Nursing Implementation: Using Concept Map Care Plans in the Health-Care Agency

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Nursing ImplementationUsing Concept Map Care
Plansin the Health-Care Agency

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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

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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

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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

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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

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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 patients assigned staff nurse
• To clinical faculty
• Interrupt them to report the abnormality
• Finding medications

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To facilitate communication

• Bedsides communication
• Bedside rounds
• Faculty comments appear on map in a distinct
  color, ex purple or green
• Reporting off the unit

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Implementing and evaluating care

• Establish mutual goals, expected outcomes, and
  schedule of activities
• Evaluate and record the patients 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.