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    FDAR

    Uploaded by

    Alyssa Agravante
    This document provides guidelines for focus charting using the FDAR method. It describes focus charting as documenting from the patient's perspective about their current status, goals, and response to interventions. The FDAR method involves documenting the focus of care, data, actions, and response. Data involves subjective and objective information, actions are nursing interventions, and response is the patient outcome. The document also provides dos and don'ts for focus charting, such as signing all entries, not charting in advance, and documenting the patient's current status and response to treatment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    FDAR

    Uploaded by

    Alyssa Agravante
    318 views12 pages
    This document provides guidelines for focus charting using the FDAR method. It describes focus charting as documenting from the patient's perspective about their current status, goals, and response to interventions. The FDAR method involves documenting the focus of care, data, actions, and response. Data involves subjective and objective information, actions are nursing interventions, and response is the patient outcome. The document also provides dos and don'ts for focus charting, such as signing all entries, not charting in advance, and documenting the patient's current status and response to treatment.

    Original Description:

    focus, data, action, response

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    This document provides guidelines for focus charting using the FDAR method. It describes focus charting as documenting from the patient's perspective about their current status, goals, and response to interventions. The FDAR method involves documenting the focus of care, data, actions, and response. Data involves subjective and objective information, actions are nursing interventions, and response is the patient outcome. The document also provides dos and don'ts for focus charting, such as signing all entries, not charting in advance, and documenting the patient's current status and response to treatment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    318 views12 pages

    FDAR

    Uploaded by

    Alyssa Agravante
    This document provides guidelines for focus charting using the FDAR method. It describes focus charting as documenting from the patient's perspective about their current status, goals, and response to interventions. The FDAR method involves documenting the focus of care, data, actions, and response. Data involves subjective and objective information, actions are nursing interventions, and response is the patient outcome. The document also provides dos and don'ts for focus charting, such as signing all entries, not charting in advance, and documenting the patient's current status and response to treatment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    FDAR

    Focus
    Data
    Action
    Response
    WHAT AND WHY?
     Focus Charting describes the patient’s
    perspective and focuses on documenting the
    patient’s current status, progress toward goals
    and response to interventions.

     It brings the focus of care back to the patient and


    the patient’s concerns.
    FOCUS
     This is the subject/ purpose for the note. The
    focus can be:
    *Nursing Diagnosis
    *Event(Admission, transfer, discharge
    teaching etc.)
    *Patient event or concern (code blue,
    vomiting, coughing)
    -it may also include significant events such as
    teaching, consultation, monitoring, management of
    activities of daily living or assessment of functional
    health patterns.
    GENERAL GUIDELINES
     Focus charting must be evident at least one every
    shift.
     Focus charting must be patient-oriented not
    nursing task-oriented.
     Indicate the date and time of entry on the first
    column
     Sign name (e.g Alyssa Anne C. agravante, RN.)
    for every time entry.
     Document patient’s status on admission, for
    every transfer to/from another unit or discharge.
    Blue ink is used for
    morning shift, Black ink
    for afternoon shift and
    red ink for night shift.
    SPECIFIC GUIDELINES

    Begin with comprehensive


    assessment of the patient using
    IPPA.
    Establish a focus of care to be
    addressed in the Progress Notes.
    DData-
    ATA, A CTION
    this , RESPONSE
    is written in narrative form and
    contains only subjective and objective data.

     Action- contains nursing interventions


    (dependent, independent and interdependent).

     Response- describes the patient


    outcome/response to interventions or describes
    how the care plan goals have been attained.

    *information from all these categories should be


    used only as they are relevant or available.
    However all appropriate information should be
    included to ensure complete documentation
    DO’S AND DONT’S
    Do’s

     Do read what other  Don’t begin charting until


    you check the name and
    providers have written identifying number on the
    before providing care patient’s chart on each
    and before charting page.
     Don’t chart procedures or
     Do time and date all chart in advance.
    entries.  Don’t make or sign an
    entry for someone else.
     Sign and initial every
     Don’t try to cover up a
    entry. mistake or accident by
     Do describe patient’s inaccuracy or omission
    behavior.  Don’t white out or erase an
    error
     Do use direct patient’s  Don’t squeeze in a issed
    quotes when appropriate. entry or “leave space” for
     Do be facual and complete. someone else who forgot to
    chart. Don’t write in the
     Do draw a single line thru margin.
    an error and mark this
    entry as “mistaken entry”
    and sign your name.
     Do use next available line
    to chart
     Do document patient’s
    current status and
    response to medical care
    and treatments
     Do write legibly. Do
    use standart chart
    forms.
     Do use only approved
    abbreviations

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