A nurse manager is implementing computerized care plans for the units of the hospital. Which of the following guidelines must be followed when writing care plans? (Select all that apply.)
______ Plans must be dated and signed.
______ Categories must have headings.
______ Plans must be specific.
______ Plans must include preventive and health maintenance.
______ Standardized or approved medical or English symbols may be used.
______ Plans must include interventions for ongoing assessment.
______ Plans are standardized and generalized for all clients.
Correct Answer: Plans must be dated and signed.
Categories must have headings.
Plans must be specific.
Plans must include preventive and health maintenance.
Standardized or approved medical or English symbols may be used.
Plans must include interventions for ongoing assessment.
Rationale : Other guidelines include reference to procedure books or other sources of information rather than including all the steps on a written plan. Tailor the plan to the unique characteristics of the client by ensuring that the client's choices are included. Include collaborative and coordination activities in the plan, and include discharge and home care needs in the plan.
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