What is a SOAP note?
a. Record of supplies used in patient hygiene
b. Record of an event during a patient's stay, formatted according to the Simple Object Access Protocol (SOAP), enabling it to be easily transmitted between computers
c. Form of bar code
d. Record of patient data listing the patient's subjective complaint, objective data rec-orded by the nurse, the nurse's assessment of the situation, and the nurse's plan of action
D
SOAP stands for subjective (patient complaint), objective (observed data), assessment, and plan. A SOAP note is a record of an event in which a patient makes a subjective complaint and the nurse observes objective data, makes an assessment on the basis of the complaint and the data, and makes a plan for interventions based on the assessment. A SOAP note is a record in human language describing a problem, its assessment, and planned interventions.
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