Page 40 - INTRODUCTION OF NURSING 1.4 The Nursing Process (PART 3)
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b. SOAP Notes
What is a SOAP Note?
• information about the patient, which is written or presented in a specific order
includes certain components.
• used for admission notes, medical histories and other documents in a patient’s
chart.
• Structure
➢The 4 headings of a SOAP note are Subjective, Objective, Assessment and Plan.
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