Nr509 soap note - Study guides, Class notes & Summaries

SOAP NOTES TEMPLATE S: Subjective Information the patient or patient representative told you. Initials: JT Age: 28 years Gender: Female Height: 170cm Weight: 88kg BMI: 30.5 BP: 139/87 HR: 82 RR: 16 Temp: 98.9 SPO2: 99% Pain (1-10): 3/10 Allergies Medication: Penicillin—Rash Food: No known allergy Environment: Cats—Asthma exacerbations History of Present Illness (HPI) CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for i...

Tina Jones Week 1 NR509 SOAP NOTES TEMPLATE Tina Jones Week 1 NR509 SOAP NOTES TEMPLATE S: Subjective Information the patient or patient representative told you. Initials: T.J Age: 28 Gender: Female Height: 170cm Weight: 90kg BP: 142/82 HR: 86 Temp: 101.1 SPO2: 99% Pain (1-10): 7/10 Allergies Medication Penicillin = Rash/Hives Food No Known Allergies Environment Cat Dander & Dust = Sneezing, Itchy eyes, Wheezing History of Pre...

Exam (elaborations) NR 509 Abdominal Pain SOAP NOTE (NR509) SOAP Note Template Initials: E.P. Age: 78 Gender: F Height Weight BP HR RR Temp SPO2 Pain Allergies 157.48 (5’2”) 54 kg (120 lbs) 110/ 70 92 16 37.0 C 99% 6/10 Medication: Latex (Rxn - itchy skin rash) Food: NKA Environment: NKA History of Present Illness (HPI) Chief Complaint (CC) “Belly pain” CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache...

Chamberlain College of Nursing - NR509 Week 2 / NR 509 Chapter 2 SOAP Note

Exam (elaborations) NR 509 Week 5 Soap Note (NR509) SOAP NOTES TEMPLATE S: Subjective Information the patient or patient representative told you. Initials: EP Age: 78 Gender: Female Height: 5’2” Weight: 120 lbs BP: 110/70 HR:92 Temp: 37.0 C SPO2: 99 RR: 16 Pain (1-10): 6 Allergies: Medication: NKDA Food: none Environment: Latex—“itchy rash” History of Present Illness (HPI) Chief Complaint (CC): “pain in my belly” and difficulty going to the bathroom Onset: Con...

NR 509 Week 6 Pediatric SOAP Note S: Subjective – Information the patient or patient representative told you O: Objective – Information gathered during the physical examination by inspection

NR509- week 3 SOAP Note final

NR509- week 3 SOAP Note final

NR509- week 3 SOAP Note final

NR509 SOAP Note Week6 GRADED A+ /NR509 SOAP Note Week6 GRADED A+ /NR509 SOAP Note Week6 GRADED A+