HOW TO WRITE A SOAP NOTE / Writing Nurse Practitioner Notes Step by Step Tutorial

HOW TO WRITE A SOAP NOTE / Writing Nurse Practitioner Notes Step by Step Tutorial. In today’s video I’ll walk you through how I write SOAP notes as a family nurse practitioner. We will discuss what information goes in each section of the SOAP note, as well as some tips for making your charting more efficient.


00:00 Intro
01:00 Template for Notes
02:30 Basic Patient Info For a Chart
04:17 HPI. How to Write a History of Presenting Illness
09:05 Tips for Precharting your HPI
10:15 Review Of Systems
11:15 My Favorite Hidden Part Of The Review Of Systems
13:00 How To Document A Physical Exam
14:57 Labwork
16:00 What Is A Differential Diagnosis and do you chart it?
17:00 Assessment / Working Diagnosis
17:31 Where do the ICD 10 Codes go?
18:40 Documenting a Treatment Plan
26:00 Things I ALWAYS Chart Before going into the next room
27:00 My Biggest Time Saving Tip for Charting


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SOAP notes can be incredibly confusing to chart, know what information to put where, and how to do it in an organized fashion. In today’s video I will walk you through step by step of how I write notes as a nurse practitioner. Using subjective, objective, assessment, and treatment as the guideline for the notes, I’ll explain how to make note writing as a healthcare provider easier.



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