 |
SOAP Notes N3 |
|---|
| このアプリは現在ストアで閲覧することができません。 | ||||
|
価格 | 160円 | ダウンロード |
|
|---|---|---|---|---|
| ｼﾞｬﾝﾙ | メディカル | |||
サイズ | 4.2MB | |||
| 開発者 | Brian Donahower | |||
| 順位 |
| |||
| ﾘﾘｰｽ日 | 2014-03-18 08:43:03 | 評価 | 評価が取得できませんでした。 | |
| 互換性 | iOS 7.0以降が必要です。 iPhone、iPad および iPod touch 対応。 | |||
|
||||
This application outlines the standard SOAP Notes providing a basic patient charting template.
SOAP Notes are intuitive, easy to use, review for QA, and are easily understood by health care providers and support personnel at all levels.
Under each heading, document your nursing assessments, patient care, and disposition for treatment. You can enter text or use the iOS voice function to add patient information.
S – Subjective
Outline the patient's complaints in the patient's own words. Ask: "What brought you in today?"
Indicate what the patient states with particular attention to complaint, severity, duration, and any associated problems.
For example, "Patient stomach pains described as cramping for 2 days. Complains of diarrhea for 1 day. Denies fever, nausea, or vomiting.”
O – Objective
Indicate your observations while listening to the patient and any examination you perform to assess the patient's condition. Include age and gender. For example: “Patient female, 22. Patient guards right abdomen".
A – Assessment
Add your diagnostic nursing assessment. Include vital signs, any labs test results ordered, pain assessment on a scale of 1 to 10, and any physical assessment. For example, "RLQ tender upon palpation."
Do not offer diagnosis. Phrase assessment consistent with nursing diagnosis or assessment, for example, "Rule Out (R / O) Appendicitis."
P – Plan
Write your plan for treatment, referral, or other therapies.
Include any medications, additional diagnostics (radiographs) or subsequent labs tests you order. For example, “Order Liver Function Studies, Urinalysis (UA), or Occult Blood Test”.
If possible, indicate your plan for the patient throughout the continuum of care. For example, "Place patient in bed, refer to physician STAT, patient is NPO, follow-up and monitor vital signs every 15 minutes.”
Comments? Please contact us on FB at: https://www.facebook.com/Themobileclinician?ref=aymt_homepage_panel
更新履歴
- View, Edit, Save, Print, and Export SOAP Note as PDF
- Send SOAP Note via Messenger or Email
- Each file event generates unique record ID
SOAP Notes are intuitive, easy to use, review for QA, and are easily understood by health care providers and support personnel at all levels.
Under each heading, document your nursing assessments, patient care, and disposition for treatment. You can enter text or use the iOS voice function to add patient information.
S – Subjective
Outline the patient's complaints in the patient's own words. Ask: "What brought you in today?"
Indicate what the patient states with particular attention to complaint, severity, duration, and any associated problems.
For example, "Patient stomach pains described as cramping for 2 days. Complains of diarrhea for 1 day. Denies fever, nausea, or vomiting.”
O – Objective
Indicate your observations while listening to the patient and any examination you perform to assess the patient's condition. Include age and gender. For example: “Patient female, 22. Patient guards right abdomen".
A – Assessment
Add your diagnostic nursing assessment. Include vital signs, any labs test results ordered, pain assessment on a scale of 1 to 10, and any physical assessment. For example, "RLQ tender upon palpation."
Do not offer diagnosis. Phrase assessment consistent with nursing diagnosis or assessment, for example, "Rule Out (R / O) Appendicitis."
P – Plan
Write your plan for treatment, referral, or other therapies.
Include any medications, additional diagnostics (radiographs) or subsequent labs tests you order. For example, “Order Liver Function Studies, Urinalysis (UA), or Occult Blood Test”.
If possible, indicate your plan for the patient throughout the continuum of care. For example, "Place patient in bed, refer to physician STAT, patient is NPO, follow-up and monitor vital signs every 15 minutes.”
Comments? Please contact us on FB at: https://www.facebook.com/Themobileclinician?ref=aymt_homepage_panel
更新履歴
- View, Edit, Save, Print, and Export SOAP Note as PDF
- Send SOAP Note via Messenger or Email
- Each file event generates unique record ID
ブログパーツ第二弾を公開しました！ホームページでアプリの順位・価格・周辺ランキングをご紹介頂けます。
ブログパーツ第2弾！
アプリの周辺ランキングを表示するブログパーツです。価格・順位共に自動で最新情報に更新されるのでアプリの状態チェックにも最適です。
ランキング圏外の場合でも周辺ランキングの代わりに説明文を表示にするので安心です。
サンプルが気に入りましたら、下に表示されたHTMLタグをそのままページに貼り付けることでご利用頂けます。ただし、一般公開されているページでご使用頂かないと表示されませんのでご注意ください。
幅200px版
幅320px版
お気に入りのアプリをご紹介頂くためのブログパーツです。アプリの価格や順位表示は毎日自動更新♪
サンプルが気に入りましたら、下に表示されたHTMLタグをそのままページに貼り付けることでご利用頂けます。
※配信を停止させていただく可能性もございますので、タグの改変はご遠慮ください。
Now Loading...
「iPhone & iPad アプリランキング」は、最新かつ詳細なアプリ情報をご紹介しているサイトです。
お探しのアプリに出会えるように様々な切り口でページをご用意しております。
「メニュー」よりぜひアプリ探しにお役立て下さい。
Presents by $$308413110 スマホからのアクセスにはQRコードをご活用ください。 →
Now loading...