The day following Daylight Savings Time, you may notice some changes to your flowsheets.
You will only notice this if you have the setting "all flowsheets begin at". For example, in a clinic where all flowsheets begin at 8:00 AM, your flowsheets would look something like this:
The flowsheet begins at 8am and ends at 7am, encompassing the full 24 hours.
On the first flowsheet that contains hours for the Saturday where DST occurs, you will see that the flowsheet accommodates for DST by removing the 2am hour to "Spring Forward" or by repeating the 1am 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. Please 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. In the screenshot above, you can see that the flowsheet now both begins and ends at 8am.
Where you will likely notice this is on the following day when you have "added 24 hours" to the flowsheet above. The new flowsheet for Sunday morning will begin on the hour following the last hour on the previous flowsheet. Because an hour was either added or subtracted, the flowsheet for Sunday morning will reflect this.
For example, this is the day following the flowsheet above. This clinic's flowsheets start time is still set to 8am, but this particular flowsheet now starts at 9am (because 8am was included on the previous flowsheet).
You can continue working from this flowsheet normally, as the "q" 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.
If 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.