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Ortho Note
Started by hatshepsut
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You're kidding, right?
Ortho H&P:
BBMF - Bone Broke; Me Fix
Ortho Note:
LGFD - Look Good From Door
BBMF - Bone Broke; Me Fix
Ortho Note:
LGFD - Look Good From Door
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B
Blade28
Daily SOAP note:
LGFD
BSB
(Looks good from door; bone still broken)
LGFD
BSB
(Looks good from door; bone still broken)
Jeeze, why not hand everyone a shotgun and point them to the barrel full of fish?
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
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
