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Flashcards in Charting Deck (10)
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1

PIE charting

does not develop a separate care plan

2

PIE Charting

care plan is incorporated into progress notes in which problems are identified by numbers

3

PIE Charting

P-Intervention
I-Evaluation
E-format
(evaluated each shift)

4

Focus Charting

replaces the problem list with a focus column that incorporates many aspects of patient care

5

Focus Charting

focus may be a patient strength or problem or need

6

Focus Charting

Narrative portion uses the Data, Action, and Response format (DAR)

7

SOAP Charting

method of charting narrative progress notes

8

SOAP Charting

organizes data according to subjective information

9

SOAP Charting

S-subjective
O-objective
A-assessment
P-plan

10

Narrative notes

progress notes written by nurses in a source-oriented record