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Thanks on the info. Never heard of SOAP report. Always learn something new. nm

Posted By: ss on 2007-12-29
In Reply to: SOAP Report - msjomoe

Subject: Thanks on the info. Never heard of SOAP report. Always learn something new. nm

ss


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SOAP Report
Subject: SOAP Report

SL "Crenolin" 02-12 are intact.
SOAP report
Subject: SOAP report

SOAP report stands for subjective, objective, assessment and plan.
SOAP Report
Subject: SOAP Report

Subjective, Objective, Assessment, Plan.
SOAP Report
Subject: SOAP Report

Thank you ss. You are so right.
SOAP Report
Subject: SOAP Report

Yes. This is my first time using this forum as a resource and it is great.
SOAP Report
Subject: SOAP Report

SL "Comprhensive 65 plan".  Review of Systems by questionnaire is otherwise negative.
SOAP Report
Subject: SOAP Report

Thank you so much ss.
SOAP Report
Subject: SOAP Report

That's it.  Comprehensive 65 point Review of Systems. Thank you so much!
SOAP Report
Subject: SOAP Report

She has a chronic non-productive SL "negi" cough.


SOAP Report
Subject: SOAP Report

SL "negi" but I going with your thoughts.  Maybe his accent make the word sound funny. Thanks for your help everyone.
Thank you very much! Again, I have so much to learn,never heard this before! nm
Subject: Thank you very much! Again, I have so much to learn,never heard this before! nm

x
I have never heard that...thank you. You learn something new everyday :-)
Subject: I have never heard that...thank you. You learn something new everyday :-)


what is this report about please? Need info
Subject: what is this report about please? Need info

x
too many possibilities, maybe get more info further in report??...sm
Subject: too many possibilities, maybe get more info further in report??...sm

If you could find out what some of the symptoms are, maybe we could be more helpful.  Sorry! 
That happens a lot - if one report has incorrect info,
Subject: That happens a lot - if one report has incorrect info,

the docs who refer to that report when dictating their own might repeat the same mistakes - it snowballs.
what part of the body does the report reference. More info. is helpful, as
Subject: what part of the body does the report reference. More info. is helpful, as

x
had the same word in next report. Clearly heard "moiety". Thanks to those who tried. nm
Subject: had the same word in next report. Clearly heard "moiety". Thanks to those who tried. nm

//
never heard of anything like that - any more info?
Subject: never heard of anything like that - any more info?


never heard of it...need more info (nm)
Subject: never heard of it...need more info (nm)


Anyone heard of a bone towel in an ortho report?
Subject: Anyone heard of a bone towel in an ortho report?

I can hear it very clearly, but I cannot reference it anywhere.  Doc says "Irrigation was done of the wound as well as a bone towel at this time".


Does this make sense to anyone?  Thanks for any help.


Death report anyone heard of s/l amorben status definitely not saying morbid
Subject: Death report anyone heard of s/l amorben status definitely not saying morbid


Never heard of it. Google cardiac cripple. There's a little info.
Subject: Never heard of it. Google cardiac cripple. There's a little info.


Oh, I hadn't heard of that kind of hernia. Interesting! Thanks for the info. sm
Subject: Oh, I hadn't heard of that kind of hernia. Interesting! Thanks for the info. sm

I *almost* changed it to pants, and now I'm thinking I should have, but I went ahead and put "pantalones" as she dictated it.  She definitely meant pants, not a type of hernia, as pt is a child having problems with soiling in his pants.  Many patients for this account speak Spanish, so maybe the pt or his parents used the word "pantalones" (which is pronouned like "panta-lone-ess" in Spanish). 


soap
Subject: soap

Hey sorry about the wrong board. I'm still a newbie at MT forum but an oldie at transcription. Hey, it's Friday. susan
SOAP
Subject: SOAP

I was referring to the job board for SOAP transcription company. I understood it was a company and not a format. Maybe I'm incorrect.. susan
SOAP
Subject: SOAP

SUBJECTIVE: Chief complaint, etc.

OBJECTIVE: PX

ASSESSMENT: DX

PLAN: self described.
SOAP
Subject: SOAP

I am working on a general practice transcription and I am on the O section talking about blood pressure, weight, heart, respirations, etc., and then it gets to a part right after that, that it sounds like clouds clear and fungus is clear.  I know this is not right but I cannot seem to come up with the right words to put in there.


Can anyone help?


 


soap transcription
Subject: soap transcription

Has anyone heard of SOAP transcription?  What are they like to transcribe for?
SOAP notes
Subject: SOAP notes

Was wondering if there are any websites out there that gives sample reports for SOAP notes. Just trying to figure out which is the best way to do it with paragraphs between each heading or all scrunched together. Just want to see what is done more of. I realize it might depend on the clinic, dr, hospital, etc, but just want to get an idea.


Thanks Carla


...and antibacterial soap?? nm
Subject: ...and antibacterial soap?? nm

s
SOAP notes
Subject: SOAP notes

transcribing for 7 1/2 week old child.  Dictator states fontanels are flat,  sound like "contrapendalence" are normal.
could be abbr for Hibiclens soap
Subject: could be abbr for Hibiclens soap


...used a 3-degree ?soap block? ...

Dictation:  For this reason, I used a ?soap block? to make a third cut of the tibia, and then this was once again prepared to accept a size 5 tibia baseplate....  Soap block????    Can anyone verify that for me?


s/l *Fizahex* soap? For a wound?
Subject: s/l *Fizahex* soap? For a wound?


Soap boxes were not made to stand on--sm
Subject: Soap boxes were not made to stand on--sm

please get off or yours.
ESL. Medication s/l soap-uh-MEH-drol 320 daily (sm)
Subject: ESL. Medication s/l soap-uh-MEH-drol 320 daily (sm)

This is in a list of medications.  Pt history included in report includes sleeplessness, gastric issues, high blood pressure.  Other meds are HCTZ, vm E, Toprol XL, Motrin, and Nexium. 
yes, you are talking about the company Soap Transciption Inc.
Subject: yes, you are talking about the company Soap Transciption Inc.

nm
He dictates in SOAP format so that might look out of place.
Subject: He dictates in SOAP format so that might look out of place.


Subjective, Objective, Assessment, Plan=SOAP..
Subject: Subjective, Objective, Assessment, Plan=SOAP..

Twenty-five years ago, SOAP format was still the in-thing, but doctors slowly trended away from it, probably due to medical transcription and formats changing over time.  They are easy to do though. 
She could be saying that, referring to oatmeal soap or something like that. I'll relisten.
Subject: She could be saying that, referring to oatmeal soap or something like that. I'll relisten.

Thanks!!
SOAP is a really archiac format, rarely used today
Subject: SOAP is a really archiac format, rarely used today

and occasionally used today but rare.....


thanks, did not learn that in my course!
Subject: thanks, did not learn that in my course!


You are very welcome. I learn also. nm
Subject: You are very welcome. I learn also. nm


Thank you so much. I need to learn more
Subject: Thank you so much. I need to learn more

about how to use all the aspects of search! I just put in eye grounds and didn't get much!
Thanks I learn something every day - NM
Subject: Thanks I learn something every day - NM

NM
you can always learn something new sm
Subject: you can always learn something new sm

This is where I found it...

http://www.aoasm.org/handouts/Foot_Ankle.pdf

or

http://www.spinalmedicine.com/articles/ankle_sprain.html

YW. All of us can still learn something new. nm
Subject: YW. All of us can still learn something new. nm


TY! Learn something new every day!
Subject: TY! Learn something new every day!


Really?? Learn something new every day. Thanks!
Subject: Really?? Learn something new every day. Thanks!


Can you see samples of how the other MTs handle it? Are these SOAP notes? Can you number the probs
Subject: Can you see samples of how the other MTs handle it? Are these SOAP notes? Can you number the probs

s
Labor and deliveryy - vaccum strength s/l clean soap
Subject: Labor and deliveryy - vaccum strength s/l clean soap

n