DARP Charting

[blackbetty]

DARP stands for

D (Data) Information that supports the stated focus or describes pertinent observation about the client (part of the nursing process=assessment)

A (Action) Immediate appraisal of the care plan along with any changes required (part of the nursing process = plan and implementation)

R (Response) Description of client responses to any part of the medical or nursing care (part of the nursing process = evaluation)

P (Plan) future nursing actions that address the focus (part of nursing process = planning)

(aka DAP notes)

How do I chart this scenario using the acronym DARP

Your patient has returned from the OR having a total knee replace.

[TheCommuter, BSN, RN]

I've never heard of DARP charting, but I have heard of DAR (Data - Action - Response) charting.

D - Pt. states, "5mg of Valium makes me loopy." Pt. refuses to take Valium 5mg.

A - Dr. Doe notified of pt. refusal. Verbal order received to decrease Valium to 2.5mg p.o. Pt. made aware and took med as ordered.

R - Pt. pleased with new order. Med effective. Pt. states, "I feel less anxious."

[Midwest4me]

What ever happened to good, old-fashioned bio (behavior, intervention, outcome)charting? when did this darp come into being?

[NurssNicole]

I went to Nursing school 10 years ago and we learned it then. Is it a Canadian chart method? I like it because you can cut to the chase and give your data (subjective and objective), what you are going to do about it (action) what the response was and then your plan....this plan may be useful for an overall careplan. This is called FOCUS charting and is simple.

Data: Pt c/o pain 8/10 to R groin incision during dressing change.

Action: given Tylenol 325mg 30 mins prior to drsg change

Response: pt's reports that pain only 2/10 during drsg change

Plan: Give Tylenol 325mg 30 mins prior to all drsg changes to decrease pain.

It is a way to evaluate the outcome of the action that you did in response to information you,ve assessed.

I think it sounds more complicated than it needs to be as I keep typing....?

[nicmilne]

Hello there I am a first year student practical nurse, we are doing darp charting and I am a little confused as to how to chart the scenario they gave for us! The nurse prepares the med of valium 5 mg goes into the room to give it to him the client asks what the med is for she explains that its for his anxiety and he tells her it makes him loopy! So she calls the doc into the room and the doc give a new order for 2.5 mg of valium and the client says yes that's better! Now to me I would think you need to do 2 sets of darp for this but I can't seem to wrap my head around just how to do it! So far I have d- all his comments that the 5 mg was brought to him he refused and his comments a- that doc was called med reduced to 2.5 mg r- that he says that sounds good p- to reassess in 30 mins

Now I'm not to sure if this is acceptable? Is anyone can help me out that would be great!

[kenrika]

I am a nursing student, I am now learning how to do charting. Can anyone help me complete the below scenario using the DARP charting method. I have done one but not quite sure if I am on the right track. Thanks in advance seniors.

You are Ms Carter's nurse, working an evening shift.

At 7:30 pm she rings her bell. When you go into the room she tells you that she is feeling ill, she is cold and her blankets are wet. You ask her if she has pain anywhere and she says "No, I am just achy ". Her VS are 140/80, pulse is 140 and reg., respirations 24 labored and temperature 40.5. You give Ms. Carter a glass of water and ask her to drink as much as she can. You also change her gown and wash her hands and face. You leave the room and discuss your findings with the supervisor and check her nursing orders for antipyretic medications. She has Tylenol 325 mg po q4h ordered for elevated temperature.

At 8:00 pm Doctor Jane visits and examines patient. Ms. Carter tells Doctor Jane she is still achy and that she is having trouble breathing. Dr. Jane requests that you obtain an chest x-ray, sputum sample, blood work, and start her on oxygen per nasal cannula @ 3 L/min.

By 8:30 pm the x-ray, sputum sample and blood work have been completed. Oxygen therapy has been started. Ms. Carter's VS are 104/76, pulse 68, respirations 24 and still labored, temp 38.8.

[joanna73, BSN, RN]

Data: 90 year old female pt c/o pain and ache to right hip, post CVA

Action: Repositioning q 2 h, keep off affected hip as much as possible. Admin Tylenol ES x 2 tabs

q 4 to 6 h

Response: Pt reports that repositioning and meds are effective in diminishing pain and discomfort.

Plan: Share with team, document interventions, administer pain meds routinely, perform ROM exercises with pt, and request that PT (Physical Therapy) assess pt.

[nursingstudent1156]

How would I chart this scenario using DARP? "The patient is diagnosed with peripheral vascular disease. He has a painful cold left foot that has been affecting him for about a month, and he is not ambulatory. The physician has ordered some X-rays to ensure nothing is broken. You enter his room to conduct a complete peripheral vascular assessment. There is an order for a sequential compression device to be applied when pt. is in bed until he is ambulatory (has not been applied yet). Initial vital signs are 37 C, 90 pulse, BP 130/150, respiratory rate 20/min, and O2 sat 92%. Left post tibial pulse is weaker than his right post tibial. Feet are cold to touch and appears to be some edema. Physicians told him to move feet around. An hour later, vital signs are same except pulse is now 80 bpm, BP is 125/50, O2 is 95%.

I need at least two focuses within the DARP charting.

[Steven Smith]

Hi

In DARP charting, what do you put for "R" if the patient doesn't speak etc..?

[Rose_Queen, BSN, MSN, RN]

Is that the only information you received about the patient? If so, what other information can you infer about the patient? What does the fact that they had a knee replacement lead you to believe will be priorities in caring for the patient?