Nursing Planning in Nursing Process Documentation
An individual nursing plan of a patient (nursing plan) supports the following steps of the nursing process:
Determining nursing problems and diagnoses
Determining nursing goals
Planning nursing procedures for achieving nursing goals
Evaluating executed nursing procedures with regard to the planned goal achievement
The context in which the system opens a nursing plan is the client, the institution, the patient and a nursing and departmental organizational unit (OU). If the system cannot uniquely determine this data, you must enter it in a dialog box.
The nursing plan has no direct reference to a movement or a case.
The following applies to currently valid nursing plans:
In the inpatient area there can only be one currently valid inpatient nursing plan for each patient.
In the outpatient area there can only be one currently valid outpatient nursing plan for each patient and nursing organizational unit (OU).
A nursing plan is no longer valid if it has been ended or canceled.
Integration
The basic catalog set which is or was current when the nursing plan was created, is valid for the nursing plan.
Features
A nursing plan is principally divided into the following areas:
The navigation area is found in the left-hand screen area. Here the system displays the nursing plan entries of a nursing plan hierarchically in a tree structure. See Navigation Area
The detail view is found in the right-hand screen area. Here the system displays, for example, details on specific nursing plan entries of a nursing plan. See Detail Area
The upper screen area contains a patient header which you can show or hide.
There are also General Functions available.
You can find detailed information on the call options of the nursing plan in the documentation Calling Points of Nursing Plan.