Linguistics > SOAP NOTE > Chamberlain College of Nursing - NR 509NR 509_SOAP_Note_Week 1_Wilt Kayla. (All)

Chamberlain College of Nursing - NR 509NR 509_SOAP_Note_Week 1_Wilt Kayla.

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SOAP Note Template Initials: T.J. Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 170 cm 90 kg 142/ 82 86 19 101.1 99% Medication: Penicillin- rash/hives Food: no known ... food allergies Environment: Cat dander- sneezes, pruritus, asthma flare-up History of Present Illness (HPI) Chief Complaint (CC) Infected wound to foot CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headache", NOT "bad headache for 3 days”. Sometimes a patient has more than one complaint. For example: If the patient presents with cough and [Show More]

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