Shift 4 Publishing
Soap Notes: The Down and Dirty on Squeaky Clean Documentation
Soap Notes: The Down and Dirty on Squeaky Clean Documentation
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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