Focus Documentation on DHF
-Factors that potentiate blood loss
-Baseline vital signs, mentation, urine output, and subsequent assessment
-Result of laboratory and diagnostic studies
-Degree of deficit and current sources of fluid intake
-Input, output, and fluid balance
-Client's description of response to pain and acceptable level of pain
-Plan of care
-Teaching plan
-Response to interventions, teachings, and actions performed
-Attainment or progress towards desired outcomes
-Modifications to plan of care