Ortho Note

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hatshepsut

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Does anyone have a link or file for a good ortho note? Soap and H&P.

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Ortho H&P:

BBMF - Bone Broke; Me Fix

Ortho Note:

LGFD - Look Good From Door
 
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Daily SOAP note:

LGFD
BSB

(Looks good from door; bone still broken)
 
Does anyone have a link or file for a good ortho note? Soap and H&P.

If you're actually on an ortho rotation now, and it's the first time you've done one, I doubt the residents will expect you to know too much. Ask them what they want in the note and H&P. It can be sort of school specific. (My home program, AVSS usually suffices for part of it, and at my away, they wanted all the vitals written out).
 
here, a ortho student's soap note is something like this

pt resting comfortably. pain controlled.
afvss
R UE: 5/5 ain/pin/u SILT r/u/m BCR
dressing c/d/i no soi at pin sites
cont pain control
cont abx


alternatively, the PE may be shortened to "NVI" after POD 1
 
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