A good SOAP note tells the patient’s story clearly enough that any clinician could pick it up cold.
Subjective: what the patient reports.
Objective: the measurable data.
Assessment: your clinical judgement.
Plan: what happens next.
nursecapstone.com
#SOAPnote #Nursing
A good SOAP note tells the patient’s story clearly enough that any clinician could pick it up cold.
Subjective: what the patient reports.
Objective: the measurable data.
Assessment: your clinical judgement.
Plan: what happens next.
nursecapstone.com
#SOAPnote #Nursing
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