SOAP notes
Exam Positions
Room Preparation
Exam Methods
Random
100
The "S" stands for...
What is Subjective information
100
Ideal position for an abdominal or breast exam
What is Supine
100
Check here first to see why each patient is coming in
What is appointment book/daily schedule
100
Visual assessment of a patient
What is Inspection
100
POMR stands for
What is Problem Oriented Medical Record
200
The "P" stands for...
What is Plan
200
For a pelvic exam, females should be placed in this position
What is Dorsal recumbent or Lithotomy
200
Making sure the floors are dry and storing sharps/narcotic drugs in locked cabinets are good examples of....
What is safety precautions
200
tapping on a body surface
What is Percussion
200
Who owns medical records?
What is the provider
300
The "A" stands for...
What is Assessment
300
For a rectal exam, place the patient in this position
What is Sim's
300
What should be sanitized or wiped down with alcohol/disinfectant after each patient
What is exam table and instruments like otoscope or shared stethoscopes
300
Using hands to feel body parts
What is palpation
300
"If you didn't document it, ___ ______ ______!"
What is "it didn't happen!"
400
The "O" stands for...
What is Objective information
400
For a sigmoidoscopy, the patient needs to be in this position
What is knee-chest
400
If you are ready to bring the next patient in, but your room smells bad, you should...
What is spray air freshener!
400
moving body parts to determine flexibility/range of motion
What is manipulation
400
Abbreviation for Temperature, Pulse, and Respiration
What is TPR
500
Some examples of Objective information would be..
What is vitals, test results, exam findings, anything measurable.
500
Laying face down on the exam table
What is prone
500
Remember to keep an eye on commonly used items in the exam rooms, such as...
What is cotton balls, bandaids, alcohol swabs, etc..
500
measuring body parts
What is mensuration
500
Any records from another provider must go where before they go anywhere else?
What is to be reviewed by the doctor!