SOAP Note Examples & Documentation Tips: For Nurse Practitioners in Primary Care

by Lena Empyema

Written specifically for the outpatient FNP, this book is your new guide to format SOAP note documentation, including tips to streamline the SOAP note writing process, primarily through the use of a custom working template.Updated 2nd Edition Now Tips to Streamline the Documentation Process, Keyboard Tips for Efficient Transcription, Using this Book to Create a Template, Clinical SOAP Note Format, Abbreviations in Notes, Referring to time within notes, Physical Exam Narrative, Full SOAP example. Sports Physical, Pediatric Well Visit NotesSupplemental Lab Result Sample Lab Sets to Order, Iron deficiency, Hypertriglycerides, Pediatric lipid screening, HyperlipidemiaSOAP Notes for Common Primary Care Gastrointestinal Constipation SOAP, Diarrhea Note, Gastroenteritis Note, GERD Note, Hemorrhoid Note, Rectal Bleed SOAPDermatology General Skin Assessment Guidelines, Cellulitis SOAP, Mole SOAP, Rash SOAP, Acne Education Note, Diaper Rash Note, Eczema Note, Keratosis Pilaris Education, Lice Note, Scabies Note, Tinea Ungium Infection Education, Imbedded Tick Education, Varicose Vein EducationFatigue and Sleep SOAPs and Sample Fatigue SOAP, Insomnia/Difficulty Sleeping SOAP, OSA NoteFever and Viral Fever Note, Mononucleosis SOAP, URI SOAP, Influenza NoteHeadache & Headache SOAP, Migraine SOAPHead, Ears, Nose & Throat: Acute Otitis Media SOAP, Acute Otitis Externa Note, Concussion Follow-Up Note, Conjunctivitis SOAP, Cerumen Impaction SOAP, Strep Pharyngitis SOAP, Bronchitis Education Note, Tonsil Stone Education Note Pre-hypertension Education, New Diagnosis of HTN SOAP, Hypertension follow-up SOAPJoint Health/ Sample Carpal Tunnel Note, Gout Education, Raynaud Education, Rheumatoid/Autoimmune Workup Note, Chondromalacia/Runner’s Knee NoteLifestyle Modification & Weight Weight loss education note, Obesity note, Bariatric Surgery Initial Visit SOAP, s/p Bariatric Surgery Follow-Up Note, Pre-Diabetes SOAP, Smoking Cessation SOAPMental ADD/ADHD SOAP, ETOH/Alcohol Abuse & Misuse Note, Anxiety Note, Depression NoteOrthopedics & Arthritis SOAP, Ankle pain SOAP, Back Pain Note, Hip Pain Note, De Quervain’s Tenosynovitis Education Note, Knee Pain Education, Myalgia Education, Neck Pain Education, SI Joint Note, Osteopenia Education, Sprain Education, Tennis Elbow Education, Shoulder Pain SOAP, TMJ NotePain Acute Back Pain Note, Chronic Back Pain Note, Acute on Chronic Back Pain SOAP, Nonpharmacological Pain Management NoesPodiatry Sample Ingrain Toenail, Plantar Fasciitis, Plantar WartsSexual & Reproductive Amenorrhea SOAP, Abnormal Uterine Bleeding Note, Bacterial Vaginitis Note, Dyspareunia Note, Pregnancy Note, Erectile Dysfunction Note, Genital Herpes Note, STI Exposure SOAP, UTI SOAP, Vaginal Discharge Note, Yeast Infection NoteGeneral Contraceptive Notes, Oral contraceptives, IUD, Nexplanon, Patch, RingSexual Health Screening Breast Cancer Screening Note &STI Screening NoteProcedure Notes, to include Incision & Drainage Procedure,

214 pages, Kindle Edition

Published June 6, 2021