Daily Log Sheet (Page 4 of 4) in pdf

Daily Log Sheet Page 4

Goals

Review your goals with your patient’s nurse to be sure we are collaborating/working on mutual goals

for the patient.

Priority Goal for your patient today:

What plan of care did you implement to help achieve this goal?

Did your patient meet this goal?

Secondary Goal:

What plan of care did you implement to help achieve this goal?

Did your patient meet this goal?

Did you share your patient’s goals with the patient/parent?

Yes No

List one goal you had for yourself today:

Did you accomplish your goal?

List any ethical issues you identified today relating to your child’s care or the care of any other child

you observed on the unit.

* items related to 2010 National Patient Safety Goals.

Student Signature ___________________________________________________

Reviewed by _______________________________________________________

Date ___________________________

Daily Log Sheet Page 4