Student Name: Date of Admission:
Client Initials: Date of Care:
Age/DOB: Admitting Diagnosis:
Allergies:
BSA/BMI: Code Status:
Comorbidities:
Planned Treatments/Procedures:
Nursing and HCP Collaborative Plan for Care: Include a description of priority client specific information, nursing actions, and provider orders
Cultural/Spiritual: Health Promotion/Development:
Neurological/Cognition/Coping/Adaptation/Function:
Infection/Immunity/Inflammation:
Nutrition/Elimination: Mobility:
Fluid/Electrolytes/Acid-Base: Pain/Comfort/Tissue Integrity:
Gas Exchange/Perfusion: Safety:
Other:
Glucose Regulation:
START of Shift (CJSim™) Priorities (Complete after receiving REPORT AND reviewing the EHR connected to phase 1/Question 1 section)
Recognize & Analyze Cues Prioritize Hypotheses Generate Solutions & Take Actions Evaluate Outcomes
Priority Assessments/Cues Priority Hypotheses for Nursing Care Priority Interventions/Actions Priority Teaching/Discharge Needs
Th1is study source was downloaded by 100000900706475 from CourseHero.com on 09-13-2025 07:48:34 GMT -
05:00
© 2023 Chamberlain University. All Rights Reserved. Relearning Clinical Judgment Plan of Care Template-Sept2023 v1.1
https://www.coursehero.com/file/251415995/Relearning-Clinical-Judgment-Plan-of-Care-Template-Sept23pdf/
, Relearning: Clinical Judgment Plan of Care Template
START of Shift (CJSim™) Priorities (Complete after receiving REPORT AND reviewing the EHR connected to phase 1/Question 1 section)
1.
1.
1.
1.
2.
2.
2.
2.
3.
3.
3.
3.
Priority Laboratory Tests/ Priority Actual & Potential Priority Medications Priority Collaborative Actions
Diagnostic Cues Complications/Cues
1.
1.
1. 1.
2.
2. 2. 2.
3. 3.
3. 3.
Th2is study source was downloaded by 100000900706475 from CourseHero.com on 09-13-2025 07:48:34 GMT -
05:00
© 2023 Chamberlain University. All Rights Reserved. Relearning Clinical Judgment Plan of Care Template-Sept2023 v1.1
https://www.coursehero.com/file/251415995/Relearning-Clinical-Judgment-Plan-of-Care-Template-Sept23pdf/