example of BIRP psychiatric charting

B: pt is repeatedly intrusive and aggressive with peers on the unit aeb cutting in line pushing peers out of the way and getting in a peers face and calling him a "butt"

I: redirect, discuss effective coping skills to deal with peers such as talking to them about your place in line, allow patient self time outs when frustrated ( you can insert any identified coping skills from treatment plan here or coping skills that pt identifies with you)

Response: patient able to maintain position in line without aggressive behaviors. Whatever the patient does after you intervene or for a part of the shift

Plan: continue to monitor patient provide 1:1 processing if necessary whatever you plan to do to keep building on a better behavior or what your next course of action will be if the interventions you use do not work. I used to say continue the monitoring process.

Also if patient is on medications you include those in your intervention and document response there and document if there are no side effects etc.