I can tell you the reason the nurses just click, click, click..
The 'IPOC' is just a reiteration of everything you have been doing for your patient, and nine times out of ten, you are going to choose progressing.(because your patient is progressing through your plan of care) For example, if your patient comes to the hospital with a blood glucose of 300, chances are you are going to initiate a plan of care that addresses abnormal serum glucose. You will be checking your patient's blood sugar regularly, administering insulin, giving a carb consistent diet, teaching about the disease process, consulting a nutritionist, etc. Sounds to me like a decent plan of care, right? Well, you can't just do your plan of care. We have to meet quality measures and prove that we do have a plan and we are acting on it. So even though you know and I know you have identified a problem, chosen a plan of actions, intervened, and reassessed, you have to prove to anyone accessing the patient's records that you have done those things. So, we click click click on our chart, chart, chart! That is the purpose of the IPOC.