Charting: using AIR

Uses the mnemonic AIR

  1. Assessment
  2. Intervention
  3. Response
  • synthesizes events
  • avoids information repetition of information found elsewhere in the patient health record

Assessment:

  • Summarizes physical findings
  • begin by specifying each issue addressed in  care
  • focus on needs assessment
  • focus on trend documentation

Intervention

  • Summarize actions taken
  • Summarize notification and response of other team members to assessments and data
  • include condensed care plan
  • include plans for further patient monitoring

Response

  • Summarize outcome of intervention
  • Summarize patient response to care

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