhance the overall learning experience for nursing students. Key Benefits of Clinical Tracking Systems 1. Real-Time Data Collection Clinical tracking systems enable real-time

Electronic Clinical Tracking Systems For Nursing Educators

The landscape of nursing education is evolving. With a growing emphasis on practical experience and competency-based learning, educators are seeking innovative solutions to track and assess student progress effectively. Enter Electronic Clinical Tracking Systems (ECTS), a game-changer in the world of nursing education. The Rise of ECTS in Nursing Schools

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• 10+ Nursing Student Assignment Sheet Templates in PDF | Word

Student assignments are necessary to know the impact of education on school students, keeping in mind the standard and surroundings of education. A student assignment can determine the potential strength of every individual student. To perceive the progress and result of the method of education followed in your faculty or school you’ll be able to use sheet templates that how your given assignment sheet worked out to the nursing students of your institute.

Step 1: Set a Goal

Step 2: rating scale, step 3: guarantee qualified surroundings, step 4: live student satisfaction, step 5: implement your assignment results.

Nursing Student Mission Statement Template

Nursing student cover letter, nursing student reference letter, nursing student cv template, nursing student care plan template.

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‘Nursing is on the front line in times of war and elections’

STEVE FORD, EDITOR

• You are here: Students

‘Top tips for starting a student nurse assignment’

08 September, 2022 By Soneika Atkinson

According to the Nursing and Midwifery Council, practice must account for 50% of learning; this means that you will learn in a placement environment.

However, for the other 50% in areas of academia, accomplishing assignments is an integral part of the learning process.

“There are some assignment preparation generalisations that all students should embrace”

Most assignments contribute to students’ grades at the end of their courses. As such, assignments should not be taken lightly.

Students should ensure that all assignments are done to the best of their abilities, so they may be able to get maximum scores.

Regardless of the different areas in which students study and the assignment types, there are some assignment preparation generalisations that all students should embrace.

These include, but are not limited to, understanding the assignment, doing research, planning, writing, reviewing, and reading the recommended reading material.

Prior to beginning an assignment, students ought to ensure they investigate the assignment and address and comprehend what they are required to do. This will assist them with directing the task and deciding the construction of the task.

Comprehending the assignment will guarantee that it doesn’t consist of unimportant data and isn’t muddled, which will prove deplorable.

Students ought to continuously understand what is required of them and what they are expected to produce.

If necessary, rehashing the guidelines will assist students with understanding what’s generally anticipated of them.

In addition, they likewise need to decide how long the task ought to be and the ways that they will proceed.

Doing research is another essential assignment preparation guideline. Students should explore their assignment subject and track down important and dependable data.

Before beginning an assignment, they should gather different material sources and make sure they follow the assignment guideline that will direct them.

It is imperative to go through different materials and then record highlights of the most important data to use in the assignment.

“Students ought to continuously understand what is required of them and what they are expected to produce”

This will include assessing the data found and decisive reasoning for perusing and examination. The writing cycle will be easier when they have all of the needed information.

Third, there should be ample planning. Planning how assignment questions can be answered will help students to concentrate more and make composing their tasks more straightforward.

A structure will be there to ensure they answer the questions accurately. Arranging an assignment likewise includes making a timetable for composing tasks, and students ought to guarantee that they adhere to their timetables.

Planning also includes double-checking cutoff times so they will not feel overpowered when their cutoff times are close.

Students should separate their time and undertakings into manageable chunks, so they will continuously be on top of their tasks.

Writing a draft before an assignment is also integral. Subsequent to finishing their assignment planning, the next thing students should do is compose their first drafts.

This segment is fundamentally free composition and students are urged to write as much as possible without agonising over the phrasing being 100% correct.

It is prudent to not invest excessive energy attempting to get this draft to perfection, as changes are likely. After drafting, students ought to then continue on toward the process of adjusting.

This includes amending the draft and ensuring that it checks out and incorporates all it needs. Cohesion and flow are vital in this assignment preparation step.

Students should guarantee that each passage or part of their assignment is clearly connected to one another before putting the final thing together. This is to ensure that whoever marks the assignment stays connected with the information.

“Students should guarantee that each passage or part of their assignment is clearly connected to one another ”

To accomplish this, students need to return to their assignment plan, then look for essential concepts that will assist them with smoothly connecting the sections.

Finally, preparing to do an assignment and reviewing the collected information is also essential. This is where students inspect if the accumulated data matches the assignment's context.

Here students should check their information against the rubric to ensure it matches. The design and logical arrangement of the data must likewise be entirely inspected and checks carried out to guarantee that all aspects of the assignment are appropriately covered by the data collected.

After all this, the assignment is now suitable for completing and submitting. This is when the assignment will be formally done and turned in.

Soneika Atkinson is a first-year student mental health nurse at the University of Essex, national volunteer manager at Raising Awareness of Mental Health in Higher Education and regional student quality ambassador, Health Education England 

Visit NT's Student section

More student blogs ‘We need to be aware of the power of touch’ ‘Student nurses should be encouraged to pursue management and leadership’ ‘A nurse’s journey in research should start as a student’ ‘The mentally unwell Muslims who suffer in silence’ ‘Patient education can challenge health inequalities’ ‘Student nurses champion improving the healthcare experiences of vulnerable groups’ ‘Mentorship training should be mandatory for registered nurses’ ‘Learning disability nurses should build on their presence in primary care’ ‘How caring during lockdown inspired me to lockdown on career goals’ ‘It is everyone's responsibility to broaden their knowledge of communication’ ‘Peer support should be seen as a vital part of team work’ ‘Virtual placement or virtually no placement’

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The Ultimate Guide to Nursing Assignments: 7 Tips and Strategies

Nursing assignments are a critical component of every nursing student’s academic journey. They serve as opportunities to test your knowledge, apply theoretical concepts to real-world scenarios, and develop essential skills necessary for your future nursing career. However, tackling nursing assignments can often be overwhelming, particularly when you’re juggling multiple responsibilities. In this comprehensive guide, we provide valuable tips, strategies, and expert assignment help services to help you excel in your nursing assignments. Whether you’re struggling with research, structuring your assignment, or proofreading, we’re here to support you every step of the way.

Understanding the Nursing Assignments

To excel in nursing assignments , it’s crucial to start by thoroughly understanding the requirements. Take the time to carefully read the assignment prompt, paying close attention to the topic, word count, formatting guidelines, and any specific instructions provided by your instructor. Understanding these key components will ensure that you meet all the necessary criteria.

Conducting Thorough Research

Once you have a clear understanding of the assignment, it’s time to conduct thorough research. Solid research forms the foundation of any successful nursing assignment. Begin by gathering relevant and credible sources, such as nursing textbooks, scholarly articles, reputable websites , and academic databases specific to nursing. These resources will provide you with evidence-based information to support your arguments and demonstrate your understanding of the topic.

Creating a Well-Structured Outline

A well-structured outline is essential for organizing your thoughts and ensuring a logical flow in your nursing assignment. An effective outline acts as a roadmap, guiding you through the writing process and ensuring that you cover all the necessary points.

At [Your Service Name], our expert writers can assist you in creating a comprehensive outline tailored to your specific assignment. By collaborating with us, you can receive personalized guidance in organizing your ideas effectively and structuring your assignment in a logical manner. Our writers understand the nuances of nursing assignments and can help you identify the most important concepts and supporting evidence to include.

Using a Professional Tone

Maintaining a professional tone throughout your nursing assignment is crucial. As aspiring healthcare professionals, it’s essential to communicate your ideas with clarity, conciseness, and professionalism. Use clear and concise language, avoiding jargon or slang that may hinder the reader’s understanding. Present your arguments and supporting evidence in a logical and coherent manner, demonstrating your ability to think critically and apply nursing principles.

Our expert writers have extensive experience in academic writing within the field of nursing. They possess a deep understanding of the professional tone required for nursing assignments and can ensure that your assignment is written to the highest standards. By collaborating with us, you can receive guidance in maintaining a professional tone and effectively conveying your ideas.

Incorporating Practical Examples

In addition to a professional tone, incorporating practical examples into your nursing assignment can greatly enhance its quality. Practical examples bring theoretical concepts to life, illustrating their application in real-life scenarios. They demonstrate your understanding of nursing principles and showcase your ability to bridge the gap between theory and practice.

Our team consists of experienced nursing professionals who can assist you in incorporating relevant practical examples into your assignment. Drawing from their extensive knowledge and expertise, they can provide you with real-life scenarios or case studies that strengthen the impact and credibility of your work. By collaborating with us, you can elevate the quality of your assignment by demonstrating your ability to apply nursing concepts in practical settings.

Proofreading and Editing

Proofreading and editing are essential steps in the assignment writing process. They ensure that your nursing assignment is polished, error-free, and effectively communicates your ideas. After completing the initial draft, it’s crucial to take a break and return to your work with fresh eyes. During the proofreading stage, carefully review your assignment for grammar, spelling, punctuation, and sentence structure. Correct any errors and inconsistencies that may affect the clarity and professionalism of your writing.

At nursingresearchhelp.com , we have a dedicated team of proofreaders and editors who specialize in nursing assignments. They meticulously review your work, ensuring that it adheres to formatting guidelines and meets the highest standards of academic writing. Our proofreaders and editors will help you refine your assignment, ensuring that it is polished and error-free. By collaborating with us, you can rest assured that your assignment will be thoroughly reviewed and refined before submission.

Seeking Help When Needed

In addition to proofreading and editing, it’s important to seek help when needed. Nursing assignments can be challenging, and it’s perfectly normal to require assistance. Whether you’re facing difficulties in understanding the assignment prompt, need guidance in specific areas, or simply want a fresh perspective on your work, don’t hesitate to reach out for support.

Our friendly and knowledgeable support team is always available to address any questions or concerns you may have. We understand the unique challenges faced by nursing students and can provide you with the guidance and clarification you need. By seeking help when needed, you can overcome obstacles and ensure the successful completion of your nursing assignments.

Mastering nursing assignments is within your reach with the right tips, strategies, and expert assignment help services. At nursingresearchhelp.com we are committed to supporting nursing students in excelling in their academic pursuits. Our experienced writers, proofreaders, and editors can provide personalized assistance throughout the assignment writing process, ensuring that your assignments meet the highest standards of quality and professionalism.

With our help, you can confidently tackle your nursing assignments and overcome any challenges you may face. Visit our website nursingresearchhelp.com to learn more about our services and how we can support you in achieving academic excellence. Whether you need guidance in understanding the assignment, conducting thorough research, creating a well-structured outline, using a professional tone, incorporating practical examples, or ensuring a polished final product, we are here to assist you. Trust us for reliable and professional assignment help tailored to your needs.

Don’t let the challenges of nursing assignments hold you back—reach out to us for reliable and professional assignment help tailored to your needs.

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What is a Nursing Brain Sheet?

What is a nursing report sheet.

• How to Create
• Why They're Important

How to Read a Nursing Report Sheet

• Free Templates

Nursing report sheets, also commonly referred to as brain sheets or patient report sheets, are a valuable pre-made tool that nurses can use during a shift to keep important patient information. Truthfully, a report sheet is essential to making it through any shift. 

Keep reading to learn more about nursing report sheets and get free templates you can use!

A nursing report sheet is exactly what it sounds like. It’s a customized sheet that contains important information regarding the patient and their medical history. 

How Nurses Use Brain Sheets

Essentially, it is used to tell you the “down and dirty” about your patient. While every nurse should be going through their patient’s charts at the beginning of the shift and then throughout the shift, a nursing report sheet can be used to keep tasks and “to-do’s” organized. 

How Hospitals Use Them

Some hospitals will have one nursing report sheet that will get updated each shift with a specific patient, while others hospitals will expect nurses to write a new report sheet with each shift. 

Report sheets may go with the patient when transferred between units and are ultimately discarded when the patient is discharged. 

How to Create a Nursing Brain Sheet

What’s included on a nursing report sheet varies depending on the hospital, unit, and the individual. It will depend on the expectations and policies of the hospital, and it’s important to speak to the nurse educator to determine the unit’s best practices. 

Examples of what to include on a nursing report sheet include,

• Patient Information, including name, date of birth, room number
• Medical diagnosis
• Attending medical provider/coverage team
• Medication(s)
• Vital Signs
• Lab results, pending lab work
• Important procedures
• Family information
• To-do(s) for shift
• Nursing notes

Why Do You Need a Nursing Report Sheet?

Nursing report sheets can be the key to success when organizing information about your patients, especially if you work on a medical-surgical floor and have a higher patient/nurse ratio. 

There are some key benefits of the nursing report sheet, including, 

• Provide accountability 
• Improving the safety of the patient
• Standardized report
• Fast access to patient information
• Keeping charting organized
• Organizing patient care

Some nurses will read it from top to bottom, while others will organize it based on systems. 

Personally, most experienced nurses will organize their report sheets based on systems. Double-sided report sheets are even better, with one side having all the patient and medical information and the reverse side having an hourly checklist to help organize your shift.

To use a nursing report sheet, first start by including the information you can find in the chart, including basic patient personal information and health history. The remainder can be filled out during the shift report or after spending some time looking at the chart. 

3 Free Nursing Report & Brain Sheet Templates

Kathleen Gaines (nee Colduvell) is a nationally published writer turned Pediatric ICU nurse from Philadelphia with over 13 years of ICU experience. She has an extensive ICU background having formerly worked in the CICU and NICU at several major hospitals in the Philadelphia region. After earning her MSN in Education from Loyola University of New Orleans, she currently also teaches for several prominent Universities making sure the next generation is ready for the bedside. As a certified breastfeeding counselor and trauma certified nurse, she is always ready for the next nursing challenge.

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Nursing Care Plans (NCP) Ultimate Guide and List

Writing the  best   nursing care plan  requires a step-by-step approach to complete the parts needed for a care plan correctly. This tutorial will walk you through developing a care plan. This guide has the ultimate database and list of nursing care plans (NCP) and nursing diagnosis samples  for our student nurses and professional nurses to use—all for free! Care plan components, examples, objectives, and purposes are included with a detailed guide on writing an excellent nursing care plan or a template for your unit. 

Table of Contents

Standardized care plans, individualized care plans, purposes of a nursing care plan, three-column format, four-column format, student care plans, step 1: data collection or assessment, step 2: data analysis and organization, step 3: formulating your nursing diagnoses, step 4: setting priorities, short-term and long-term goals, components of goals and desired outcomes, types of nursing interventions, step 7: providing rationale, step 8: evaluation, step 9: putting it on paper, basic nursing and general care plans, surgery and perioperative care plans, cardiac care plans, endocrine and metabolic care plans, gastrointestinal, hematologic and lymphatic, infectious diseases, integumentary, maternal and newborn care plans, mental health and psychiatric, musculoskeletal, neurological, pediatric nursing care plans, reproductive, respiratory, recommended resources, references and sources, what is a nursing care plan.

A  nursing care plan (NCP)  is a formal process that correctly identifies existing needs and recognizes a client’s potential needs or risks. Care plans provide a way of communication among nurses, their patients, and other healthcare providers to achieve healthcare outcomes. Without the nursing care planning process, the quality and consistency of patient care would be lost.

Nursing care planning begins when the client is admitted to the agency and is continuously updated throughout in response to the client’s changes in condition and evaluation of goal achievement. Planning and delivering individualized or patient-centered care is the basis for excellence in nursing practice .

Types of Nursing Care Plans

Care plans can be informal or formal: An informal nursing care plan is a strategy of action that exists in the nurse ‘s mind. A  formal nursing care plan is a written or computerized guide that organizes the client’s care information.

Formal care plans are further subdivided into standardized care plans and individualized care plans:  Standardized care plans specify the nursing care for groups of clients with everyday needs.  Individualized care plans are tailored to meet a specific client’s unique needs or needs that are not addressed by the standardized care plan.

Standardized care plans are pre-developed guides by the nursing staff and health care agencies to ensure that patients with a particular condition receive consistent care. These care plans are used to ensure that minimally acceptable criteria are met and to promote the efficient use of the nurse’s time by removing the need to develop common activities that are done repeatedly for many of the clients on a nursing unit.

Standardized care plans are not tailored to a patient’s specific needs and goals and can provide a starting point for developing an individualized care plan .

Care plans listed in this guide are standard care plans which can serve as a framework or direction to develop an individualized care plan.

An individualized care plan care plan involves tailoring a standardized care plan to meet the specific needs and goals of the individual client and use approaches shown to be effective for a particular client. This approach allows more personalized and holistic care better suited to the client’s unique needs, strengths, and goals.

Additionally, individualized care plans can improve patient satisfaction . When patients feel that their care is tailored to their specific needs, they are more likely to feel heard and valued, leading to increased satisfaction with their care. This is particularly important in today’s healthcare environment , where patient satisfaction is increasingly used as a quality measure.

Tips on how to individualize a nursing care plan:

• Perform a comprehensive assessment of the patient’s health, history, health status, and desired goals.
• Involve the patient in the care planning process by asking them about their health goals and preferences. By involving the client, nurses can ensure that the care plan is aligned with the patient’s goals and preferences which can improve patient engagement and compliance with the care plan.
• Perform an ongoing assessment and evaluation as the patient’s health and goals can change. Adjust the care plan accordingly.

The following are the goals and objectives of writing a nursing care plan:

• Promote evidence-based nursing care and render pleasant and familiar conditions in hospitals or health centers.
• Support holistic care , which involves the whole person, including physical, psychological, social, and spiritual, with the management and prevention of the disease.
• Establish programs such as care pathways and care bundles. Care pathways involve a team effort to reach a consensus regarding standards of care and expected outcomes. In contrast, care bundles are related to best practices concerning care for a specific disease.
• Identify and distinguish goals and expected outcomes.
• Review communication and documentation of the care plan.
• Measure nursing care.

The following are the purposes and importance of writing a nursing care plan:

• Defines nurse’s role. Care plans help identify nurses’ unique and independent role in attending to clients’ overall health and well-being without relying entirely on a physician’s orders or interventions.
• Provides direction for individualized care of the client.  It serves as a roadmap for the care that will be provided to the patient and allows the nurse to think critically in developing interventions directly tailored to the individual.
• Continuity of care. Nurses from different shifts or departments can use the data to render the same quality and type of interventions to care for clients, therefore allowing clients to receive the most benefit from treatment.
• Coordinate care. Ensures that all members of the healthcare team are aware of the patient’s care needs and the actions that need to be taken to meet those needs preventing gaps in care.
• Documentation . It should accurately outline which observations to make, what nursing actions to carry out, and what instructions the client or family members require. If nursing care is not documented correctly in the care plan, there is no evidence the care was provided.
• Serves as a guide for assigning a specific staff to a specific client.  There are instances when a client’s care needs to be assigned to staff with particular and precise skills.
• Monitor progress. To help track the patient’s progress and make necessary adjustments to the care plan as the patient’s health status and goals change.
• Serves as a guide for reimbursement.  The insurance companies use the medical record to determine what they will pay concerning the hospital care received by the client.
• Defines client’s goals. It benefits nurses and clients by involving them in their treatment and care.

A nursing care plan (NCP) usually includes nursing diagnoses , client problems, expected outcomes, nursing interventions , and rationales . These components are elaborated on below:

• Client health assessment , medical results, and diagnostic reports are the first steps to developing a care plan. In particular, client assessment relates to the following areas and abilities: physical, emotional, sexual, psychosocial, cultural, spiritual/transpersonal, cognitive, functional, age-related, economic, and environmental. Information in this area can be subjective and objective.
• Nursing diagnosis . A nursing diagnosis is a statement that describes the patient’s health issue or concern. It is based on the information gathered about the patient’s health status during the assessment.
• Expected client outcomes. These are specific goals that will be achieved through nursing interventions . These may be long and short-term.
• Nursing interventions . These are specific actions that will be taken to address the nursing diagnosis and achieve expected outcomes . They should be based on best practices and evidence-based guidelines.
• Rationales. These are evidence-based explanations for the nursing interventions specified.
• Evaluation . These includes plans for monitoring and evaluating a patient’s progress and making necessary adjustments to the care plan as the patient’s health status and goals change.

Care Plan Formats

Nursing care plan formats are usually categorized or organized into four columns: (1) nursing diagnoses, (2) desired outcomes and goals, (3) nursing interventions, and (4) evaluation. Some agencies use a three-column plan where goals and evaluation are in the same column. Other agencies have a five-column plan that includes a column for assessment cues.

The three-column plan has a column for nursing diagnosis, outcomes and evaluation, and interventions.

This format includes columns for nursing diagnosis, goals and outcomes, interventions, and evaluation.

Below is a document containing sample templates for the different nursing care plan formats. Please feel free to edit, modify, and share the template.

Download: Printable Nursing Care Plan Templates and Formats

Student care plans are more lengthy and detailed than care plans used by working nurses because they serve as a learning activity for the student nurse.

Care plans by student nurses are usually required to be handwritten and have an additional column for “Rationale” or “Scientific Explanation” after the nursing interventions column. Rationales are scientific principles that explain the reasons for selecting a particular nursing intervention.

Writing a Nursing Care Plan

How do you write a nursing care plan (NCP)? Just follow the steps below to develop a care plan for your client.

The first step in writing a nursing care plan is to create a client database using assessment techniques and data collection methods ( physical assessment , health history , interview, medical records review, and diagnostic studies). A client database includes all the health information gathered . In this step, the nurse can identify the related or risk factors and defining characteristics that can be used to formulate a nursing diagnosis. Some agencies or nursing schools have specific assessment formats you can use.

Critical thinking is key in patient assessment, integrating knowledge across sciences and professional guidelines to inform evaluations. This process, crucial for complex clinical decision-making , aims to identify patients’ healthcare needs effectively, leveraging a supportive environment and reliable information

Now that you have information about the client’s health, analyze, cluster, and organize the data to formulate your nursing diagnosis, priorities, and desired outcomes.

Nursing diagnoses are a uniform way of identifying, focusing on and dealing with specific client needs and responses to actual and high-risk problems. Actual or potential health problems that can be prevented or resolved by independent nursing intervention are termed nursing diagnoses.

We’ve detailed the steps on how to formulate your nursing diagnoses in this guide:  Nursing Diagnosis (NDx): Complete Guide and List .

Setting priorities involves establishing a preferential sequence for addressing nursing diagnoses and interventions. In this step, the nurse and the client begin planning which of the identified problems requires attention first. Diagnoses can be ranked and grouped as having a high, medium, or low priority. Life-threatening problems should be given high priority.

A nursing diagnosis encompasses Maslow’s Hierarchy of Needs and helps to prioritize and plan care based on patient-centered outcomes. In 1943, Abraham Maslow developed a hierarchy based on basic fundamental needs innate to all individuals. Basic physiological needs/goals must be met before higher needs/goals can be achieved, such as self-esteem and self-actualization. Physiological and safety needs are the basis for implementing nursing care and interventions. Thus, they are at the base of Maslow’s pyramid, laying the foundation for physical and emotional health.

Maslow’s Hierarchy of Needs

• Basic Physiological Needs: Nutrition (water and food), elimination (Toileting), airway (suction)-breathing (oxygen)-circulation (pulse, cardiac monitor, blood pressure ) (ABCs), sleep , sex, shelter, and exercise.
• Safety and Security: Injury prevention ( side rails , call lights, hand hygiene , isolation , suicide precautions, fall precautions, car seats, helmets, seat belts), fostering a climate of trust and safety ( therapeutic relationship ), patient education (modifiable risk factors for stroke , heart disease).
• Love and Belonging: Foster supportive relationships, methods to avoid social isolation ( bullying ), employ active listening techniques, therapeutic communication , and sexual intimacy.
• Self-Esteem: Acceptance in the community, workforce, personal achievement, sense of control or empowerment, accepting one’s physical appearance or body habitus.
• Self-Actualization: Empowering environment, spiritual growth, ability to recognize the point of view of others, reaching one’s maximum potential.

The client’s health values and beliefs, priorities, resources available, and urgency are factors the nurse must consider when assigning priorities. Involve the client in the process to enhance cooperation.

Step 5: Establishing Client Goals and Desired Outcomes

After assigning priorities for your nursing diagnosis, the nurse and the client set goals for each determined priority. Goals or desired outcomes describe what the nurse hopes to achieve by implementing the nursing interventions derived from the client’s nursing diagnoses. Goals provide direction for planning interventions, serve as criteria for evaluating client progress, enable the client and nurse to determine which problems have been resolved, and help motivate the client and nurse by providing a sense of achievement.

One overall goal is determined for each nursing diagnosis. The terms “ goal outcomes “ and “expected outcome s” are often used interchangeably.

According to Hamilton and Price (2013), goals should be SMART . SMART stands for specific, measurable, attainable, realistic, and time-oriented goals.

• Specific. It should be clear, significant, and sensible for a goal to be effective.
• Measurable or Meaningful. Making sure a goal is measurable makes it easier to monitor progress and know when it reaches the desired result.
• Attainable or Action-Oriented. Goals should be flexible but remain possible.
• Realistic or Results-Oriented. This is important to look forward to effective and successful outcomes by keeping in mind the available resources at hand.
• Timely or Time-Oriented. Every goal needs a designated time parameter, a deadline to focus on, and something to work toward.

Hogston (2011) suggests using the REEPIG standards to ensure that care is of the highest standards. By this means, nursing care plans should be:

• Realistic. Given available resources. 
• Explicitly stated. Be clear about precisely what must be done, so there is no room for misinterpretation of instructions.
• Evidence-based. That there is research that supports what is being proposed. 
• Prioritized. The most urgent problems are being dealt with first. 
• Involve. Involve both the patient and other members of the multidisciplinary team who are going to be involved in implementing the care.
• Goal-centered. That the care planned will meet and achieve the goal set.

Goals and expected outcomes must be measurable and client-centered.  Goals are constructed by focusing on problem prevention, resolution, and rehabilitation. Goals can be short-term or long-term . Most goals are short-term in an acute care setting since much of the nurse’s time is spent on the client’s immediate needs. Long-term goals are often used for clients who have chronic health problems or live at home, in nursing homes, or in extended-care facilities.

• Short-term goal . A statement distinguishing a shift in behavior that can be completed immediately, usually within a few hours or days.
• Long-term goal . Indicates an objective to be completed over a longer period, usually weeks or months.
• Discharge planning . Involves naming long-term goals, therefore promoting continued restorative care and problem resolution through home health, physical therapy, or various other referral sources.

Goals or desired outcome statements usually have four components: a subject, a verb, conditions or modifiers, and a criterion of desired performance.

• Subject. The subject is the client, any part of the client, or some attribute of the client (i.e., pulse, temperature, urinary output). That subject is often omitted in writing goals because it is assumed that the subject is the client unless indicated otherwise (family, significant other ).
• Verb. The verb specifies an action the client is to perform, for example, what the client is to do, learn, or experience.
• Conditions or modifiers. These are the “what, when, where, or how” that are added to the verb to explain the circumstances under which the behavior is to be performed.
• Criterion of desired performance. The criterion indicates the standard by which a performance is evaluated or the level at which the client will perform the specified behavior. These are optional.

When writing goals and desired outcomes, the nurse should follow these tips:

• Write goals and outcomes in terms of client responses and not as activities of the nurse. Begin each goal with “Client will […]” help focus the goal on client behavior and responses.
• Avoid writing goals on what the nurse hopes to accomplish, and focus on what the client will do.
• Use observable, measurable terms for outcomes. Avoid using vague words that require interpretation or judgment of the observer.
• Desired outcomes should be realistic for the client’s resources, capabilities, limitations, and on the designated time span of care.
• Ensure that goals are compatible with the therapies of other professionals.
• Ensure that each goal is derived from only one nursing diagnosis. Keeping it this way facilitates evaluation of care by ensuring that planned nursing interventions are clearly related to the diagnosis set.
• Lastly, make sure that the client considers the goals important and values them to ensure cooperation.

Step 6: Selecting Nursing Interventions

Nursing interventions are activities or actions that a nurse performs to achieve client goals. Interventions chosen should focus on eliminating or reducing the etiology of the priority nursing problem or diagnosis. As for risk nursing problems, interventions should focus on reducing the client’s risk factors. In this step, nursing interventions are identified and written during the planning step of the nursing process ; however, they are actually performed during the implementation step.

Nursing interventions can be independent, dependent, or collaborative:

• Independent nursing interventions are activities that nurses are licensed to initiate based on their sound judgement and skills. Includes: ongoing assessment, emotional support, providing comfort , teaching, physical care, and making referrals to other health care professionals.
• Dependent nursing interventions are activities carried out under the physician’s orders or supervision. Includes orders to direct the nurse to provide medications, intravenous therapy , diagnostic tests, treatments, diet, and activity or rest. Assessment and providing explanation while administering medical orders are also part of the dependent nursing interventions.
• Collaborative interventions are actions that the nurse carries out in collaboration with other health team members, such as physicians, social workers, dietitians, and therapists. These actions are developed in consultation with other health care professionals to gain their professional viewpoint.

Nursing interventions should be:

• Safe and appropriate for the client’s age, health, and condition.
• Achievable with the resources and time available.
• Inline with the client’s values, culture, and beliefs.
• Inline with other therapies.
• Based on nursing knowledge and experience or knowledge from relevant sciences.

When writing nursing interventions, follow these tips:

• Write the date and sign the plan. The date the plan is written is essential for evaluation, review, and future planning. The nurse’s signature demonstrates accountability.
• Nursing interventions should be specific and clearly stated, beginning with an action verb indicating what the nurse is expected to do. Action verb starts the intervention and must be precise. Qualifiers of how, when, where, time, frequency, and amount provide the content of the planned activity. For example: “ Educate parents on how to take temperature and notify of any changes,” or “ Assess urine for color, amount, odor, and turbidity.”
• Use only abbreviations accepted by the institution.

Rationales, also known as scientific explanations, explain why the nursing intervention was chosen for the NCP.

Rationales do not appear in regular care plans. They are included to assist nursing students in associating the pathophysiological and psychological principles with the selected nursing intervention.

Evaluation is a planned, ongoing, purposeful activity in which the client’s progress towards achieving goals or desired outcomes is assessed, and the effectiveness of the nursing care plan (NCP). Evaluation is an essential aspect of the nursing process because the conclusions drawn from this step determine whether the nursing intervention should be terminated, continued, or changed.

The client’s care plan is documented according to hospital policy and becomes part of the client’s permanent medical record, which may be reviewed by the oncoming nurse. Different nursing programs have different care plan formats. Most are designed so that the student systematically proceeds through the interrelated steps of the nursing process , and many use a five-column format.

Nursing Care Plan List

This section lists the sample nursing care plans (NCP) and nursing diagnoses for various diseases and health conditions. They are segmented into categories:

Miscellaneous nursing care plans examples that don’t fit other categories:

Care plans that involve surgical intervention .

Nursing care plans about the different diseases of the cardiovascular system :

Nursing care plans (NCP) related to the endocrine system and metabolism:

Care plans (NCP) covering the disorders of the gastrointestinal and digestive system :

Care plans related to the hematologic and lymphatic system:

NCPs for communicable and infectious diseases:

All about disorders and conditions affecting the integumentary system:

Nursing care plans about the care of the pregnant mother and her infant. See care plans for maternity and obstetric nursing:

Care plans for mental health and psychiatric nursing:

Care plans related to the musculoskeletal system:

Nursing care plans (NCP) for related to nervous system disorders:

Care plans relating to eye disorders:

Nursing care plans (NCP) for pediatric conditions and diseases:

Care plans related to the reproductive and sexual function disorders:

Care plans for respiratory system disorders:

Care plans related to the kidney and urinary system disorders:

Recommended nursing diagnosis and nursing care plan books and resources.

Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy .

Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care We love this book because of its evidence-based approach to nursing interventions. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking.

Nursing Care Plans – Nursing Diagnosis & Intervention (10th Edition) Includes over two hundred care plans that reflect the most recent evidence-based guidelines. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues, and on electrolytes and acid-base balance.

Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales Quick-reference tool includes all you need to identify the correct diagnoses for efficient patient care planning. The sixteenth edition includes the most recent nursing diagnoses and interventions and an alphabetized listing of nursing diagnoses covering more than 400 disorders.

Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care  Identify interventions to plan, individualize, and document care for more than 800 diseases and disorders. Only in the Nursing Diagnosis Manual will you find for each diagnosis subjectively and objectively – sample clinical applications, prioritized action/interventions with rationales – a documentation section, and much more!

All-in-One Nursing Care Planning Resource – E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health   Includes over 100 care plans for medical-surgical, maternity/OB, pediatrics, and psychiatric and mental health. Interprofessional “patient problems” focus familiarizes you with how to speak to patients.

Recommended reading materials and sources for this NCP guide: 

• Björvell, C., Thorell-Ekstrand, I., & Wredling, R. (2000). Development of an audit instrument for nursing care plans in the patient record.   BMJ Quality & Safety ,  9 (1), 6-13. [ Link ]
• DeLaune, S. C., & Ladner, P. K. (2011).  Fundamentals of nursing: Standards and practice . Cengage learning .
• Freitas, F. A., & Leonard, L. J. (2011). Maslow’s hierarchy of needs and student academic success .  Teaching and learning in Nursing ,  6 (1), 9-13.
• Hamilton, P., & Price, T. (2007). The nursing process, holistic.  Foundations of Nursing Practice E-Book: Fundamentals of Holistic Care , 349.
• Lee, T. T. (2004). Evaluation of computerized nursing care plan: instrument development .  Journal of Professional Nursing ,  20 (4), 230-238.
• Lee, T. T. (2006). Nurses’ perceptions of their documentation experiences in a computerized nursing care planning system .  Journal of Clinical Nursing ,  15 (11), 1376-1382.
• Rn , B. O. C., Rn, H. M., Rn, D. T., & Rn, F. E. (2000). Documenting and communicating patient care : Are nursing care plans redundant?.  International Journal of Nursing Practice ,  6 (5), 276-280.
• Stonehouse, D. (2017). Understanding the nursing process .  British Journal of Healthcare Assistants ,  11 (8), 388-391.
• Yildirim, B., & Ozkahraman, S. (2011). Critical thinking in nursing process and education .  International journal of humanities and social science ,  1 (13), 257-262.

67 thoughts on “Nursing Care Plans (NCP) Ultimate Guide and List”

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Will definitely use this site to help write care plans. How should I cite this link when using APA format. Thank You

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Risk for ineffective thermoregulation would be a good one for you to do next for newborn.

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What is a nursing care plan a mother in second stage of labour?

Please see: 36 Labor Stages, Induced and Augmented Labor Nursing Care Plans

What is the nursing care plan for pulmonary oedema?

I m interest in receiving a blank nursing care plan template for my students to type on. I was wondering if it was available and if so can you please direct me on where to find it?

Hi! You can download it here: Nursing Care Plan Template

I love this website!!! Is there a textbook version of the Nurseslabs that I can purchase??

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Hi Matt! I would like to purchase a textbook of your nursing care plan. Where I can purchase pls help!

Hi Criselda,

Sorry, we don’t have a textbook. All of our resources are here on the website and free to use.

Good day, I would like to know how can I use your website to help students with care plans.

Sincerely, Oscar A. Acosta DNP, RN

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These care plans are great for using as a template. I don’t have to reinvent the wheel, and the information you provided will ensure that I include the important data without leaving things out. Thanks a million!

Hi, I have learnt a lot, this is a wonderful note you’ve prepared for all nurses thank you.

Matt, this page is very informative and I especially appreciate seeing care plans for patients with neurological disorders. I notice, though, that traumatic brain injury is not on your list. Might you add a care plan page for this?

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Hi, is there a downloadable version of this, pdf or other files maybe this is awesome!

Hi Paul, on your browser go to File > Print > Save as PDF. Hope that helps and thanks for visiting Nurseslabs!

Matt, I’m a nursing instructor looking for tools to teach this. I am interested in where we can find “rules” for establishing “related to” sections…for example –not able to utilize medical diagnosis as a “related to” etc. Also, resources for nursing rationale.

Hello, please check out our guide on how to write nursing diagnoses here: https://nurseslabs.com/nursing-diagnosis/

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Hello Ujunwa, Thanks a lot for the positive vibes! 🌟 It’s super important to us that everyone has access to quality resources. Just wondering, is there any specific topic or area you’d love to see more about? We’re always looking to improve and add value!

Great work.

Hi Abbas, Thank you so much! Really glad to hear you found the nursing care plans guide useful. If there’s a specific area or topic you’re keen on exploring more, or if you have any suggestions for improvement, feel free to share. Always aiming to make our resources as helpful as possible!

It has been good time me to use these nursing guides.

What is ncp for acute pain

For everything you need to know about managing acute pain, including a detailed nursing care plan (NCP), definitely check out our acute pain nursing care plan guide . It’s packed with insights on assessment, interventions, and patient education to effectively manage and alleviate acute pain.

Good morning. I love this website

what is working knowledge on nursing standard, and Basic Life Support documentation?

Thank you for the website, it is awesome. I just have one question about the 1st set of ABG (Practice Exam) – The following are the values: pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmol/L, and PaO2 60 mm Hg…Definitely Respiratory Acidosis, but the HC03 is only 28 mmol/L..I thought HC03 of 28 mmol/L would be within the normal range and thus, no compensation, but the correct answer has partial compensation because of the HC03 value. What value ranges are you using for HC03. Thanks, EK Mickley, RN BSN

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Benefits of Nursing Assignment Sheets

Posted: June 15th, 2022

Are you a registered nurse looking for a way to keep track of your assignments? If so, creating nursing assignment sheets can be a great way to do this. They are a unit layout that captures aspects of patient care such as vital signs. Making assignments can be complex depending on factors like units, patients and amount of procedures in a facility.

Online resources like Etsy provide samples you can use to create your sheet. Tweak and adjust it to a specific length. With a good sheet, you can provide best care by taking time to cater to their emotional needs.

What is a nursing assignment sheet?

A Nursing assignment sheet is a document that RNs use to keep track of their assignments. It helps ensure the nurse does not overlook their vital work duties.

Different nursing assignment sheets

There are many types of Nursing assignment sheets. Some common types include:

– A master Nursing assignment sheet that lists all of your assignments in one place

– A Nursing assignment sheet template you can use to create your sheets

– A Nursing assignment sheet for each assignment that you have

– A Nursing assignment sheet for each patient that you care for

Creating Nursing assignment sheets

There is over one way to create a Nursing assignment sheet. One way is to use a word processing program, such as Microsoft Word, and create a table with the different assignments you have.

You can also use a spreadsheet program, such as Microsoft Excel, and create a Nursing assignment sheet template.

Once you have created your Nursing assignment sheet, populate it with the different assignments. To do this, you will need to find a way to get the information for each task. One way is to ask your supervisor for the details. Another way is to look up the information online.

Once you have the information for your Nursing assignment sheet, you will need to fill it out. Be sure to include the name of the assignment, the due date, and other relevant information.

Once you have completed your Nursing assignment sheet , you can keep it in a folder or binder to keep it organized. You can also keep it on your computer to access it anytime.

Key Components of a nursing sheet

Nurse’s name.

The nurse’s name should be at the top of the sheet for identification purposes.

Assignment Information

Assignment information is where you will list the name of the assignment, the due date, and other relevant information.

Nurse-to-patient ratios

It helps you keep track of how many patients you are assigned to care for at one time. Priority of daily activities needs to take into consideration the nurse-to-patient ratios.

Nursing Duties

On the segment, list duties assigned to a nurse. Nurses learn how to keep up with their duties over time. Keeping a list helps you keep up with your workload.

Patient requests and concerns

List any requests or concerns your patients may have. By recording this, you can address patient needs on time. It helps to improve patient satisfaction and can also help to ensure that you are providing the best possible care.

Nurse staffing

In this part, you will list the different staffing levels for each shift. It can help you to track the staffing levels for each shift. It helps ensure that you have enough staff on hand to provide the best possible care for your patients.

Nursing notes

– This is where you will list any notes you take during your shift. With this entry, you to keep track of important information that you may need to refer back to later. It also provides accurate documentation of your shifts.

Nurse orientation

– This is where you will list the different orientations you have attended. It helps you to keep track of your training and education. It helps ensure that you provide the best possible care for your patients.

Nursing license

This is where you will list your nursing license information.

Progress Notes

In this section, you can keep track of your progress on each assignment. It keeps track of how you are doing and for keeping track of your progress.

Benefits of nursing assignment sheets

There are many benefits to creating and using Nursing assignment sheets. Some of these benefits include:

– Ensuring that you do not forget an assignment

– Keeping track of your progress on each assignment

– Having a central location for all of your assignments

– Access your nursing assignment sheets anywhere

Can a nurse be fired for refusing an assignment?

Yes, a nurse can lose their job for refusing an assignment. However, the nurse may also have legal recourse if the refusal was due to unlawful discrimination or retaliation.

How do I refuse a nursing assignment?

If assigned a nursing task that you do not feel comfortable with, you can politely decline the assignment. Explain your reasons to your supervisor to help them understand your decision. You may also want to offer alternative suggestions for other tasks you do not mind.

How often should I update my Nursing assignment sheet?

You should update your Nursing assignment sheet as often as you receive new assignments. That way, you always have the most accurate information. You may also want to update your Nursing assignment sheet if you make any changes to your schedule or need to change any of the information on your sheet.

What should I do if I forget to update my Nursing assignment sheet?

If you forget to update your Nursing assignment sheet, don’t worry. Update it as soon as you remember. Nursing assignment sheets are a great way to keep track of your progress and ensure you never miss a deadline.

What should I do if I lose my Nursing assignment sheet?

If you lose your Nursing assignment sheet, don’t worry. Recreate a new one. Include all of the same information that was on your old sheet. 

How do I share my Nursing assignment sheet with others?

If you want to share your Nursing assignment sheet with others, you can print it out or share it electronically. You may also want to create a Nursing assignment sheet template that others can use to create their sheets. 

Need help creating nursing assignment sheets? Our team at nursing answers can help you with nursing assignments at a friendly price. We have nursing experts with tons of experience to tackle your assignments. Place an order today to get nursing assignment help right away.

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