Charting Flashcards
(10 cards)
1
Q
PIE charting
A
does not develop a separate care plan
2
Q
PIE Charting
A
care plan is incorporated into progress notes in which problems are identified by numbers
3
Q
PIE Charting
A
P-Intervention
I-Evaluation
E-format
(evaluated each shift)
4
Q
Focus Charting
A
replaces the problem list with a focus column that incorporates many aspects of patient care
5
Q
Focus Charting
A
focus may be a patient strength or problem or need
6
Q
Focus Charting
A
Narrative portion uses the Data, Action, and Response format (DAR)
7
Q
SOAP Charting
A
method of charting narrative progress notes
8
Q
SOAP Charting
A
organizes data according to subjective information
9
Q
SOAP Charting
A
S-subjective
O-objective
A-assessment
P-plan
10
Q
Narrative notes
A
progress notes written by nurses in a source-oriented record
