Your SOAP note should be clear and concise; nurse practitioner students will lose points for improper grammar, punctuation, and misspellings. You must us

    November 16, 2024

Your SOAP note should be clear and concise; nurse practitioner students will lose points for improper grammar, punctuation, and misspellings.
You must use the template provided. Turnitin will recognize the template and not score against it.
Your submission will be reviewed for plagiarism through Turnitin.
Complete and submit the assignment using the appropriate template in Microsoft Word.
Also, the rubric is provided in the template. 

SOAPNoteTemplate.docx

SOAP NOTE TEMPLATE
Review the Rubric for more Guidance

Demographics

Chief Complaint (Reason for seeking health care)

History of Present Illness (HPI)

Allergies

Review of Systems (ROS)

General:
HEENT:
Neck:
Lungs:
Cardio
Breast:
GI:
M/F genital:
GU:
Neuro
Musculo:
Activity:
Psychosocial:
Derm:
Nutrition:
Sleep/Rest:
LMP:
STI Hx:

Vital Signs

Labs

Medications

Past Medical History

Past Surgical History

Family History

Social History

Health Maintenance/ Screenings

Physical Examination

General:
HEENT:
Neck:
Lungs:
Cardio
Breast:
GI:
M/F genital:
GU:
Neuro
Musculo:
Activity:
Psychosocial:
Derm:

Diagnosis

Differential Diagnosis

ICD 10 Coding

Pharmacologic treatment plan

Diagnostic/Lab Testing

Education

Anticipatory Guidance

Follow up plan

Prescription

See Below (scroll down)

References

Grammar

Signature (with appropriate credentials):_____________________________________

References (must use current evidence-based guidelines used to guide the care [Mandatory])

EA

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