Essay On The Nursing Process

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Running head: THE NURSING PROCESS

The Nursing Process from Admission to Discharge
Lindy Madden
Mendocino College

THE NURSING PROCESS The Nursing Process
The nursing process consists of five steps which provide an organized framework for patient care and distinguishes it from the practice of medicine. Sommer, Johnson, Roberts, Redding, Churchill, Davila, Henry, Janowski and Knippa (2013) identify five steps of the nursing process which overlap but must be followed sequentially in order to achieve the best outcome. The nursing process affects all aspects of patient care from admission to discharge.
Assessment
Assessment occurs throughout a nurse’s time with her patient. Assessment should happen initially …show more content…

Planning, however, is ongoing throughout the patient’s stay. Whenever new data is collected, a nurse must reevaluate whether or not to keep the plan or change it. When a patient is admitted to the hospital, she will also begin the discharge planning. Plans can be based on Maslow’s hierarchy of Needs or a similar framework which is based on prioritizing. Sommer et al. (2013) explains the nursing care plan is the end result of the planning process. Goals are made and outcomes are planned.
Implementation
This is the intervention stage of the nursing process when nurses carry out their plan, performing tasks or delegating them to assistive personnel, and documenting their actions and findings. There are independent and dependent interventions. Wilkinson, Treas, Barnett and Smith (2016) describe an independent intervention as one that nurses are licensed to prescribe, perform, or delegate based on their knowledge and skills and does not require an order. Dependent interventions are prescribed by the providers and carried out by the nurse and are usually orders for diagnostic studies, medication, or IV therapy (Wilkinson et al., …show more content…

A plan should be made as to what time the transfer will happen and records should be copied. The mode of transportation should be confirmed. The patient’s belongings should be labeled and packed. Valuables are accounted for. Any consents for transfer should be signed and the receiving facility should be assisting with the planning of the transfer. After the patient has left for the few facility, a hand off report should be given to the receiving nurse. Special attention should be made to communicate any infectious diseases the patient might have, such as MRSA. Final documentation should be made on the patient’s chart regarding the transfer and any assessments that were performed prior to departure (Wilkinson et al.,

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