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Is SOAP format always in paragraph form? *sm*

Posted By: kittykat on 2008-05-12
In Reply to:

or is it common to transcribe headings within a SOAP report? For example, a SOAP report with a PE section?


Thanks in advance!




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SM for stacked versus paragraph form.

Stacked form would be:


PHYSCIAL EXAMINATION:


VITAL SIGNS:


HEENT:


NECK:


CHEST:


Paragraph is :


PHYSICAL EXAMINATION:  VITAL SIGNS:  Blood pressure 120/80.  HEENT:  Head is normocephalic... etc.


Hope that helps.


Can't you change it in Format/Paragraph/Line spacing like
s
I am looking for samples of podiatry notes typed in SOAP format. sm
I have a potential client who would like to see some samples typed up and then let him know how much that report would cost. I charge by the line, and this is something that he is not familar with. Would appreciate about 3 or 4 reports, hopefully one of them being lengthy. TIA
When transcribing "command" or "imperative" form, use verb form or "follow up"
For a long time I would become confused by "discharge instructions" type followup/follow up usage ...

Yes, the patient was to follow up with his doctor ... but was also to make a follow up appointment ...

In my experience, certainly your QA may vary and/or be inconsistent all-on-its-own ... but most of these truncated forms, fit into what I was taught was called "imperative case" and follow up is being used as a VERB ...

[[[ even though there is a reasonable argument to be made that "followup with primary care physician in 2 weeks" refers to an "appointment" which is a noun. ]]]

You can figure out the prevailing "rule of thumb" for your QA ...

Not having to think it through --- priceless.

It is not a plural form. It is a possessive form. SM
The man's name was Metzenbaum and he devised this particular instrument.  The correct spelling would be Metzenbaum's.  WITH THE APOSTROPHE.  AAMT BOS is full of crap.
If you know it is a new paragraph, then by
all means make it one. If she does not like the way you are typing them, she will be sure and let you know.
do paragraph, then scan over it
I listen as I go along also.  It really gets to be quite easy.  To reread the report definitely would cost money.  I do a paragraph or so and as the doctor is shuffling papers or gathering his thoughts, not really dictating, I scan down the paragraph to make sure it is okay.
LOL! I love your last paragraph and sm
isn't it the honest to God truth!
Your first paragraph I agree with.
From then on- no. It is not our fault that healthcare costs so much. I can remember (telling my age here) when an office visit at the local doctor was $15- a physical was $30. The last time I went the total cost, including paying the lab separately for interpreting, was almost $400. Medical care has become big business like everything else. The problem is that MT's are not considered as part of the team in the way that nurses, physicians assistants, etc., are. Doctors would never get away with not paying benefits for the rest of their staff. Oh, they would if they could. Your last paragraph is true in the sense that if she cannot find what she needs she may have to CHANGE her career. The good work may be out there, but there is certainly not enough of it to go around.
Or a whole paragraph! Yes, I have actually cussed out loud!
We should get paid for this! It is our time and money!
Read this paragraph closely.....
She was hired as part of CBay's corporate social-responsibility experiment, and although the program reflects only a tiny corner of a vast industry, it has turned up an unexpected truth: Blindness seems to infuse the outsourcing transaction with a warmth and a mystique that the sighted often fail to see, almost as though outsourcing were made for the blind.

"It's our advantage, this imagination thing

Where's the company's corporate social responsibility to this country.........this just burns me up.......

now we know folks......is this ridiculous comment suppose to make those of us losing our jobs feel better?

"outsourcing was made for the blind"

It's this thread, 2nd to last paragraph (See Inside)
Quote from original post:

*It means no more benefits as an employee and I can't get health insurance on my own, but I did without for 15 years before that. I'll have to be an IC, but I have two IC positions and between the two is going to be more than okay financially and with taxes. Plus, I think I am going to have more time because I am not strapped to my desk for the same shift hours week after week. It should allow me to pursue a master's degree and have a life. *

You clearly state you are going to be an IC. Keystrokes does not hire ICs. I'm not picking your post apart; it's just the inconsistencies are pretty obvious and I'm more confused now than I was originally.

I'm sure I'm not the only one wondering what the heck is going on with these 2 posts that contradict each other.


Ctrl+E centers the line or whole paragraph. nm
xx
Helpful for me was to turn on paragraph marks (sm)
I was told that those are the "containers" for all the formatting codes. You can't see them, but sometimes if you have a tricky formatting problem, you can copy and paste a paragraph mark from one place to another and it quick-fixes problems.

Having the marks on there takes a little getting used to, but it didn't take long.
In IT, a paragraph is always in entry screen (from Wordpad). How do I get rid of this 4ever?
dd
Disgusted, your last paragraph is so true! Thanks for voicing it out loud! nm
nm
Actually, it does check the body of a paragraph, but not the last sentence of a document....what'
.
The ones that I hate are where the doctor dictates a full line or paragraph,
and says, "No, wait, go back, change that."  Then you have to delete everything you already typed and retype the new dictation.  Some of these newer doctors do that to nearly every sentence.  By the time you finish the report, you've typed and erased half the report.  Do we get paid for that?  NO.  I don't get it.  We still have to pay for doctor visits if they misdiagnose us, then we have to pay for the subsequent visit to fix what they didn't diagnose the first time.  We should get paid by them for typing what they said, erasing it and retyping what they meant to say.  They're getting our wallets coming and going.
Chars aren't counted in gross lines. If you have a 4-line paragraph...sm
you have 4 gross lines, no matter how long or short the sentences are. A heading on it's own line is 1 gross line. A signature on it's own line is 1 gross line. The date at the top of a document on it's own line is 1 gross line. Anything on a line going from margin to margin is 1 gross line, no matter how few or many characters, or if there are spaces or not, even if there's only 1 character on that line like 'A' for instance. Does this  help? :)
You can set Word to not count blank lines by changing your paragraph style
to automatically double space after the paragraph.
ExtText by Dictaphone -- Word 2000 - won't capitalize when making a new paragraph or after lists?
Hi. I am new at a job. The Word 2000 running in ExtText (Dictaphone) will not capitalize at the beginning of a new paragraph (never had that happen before), nor after numbers in an automatic list, and sometimes even just after plain periods, not just periods used in numbers (like hemoglobin 7.5).

What is going on? It works fine in the Word version on my computer, but when it ties with ExtText, it "forgets" to capitalize. It is especially annoying with lists, and also at the first of paragraphs, I never had to babysit that before.

Any help? TX
What's a SOAP?
NM
SOAP
It's an acronym for SUBJECTIVE, OBJECTIVE, ASSESSMENT, PLAN.  I recall back in the late 1970s when the hospital at which I was working as an RN began requiring us to write all of our notes in SOAP format.  What a pain!
SOAP
It depends what format the client wants: I had an account where the only double spaces were after the heading (Name and DOB) and at the very end before the name of the dictating physician.
The body of the note was all single spaced, no double space between S, O, A and P.
PT SOAP work
I am an MTSO and I would be interested in talking to you further. Please email me.
Well that's quite a soap opera . . .
I used to live in Southern California and your description reminded me of someone I used to know, especially about interrogating the waiter. Loved that you called her the Bee. You sound very down to earth and she is not. As for the clothes - everything has a price doesn't it. She's probably shocked that those clothes didn't mean that much to you and you'd do anything to keep on receiving them. Good for you.
SOAP is a style.
Subjective, Objective, Assessment, Prognosis. Some offices like to their office notes typed in this kind of format, others don't.
Maybe you put that you do SOAP notes and HR
nm
What are SOAP notes?
nm
soap notes

Yes that is correct they are chart or clinical notes.  The dentist that I used to work for liked the charts written up in that fashion.


S- subjective


O- objective


A- assessment


P- plan


SOAP Notes

I may sound dumb, but what is a SOAP note??


I used to wath soap operas.....
Now I just come to this board every day, lol.
HELP with SOAP sheet issue please!

I have my my own account of three OB-GYNs that use a SOAP sheet type heading on a regular piece of paper. It takes up about 2.5" on the top of the first page of each patient note. It is paper that is purchased from a printing company and they write in the patient's name, vitals, LMP, type of contraception, etc. in the appropriate areas. I have my margins set so I start typing under this info. The problem I have had is these sheets will jam up in any of the three printers I have and I just bought a new all-in-one printer and these sheets will actually get so stuck I have to tear them out of my printer! I know it is because they have been handled, written on, sometimes have corners folded, etc. I normally have a second page I print and sometimes even a third, and I print all the notes at one time or it would take me forever to print out their transcription as I normally have 30-40 pages from each doc! I even made sure the paper I purchased for second, third pages is the same weight as this SOAP heading sheet and it makes no difference. It does not jam with every first page/header page, but it does it on average at least three times while I am printing out one doc's work. This wastes a lot of my time, is frustrating, and I feel it is going to ruin my printer/roller bar with it jamming so badly.


When I spoke with the OM, she said they would quit sending these SOAP sheets with the info on them and then they would just add them to the patient's chart as the first page after I return the transcription. However, I just received a message when I returned home that the docs are not happy with this and do not want it done this way.


When I met with the OM, she said they can change this pre-printed "form" to a half page (which will save them money). I am not exactly sure why they do not like the way things have been changed other than this pertinent info is no longer directly on that first page of the patient's note.


Does anyone have ANY suggestions as to what I could do that they might agree to? I know I had mentioned to the OM when I met with her (to discuss going digital) that perhaps they could use the same form on a half page or even smaller as a label to adhere to the patient note and she said "no way"! They will NOT use adhesive anything. I need to resolve this problem TODAY so sure would appreciate some suggestions/feedback.


TIA.


The soap under the sheet really works.
My husband thought I was crazy but it did work.
Just like an H&P, but sometimes without headings, sometimes use the SOAP designations. nm
s
SOAP OPERA SCRIPTS
Does anybody know who types scripts for soaps or other TV shows?  I've been an MT for 30 years and am beyond burned out with medical reports.  Figure I could use a change and thought I'd really enjoy something like this.  Thanks!
Not so silly. I still don't know what SOAP means.
nm
I think SOAP Transcription does only ER/ED files. nm
s
Usually dictated in the same fashion, but sometimes the SOAP
s
SOAP vs office notes

Some of my docs use the SOAP  -see below, all broken down into these paragrahs with headings.


S: (subjective)


O: (objective/physical)


A: (assessment)


P: (plan)


Others, my surgical oncology docs, just dictate and I put them in paragraph form and no headings.   Also I have one that does the S and O and then puts his Assesment and Plan in one paragraph.  


Hope that helps.  Patti


Question regarding SOAP note...

For those of you who transcribe SOAP notes, do you capitalize each word in the diagnosis?  I have seen it both ways, and I was not sure if there is a rule to this. 


 


DX:  Low Back Pain. 


DX:  Low back pain.


 


Thank you!


 


I take mine apart before it gets the soap and water bath. nm
//
Dawn dish soap for fleas
I had this problem before with some kittens. Soak the pup down and scrub it up with dawn dish soap. Apparently the fleas get caught in the "bubbles" and suffocate. Leave this on the puppy for about a 1/2 hour to an hour then rinse. Keep in mind that this does work BUT dry skin occurs.
Try Murphy's Oil/Soap - toothpaste is abrasive
/
Office notes versus SOAP:

Could someone explain the difference between an office note and a SOAP note when doing transcribing for a specialty doctor. Thanks.


I think you're in the wrong profession - write soap operas!!
nm
Why I believe Mrs. Twitty is writing the soap opera and starring in it too!

Promoting her little dream of a soap opera with press conferences with her super glossy eyeshadow and false eyelashes.  Sweet.  How many opportunities does Mrs. Twitty get to get all this attention?  Might as well milk it.


I use a mild, nondrying, unscented facial soap and
Oil of Old Lady for sensitive skin.
J&J baby soap at bedtime with a small amount of
coral calcium and glucosamine chondrontin with MSM daily with Omega-3 fatty acids every other day. Hair, nails and skin are better than ever at age 45.
SOAP's pay is higher even in the trainee/newbie stage. nm
s
oh my gosh, would you, yourself, bathe in DAWN dish soap - ouch!
no, no, no, no, no, no, no.