How do you document on an ongoing goal?

Documenting an ongoing goal within the Epic Inpatient Module can be accomplished effectively by highlighting the goal and clicking on the document option. This method ensures that the documentation is completed in an electronic and structured manner, aligning with the standards of the electronic health record system.

Using the provided functionality of the system, highlighting the specific goal allows the healthcare professional to accurately record their observations, interventions, and updates pertaining to the patient's progress towards achieving that goal. This streamlined process promotes consistency in documentation and facilitates easy retrieval for future reference, supporting continuity of care among the medical team.

Other methods, such as writing in the patient's chart manually, may lead to inconsistencies or difficulty in tracking changes over time, while informing the nursing supervisor does not fulfill the individual responsibility for maintaining accurate records in the patient’s electronic health record. Finally, skipping documentation until all goals are reviewed creates gaps in patient information and can hinder timely adjustments to the care plan. Therefore, highlighting the goal and clicking document is the most appropriate and effective approach for ongoing goal documentation.