SOAP Note Flashcards
0
Q
Observation
A
- PAS reveals…
- CSMs
- Time: LOR, HR, RR, BP, PERRL, SCTM, temp
- SAMPLE history
- 3 pertinent negatives
1
Q
Summary
A
Age, sex, MOI, chief complaint
2
Q
Assessment
A
Possible injuries from MOI and PAS
3
Q
Plan
A
List of completed treatments for injuries stated in “assessment” and plan for future treatment
