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Hospital Accreditation

Block Charting to Meet Regulatory Requirements
Posted by
on 12/7/2021 10:00:00 AM
Caring for a critically ill patient can be a whirlwind of activity and interventions, especially when there is an emergent situation caused by a change in the patient’s condition. There can be numerous team members working together to create a stable condition for the patient. Single or multiple medications being infused, quick changes in the patient’s condition and several treatment changes, medication dose and rate changes, all add up to an organized event that would seem like chaos to an outsider.
But how do you record the medication administration, the numerous titrations, the dosing, etc.? Well, this is where block charting may be an appropriate charting mechanism.
What is block charting?
What is the time frame for block charting episodes?
What is required to be included in each block charting episode (each 4-hour time block)?
Urgent and emergent care for a patient can be stressful. Utilizing the elements of block charting to document the medication(s) titration and meet regulatory requirements should not be stressful. Having a quick reference of the required elements of this documentation, like listed above, will not only support your organization with staff knowledge and understanding of the regulatory requirements, but will also support effective documentation practices.
Astle, S. & Czajkowski, C. Block Charting During Rapid Titration for the Critically Ill Patient, December 2020,
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