NEW Frequent Assessment
Section on Vitals/I&O Tab:
• Elements commonly charted q 1-4 h may be
documented on same tab with other frequent
documentation
• Once frequent assessment is documents 1 x,
you may use
Unchanged/Unchanged Except options to
save time
• See elements in this section below and to the
right
Note: in this example a subset
of all possible pulses were
reassessed & documented
1.
2.
3.
4.
Head to toe full assessment documented on All Docs or Assessment Tab at 8am.
Focused Reassessment documented on Vitals/I&O tab at 9am.
On subsequent hours, Frequent Reassessment documentation = “Unchanged since last frequent reassessment” or “Unchanged except…”
If “Unchanged except”, document ONLY the element(s) that have changed.