Daily Nursing Care Plan

                                                                             Patient Name………………………………………..

                                                                             Age/Sex………… MR No/ IPD…………………......

                            LOGO &                                Consultant Incharge…………………………………..

                           Address                                   Department…………………Date/Time…………….. 

ANH053/NUR/29/V2

Daily Nursing Care Plan

Name of Surgery:…………………………………….  Post Operative Day: ………………………………..

Nursing Assessment	Evaluation	SNDT

Care Plan	Yes	No	Care Plan	Yes	No
General Nursing Care Plan			Safety Care (avoid fall risk)
Sponging			Side rail provision
Enema			Low bed height
Mouth care/ mouth gargles			Near to nursing station
Nail care			Continuous monitoring
Back care			Light & sound monitoring
Vitals			Language translator required
Drain			Full time attendant
Dressing			Blood transfusion (if yes approx requirement informed by doctor)
Physiological support
Curative			Any specific equipment if yes (specify)
Iv fluid
Antibiotic			Nutritional Assessment (Any specific nutritional requirement if yes ‘specify’)
Symptomatic treatment
Continuous previous medication
Self medication			Any Procedure
High risk medication			Diabetic care
Bedsore care			Oral drug
Positioning changing			Insulin plan
Bedsore dressing			Physiotherapy Need
Education to patient/ relative			Infection Control Practices
Pain assessment			Regular Monitoring of site
Patient assessment			Hand washing
Patient on restraints			Phlebitis signs/ IV Cannula
Total intake			Total Output

Any specific care/ intervention (e.g. Foleys catheter/ ICD/ CVP/ Tracheostomy/ ETT/ Arterial line etc- insertion/ removal)/ remarks:

Nursing Incharge                                                                                     Staff Nurse