Hospitals across the country are rethinking the way health care is del
ivered, With a shift from inpatient to outpatient care, there is an ef
fort to deliver quality, ''patient-focused care'' in the hospital sett
ing, Multidisciplines have embarked in cross-training to provide immed
iate services at the bedside, The premise of ''nursing'' documentation
is no longer feasible in multicaregiver environments. One hospital's
adaptation to documentation methods to meet the needs of a patient-foc
used system is described.