Published Feb 16, 2006
KcRN07
4 Posts
Hi, I'm in my secong semester of nursing school and I have some questions about care plans. Those who work as nurses, who writes the original care plan? Is it the nurse who first admits the client to the floor? After it is written, do you on a daily basis check the care plan (each shift) and continue to update what is changing? Thank you for your feedback.
kids
1 Article; 2,334 Posts
Most of the hospitals in my use disease and procedure specific generic care plans with check boxes for the nursing diagnosis & interventions. They are usually started by the admitting nurse then are reveiwed and updated as needed by every shift.
I don't think anyone actually writes a care plan from scratch anymore.
SFCardiacRN
762 Posts
I just re-wrote the Care Plan for cardiac surgery but it was not that big a deal. Someone before me did most of the work and I just up-dated it.
zacarias, ASN, RN
1,338 Posts
To the OP, you are absolutely right. The nurse who admits the patient theoretically should be the one to organize the plan of care. Now it's not like in school; At the hospital there are preprinted forms of some sort where you check this, check that and then add things that are important for that individual patient.
Of course then if the plan changes or something is no longer applicable, updates should be made by the one who notices them.