Providing suitable information about the health progress notes of the patient is the responsibility of the medical practitioner. Usually, nurse practitioner checking the daily condition of their patient and then report it to the responsible doctor. However, to support this activity, then suitable documentation shall be prepared for example blank soap note template for patient.
One of the things is by making a SOAP note for each specific patient in the hospital. What is this note, how the note can bring some advantages, and how is the look of the sample, the article below will explain more.
What is A SOAP Note
If you’re still not familiar with this SOAP note, you can start to get an overview of the abbreviation first. SOAP stands for Subjective, Objective, Assessment, and Plan. It means that this note is generated to write down all the information of the subject, which is the patient. It also contains the objective such as checking all the vital signs or physical examination results.
Then, it provides an assessment of the medical condition of the patient according to the written information. Last, it provides a medical plan for the patient, such as type of medicine, therapy, and many more.
SOAP Note Benefit for Doctor
There are several benefits of using SOAP notes for the doctor who continuously checking the progress of the patient. The benefits including the following lists:
- Help the doctor get the daily information of the medical progress of the patient.
- Facilitate the doctor in preparing a treatment plan that is suitable for the diagnosis and examination results of the patient.
- Provide reference to any medical justification from the doctor.
- To track and record all the medical history of the patient daily.
SOAP Note Benefit for Patient
Not only able to give an advantage for the doctor, but it can give some benefits for the patient too. By having this note, the patient can get the following things:
- To get a suitable medication according to the examination result and doctor diagnosis.
- To get evidence of their daily medical progress and what medication and massage therapy to perform.
- As documentation for the future medication in case needed or in case, a reference is made to another hospital or clinic.
Blank SOAP Note Template
After reading the above information, it will be more clear to read the sample of the SOAP note. Therefore, to help you get a better understanding of this note, the following is a simple sample of blank SOAP note template ideas. This printable SOAP note can be used and adjust as necessary.
Overall, it is now clear that the SOAP note can help to bring various advantages. Especially in tracking the medical condition of the patient day by day. By reading the above overview and sample, it is now easy for you to develop a blank SOAP note template for the medical track purpose.