How to Write a Good SOAP Note - Part II

This is the continuation of Part I on "How to Write a Good SOAP Note."

When I started my first NP job as an Orthopedic Nurse Practitioner, I felt overwhelmed.

There were so many things to learn. I remember reading a postop inpatient ortho progress note where I was clueless about the "lingo" and acronyms used in that note.

Let alone what each of those acronyms meant.

 Just know that focused ortho-related progress notes do not have to be a struggle. 

This week's clinical training video goes into detail about what an Ortho-related outpatient progress note looks like.

I also review my clinical thinking and strategies when evaluating these patients and creating an individualized treatment plan. 

What Will You Learn?

☑️ How to document an Ortho focused SOAP note

☑️ Step by step approach when writing an Ortho assessment & plan

☑️ Orthopedic acronyms and how to decipher them

Ready? Let's dig in. Go ahead and play the video below now -----

 Do you lack good SOAP note writing experience? It doesn't matter! You'll be able to apply what you learn today. 

Also, the beauty of it is how easy these SOAP note writing clinical strategies can be used in any clinical setting, especially when you are managing patients with Orthopedic related illnesses.  

Now, it's time to turn these strategies into action! 

It's OK if you need to focus on one strategy at a time. The point is to start applying what you learn today so you can see results.

Remember, practice makes perfect! 

Let me know which strategy from the video would be the biggest win for your clinical practice?

Warmest, 

Yessica