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FDAR Sample Charting PDF
FDAR Sample Charting PDF
Example:
Need: Comfort (or, Relief of pain)
D - Complaining of continuous, sharp pain in mid-abdominal incisional area. Crying. "I
need something for pain now!" States pain is 9 on a scale of 10.
A - Medicated with Demerol 75mg IM in LUOQ of left buttock. Repositioned on right
side with pillow to abdomen to help splint wound.
R - Patient stated pain was "much better" 30 minutes later and rated it 3 on a scale of
10.---N. Nurse
General Survey
• Appearance of the patient, condition- when seeing the patient
• Any IVF or Medications attaches to the arms of the patient
• Current Vital Signs of the Patient
Eg.
Approached sitting on bed, awake, responsive, coherent with ease in
respiration, with O2 at 2 LPM, with an IVF of 4 PLR 1L + 8.25 meq KCl @
66 ugtts/min infusing well at the Right arm, with the following V/S: BP=
110/70 mmHG, PR= 100 bpm, RR= 26 cpm, T= 36.8 degree Celsius/axilla.
Followed by F-DAR
After writing the F-DAR , at the end of the shift write again your general
observation/survey of the patient condition
F: Hyperthermia
D: > increase in body temperature above normal range to T= 38 degree Celsius/axilla
> flushed skin and warm to touched
A: 9:00am
> Tepid sponge bath done
> instructed SO to let patient wear loose clothing
> instructed SO to provide blanket to patient when shiver
> instructed SO to let patient drink lots of fluid
> instructed SO to include in his diet foods rich in Vitamin C such as oranges
> provided opportunity for patient to rest
> due meds given
R: 1:00pm
> patient was able to rest
> patient temperature decrease to T= 37.8 degree Celsius/axilla