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🌱 來自: Huppert’s Notes

How to Do Daily Presentations and Notes🚧 施工中

How to Do Daily Presentations and Notes

•   Format: Typically, daily presentations about each patient are presented in a “SOAP” note format.

-   Typically mention 24-hour events first

-   S: Subjective – What are the patient’s symptoms today?

-   O: Objective – Vitals, physical exam, ins/outs (if relevant), labs, new micro & imaging

-   A/P: Assessment and Plan – Ensure that the patient one-liner is up to date! Then present by problem, e.g., problem 1: Sepsis, likely from a pulmonary source; problem 2: Diabetes