Nurse charting is a type of medical documentation for nurses and other health care professionals. There are several types of nurse charting, including: narrative, progress notes, and SOAP (subjective-objective-assessment-plan). Posted below are the different types of nurse charting.
AIR or Assessment, Implementation, Revision
CBE or Charting by Exception
Focused Charting
Narrative charting
PIE or Problem, Intervention, Evaluation
SOAP
- Subjective data
- Objective data
- Assessment or Analysis
- Plan of actions
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