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NSG6340 Adult Health Primary Care
Week 2 SOAP NOTE
SOAP NOTE Instructions:
Each week, you are required to submit one SOAP note using the SOAP note template. The SOAP can be for a comprehensive visit or a problem focused visit. The diagnosis for your patient should be related to the body systems covered in class work this week.
Every component in the template must be filled in regardless of which type of visit you do (comprehensive vs problem focused). When doing a problem focused visit you will be documenting on pertinent findings, and pertinent negatives only. For any topic area in the template that does not apply to your patient encounter, put in the phrase “Not completed in this focused visit.”
The completed note should be submitted to the Submissions Area
Submission Details:
By the due date assigned, enter your patient encounters into the SU clinical tracking system and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG6340_W2_SOAP_LastName_FirstInitial.doc.
Submit your document to the Submissions Area by the due date assigned.