S. O. A. P. I. E. R METHOD Flashcards

1
Q

S

A

Subjective data ( how does the patient feel?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

O

A

Objective data ( results of the physical exam, relevant vital signs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A

A

Assessment ( what is the clients status?)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

P

A

Plan ( does the plan stay the same? is a change needed?)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

I

A

Intervention ( what occurred? what did the nurse do?)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

E

A

Evaluation ( what is the client outcome following the intervention?.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

R

A

Revision ( what changes are needed to the care plan?)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly