NUR-507cL SOAP 2
SOAP Notes 2
SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.
Graduate SOAP NOTE TEMPLATE.docx Download Graduate SOAP NOTE TEMPLATE.docx
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.
Soap Notes Grading Rubric
Your assignment will be graded according to the grading rubric.
STU FNP SOAP Note Rubric (2).pdf