When the nurse documents in narrative or source-oriented format about the patient's condition and the nursing care provided, it is appropriate for him to record:
A) "Patient will go to physical therapy after lunch."
B) "Diabetes in excellent control. Continue with current insulin schedule."
C) "I gave the patient a thorough bath and cut her fingernails."
D) "To x-ray by wheelchair at 10:30 AM IV infusing in left arm."

Question

Quizplus · Accepted Answer

Documentation that includes specific information regarding time, method of travel, destination, and current status (that an IV medication is infusing) is a clear example of source-oriented charting.

When the Nurse Documents in Narrative or Source-Oriented Format About