A flowsheet for documenting independent nursing visits after breast surgery.
OBJECTIVE
To redesign a postoperative flowsheet already used in clinical practice with patients who have undergone breast surgery to reflect documentation of assessments and interventions noted on each nursing visit.


METHODS
Memorial Sloan-Kettering Cancer Center Standards of Practice for Ambulatory Care, clinical experience, and published articles.


RESULTS
A comprehensive flowsheet was redesigned to provide consistency in documentation and reflect current needs of patients who have undergone breast surgery who are in ambulatory care.


CONCLUSIONS
Implementation of the new flowsheet has decreased staff documentation time during busy office practices and accurately reflects the nursing care provided to patients after breast surgery.


CONCLUSIONS
Consistency in patient care can be maintained and efficiency can be increased with use of a comprehensive flowsheet.
Gross
R E
RE
Breast Service Ambulatory Care Nursing Department, Evelyn H. Lauder Breast Center, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Walsh
A
A
Davis
J H
JH
Russo
J
J
Baron
R H
RH
D000553:Ambulatory Care; D001943:Breast Neoplasms / Q000451:nursing* / Q000601:surgery*; D005260:Female; D005568:Forms and Records Control; D006801:Humans; D009730:Nursing Assessment; D009737:Nursing Records; D011182:Postoperative Care / Q000451:nursing*