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Nursing Implementation: Using Concept Map Care Plans in the Health-Care Agency. 楊麗玉 金繼春. Concept Map Care Plan. An organizational tool for clinical data Update the plan to account for dynamic changes Step ： Getting organized Clinical preconference
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Nursing Implementation:Using Concept Map Care Plansin the Health-Care Agency 楊麗玉 金繼春
Concept Map Care Plan • An organizational tool for clinical data • Update the plan to account for dynamic changes • Step： • Getting organized • Clinical preconference • Updating assessments, reporting findings, giving medications • To facilitate communication • Implementing and evaluating care
Getting Organized • Use red pen to write updates differently on the diagram • Check medication records Routine and p.r.n. • Check IV administration records Highlight the IV fluid and rate • Check treatments Update and write treatments in • Appropriate nursing diagnosis box • Make a new diagnostic box • A corner box
Getting Organized (cont.) • Check laboratory data For completed test: Find the reports and write the results For pending result: Write the name of the test, place a blank • Obtain information from the previous shift
Clinical Preconference • The purpose is for clinical faculty to review the plans of care including have collected, correctly analyzed, categorized data, goals, outcomes, interventions • Prepared to orally address questions concerning the plan: assessment data, ND, goals, outcomes, interventions, and rationales
What to do after updating the care plan • Performing patient assessment Wake patient to do first assessment Write findings in the evaluation column • Reporting assessment data To patient’s assigned staff nurse To clinical faculty Interrupt them to report the abnormality • Finding medications
To facilitate communication • Bedsides communication Bedside rounds Faculty comments appear on map in a distinct color, ex: purple or green • Reporting off the unit
Implementing and evaluating care • Establish mutual goals, expected outcomes, and schedule of activities • Evaluate and record the patient’s responses in red ink • Evaluation of the teaching plan Teaching methods Responses of the patient Knowledge gained by the patient • Evaluate outcomes against standardized care plans and clinical paths.
