Nursing Process Flashcards
how many steps are in the nursing process
5
step 1
Assessment
Assessment
gather info/collect data
Subjective
“symptom” (pt feels)
objective
“signs” (measurable)
step 2
Diagnosis
Diagnosis
act of identifying and labeling responses to actual or potential health problems or life processes
Interpret and analyze data
diagnosis
step 3
planning
planning
development of outcome and identification of interventions
planning phase
life threatening first (ABC’s) airway, breathing, circulation
Physical needs before
psycho social
Pt outcomes
desired, realistic, and measurable with specific dates
step 4
implementation
implementation
activation of plan
delegate
transfer responsibility to accountable person
step 5
evaluation
evaluation phase
determines if the pt outcomes have been met
continuous throughout the nursing process
evaluation