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SAMPLE DAR CHARTING
Date/Time Focus Nurse's Notes
31/5/2010 pre-operative care
F >Received asleep lying on bed with ongoing 5thIVF of PLRS iL+1 amp vit.b and vit.C x 16hoursat
150 cc level infusing well at the rightcephalic vein.

D>With intact and patent CTT at 5th left intercostalspace connected to thorabottle draining toyellowish
secretion. No signs of respiratorydistress. No compliants as of this moment.

A>Established      rapport.   Assessed      for    signs    andsymptoms      of    respiratory
distress.Checked presence of dentures,nail polish, and jewelries.Dentures removed and handed
towatcher.Consent signed for Cholecystectomyattached to chart.Instructed on NPO.Oral
caredone. Shaving done. Skin prep done andclothing changed to O.R gown.Advised to dodeep
breathing exercises.Encouraged toverbalize feelings and concerns to upcoming procedure.

1:00 a.m >Above IVF consumed and replaced withthe 6thIVF of D5LRS 1L regulated to 28gtts/min.

R>Pt. was able to show readiness to upcomingoperation.Endorsed with an ongoing 6th IVF of D5LRS
iL x 28 gtts/min at 650 cc level andscheduled for cholecystectomy at 8 a.m




Date/Time Focus Nurse's Notes
31/5/2010 Focus:mild pain
>Received lying on bed with ongoing 1st IVF of PNSS iL+2 amps.vit B and vit.C x 16 at 360cclevel
infusing well at left metacarpal vein.

D>With O2 inhalation at 2-4 LPM via nasalcannula.Poor skin nturgor noted. "nasakit ti takebko karkaru
nu agkutikuti ak" as verbalized. Pain israted as 4/10 and is localized on the anterior chest.Characterized
as pricking pain.Facial grimaces andguarding behaviors noted when in pain.

A>Established rapport. Assessed pain level andcharacteristic.Assessed skin turgor. Cutaneous
stimulation done. Provided quiet and calm environment.Positioned to comfort.
Encouragedverbalization of feelings.

5:20pm >above IVF consumed and 2nd IVF of PNSS il x16 hours replaced.

R>Pt. verbalized that pain is reduced from 4/10to 2/10.

11:00pm >Endorsed with ongoing 2nd IVF of PNSS iLx16at 800 cc level
Date/Time Focus Nurse's Notes
5/31/2010Focus:elevated body >Received awake in a semi-fowler's position

7:00 am temperature   with ongoing IVF of D5NSS il x8 at 950 cclevel infusing well at right cephalic vein arm.

D>with intact and patent IFC connected tourine bag draining to light yellow urine.

>"napudot ti riknak"as verbalized.With bodytemperature of 38.2oC per axilla.Withflushed face and
skin warm to touch.

A>Assessed patency of IFC.Assessed for signs of fever.TSB continuouslydone.Offered fluids
available at bedside.Removed extra clothings and blankets.Opened windows to enhance ventilation.
Emphasized importance of increasing fluidintake.Encouraged verbalization of feelingsand concerns.

2:30pm >Above IVF consumed and removed asordered.

R>Temperature lowered from 38.2oC to37oC




Focus Charting of F-DAR is intended to make the client and client concerns and strengths the
focus of care. It is a method of organizing health information in an individual’s record. Focus
Charting is a systematic approach to documentation.

Three columns are usually used in Focus Charting for documentation:

        Date and Hour;
        Focus and;
        Progress Notes.

The progress notes are organized into (D) data, (A) action, and (R) response, referred to as DAR
(third column).

Here is an example of a format of Focus Charting or F-DAR

  Date/Hour          Focus               Progress Notes
3/7/20108:00pm Focus of care, this DataActionResponse
               may be:

                          a nursing
                          diagnosis
                          a sign or a
symptom
                         an acute
                         change in
                         the
                         condition
                         behavior


The Data Category

The data category is like the assessment phase of the nursing process. It is in this category that
you would be writing your assessment cues like: vital signs, behaviors, and other observations
noticed from the patient. Both subjective and objective data are recorded in the data category.

The Action Category

The action category reflects the planning and implementation phase of the nursing prosess and
includes immediate and future nursing actions. It may also include any changes to the plan of
care.

The Response Category

The response category reflects the evaluation phase of the nursing process and describes the
client’s response to any nursing and medical care.

Focus Charting Samples

Listed below are sample focus charting for different problems.

Pain

The focus of this problem is pain. Notice the way the D,A,R were written.

   Date/Hour       Focus                 Progress Notes
5/20/20108:00pm Pain            D:>Reports of sharp pain on
                                the abdominal incision area
                                with a pain scale of 8 out of
                                10>Facial
                                grimacing>Guarding
                                behavior>Restless and
                                irritableA:>Administered
                                Celecoxib 200mg IV

                                >Encouraged deep breathing
                                exercises and relaxation
techniques

                               >Kept patient comfortable
                               and safe

                               R:

                               >Patient reports pain was
                               relieved

Hyperthermia

   Date/Hour       Focus             Progress Notes
5/20/20108:00pm Hyperthermia D:>Temperature of 38.9 OC
                             via axilla>Skin is flushed and
                             warm to touchA:>Tepid
                             Sponge Bath (TSB)
                             done7:30pm>Administered
                             250mg IV Paracetamol as per
                             doctor’s order>Encouraged
                             adequate oral fluid intake

                                >Encouraged adequate rest

                                R:

                                10:00pm>Temperature
                                decreased from 38.9 to 37.1
                                O
                                 C

Another Variation

This is DAR made by Jay-D Man of Slideshare.net. with some modifications made. This is a
very good variation.

F1: Ineffective Breathing Pattern

D1: increase respiratory rate of 24 cpm

D2: use of accessory muscle to breath

D3: presence of nonproductive cough

F2: Hyperthermia

D1: skin warm and flush to touched
D2: increased body temperature of T= 38.9 degree celsius/axilla

F3: Fatigue

D1: less movement noted

A: 9:00am

       monitored v/s and charted
       regulated IVF and charted
       morning care done
       assessed patient needs and performed handwashing before handling the patient
       advised SO to always stay on patient bedside
       promote proper ventilation and a therapeutic environment

       elevated the head of the bed (moderate high back rest)
       provided comfort measures and provide opportunity for patient to rest
       due meds given

9:30am

       tepid sponge bath done
       instructed SO to provide blanket and let patient wear loose clothing

F4: Discharge Plan (12:00nn)

D1: discharged order given by Dr.Name/Time

       M – advised SO to give the ff. meds at the right time, dose, frequency and route
       E – encouraged to maintain cleanliness of the house and surroundings
       T – advised to go to follow-up consultations on the prescribed date
       H – encouraged to do chest tapping to facilitate mobilization of secretion
       O – observed for signs of super infections such as fever, black fury tongue and foul odor
       discharges
       D – encouraged to eat fresh vegetables and fish
       S – advised to continue praying to God and hear mass on Sunday

2:00pm – out of the room per wheelchair with improved condition

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SAMPLE DAR CHARTING

  • 1. SAMPLE DAR CHARTING Date/Time Focus Nurse's Notes 31/5/2010 pre-operative care F >Received asleep lying on bed with ongoing 5thIVF of PLRS iL+1 amp vit.b and vit.C x 16hoursat 150 cc level infusing well at the rightcephalic vein. D>With intact and patent CTT at 5th left intercostalspace connected to thorabottle draining toyellowish secretion. No signs of respiratorydistress. No compliants as of this moment. A>Established rapport. Assessed for signs andsymptoms of respiratory distress.Checked presence of dentures,nail polish, and jewelries.Dentures removed and handed towatcher.Consent signed for Cholecystectomyattached to chart.Instructed on NPO.Oral caredone. Shaving done. Skin prep done andclothing changed to O.R gown.Advised to dodeep breathing exercises.Encouraged toverbalize feelings and concerns to upcoming procedure. 1:00 a.m >Above IVF consumed and replaced withthe 6thIVF of D5LRS 1L regulated to 28gtts/min. R>Pt. was able to show readiness to upcomingoperation.Endorsed with an ongoing 6th IVF of D5LRS iL x 28 gtts/min at 650 cc level andscheduled for cholecystectomy at 8 a.m Date/Time Focus Nurse's Notes 31/5/2010 Focus:mild pain >Received lying on bed with ongoing 1st IVF of PNSS iL+2 amps.vit B and vit.C x 16 at 360cclevel infusing well at left metacarpal vein. D>With O2 inhalation at 2-4 LPM via nasalcannula.Poor skin nturgor noted. "nasakit ti takebko karkaru nu agkutikuti ak" as verbalized. Pain israted as 4/10 and is localized on the anterior chest.Characterized as pricking pain.Facial grimaces andguarding behaviors noted when in pain. A>Established rapport. Assessed pain level andcharacteristic.Assessed skin turgor. Cutaneous stimulation done. Provided quiet and calm environment.Positioned to comfort. Encouragedverbalization of feelings. 5:20pm >above IVF consumed and 2nd IVF of PNSS il x16 hours replaced. R>Pt. verbalized that pain is reduced from 4/10to 2/10. 11:00pm >Endorsed with ongoing 2nd IVF of PNSS iLx16at 800 cc level
  • 2. Date/Time Focus Nurse's Notes 5/31/2010Focus:elevated body >Received awake in a semi-fowler's position 7:00 am temperature with ongoing IVF of D5NSS il x8 at 950 cclevel infusing well at right cephalic vein arm. D>with intact and patent IFC connected tourine bag draining to light yellow urine. >"napudot ti riknak"as verbalized.With bodytemperature of 38.2oC per axilla.Withflushed face and skin warm to touch. A>Assessed patency of IFC.Assessed for signs of fever.TSB continuouslydone.Offered fluids available at bedside.Removed extra clothings and blankets.Opened windows to enhance ventilation. Emphasized importance of increasing fluidintake.Encouraged verbalization of feelingsand concerns. 2:30pm >Above IVF consumed and removed asordered. R>Temperature lowered from 38.2oC to37oC Focus Charting of F-DAR is intended to make the client and client concerns and strengths the focus of care. It is a method of organizing health information in an individual’s record. Focus Charting is a systematic approach to documentation. Three columns are usually used in Focus Charting for documentation: Date and Hour; Focus and; Progress Notes. The progress notes are organized into (D) data, (A) action, and (R) response, referred to as DAR (third column). Here is an example of a format of Focus Charting or F-DAR Date/Hour Focus Progress Notes 3/7/20108:00pm Focus of care, this DataActionResponse may be: a nursing diagnosis a sign or a
  • 3. symptom an acute change in the condition behavior The Data Category The data category is like the assessment phase of the nursing process. It is in this category that you would be writing your assessment cues like: vital signs, behaviors, and other observations noticed from the patient. Both subjective and objective data are recorded in the data category. The Action Category The action category reflects the planning and implementation phase of the nursing prosess and includes immediate and future nursing actions. It may also include any changes to the plan of care. The Response Category The response category reflects the evaluation phase of the nursing process and describes the client’s response to any nursing and medical care. Focus Charting Samples Listed below are sample focus charting for different problems. Pain The focus of this problem is pain. Notice the way the D,A,R were written. Date/Hour Focus Progress Notes 5/20/20108:00pm Pain D:>Reports of sharp pain on the abdominal incision area with a pain scale of 8 out of 10>Facial grimacing>Guarding behavior>Restless and irritableA:>Administered Celecoxib 200mg IV >Encouraged deep breathing exercises and relaxation
  • 4. techniques >Kept patient comfortable and safe R: >Patient reports pain was relieved Hyperthermia Date/Hour Focus Progress Notes 5/20/20108:00pm Hyperthermia D:>Temperature of 38.9 OC via axilla>Skin is flushed and warm to touchA:>Tepid Sponge Bath (TSB) done7:30pm>Administered 250mg IV Paracetamol as per doctor’s order>Encouraged adequate oral fluid intake >Encouraged adequate rest R: 10:00pm>Temperature decreased from 38.9 to 37.1 O C Another Variation This is DAR made by Jay-D Man of Slideshare.net. with some modifications made. This is a very good variation. F1: Ineffective Breathing Pattern D1: increase respiratory rate of 24 cpm D2: use of accessory muscle to breath D3: presence of nonproductive cough F2: Hyperthermia D1: skin warm and flush to touched
  • 5. D2: increased body temperature of T= 38.9 degree celsius/axilla F3: Fatigue D1: less movement noted A: 9:00am monitored v/s and charted regulated IVF and charted morning care done assessed patient needs and performed handwashing before handling the patient advised SO to always stay on patient bedside promote proper ventilation and a therapeutic environment elevated the head of the bed (moderate high back rest) provided comfort measures and provide opportunity for patient to rest due meds given 9:30am tepid sponge bath done instructed SO to provide blanket and let patient wear loose clothing F4: Discharge Plan (12:00nn) D1: discharged order given by Dr.Name/Time M – advised SO to give the ff. meds at the right time, dose, frequency and route E – encouraged to maintain cleanliness of the house and surroundings T – advised to go to follow-up consultations on the prescribed date H – encouraged to do chest tapping to facilitate mobilization of secretion O – observed for signs of super infections such as fever, black fury tongue and foul odor discharges D – encouraged to eat fresh vegetables and fish S – advised to continue praying to God and hear mass on Sunday 2:00pm – out of the room per wheelchair with improved condition