Soap Notes: The Down and Dirty on Squeaky Clean Documentation


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Description

Do you feel like there's more to the SOAP note than the S, O, A and P? Well you're right. This book will show you just how much more there is and what you need to do to write great notes. This book is like a double shot of espresso: concentrated, direct, with only the essentials. After reading this book you will be so excited for your clerkships that you'll have to try not to honor This Book Covers: - the components of the SOAP note - important little things they don't tell you in medical school - when to use a SOAP note vs. an H&P - abbreviations - handwriting and spelling - dealing with errors - the summary statement (the most important part of the note) - avoiding lawsuits - differences between the SOAP note for the primary team and the consultant's team - properly consulting a specialist - where to get the essential information quickly (time saving techniques for the wards) - how to use your SOAP note for oral presentations - 3 structuring choices for the Assessment and Plan - differences between the clinic, ward and ICU notes Bonus Features: - skeleton notes - reference guide - tips from inside the hospital

Author: Jeremiah Fleenor
Publisher: Mdpocket
Published: 03/01/2007
Pages: 62
Binding Type: Paperback
Weight: 0.25lbs
Size: 8.50h x 5.50w x 0.19d
ISBN13: 9780977955923
ISBN10: 0977955923
BISAC Categories:
- Medical | Education & Training
- Medical | Test Preparation & Review
- Medical | Internal Medicine