Common Formats

Question 1

Narrative

Answer 1

written in order of patient experience happens. ​

Provides details of patient’s care, status, activities, nursing interventions, psychosocial context and response to treatment.​

Charting by Exception​

Question 2

Problem-Intervention-Evaluation (PIE)

Answer 2

Nursing focused instead of medical focused and eliminates need for separate care plan​

Question 3

Soap/Soapie/Soapier

Answer 3

Subjective data, objective data, assessment, plan, intervention, evaluation, revision

Question 4

DAR

Answer 4

Data, action, response