DRUG STUDY
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BRAND NAME
CLASSIFICATION
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GENERIC NAME
MECHANISM OF
ACTION
Hospital/Area:
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Clinical Instructors:
NAME OF
DRUGS
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Level/Block/Group:
Date:
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Name of Student Nurses:
CONTAINDICATIONS
SIDE EFFECTS
ADVERSE EFFECTS
NURSING RESPONSIBILITIES
INDICATION
DOSAGE &
FREQUENCY
NURSING CARE PLAN
Patient’s Initials:
Age & Gender:
Name of Student Nurses:
_
_ Level/Block/Group:
Hospital/Area:
_
_ Date:
ASSESSMENT
Subjective:
Objective:
NURSING
ANALYSIS
PLANNING
Chief Complaint:
Birthdate:
3BSN-07 Address:
_ Date of Confinement:
.
INTERVENTIONS
RATIONALE
.
Admitting Diagnosis: _
_
_ Clinical Instructors:
EVALUATION
NURSING
DIAGNOSIS