this site is awesome very informative. i am a 26 year old female, i live in the caribbean. i have recently qualified as an rn and has also done a post basic course - midwifery currently employed as a clinic nurse.
i have one question
in the country where i work written care plans are not routinely done. most of the students would put it to the nurse managers but its not used because most of the older nurses are set in their ways sometimes a student would start it and on returning to the ward the next day it would be untouched. i have found that its becoming increasingly difficult to remember standard nursing diagnosis because of lack of practice; i myself working as a staff nurse realize that its difficult to make careplans on admission because we are understaff (most times one staff nurse with one junior staff for about 20 patients). i read in my spare time but thats not adequate
the nursing process defines us as nurses and i find it a shame that these nurse managers can't see it to implement the stage that allows for documented continuity of patient care.
Students in Texas are not allowed to create a careplan, only a licensed nurse may do so. The student may followup on the teaching, but the nurse must create the plan of care.
Students are required to write careplans for the patients they take care of in clinicals, even in Texas (I'm here too....). This is not to say that they were ever placed on the chart, but a care plan is a care plan, and we wrote long and arduous ones, usually six ND's per patient (three actual, two potential and one knowledge-deficit).
I doubt students are permitted to do much to the patients' charts (except maybe initial the MAR) until rather late in the game....
Our facility has pre-printed forms that follow Joint Commission guidelines. There are blank spaces for the nurse to add information that is not already provided on the form. Students in Texas are not allowed to create a careplan, only a licensed nurse may do so. The student may followup on the teaching, but the nurse must create the plan of care. Care plans MUST be done upon admission (within 8 hours at our facility). A nurse must document that the care plan is reviewed every 24 hours and document any changes, including to whom the education was directed (patient, family,etc.).
Before we had the pre-printed forms I laminated a copy of the NANDA nursing diagnoses and kept it at the nurse's station. Hope this helps.
well students are very involved in patient care in antigua the care plans are done just for practice but what you have happening at your facility is that i'd like to see. laminating a copy of the NANDA approved diagnoses is a wonderful idea.
monserrat is in fact beautiful but have you ever visited dominica comonly referred to as the nature isle. well i am now and i am having a blast bathing in rivers, going to rain forest the air is just so pure and clean.
Dominica is another one of my favorite places. Wow, it's been 10 years since I have visited. Have you been to the rain forest where there is a hot/cold waterfall that comes into a nice warm spring?
Dominica is another one of my favorite places. Wow, it's been 10 years since I have visited. Have you been to the rain forest where there is a hot/cold waterfall that comes into a nice warm spring?
i believe that's at trafalgar but i've visited the one at layou river since i live near there. hope you are planning another visit to dominica.
dedicated to nursing
chris_at_lucas_RN, RN
1,895 Posts
Students are required to write careplans for the patients they take care of in clinicals, even in Texas (I'm here too....). This is not to say that they were ever placed on the chart, but a care plan is a care plan, and we wrote long and arduous ones, usually six ND's per patient (three actual, two potential and one knowledge-deficit).
I doubt students are permitted to do much to the patients' charts (except maybe initial the MAR) until rather late in the game....
..... just sayin'