9.17 : 流程图

Flowsheets are a nursing documentation process allowing healthcare professionals to record multiple assessments and measurements in a consolidated format.

They are designed to be easy to read and update, providing a clear, chronological overview of a patient's condition and care over time.

Flowsheets often include information such as vital signs, medication administration, wound assessments, and patient responses to interventions.

Here are some examples of flowsheets used by nurses.

Graphic sheet documentation records patient variables like vital signs or daily weight.

Next, a 24-hour fluid balance format documents and tracks the patient's fluid intake and output.

Then, the patient's medication record includes precise details of all administered medications, including date, time, dose, route, and nurse's signature.

Lastly, the acuity charting system documents patient care activities over 24 hours.

It involves assigning an acuity score, ranging from 1 to 4, based on the patient's characteristics and the level of care required.

These scores help to determine the appropriate staffing and care hours for specific patient groups.