Question

The documentation task force recommended Focused charting with flowsheets for the electronic documentation system for a high acuity postoperative surgical unit. The goal is to have a system that promotes interprofessional collaboration. What is the primary reason to accept this recommendation?

1. Only abnormal findings will be documented for ease of use and review.
2. Client problems are readily identified and use the DAR format.
3. Client problems are numbered, easily followed, and use a PIE format.
4. A narrative chronological accounting of the client's experiences are recorded to identify progress toward goals.

Answer 1

Accepting Focused charting with flowsheets recommendation primarily enhances interprofessional collaboration, enabling healthcare providers to effectively document and manage patient data using a clear DAR format, supporting healthcare interventions and outcomes.

Step-by-step explanation:

The primary reason to accept the recommendation of Focused charting with flowsheets for the electronic documentation system in a high acuity postoperative surgical unit is to enhance interprofessional collaboration. This method allows for clear and concise documentation where client problems are easily identified and managed using the DAR format (Data, Action, Response), which aligns with the goal of promoting teamwork among various healthcare professionals. It is structured in a way that ensures abnormal findings are noted for quick review and ease of use, relevant data is gathered in an organized fashion, and efficiency in monitoring and addressing patient progress is enhanced.

By employing focused charting with flowsheets, clinicians, including surgeons, nurses, and anesthesiologists, can access and contribute to a patient's record effectively. Information is cross-referenced to the intervention strategies, facilitating the connection between theory, practice, and expected outcomes. This supports the larger healthcare goals, which include therapeutic interventions, growth, change, and confronting complacency as outlined in the provided intervention strategies chart.