Care Plan TemplatesAvailable to download from Amazon Kindle
We ran a 54-bed Nursing Home and developed Care Plans as word processor documents so everyone can use them, as well as software to run the staffing scheduling. Please note: you will definitely want to change these forms to your requirements so they are easy to change. Word forms typically are very time consuming to start from scratch, these give you that head start. They also give you a headstart in deciding what to put on the forms.You can download each page individually from each of the Kindle ebooks.
Care Plans & The Nursing Process - This is a 5 step process nurses use to help look after their patients. It's steps are very similar to the steps of the scientific process. It is usually a systematic, rational method of planning and providing nursing care. 1 - Assessing - collecting, verifying and organizing data about the patient.; data is obtained from reports, the patient’s chart and measurements, your assessment, observation, other health care personnel, interviews, etc 2 - Diagnosing / Analyzing - forming your nursing diagnoses; a nursing diagnosis is a statement of an actual or potential health problem 3 - Planning - formulate your "plan" to assist the patient involves formulating goals/expected outcomes, setting priorities, and identifying nursing interventions to help patients reach their goals 4 - Implementing / Intervention - put your Nursing Care Plan into action 5 - Evaluating - evaluate your interventions, reassess and analyze, etc Tuition and examples in using Care Plans to look after patients is available from CDT CDT produce a set of Care Plans to look after patients. These are word processor Document templates. As templates, they can be generated time and again for all your existing and new patients. The templates can be edited by you in your Home to suit your working practices. You can change the wording and the layout. You can add new lines of information. If the spaces to input information are too small, then simply increase the size of the space. These templates work just like any other word processor document so you can fully customise them. Once you have the document templates on your computer, you can print off as many copies as you like for your Home or hospital (we only ask that you leave our copyright on each document).
A Clothing Form was filled in at our Nursing Home soon after admission. The quantity and quality of clothing is an important factor in the wellbeing of a patient. Items had to be suitable for the patient and easy to put on and take off. Everyone gets dressed every day
All our patients had a History Form. The form was initially filled in by the senior nurse on duty at the time of admission. The form was filled in with information from the patient or with the help of the person currently caring for them, be that a carer, another Home or hospital, and by observation. This enabled the Home to prepare a full care plan of how they would be cared for. The doctor, district nurse or social worker could be involved in this process.
The information on this form could be checked against the Pre-Admission Assessment Form as a check on any deterioration in the condition of the patient as these forms may be filled in weeks or even months apart.
It is at this point in the process that addition information can start to be compiled and added to the documents. This can include a photograph of the patient, photographs associated with the condition of the patient, contact details for associated services such as optician, chiropodist, physiotherapist.
Each patient is assessed regarding admission into the nursing home. This form details the patients condition, health, level of support required, previous medical condition, previous hospital history and everything of interest regarding an anticipated admission.All the forms can be expanded as required and new categories added for individuals.
The form was initially filled in by the senior nurse on duty at the time of admission.
The information on this form could be checked against the Pre-Admission Assessment Form as a check on any deterioration in the condition of the patient before and after admission.
The information on this form could be checked against the Pre-Admission Assessment Form as a check on any deterioration in the condition of the patient as these forms may be filled in weeks or even months apart. It is important to determine if the patient already has diabetes or is exhibiting signs of imminent diabetes.
This form is to detail the fluid intake and elimination of the patient in sufficient detail that a diagnosis can be made and the planning of the care process can begin. What fluid was taken and how often. A check on the urine is also needed, is it normal, its colour, smell or blood. Notes about the medication, special treatments and diets, specialist equipment such as a catheter and so on can be included.
It is important to determine if the patient already has mobility problems.
You need to know how mobile your patient is, fully mobile, wandering, wheelchair use, when in bed is helping required with change of position. When handling your patient, are they at risk from shear or pressure changes.
This form is to detail whether there are any communication problems. Do they have a hearing aid or have had a stroke that affects their speech.
Depending on the patient’s condition different activities could be perused. Reading a book or newspaper or having it read to them. Use of talking books & local newspapers with individuals or used in group discussion. Use of music, or photographs to bring back pleasant memories from the past to share with others.
A Hygiene form was filled in soon after admission.Each patient was allocated their special nurse whose job was to note any changes in the skin as skincare took place. If redness or a break in the skin was noted the pressure sore form was filled in. Also skin infections, rashes, spots or boils, surgery and healing, types of soap, etc.
A diet form was filled in soon after admission.All patients were asked about problems, dentures, swallowing, help required at meal times.Our cook visited each patient so each could becatered for individually.A note was made about drinks and drinking.
An elimination form was filled in soon after admission. This detailed whether there were any continence problems or bowel problems.Details about laxatives, or roughage wasrequired. Whether there were any smells or color changes.
A rest and relaxation form was filled in soon after admission. These are important factors in thewellbeing of a patient. Factors such as noise,lighting or other patients’ noises can result insleep deprivation. Problems associated withsleep tend to be reported by night staff.
A dying with dignity form was filled in soon after admission. This is checked with relatives and friends and their contact details were correct. Religious and cultural needs arenoted. Noted also are the Doctor, religiouspresence, undertaker, and if relatives wouldlike to be present.
A daily record form was filled in at least once a day, or more often as events happened. It isimportant to know if ‘nothing happened’ as muchas if something happened so that you knownothing is missing from the record.
A lifting and handling form was filled in soon after admission. This enables a full care plan to be set upfor each patient. This includes setting up appro-priate methods of lifting, having the right equipment available and instructing the staff.
A health and safety form was filled in soon after admission. This detailed the equipment requiredregarding mobility, rest, sleep and their generalcondition. Details such as cot sides and a bathinghoist were recorded here.
The Kindle Books are available in your country’s store. Just do a search for the author, Kathleen Jezewska SRN
The aim of this book is to teach you how to calculate how many staff youneed to run your operation.
The aim of this series of books is to provide a reference guide for the types of available shift patterns by way of supplying a total of almost 300 unique shift patterns.
This book is about how to organise staff holidays so that they do not affect the operation. A Holidays Included Shift Pattern will accommodate everyone’s holiday in the shift pattern.
This book looks at the details of introducing and using Banked Hours based on our experiences with the many organisations that use them.
This book not only includes easy to follow examples of how to calculate your Absence Rate, but also shows you how to use your Absence Rate to predict how absences will occur in the future. This book has look-up tables which convert Absence Rate in to the number you would expect to be off shift.
Shift working is also more fatiguing than office hours working; this is especially prevalent if working nights. However this book is about minimising fatigue and the effects of fatigue so that you can enjoy the advantages of working shifts without being too fatigued.
Managing holidays are the bane of all managers. The aim of this book is to show you some simple techniques to relieve you of the burden. With a special section on Office Hours, this book is ideal for all managers.
Have you found that the year is just not long enough to fit in all the holidays?
The aim of this book is to help managers with their shiftoperations. Holidays and absencescan play havoc with most operationsunless special procedures are in place.This book provides the solutions usedby us when setting up a shift system.
Setting up a form in Word is not easy and getting it to perform as you would want it is even harder. Our forms are designed to be flexible enough so you can alter them to suit your requirements.Word enables you to combine documents into one file, and in the file you can add scans, such as medical notes, or photographs and even videos. That way, the forms can be different for each patient as required. All their information is in one place on the computer but also accessible everywhere else.
Operational EfficiencyWe created the forms so that everyone knew where they were when required and by printing off the forms each day, they could be with you if you worked away from a computer.A nursing home or hospital is a very busy place with visits from Doctors, physios, nurses, and many other professionals every minute of the day. Having the information on the computer and printed out meant you can send out a copy when a patient went to the hospital, or show a relative, or review with the Doctor in the office and accompany the Doctor doing their rounds.
Once you have created a set of individual patient files, you can start to extract data from these files. This isn’t the easiest of tasks to automate, but lots of people have the skills to do this for you.Say you wanted to know which patients are looked after by which Doctor, Nurse, physio, dentist, and so on. You could flick through the files manually and make a table. This sort of table has a very long life, so you won’t change it very often. So it probably isn’t worth it if you wanted to save time. However, other data changes every day and it can be worth collecting the data. For instance, 13 of our forms ask for daily entries about the patient, so these could be collected into one form for each patient each day. This would give an overall picture of the current state of each patient quicker than flicking through the pages and having to remember each input. Not easy to set up, but invaluable as a tool once you have it.