Quick COMLEX PE question

[Freebird529]

Taking my PE tomorrow afternoon. In typical fashion, am getting worked up about failing over something stupid. I know the top reason for failing is documenting you did something you didn't... Does this apply to assessment/plan too? If I talk through my assessment/plan with my patient, and while I'm writing my SOAP come up with another ddx or think of another test I want to order, can I put this in or do I have to discuss it with the patient in order to put it in the soap? Thanks!

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[bogle8]

Taking my PE tomorrow afternoon. In typical fashion, am getting worked up about failing over something stupid. I know the top reason for failing is documenting you did something you didn't... Does this apply to assessment/plan too? If I talk through my assessment/plan with my patient, and while I'm writing my SOAP come up with another ddx or think of another test I want to order, can I put this in or do I have to discuss it with the patient in order to put it in the soap? Thanks!

Yes you can do that. You’re only required to propose one diagnosis to the patient, so give them a working diagnosis and plan and then wrap it up.

 

[aspdr]

Taking my PE tomorrow afternoon. In typical fashion, am getting worked up about failing over something stupid. I know the top reason for failing is documenting you did something you didn't... Does this apply to assessment/plan too? If I talk through my assessment/plan with my patient, and while I'm writing my SOAP come up with another ddx or think of another test I want to order, can I put this in or do I have to discuss it with the patient in order to put it in the soap? Thanks!

So while writing your note, if some other diagnosis or plan comes up on your mind, you should write “plan to rule out X disease” or write “plan to perform an ultrasound” even if you didn’t discuss it with your patient while in the room. There will be so many minute things or differentials and plans you will forget to tell my patients while in the room to which you can always type “ plan to blah blah blah” on your note. Good Luck!

 

[FuturePrissyMD4]

Do I have to wash my hands with soap and water at any point during encounter or can I use sanitizer both times? What did you guys do?

 

[MusicDOc124]

Do I have to wash my hands with soap and water at any point during encounter or can I use sanitizer both times? What did you guys do?

Sanitizer is fine.