Transcription of Complete Soap Note (Pediatric) - Sheri Harrison's Eportfolio
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Complete Soap Note (Pediatric) - Sheri Harrison's Eportfolio
Complete soap note (PEDIATRIC). Student: Sheri Harrison Course: NURS7446 Fall 2014. Date: 11/22/2014 Patient: (Select Patient). Location: All Med for Women Preceptor: (Select). PEDIATRIC CLIENT DATABASE. ( Complete soap note format ). Clinical Acute Primary Selma Pediatrics Setting Care Care SUBJECTIVE DATA. I. Identifying Data: Race/Ethnic A. Initials: NM Age: 8 YEARS DOB: 03-25-2006 Sex: Male African American Origin: B. Informant Mother and Patient Reliability RELIABLE. C. Insurance: ALACAID. II. Chief Complaint: Reason or reasons for seeking medical attention. To be recorded in informant's own words. "cough". III. History of Present Illness: Chronological narration of client's present illness, including the seven variables. The patient's mother reports coughing x 1-2 days. The symptoms have been moderate.
Complete SOAP Note (PEDIATRIC) Student: Sheri Harrison Course: NURS7446 Fall 2014 Date: 11/22/2014 Patient: (Select Patient) Location: All Med for Women Preceptor: (Select) PEDIATRIC CLIENT DATABASE (Complete SOAP Note Format) Clinical Setting Selma Pediatrics Acute Care Primary Care SUBJECTIVE DATA I. Identifying Data:
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