SOAP Note Example | Nursing SOAP Note
20.7 هزار بار بازدید -
3 سال پیش
-
SOAP Note Example | Nursing
SOAP Note Example | Nursing SOAP Note
In this video we're going to go through the different types of nursing notes, specifically SOAP, SOAPIE and SOAPIER notes. We will walk through examples, and after this video you will know exactly what a SOAP note is in nursing school and how to write an awesome one. Trust me, you will seriously impress your clinical instructor.
SOAP, SOAPIE, or SOAPIER charting are all very straightforward and to the point, and they are all very similar.
SOAPIER:
SOAP, SOAPIE and SOAPIER stand for: Subjective, objective, assessment, plan, Intervention, evaluation and revision.
Subjective: The subjective portion goes over what the patient is saying or feeling as told by them. Something you can't measure, but is based on how the patient is feeling or their opinion.
Objective: This is the part that states the facts, the values that can be measured. This would be the vital signs, lab results, test results, things that are measurable.
Assessment: This is the area where you put your findings as the nurse. So what you are observing, or what the patient tells you.
Plan: The part where you get to show off what you did or plan to do as the nurse to help your patient.
Intervention: This is where you show off what you did or will do to help you patient.
Evaluation: This is where you validate that you actually helped your patient.
Reassessing, Revision, or Review: Based on your evaluation, you would document any changes that you would make in order to improve the outcome.
So again, these are all used, and it will be specific to your program which they prefer you learn, but the acronyms stand for the same things, SOAPIER stands for Subjective, objective, assessment, plan, Intervention, evaluation and revision.
You are doing an amazing job, friend! You will be an outstanding nurse that God created only you to be.
TIMESTAMPS:
0:00 Intro
0:57 Definition
2:38 Deep dive
RESOURCES:
1. FREE STUDY CHECKLIST
Get our best study tips in this quick PDF download.
https://nursingschoolofsuccess.com/ch...
2. GET A BOX
The Nursing School Boxes are packed with resources to help you pass your exams (like step-by-step guides, flashcards, and workbooks).
https://nursingsos.com/shop
3. JOIN THE COMMUNITY
Get instant access to premium, step-by-step nursing lectures and a supportive community of like-minded nursing students.
https://nursingschoolofsuccess.com/join
POPULAR VIDEOS:
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*Some of these are affiliate links, and I will receive a small commission if you choose to purchase a product through one of these links. Thanks for your support of our channel!*
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https://nursingschoolofsuccess.com/join
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https://nursingschoolofsuccess.com/nu...
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LEGAL DISCLAIMER:
We are a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites.
These videos are intended for entertainment purposes only. Although we strive for 100% accuracy in all of our videos, errors may occur. Never treat a patient or make a nursing or medical decision based on the information provided on this channel or in our videos. Never practice nursing or medicine unless you have a proper license to do so.
#clinical #nursingstudent #charting
In this video we're going to go through the different types of nursing notes, specifically SOAP, SOAPIE and SOAPIER notes. We will walk through examples, and after this video you will know exactly what a SOAP note is in nursing school and how to write an awesome one. Trust me, you will seriously impress your clinical instructor.
SOAP, SOAPIE, or SOAPIER charting are all very straightforward and to the point, and they are all very similar.
SOAPIER:
SOAP, SOAPIE and SOAPIER stand for: Subjective, objective, assessment, plan, Intervention, evaluation and revision.
Subjective: The subjective portion goes over what the patient is saying or feeling as told by them. Something you can't measure, but is based on how the patient is feeling or their opinion.
Objective: This is the part that states the facts, the values that can be measured. This would be the vital signs, lab results, test results, things that are measurable.
Assessment: This is the area where you put your findings as the nurse. So what you are observing, or what the patient tells you.
Plan: The part where you get to show off what you did or plan to do as the nurse to help your patient.
Intervention: This is where you show off what you did or will do to help you patient.
Evaluation: This is where you validate that you actually helped your patient.
Reassessing, Revision, or Review: Based on your evaluation, you would document any changes that you would make in order to improve the outcome.
So again, these are all used, and it will be specific to your program which they prefer you learn, but the acronyms stand for the same things, SOAPIER stands for Subjective, objective, assessment, plan, Intervention, evaluation and revision.
You are doing an amazing job, friend! You will be an outstanding nurse that God created only you to be.
TIMESTAMPS:
0:00 Intro
0:57 Definition
2:38 Deep dive
RESOURCES:
1. FREE STUDY CHECKLIST
Get our best study tips in this quick PDF download.
https://nursingschoolofsuccess.com/ch...
2. GET A BOX
The Nursing School Boxes are packed with resources to help you pass your exams (like step-by-step guides, flashcards, and workbooks).
https://nursingsos.com/shop
3. JOIN THE COMMUNITY
Get instant access to premium, step-by-step nursing lectures and a supportive community of like-minded nursing students.
https://nursingschoolofsuccess.com/join
POPULAR VIDEOS:
How To Ace Dose Calc: ACE Dosage Calculations in 6 EASY Ste...
The Best Pharm Hack (You've Never Heard Before): My #1 Pharmacology HACK for Nursing S...
My TOP Study Tips: How to Get Straight A's in Nursing Sc...
Nursing Documentation Tips (2018): NURSING DOCUMENTATION TIPS (2018)
I Almost Got WRITTEN UP | Nursing Documentation Tips: I Almost Got WRITTEN UP | Nursing Doc...
🎥 VIDEO REQUESTS: Leave a comment below and let me know what video topic you'd love to see in the future.
*Some of these are affiliate links, and I will receive a small commission if you choose to purchase a product through one of these links. Thanks for your support of our channel!*
MEMBERSHIP:
💉 NursingSOS Membership Community
Premium, step-by-step nursing lectures to help you pass nursing school (without stress and overwhelm).
INCLUDES ALL OTHER COURSES
https://nursingschoolofsuccess.com/join
--
🩺 NURSING SCHOOL SUPPLIES MUST HAVES:
https://nursingschoolofsuccess.com/nu...
--
NEVER MISS A STUDY TIP AGAIN
SUBSCRIBE: http://bit.ly/nursingsossubscribe
--
FOLLOW FOR MORE NURSING SCHOOL TIPS
BLOG: https://nursingschoolofsuccess.com
INSTAGRAM: Instagram: nursingsos
FACEBOOK: Facebook: nursingsos
--
LEGAL DISCLAIMER:
We are a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites.
These videos are intended for entertainment purposes only. Although we strive for 100% accuracy in all of our videos, errors may occur. Never treat a patient or make a nursing or medical decision based on the information provided on this channel or in our videos. Never practice nursing or medicine unless you have a proper license to do so.
#clinical #nursingstudent #charting
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