Download your SOAP Note Quick Tip Sheet and SOAP Example by clicking here. In this episode we’ve gone over how to make your SOAP notes great, and we wanted to give you an easy to use resource to go along with todays show.
Let us know if you have any questions on this…we’d love to hear from you. If you want to get even more in-depth with SOAP notes, check out Episode 2 & 3 with Dr. Warren Jahn to dive deep on the intricacies of SOAP Notes.
Welcome to the ChiroPractice Pro Office. My name is Dr. Joshua Eldridge and I’m your host for today’s training: Making Your SOAP Notes Great.
As you know, there’re four parts to the SOAP note. Let’s just jump right into the subjective portion note.
Remember if you’re using a problem list, have a different subjective, objective, and assessment note for every problem that the patient presents with. So if the patient presents with neck and low back pain, and they’re not related, there should be two separate subjective, objective, and assessments for each problem.
The subjective portion of the note is what the patient tells you about the problem. We want to make sure that we get exact quotes from the patient in 2 to 3 sentence form to make sure what they say has been included in the note. Make sure what they say specifically pertains to their problem and not just general facts that they tell you about your day.
It’s also important to make sure that you know any changes since the last visit. So if they’ve stopped having ridiculous pain in their left leg, this would be important to note.