Soap2.docx
Good morning class,
I received several emails requesting to make an episodic soap note instead of a standard soap note. Therefore, I want to clarify this today so that everyone understands what I want to see in the soap notes. Everyone is seeing patients that come to the office for different OB or GYN complains therefore your note is already an episodic soap note. You should focus on that persons HPI and develop your plan of care with that. In other words, if your soap note does not have all the items listed in the rubric, you will get points deducted. I grade the notes by the rubric. Please make sure you follow it when making your soap notes.
SOAP Notes 2
SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The comprehensive SOAP note is to be written using the attached template below.
With your instructor's permission, you may write an episodic SOAP note in place of the comprehensive. The episodic SOAP note is to be written using the attached template below.
For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:
|
S = |
Subjective data: Patient’s Chief Complaint (CC). |
|
O = |
Objective data: Including client behavior, physical assessment, vital signs, and meds. |
|
A = |
Assessment: Diagnosis of the patient's condition. Include differential diagnosis. |
|
P = |
Plan: Treatment, diagnostic testing, and follow up |
Submission Instructions:
· Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
· Complete and submit the assignment using the appropriate template in MS Word by 11:59 PM ET Sunday.
