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SOAP APPROACH

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material used during final exam preparation hope benefit for all *at own risk

Education
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SOAP DR ALI SUBJECTIVE 1. Pain 2. Hematemesis 3. Passflatus/motion OBJECTIVE 1. Focusexamination 2. Vital sign 3. CHART a. Vital signchart b. Inputoutputchart c. Medication 4. Special chart a. Gcs chart b. Fitchart 5. Patientidentity 6. Interpretreportlast24 hr 7. i/o a. comment+/- balance b. inspectdrain ASSESMENT 1. day x 2. condition 3. procedure PLAN 1. make 2. too manyline indicate notreadyfordischarge 3. use of ivline a. fluid b. medication c. nutrition/feeding d. bloodproduct e. analgesic f. induce anaethesia g. resusneed 4. To alloworallyornot 5. Vital signmonitoring 6. To off/on_______
DRAIN DR ALI 1. OPEN a. corrugated 2. CLOSED a. Active ;chest tube/underwaterseal b. Passive ;use gravity 3. As HO we write insertdrainas a. Free flow,meanpassive b. Suction,meanactive

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SOAP APPROACH

  • 1. SOAP DR ALI SUBJECTIVE 1. Pain 2. Hematemesis 3. Passflatus/motion OBJECTIVE 1. Focusexamination 2. Vital sign 3. CHART a. Vital signchart b. Inputoutputchart c. Medication 4. Special chart a. Gcs chart b. Fitchart 5. Patientidentity 6. Interpretreportlast24 hr 7. i/o a. comment+/- balance b. inspectdrain ASSESMENT 1. day x 2. condition 3. procedure PLAN 1. make 2. too manyline indicate notreadyfordischarge 3. use of ivline a. fluid b. medication c. nutrition/feeding d. bloodproduct e. analgesic f. induce anaethesia g. resusneed 4. To alloworallyornot 5. Vital signmonitoring 6. To off/on_______
  • 2. DRAIN DR ALI 1. OPEN a. corrugated 2. CLOSED a. Active ;chest tube/underwaterseal b. Passive ;use gravity 3. As HO we write insertdrainas a. Free flow,meanpassive b. Suction,meanactive