You will only encounter the first case if you have the setting All flowsheets begin at set to a specific time. For example, in a clinic where all flowsheets begin at 8 am, the flowsheets would usually look something like this:
In such a case, the flowsheet begins at 8 am and ends at 7 am, encompassing the full 24 hours. If your flowsheets are scheduled to begin at 11 pm midnight or 1 am, you will possibly need some additional information. This crucial data could be found in THIS detailed article!
On the flowsheet that contains hours for the 1st day where DST occurs, you will see that the flowsheet accommodates for DST by removing the 2 am hour to Spring Forward or by repeating the 1 am hour to Fall Back:
Because of this, the flowsheet will now encompass a total of 25 or 23 hours, depending on whether your time zone moved forward or back one hour.
NOTE: That the same amount of time is covered on one flowsheet (24 hours) it will just appear different because of the addition or subtraction of an hour. On the screenshot above, you can see that the flowsheet now both begins and ends at 8 am.
Where you will likely notice this missed hour matter is on the following day when you have Added 24 hours to the flowsheet above. The new flowsheet for the morning of the 3rd day will begin on the hour following the last hour on the previous flowsheet. Because an hour was either added or subtracted, the flowsheet for the 3rd day's morning will reflect this.
For example, this is the day following the flowsheet above. This clinic's flowsheets start time is still set to 8 am, but this particular flowsheet now starts at 9 am (because 8 am was included on the previous flowsheet):
You can continue working from this flowsheet normally, as the preset time will have transferred over properly from the previous flowsheet. You will just proceed to know that the 8 am hour is on the previous flowsheet.
In case you find this to be confusing for staff, you can always discharge the patient and start a new flowsheet for Sunday, which will start at the usual time. This will only be relevant for patients staying in hospital on both the day where DST occurs and the day following.
ALSO NOTE: If you try to change a template for a patient which was created before the DST it causes the system to set the time on the patient's flowsheet as per the time until DST. For example, if you click change template and choose the start time at 8 am the system will set patient's flowsheet at 7 am.
We hope you found this information useful!