Some things to remember when composing you care plan are:
- Get creative! You can add in your own headings to make sure you are accurately communicating what you need to say and information is represented appropriately
- When highlighting expected outcomes be S.M.A.R.T. Think specific, measurable, action (verb) achievable, relevant, time frame
- For nursing interventions and rationales be sure to pair a rationale with each intervention, check what your textbook says, recommend interventions that are not found in the textbook (be creative, but appropriate), and integrate your knowledge of pharmacology
- Evaluate! What did you see during your shift? How did your patient respond to the interventions? What parameters will you use to evaluate
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