How to write a PIER note?

[wam1974]

I'm a new nurse, and at my hospital we are supposed to write a PIER note following a new admission. I'm not familiar with PIER notes...we mainly focused on SOAP notes and CBE in school. Can someone give me pointers on writing a PIER note (I'm not even sure what it stands for). Thanks!

[OCNRN63, RN]

​I think you need to go back to your instructor and ask for clarification.

[LadyFree28, BSN, LPN, RN]

This should be of help:

https://bibliomed.bib.uniud.it/novita/nursing/nursing_documentation.pdf

Look on page 13;

PIER notes is a derivative from the SOAP/SOAPIER note:

S=subjective data (e.g., how does the client feel?)

O= objective data (e.g., results of the physical exam, relevant vital signs)

A= assessment (e.g., what is the client's status?)

*P=plan (e.g., does the plan stay the same? is a change needed?)

*I=intervention (e.g., what occurred? what did the nurse do?)

*E=evaluation (e.g., what is the client outcome following the intervention?)

*R= revision (e.g., what changes are needed to the care plan

You will have to create a note based on the PIER of your patient; remember, let your actions guide your narratives.

[TU RN, DNP, CRNA]

Seriously I just graduated last year and we did "PIE" notes, they're adding letters and changing things already???

[LadyFree28, BSN, LPN, RN]

Seriously I just graduated last year and we did "PIE" notes, they're adding letters and changing things already???

No, these aspects have documentation have been around for a long time...I learned about SOAPIE and SOAPIER notes as a PN student about 10 years ago.

[OCNRN63, RN]

No, these aspects have documentation have been around for a long time...I learned about SOAPIE and SOAPIER notes as a PN student about 10 years ago.

We were doing SOAP notes back in the early 80s when I was a nursing student, and PIE notes in the early 80s. I was always partial to SOAP notes; I thought they were good ways to organize documentation.

[TU RN, DNP, CRNA]

No, these aspects have documentation have been around for a long time...I learned about SOAPIE and SOAPIER notes as a PN student about 10 years ago.

ah thanks for that. I guess different nursing schools teach different acronyms.. there are so many in healthcare. I remember the first one I learned in first responder training: DCAPBTLS.