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ADPIE Nursing Process
Assessment
Diagnosis (Actual (3 parts) Risk (2 parts)
Planning (Patient outcomes and nursing interventions)
Implement
Evaluation (Leads back to patint outcomes)
Phases of Assessment
Collect data
id cues and mak inferences
validate data
cluster related data and id patterns
report and record data
Assessment leads to Clinical Reasoning
analyzing, synthesizing, reflection, making judgements and drawing conclusions
This leads to diagnosis
Actual Nursing Diagnosis (three part statement
Problem (outcomes)
Related to Etiology (The cause) (which creates nursing interventions)
As evidenced by defining characteristics (signs and symptoms) which goes back to the problem
Problem
Outcomes
Etiology
Cause and Creates nursing interventions
Defining Characteristics
Signs and Symptoms which go back to the problem
SMART
Specific
Measurable
Attainable
Realistic
Time boundaries
General Prep emergency
CPR
Fire drills
Code Pink drills
Mass Trauma drills
QSEN
Evidenced Based Practice
Safety
Information
Safety Goals
ID patient
Staff improve communication
Medication safely
Alarms safely
Infection prevention