#fdar

[specialeuskalness]

[esriamausisa]

Tips to make an FDAR

For the focus: it can be a chief complaint, nursing diagnosis, or an event like an admission or discharge

For the data: Start with "Received," level of consciousness, medical contraptions, subjective data, objective data, initial vital signs, and then pain scale

For the action: interventions related to the focus, NANDA can be a guide, keep it concise and straight to the point

Response: Patient's condition before closing the entry (must relate to the focus), include things you want the next nurse on duty to know (ex: S/F U/A or still febrile), include latest vital signs / pain scale, include "endorsed to NOD"

Write your name and signature at the end

General tip: avoid sentences / unnecessary words (ex: the vital signs are very good or normal / the patient is wearing a pink blouse), put a line if there are extra spaces after writing the data-action-response

[specialeuskalness]

[ampulesandvials]

FDAR

Ang bagong version ng charting. It stands for Focus, Data, Action and Response. Karamihan ng mga hospital ngayon ay ina-adapt na ito, pero may mga ospital pa rin na trditional charting ang ginagamit. Sa Traditional Charting eto yung sample:

Received patient sleeping on bed, 

with an IVF of D5LR on right metacarpal vein and infusing well.

etc....

Sa FDAR. May isang problem na finofocus., primarily eto yung chief complaint ng patient mo. Kung walang complaint, meron pa din yan sabi nga ng lecturer namin di lahat ng NCP eh negative. Pwedeng, mag-focus ka sa health teaching. Okay mabalik tayo sa usapan. Halimbawa, nahihirapan huminga si pasyente dahil sa ubo at mga plema niya. EXAMPLE:

F- Ineffective Airway Clearance

D- "Hirap siya huminga eh, panay ang ubo di makalabas ng maayos yung plema niya" as verbalized by the patient's relative. + objective assessment findings.

A- Taught the client about deep breathing exercises, increase oral fluid intake to facilitate airway clearance. + medicines ordered by the physician

R- Patient was able to verbalize relief. 

Ilalagay niyo din yung mga orders at yung mga dapat niyong i-endorse sa susunod na nurse. At the end of charting andun pa rin si endorsed. At ang mahiwaga niyong signature. Lalo na kung may mga bagong orders and all. Two times ko palang na-enconter si FDAR isa ay sa Lung Center of the Philippines at yung huli ay yung sa  hospital na pinagdutihan ko nitong May lang (though underboard pa ako). Hinayaan nila ako mag-charting doon kaya medyo familiar ako sa FDAR. Shinort-cut ko yung sample ko, wag niyo gagayahin yan. Yung format lang saka dapat kumpleto pa din ang data. Lahat-lahat. :) 

Disadvantage eh di lahat ng problem ng patient nababanggit, kung ano lang ang focused problem at ang mga related findings and interventions dito ang isusulat, kaya nga focused kasi dun lang. Honestly, nahirapan ako nung una diyan dahil siyempre sanay tayo sa traditional pero as nursing evolves through the years, nurses should know how to cope with the changes. Saka mahirap mag-isip ng focused problem pag wala ng problema ang pasyente. :)