Category Nursing

Clinical Decision Support System (CDSS)

Clinical Decision Support System (CDSS) Discussion Part-1 Watch this video and answers following questions in your own words. What are the two CDSS types mentioned in the video? How does a CDSS help to prevent over-diagnosis? A new patient…

SOAP NOTE TEMPLATE

SOAP NOTE TEMPLATE (Student Name) Miami Regional University Date of Encounter: Preceptor/Clinical Site: Clinical Instructor:    Soap Note # ____   Main Diagnosis ______________   PATIENT INFORMATION Name: Age: Gender at Birth: Gender Identity: Source: Allergies: Current Medications: PMH: Immunizations: Preventive…

SOAP NOTE Grading Rubric

Grading Rubric   Student______________________________________ This sheet is to help you understand what we are looking for, and what our margin remarks might be about on your write ups of patients. Since at all of the white-ups that you hand in…

Pregnancy :Obstetric Case Study Assignment

Obstetric Case Study Assignment Pregnancy Jania, a 26-year-old single Hispanic woman presents for an appointment after a positive home pregnancy test. She states that this is a planned pregnancy. She is very sure that the first day of her last…

Obstetrics Case Study Template

Obstetrics Case Study Assignment Directions: The student will read the case study and fill out the provided template. This should be filled out as if the student were writing a SOAP note. The use of proper medical terminology is expected.…

Medial knee osteoarthritis

Medial knee osteoarthritis SOAP Note Instructions Select a client from clinical experience with an acute health problem or complaint requiring at least two visits. Submit a complete H & P from the initial visit with this client and a focused…

SOAP Note Analysis

SOAP Note Analysis SOAP Note to be analyzed: Episodic/Focused SOAP Note Exemplar ABDOMINAL ASSESSMENT: Subjective: CC: My stomach hurts, I have diarrhea and nothing seems to help. HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started…

Episodic/Focused SOAP Note Exemplar

Episodic/Focused SOAP Note Exemplar Focused SOAP Note for a patient with chest pain S. CC: “Chest pain” HPI: The patient is a 65 year old AA male who developed sudden onset of chest pain, which began early this morning.  The pain is…