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A systematic approach to
documentation using terminology to
describe individual’s health status and
nursing action
F-ocus
D-ata
A-ction
R-esponse
ELEMENTS OF FOCUS CHARTING
FOCUS
Identifies the content or purpose of the narrative entry
separated from the body of the notes
for easy data retrieval & communication
DATA
Subjective and objective information
supports the focus
describes observation at the time of the significant
event
ACTION
Nursing interventions performed & planned to be
performed
protocols and procedures initiated
RESPONSE
Describes the individual’s response to medical/nursing
care.
Outcomes of the action/intervention taken
GENERAL Guidelines
Indicateshift (7-3, 3-11,11-7) for every change of shift
before chart entry.
Focus must be evident at least once every shift.
Must be focus-oriented and not nursing task-
oriented.
Start the entry by indicating the focus note on the
first column.
Below the focus, indicate the date and time of
entry on the same column.
GENERAL GUIDELINES