as a transplanted ohioan i can truthfully say that i sure don't miss the snow or driving in the snow and ice.
the weather here in l.a. is just fine although we will get rain here in a couple of months.
anyway, i was looking to see if i had any links to samples of soap charting. not sure of examples, but i did have these websites tucked away in my file on nursing documentation:
- documentation. a resource for nursing students on e-university. some nice concise information here about what and what not to chart. talks briefly about pomr (problem oriented medical record), somr (source oriented medical record), narrative charting, adpie, pie, focus charting, soap and soap(ier) charting, cbe (charting by exception), flow sheets and check lists, reporting and taping reports (do's and don't's) and the essentials of taking verbal orders from doctors.
- "document it right: a nurse's guide to charting". page 6 has information about soap charting.
you should check out the nursing student forums and post your question about soap charting on one of them. i'll bet one of the students can get you some information:
welcome to allnurses!
thank you for the links, i found one of them that will certainly help me out with ncp's. i will pass this on to my classmates as well.