Jessica Nishikawa discusses the structure and function of the SOAP Note for medical notes. Subscribe / jessicanishikawa Follow Twitter @JessNishi
Жүктеу.....
Пікірлер: 166
@caseyburt95694 жыл бұрын
OLDCARTS O- Onset when did the issue arise L- location of the pain D- Duration how long has the pain been going on for C- Characteristics is it throbbing, radiating, piercing pain A- Aggrevates what makes the pain worse R- Relieves what takes away the pain or lightens the pain T- Treatments have you taken any medications for the pain or issue S- Scale of 0 to 10 0 being no pain 10 being the worst pain imaginable what number do you fall in
@stefainepatricio9559
2 жыл бұрын
Is this during the S or the P ?
@Fluxxxx
2 жыл бұрын
SOCRATES
@caseyburt9569
2 жыл бұрын
@@stefainepatricio9559 It would be subjective, as it is the patient telling you. You wouldn't be able to determine any of these, thus meaning it wouldn't be objective. Subjective, as well as objective, allows you to come up with a plan.
@yourkdrama-blfan1706
10 ай бұрын
This helps a lot on the HPI. Big thanks.
@adimaca23594 жыл бұрын
Thank you so much for for this I’ve been searching for this for a very longtime and you’ve got the best version of it 👏 Now I know how to write soap notes.
@danitajaundoo54595 жыл бұрын
This is exactly what I was searching for, for two whole days. Thank you so much, very clear explanation.
@yolandarivas7544
4 жыл бұрын
Thank you for sharing a simple and valued way to remember soap!
@rico4379
Жыл бұрын
Same🙏
@Cass_i3 жыл бұрын
Thank you. This really sums it all up plus the example made it a lot more concrete for me. This was the best.
@boscoechon70365 жыл бұрын
Thanks a million yo work really makes my day brighter
@fernanar17 жыл бұрын
omg You are the best. I love the video and how simple you make everything look and sound. I am currently at Fort Sam and have to go through this in order to be a Navy Corpsman and this part is the only thing that sounded confusing UNTIL now lol thanks again
@pfcaraujo
4 жыл бұрын
Amy thanks for what you do Doc!
@dhritimansen33075 жыл бұрын
love love love the handwriting AND information obvs
@simonebuhner745 жыл бұрын
Clear, concise and very helpful, thank you!
@BritAlaina898 ай бұрын
Thank you Jessica!!! This was right on time and very thorough!!
@SFL3G5 жыл бұрын
Thank you for all the great content
@MoLeaveBrainstainzz Жыл бұрын
This video was posted 4 years ago, here I am today, 4 years later Thanking you tremendously for, doing the Lords work🙌🏽🙌🏽 😂😂(No seriously) I’ve been reading, researching, & pondering my blood pressure for an entire week trying to find an explanation of documentation In layman’s terms of S.O.A.P notes!! Thank you! thank you thank you!
@JessicaNishikawa
Жыл бұрын
You are welcome :) I'm glad you find it helpful!
@jenniferhinson56283 жыл бұрын
At the end of this video you mention going into more detail for the NP students. Can you post the link for that video? I love your lectures! So easy to follow yet thorough!
@hajimusawer96375 жыл бұрын
omg You are the best. I love the video and how simple you make everything look and sound. I am currently at Fort Sam and have to go through this in order to be a Navy Corpsman and this part is the only thing that sounded confusing UNTIL now lol thanks
@lamisingh76013 жыл бұрын
Hey Jessica, this is Lami here.. I wanna tell u that I am very much impressed by your videos.. please keep updating this channel with more n more videos. These are really helpful, am looking forward for more informative uploads from you. THANKYOU n keep up the great work ! Regards! :)
@irvinmanzanares72757 жыл бұрын
I liked this video because is very interesting and now I know to make a SOAP note.
@martinamulbah80133 жыл бұрын
Your soap notes is the best 🙂
@malugarib12215 ай бұрын
Thank you, Jessica. Very useful and easy to understand.
@NLKEquestrian3 жыл бұрын
Extremely helpful, thank you! I really needed to see how to write one of these quickly for my next OSCE!
@JessicaNishikawa
3 жыл бұрын
Thanks for watching, good luck with your OSCE!
@esel71624 жыл бұрын
Jessica you the greatest for this
@vannsylten67653 жыл бұрын
This was incredibly helpful! Thanks for being straight and to the point!
@xxsnow_angelxx39534 жыл бұрын
so easily!! i love the art
@sehrishrafeeque59194 жыл бұрын
It's really worth watching it... Thank U soo much for sharing it in such an amazing way.. It helped me :)
@mrs.mckeller14835 жыл бұрын
Thank you soooooo much you have made it so east for me to understand!!
@preparedmindstrongspirit57247 жыл бұрын
Thanks for the video! It is really helping me to get my head back in the med game after a long absence.
@JessicaNishikawa
7 жыл бұрын
Thanks for watching, and I'm glad you're back in the game! :)
@Nuf1av0r3 жыл бұрын
Thank you! This helped me pass my NHA exam :)
@kristiheiser50128 жыл бұрын
Great explanation of SOAP, thanks!
@JessicaNishikawa
8 жыл бұрын
+Kristi Heiser Thanks for watching!
@celizabeth1220 Жыл бұрын
THANK YOU!!! My textbook doesn't explain the SOAP method very well and this saved me for my exams in two days!
@JessicaNishikawa
Жыл бұрын
Glad you found it helpful and I hope your exam went well!
@big40207 жыл бұрын
Awesome clarification. Thank you
@audzlongaza93975 жыл бұрын
Thank you for this. I learned a lot.
@NarrowRoad72 жыл бұрын
Thank you for sharing this with us. I got the full understanding:)
@rpsingh183 ай бұрын
Very Helpful! Thank you for creating this!
@elasion43844 жыл бұрын
Thank you, this was very helpful.
@robertkaranja31134 жыл бұрын
Jessica Nishikawa you are awesome
@camiblutube71164 жыл бұрын
Love this! Could you please do a PES Statement? Thank you!
@hoangdoan642 Жыл бұрын
Very useful! Thank you so much 😍
@benjaminmanzano92846 жыл бұрын
thank you for sharing with us
@mobosh945426 күн бұрын
It's very very good. Thank you for your awesome video. 👌👌👌👌🔥🔥🔥🔥
@AaronmBenton13 жыл бұрын
Great info. Very simple
@crisjeturian5610 ай бұрын
I love it, very informative! I love it and you..
@boscomoons7742 Жыл бұрын
Honestly, the video precisely informative. Thanks a million!
@JessicaNishikawa
Жыл бұрын
Glad it was helpful!
@sultanshorbaji19886 жыл бұрын
Thank u very much The video is really helpful
@farahwakil94798 жыл бұрын
Very nice thanks dr
@beatricekasambaАй бұрын
Thanks dear it was helpful I really needed this
@learnpharmacywiththepharma7094 Жыл бұрын
I can't thank you enough for this video like i was literally searching for a video that includes how to exactly write a case based soap note and i finally found this video. Thank you so much❤️
@JessicaNishikawa
Жыл бұрын
SOAP notes aren't as hard as they are made out to be. Hope this simplified it a bit.
@natinuella58363 жыл бұрын
Wow just what needed Thank you
@diyamajumder27113 жыл бұрын
Thank you very much this video very helpful for me
@kristasmith4157 Жыл бұрын
I don't know if you ever read these reviews anymore, but I met you in 2009 right after you had your daughter. I am currently in school for nursing and I saw your name and I thought...WOW, what are the odds! Hope this note finds you well :) This was a super helpful video btw
@pradeeppati79327 жыл бұрын
thank you mam. it is clear and simple to understand.nice video.
@nyenye52923 жыл бұрын
Perfect 🤩 thanks a bunch
@elizabethpierce36477 жыл бұрын
Hi Jess! I love your videos! Thank you for putting the time and effort into them. Question:is this the video for the FNP students? You had mentioned that a more detailed/expansive video would be coming that was meant for FNP students. Is this the one? Thanks much!
@JessicaNishikawa
7 жыл бұрын
Hi Elizabeth... I think I had intentions to do another video, but never got around to it. My 'to do' list got away from me for the last several years :) Thanks for watching. If you subscribe then you'll be notified when more videos are published. Aloha- J
@libbypierce3941
7 жыл бұрын
Jessica Nishikawa , I'm wondering your opinion on an educational phenomena. There are a plethora of online FNP programs now, turning out literally thousands of new FNPs. How do you recommend FNP students develop that mastery of physical exam skills, when in an online program (in which all content is in a distance learning environment, except for clinical hours w/preceptor). How can the online student develop PE proficiency, BEFORE their clinical time under a preceptor? Ideas? Want to start a "Hawaii Boot Camp" for FNP students?!?! 😉
@JessicaNishikawa
7 жыл бұрын
Hi Libby, if you are in a FULLY online program it can be challenging! You can try virtual patient experiences (iHuman or others), they will help develop clinical reasoning but not much actual physical examination techniques. You should also examine as many of your friends and family members as you can - until they're sick of you :) It will help a lot. Is there an NP school near you? You could try to get in on their study sessions. Wish you the best!
@sharongonzales24952 жыл бұрын
SOOO HELPFUL 🥰
@viohleta7 жыл бұрын
Very helpful
@rubenyero1508 Жыл бұрын
I’m currently in EMT school and we need to write two soap reports per ride time and this video was a really helpful breakdown 👍
@JessicaNishikawa
Жыл бұрын
Glad it was helpful!
@asma16cool2 жыл бұрын
Thank you!
@ghousiahealthcarekarachi45413 жыл бұрын
Good knowledge 👍😉
@delia51587 жыл бұрын
Great video. Weird question- What software do you use for these videos?
@JessicaNishikawa
7 жыл бұрын
Hi Dede, Sorry this is late reply. This particular video is made with an endless whiteboard program called VideoScribe. It's great and very user friendly! Thanks for watching! :)
@martinamulbah80133 жыл бұрын
Thanks for sharing
@markrobiso Жыл бұрын
Another example using the Practice Fusion platform, please. Thank you!
@wengthoughts Жыл бұрын
thank u. I'll be having an exam soon regarding this.
@martinamulbah80133 жыл бұрын
This is what I was looking for too
@greenlove4572
3 жыл бұрын
Can you help me with my sports med hw. Lol 😂
@user-gg1ij4gv2e22 күн бұрын
Thank u ❤
@kanantalukder5572 жыл бұрын
Thanks❤️❤️
@pournimashrikhande4137 Жыл бұрын
Very well explained
@JessicaNishikawa
Жыл бұрын
Glad it was helpful!
@samalimax14337 жыл бұрын
Very well
@MrsCoach19992 жыл бұрын
Love your videos! May I share with my students?
@JessicaNishikawa
2 жыл бұрын
Of course :)
@eightysixoneeightysix31843 жыл бұрын
very useful. thankieeee --- bsoa student
@rebeccadavies16873 жыл бұрын
Hello :) Just a quick question. What does it mean when it says 'billed for'? Thank you
@JessicaNishikawa
3 жыл бұрын
Hi Rebecca, Sorry I am getting to this message late. "Billed for" refers to the medical diagnoses that get submitted to insurance companies to support the billing for a patient encounter. As a medical provider in the United States you have to code your visits and then submit support for that code. Thanks for watching.
@julieadrian14223 жыл бұрын
I see ROS is listed under subjective, should the ROS be under objective heading as this is an examination?
@kristencrane28725 жыл бұрын
I am guessing that an RN SOAP note would be different as far as the assessment part goes since nurses don't diagnose. In this case would a nursing diagnoses be part of the assessment?
@valeriewinnie
5 жыл бұрын
You are correct! as an RN you would use nursing diagnosis. In the case of the sore throat, for example, you could use "impaired comfort r/t sore throat" or "impaired oral mucous membrane r/t inflammation or infection of oral cavity", etc.
@claytongrey988
4 жыл бұрын
@@valeriewinnie thanks for that! I was about to ask the same question.
@MrPedrojose19675 жыл бұрын
Very interesting to use as a Telephone Triage Nurse.
@malloryminer27968 жыл бұрын
the link did not work because I do not have a UH login
@jomo29527 жыл бұрын
that is helpful thank you .
@JessicaNishikawa
7 жыл бұрын
Hi Jo, you are welcome. Thanks for watching and glad you found it helpful!
@harelljuanico42937 жыл бұрын
Thanks for the video! Very helpful! May I ask a question? Do doctors always take the patient's review of systems, family history, social history etc. every consultation? Wouldn't it be redundant? Or do they keep a record of it? Awesome video!
@jessnishikawanursing570
7 жыл бұрын
Hi Harell Juanico, thanks for watching! To some degree clinicians ask these questions on most patient encounters. Usually we keep it focused and only ask the part of those questions that is related to the reason they are being seen for that visit. The comprehensive past medical, family, social history and the comprehensive ROS can be updated annually or as needed, and then referenced. Good question!
@harelljuanico4293
7 жыл бұрын
Okay thanks for clarification! More power to you!
@babbulvideos6 жыл бұрын
what program did you use to make this video?
@JessicaNishikawa
6 жыл бұрын
Videoscribe. It's awesome!
@nidarajpot82503 жыл бұрын
Kindly make vedio on CORE pharmacotherapy plan and PRIME AND FARM note
@chibuikemnnamdi6143 Жыл бұрын
Nice. I just need questions to practice with
@Alex-bd4ov3 жыл бұрын
Great.
@ShireenFatimaANBZ Жыл бұрын
helpful 👍
@nafisemahmoodpoor84943 жыл бұрын
Great
@Gymnopediea5 жыл бұрын
I'm not sure if this is such a big deal but I've been taught to never write "denies HA, Rhinitis, etc" and instead to write "reports absence of HA, Rhinitis, etc"
@joypauline32362 жыл бұрын
I was really having a hard time getting my Soap note last week😓😓 but I’m all good and that’s #Cybercredible# work 👍
@melvayaredaguilar Жыл бұрын
what is soap anyways?
@glowilk53772 жыл бұрын
Spelling counts in documentation 👍
@fani47046 жыл бұрын
Why would family history not be included?
@JessicaNishikawa
6 жыл бұрын
It would :) Did I not mention it? I tend to leave it out of day to day practice because most of the people i work with are older adults and I find it a bit ironic to ask a 90 year old if their parents had any cancers or major medical history. :)
@AntoinetteChanel7 жыл бұрын
Hi there - I work in curriculum design and would like to use this video as part of the background information for an assignment I am putting together. I didn't see any contact info for you, but may I have your permission to use this video? I can explain further via email.
@JessicaNishikawa
7 жыл бұрын
Aloha - you can email me at Jnishikawa@hpu.edu . But generally speaking - you are free to use any ot
@JessicaNishikawa
7 жыл бұрын
Sorry about that--- You are free to use any of the videos.
@melvayaredaguilar Жыл бұрын
I thought this was a video about cleanliness soap
@priyosquad73843 жыл бұрын
Nice 386
@reesejackson19843 жыл бұрын
Define and List subjective data in pain assessment. Chief complaint history of present illness past medical history social history 2. Define and List objective data in pain assessment. Record physical findings vital signs general survey gent lymph 3. List 10 possible causes of discomfort. 4. List several methods for pain control.
@alainaharmon25752 жыл бұрын
From Cyber Credible
@KITAANDROO4 жыл бұрын
The words "Chief" is spelled wrong
@marietteslabbert4642
4 жыл бұрын
and LIKLY
@AlexiHolford
3 жыл бұрын
and she says he has 4/5 symptoms, but wrote 4/4
@AlexiHolford
3 жыл бұрын
Allison, there's a typo in your comment as well. You wrote "words" instead of "word."
@eightysixoneeightysix31843 жыл бұрын
don't mind me.. im just here cos prof told me to watch.
@its_taliaaa_91424 жыл бұрын
So you wouldn't order a throat culture?
@joshuawick53824 жыл бұрын
This is difficult.
@christinacidoni8034 жыл бұрын
does it make a difference when you spell words wrong? Chief
@JessicaNishikawa
4 жыл бұрын
knot reely ;)
@hellokitttie2 жыл бұрын
I thought this was the soap you use
@pbanglatech31063 жыл бұрын
Hi 526
@homeguys61335 жыл бұрын
You increased the lisinopril without a plan to recheck his U+E and renal function :/
@JessicaNishikawa
5 жыл бұрын
Hi HOME Guys, thanks for watching and taking the time to comment. If you were watching a little more carefully you would notice that the lisinopril wasn't actually increased. It was Lisinopril 20mg and at the end was still lisinopril 20mg (insert shrug emogi). Which was actually an oversight :) But one I didn't think required correction since the video is not about HTN management but about how to write a SOAP note (see clever title and video intro). If you're looking for videos about hypertension management I could recommend resources, just let me know. Aloha!
@schalkwillemfichardt5778 Жыл бұрын
not the best but will work, thanks.
@JessicaNishikawa
Жыл бұрын
Ha! Not very kind but thats ok, thanks for watching.
Пікірлер: 166
OLDCARTS O- Onset when did the issue arise L- location of the pain D- Duration how long has the pain been going on for C- Characteristics is it throbbing, radiating, piercing pain A- Aggrevates what makes the pain worse R- Relieves what takes away the pain or lightens the pain T- Treatments have you taken any medications for the pain or issue S- Scale of 0 to 10 0 being no pain 10 being the worst pain imaginable what number do you fall in
@stefainepatricio9559
2 жыл бұрын
Is this during the S or the P ?
@Fluxxxx
2 жыл бұрын
SOCRATES
@caseyburt9569
2 жыл бұрын
@@stefainepatricio9559 It would be subjective, as it is the patient telling you. You wouldn't be able to determine any of these, thus meaning it wouldn't be objective. Subjective, as well as objective, allows you to come up with a plan.
@yourkdrama-blfan1706
10 ай бұрын
This helps a lot on the HPI. Big thanks.
Thank you so much for for this I’ve been searching for this for a very longtime and you’ve got the best version of it 👏 Now I know how to write soap notes.
This is exactly what I was searching for, for two whole days. Thank you so much, very clear explanation.
@yolandarivas7544
4 жыл бұрын
Thank you for sharing a simple and valued way to remember soap!
@rico4379
Жыл бұрын
Same🙏
Thank you. This really sums it all up plus the example made it a lot more concrete for me. This was the best.
Thanks a million yo work really makes my day brighter
omg You are the best. I love the video and how simple you make everything look and sound. I am currently at Fort Sam and have to go through this in order to be a Navy Corpsman and this part is the only thing that sounded confusing UNTIL now lol thanks again
@pfcaraujo
4 жыл бұрын
Amy thanks for what you do Doc!
love love love the handwriting AND information obvs
Clear, concise and very helpful, thank you!
Thank you Jessica!!! This was right on time and very thorough!!
Thank you for all the great content
This video was posted 4 years ago, here I am today, 4 years later Thanking you tremendously for, doing the Lords work🙌🏽🙌🏽 😂😂(No seriously) I’ve been reading, researching, & pondering my blood pressure for an entire week trying to find an explanation of documentation In layman’s terms of S.O.A.P notes!! Thank you! thank you thank you!
@JessicaNishikawa
Жыл бұрын
You are welcome :) I'm glad you find it helpful!
At the end of this video you mention going into more detail for the NP students. Can you post the link for that video? I love your lectures! So easy to follow yet thorough!
omg You are the best. I love the video and how simple you make everything look and sound. I am currently at Fort Sam and have to go through this in order to be a Navy Corpsman and this part is the only thing that sounded confusing UNTIL now lol thanks
Hey Jessica, this is Lami here.. I wanna tell u that I am very much impressed by your videos.. please keep updating this channel with more n more videos. These are really helpful, am looking forward for more informative uploads from you. THANKYOU n keep up the great work ! Regards! :)
I liked this video because is very interesting and now I know to make a SOAP note.
Your soap notes is the best 🙂
Thank you, Jessica. Very useful and easy to understand.
Extremely helpful, thank you! I really needed to see how to write one of these quickly for my next OSCE!
@JessicaNishikawa
3 жыл бұрын
Thanks for watching, good luck with your OSCE!
Jessica you the greatest for this
This was incredibly helpful! Thanks for being straight and to the point!
so easily!! i love the art
It's really worth watching it... Thank U soo much for sharing it in such an amazing way.. It helped me :)
Thank you soooooo much you have made it so east for me to understand!!
Thanks for the video! It is really helping me to get my head back in the med game after a long absence.
@JessicaNishikawa
7 жыл бұрын
Thanks for watching, and I'm glad you're back in the game! :)
Thank you! This helped me pass my NHA exam :)
Great explanation of SOAP, thanks!
@JessicaNishikawa
8 жыл бұрын
+Kristi Heiser Thanks for watching!
THANK YOU!!! My textbook doesn't explain the SOAP method very well and this saved me for my exams in two days!
@JessicaNishikawa
Жыл бұрын
Glad you found it helpful and I hope your exam went well!
Awesome clarification. Thank you
Thank you for this. I learned a lot.
Thank you for sharing this with us. I got the full understanding:)
Very Helpful! Thank you for creating this!
Thank you, this was very helpful.
Jessica Nishikawa you are awesome
Love this! Could you please do a PES Statement? Thank you!
Very useful! Thank you so much 😍
thank you for sharing with us
It's very very good. Thank you for your awesome video. 👌👌👌👌🔥🔥🔥🔥
Great info. Very simple
I love it, very informative! I love it and you..
Honestly, the video precisely informative. Thanks a million!
@JessicaNishikawa
Жыл бұрын
Glad it was helpful!
Thank u very much The video is really helpful
Very nice thanks dr
Thanks dear it was helpful I really needed this
I can't thank you enough for this video like i was literally searching for a video that includes how to exactly write a case based soap note and i finally found this video. Thank you so much❤️
@JessicaNishikawa
Жыл бұрын
SOAP notes aren't as hard as they are made out to be. Hope this simplified it a bit.
Wow just what needed Thank you
Thank you very much this video very helpful for me
I don't know if you ever read these reviews anymore, but I met you in 2009 right after you had your daughter. I am currently in school for nursing and I saw your name and I thought...WOW, what are the odds! Hope this note finds you well :) This was a super helpful video btw
thank you mam. it is clear and simple to understand.nice video.
Perfect 🤩 thanks a bunch
Hi Jess! I love your videos! Thank you for putting the time and effort into them. Question:is this the video for the FNP students? You had mentioned that a more detailed/expansive video would be coming that was meant for FNP students. Is this the one? Thanks much!
@JessicaNishikawa
7 жыл бұрын
Hi Elizabeth... I think I had intentions to do another video, but never got around to it. My 'to do' list got away from me for the last several years :) Thanks for watching. If you subscribe then you'll be notified when more videos are published. Aloha- J
@libbypierce3941
7 жыл бұрын
Jessica Nishikawa , I'm wondering your opinion on an educational phenomena. There are a plethora of online FNP programs now, turning out literally thousands of new FNPs. How do you recommend FNP students develop that mastery of physical exam skills, when in an online program (in which all content is in a distance learning environment, except for clinical hours w/preceptor). How can the online student develop PE proficiency, BEFORE their clinical time under a preceptor? Ideas? Want to start a "Hawaii Boot Camp" for FNP students?!?! 😉
@JessicaNishikawa
7 жыл бұрын
Hi Libby, if you are in a FULLY online program it can be challenging! You can try virtual patient experiences (iHuman or others), they will help develop clinical reasoning but not much actual physical examination techniques. You should also examine as many of your friends and family members as you can - until they're sick of you :) It will help a lot. Is there an NP school near you? You could try to get in on their study sessions. Wish you the best!
SOOO HELPFUL 🥰
Very helpful
I’m currently in EMT school and we need to write two soap reports per ride time and this video was a really helpful breakdown 👍
@JessicaNishikawa
Жыл бұрын
Glad it was helpful!
Thank you!
Good knowledge 👍😉
Great video. Weird question- What software do you use for these videos?
@JessicaNishikawa
7 жыл бұрын
Hi Dede, Sorry this is late reply. This particular video is made with an endless whiteboard program called VideoScribe. It's great and very user friendly! Thanks for watching! :)
Thanks for sharing
Another example using the Practice Fusion platform, please. Thank you!
thank u. I'll be having an exam soon regarding this.
This is what I was looking for too
@greenlove4572
3 жыл бұрын
Can you help me with my sports med hw. Lol 😂
Thank u ❤
Thanks❤️❤️
Very well explained
@JessicaNishikawa
Жыл бұрын
Glad it was helpful!
Very well
Love your videos! May I share with my students?
@JessicaNishikawa
2 жыл бұрын
Of course :)
very useful. thankieeee --- bsoa student
Hello :) Just a quick question. What does it mean when it says 'billed for'? Thank you
@JessicaNishikawa
3 жыл бұрын
Hi Rebecca, Sorry I am getting to this message late. "Billed for" refers to the medical diagnoses that get submitted to insurance companies to support the billing for a patient encounter. As a medical provider in the United States you have to code your visits and then submit support for that code. Thanks for watching.
I see ROS is listed under subjective, should the ROS be under objective heading as this is an examination?
I am guessing that an RN SOAP note would be different as far as the assessment part goes since nurses don't diagnose. In this case would a nursing diagnoses be part of the assessment?
@valeriewinnie
5 жыл бұрын
You are correct! as an RN you would use nursing diagnosis. In the case of the sore throat, for example, you could use "impaired comfort r/t sore throat" or "impaired oral mucous membrane r/t inflammation or infection of oral cavity", etc.
@claytongrey988
4 жыл бұрын
@@valeriewinnie thanks for that! I was about to ask the same question.
Very interesting to use as a Telephone Triage Nurse.
the link did not work because I do not have a UH login
that is helpful thank you .
@JessicaNishikawa
7 жыл бұрын
Hi Jo, you are welcome. Thanks for watching and glad you found it helpful!
Thanks for the video! Very helpful! May I ask a question? Do doctors always take the patient's review of systems, family history, social history etc. every consultation? Wouldn't it be redundant? Or do they keep a record of it? Awesome video!
@jessnishikawanursing570
7 жыл бұрын
Hi Harell Juanico, thanks for watching! To some degree clinicians ask these questions on most patient encounters. Usually we keep it focused and only ask the part of those questions that is related to the reason they are being seen for that visit. The comprehensive past medical, family, social history and the comprehensive ROS can be updated annually or as needed, and then referenced. Good question!
@harelljuanico4293
7 жыл бұрын
Okay thanks for clarification! More power to you!
what program did you use to make this video?
@JessicaNishikawa
6 жыл бұрын
Videoscribe. It's awesome!
Kindly make vedio on CORE pharmacotherapy plan and PRIME AND FARM note
Nice. I just need questions to practice with
Great.
helpful 👍
Great
I'm not sure if this is such a big deal but I've been taught to never write "denies HA, Rhinitis, etc" and instead to write "reports absence of HA, Rhinitis, etc"
I was really having a hard time getting my Soap note last week😓😓 but I’m all good and that’s #Cybercredible# work 👍
what is soap anyways?
Spelling counts in documentation 👍
Why would family history not be included?
@JessicaNishikawa
6 жыл бұрын
It would :) Did I not mention it? I tend to leave it out of day to day practice because most of the people i work with are older adults and I find it a bit ironic to ask a 90 year old if their parents had any cancers or major medical history. :)
Hi there - I work in curriculum design and would like to use this video as part of the background information for an assignment I am putting together. I didn't see any contact info for you, but may I have your permission to use this video? I can explain further via email.
@JessicaNishikawa
7 жыл бұрын
Aloha - you can email me at Jnishikawa@hpu.edu . But generally speaking - you are free to use any ot
@JessicaNishikawa
7 жыл бұрын
Sorry about that--- You are free to use any of the videos.
I thought this was a video about cleanliness soap
Nice 386
Define and List subjective data in pain assessment. Chief complaint history of present illness past medical history social history 2. Define and List objective data in pain assessment. Record physical findings vital signs general survey gent lymph 3. List 10 possible causes of discomfort. 4. List several methods for pain control.
From Cyber Credible
The words "Chief" is spelled wrong
@marietteslabbert4642
4 жыл бұрын
and LIKLY
@AlexiHolford
3 жыл бұрын
and she says he has 4/5 symptoms, but wrote 4/4
@AlexiHolford
3 жыл бұрын
Allison, there's a typo in your comment as well. You wrote "words" instead of "word."
don't mind me.. im just here cos prof told me to watch.
So you wouldn't order a throat culture?
This is difficult.
does it make a difference when you spell words wrong? Chief
@JessicaNishikawa
4 жыл бұрын
knot reely ;)
I thought this was the soap you use
Hi 526
You increased the lisinopril without a plan to recheck his U+E and renal function :/
@JessicaNishikawa
5 жыл бұрын
Hi HOME Guys, thanks for watching and taking the time to comment. If you were watching a little more carefully you would notice that the lisinopril wasn't actually increased. It was Lisinopril 20mg and at the end was still lisinopril 20mg (insert shrug emogi). Which was actually an oversight :) But one I didn't think required correction since the video is not about HTN management but about how to write a SOAP note (see clever title and video intro). If you're looking for videos about hypertension management I could recommend resources, just let me know. Aloha!
not the best but will work, thanks.
@JessicaNishikawa
Жыл бұрын
Ha! Not very kind but thats ok, thanks for watching.
CHIEF IS SPELLED INCORRECTLY
Spelled likely wrong @2:29