Tag: Homework Solution

  • [Solved] performance management or organizational behavior management

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    Based on what you've learned from this week's lecture and the readings, how would you describe performance management or organizational behavior management to a business owner who is unfamiliar with behavior analytic concepts and principles? How would you compare and contrast current typical busines…

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    Assignment Prompt & Instructions

    Based on what you've learned from this week's lecture and the readings, how would you describe performance management or organizational behavior management to a business owner who is unfamiliar with behavior analytic concepts and principles? How would you compare and contrast current typical business practices (such as annual reviews or aversive control) to increase their interest in performance management? Please provide at least 1 quote from BF Skinner from Business, Behaviorism, and the Bottom Line in your response.

    _Remember to review the Reflection Paper rubric and instructions._

    _Additionally, please include LINKS or DOIs to any articles or books referenced outside of the assigned readings as part of your APA citation (_ [_as is required when using web-based referencesLinks to an external site._](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_electronic_sources.html) _). Failing to do so will result in point deductions._

    – a year ago

  • [Solved] Develop Item Writer Training

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    – a year ago **files (1)** – ## PSY8765WK6ASSIGNMENTINSTRUCTIONS.docx **## PSY8765WK6ASSIGNMENTINSTRUCTIONS.docx** **Introduction** In this third course assignment, you are to assume the role of an industrial-organizational psychology practitioner on an external consulting team. The consulting team …

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## PSY8765WK6ASSIGNMENTINSTRUCTIONS.docx

    **## PSY8765WK6ASSIGNMENTINSTRUCTIONS.docx**

    **Introduction**

    In this third course assignment, you are to assume the role of an industrial-organizational psychology practitioner on an external consulting team. The consulting team is tasked with conducting a 3-day item writing workshop for a group of subject matter experts (SMEs) who are writing items for a noncognitive assessment.

    This assessment will be used to promote individual contributors to supervisory roles. On the first day of training, the SMEs drafted their assigned items based on the test blueprint, or test specifications. You understand that even when following item writing best practices, many items will not survive pilot testing, As a result, the SMEs need to create as many quality items as possible.

    The first batch of items contains consistent flaws relating to failure to follow item writing best practices and fairness. You will develop an item development training handout for the second day of the training session that:

    · Provides examples of problematic items that demonstrate the types of flaws you observed when reviewing the SMEs' items.

    · Specifies item flaws.

    · Explains why the item is flawed.

    · Revises the item to eliminate flaws.

    **Instructions**

    You are not expected to be an expert item writer for this assignment. Rather, this assignment is to allow you to apply your knowledge about item writing and defend your decisions. This will help you build your test development skills. At some point as an internal or external consultant, you will likely need to write items, review items, or contract with a vendor to purchase off-the-shelf or custom assessments.

    Many test development principles apply across a variety of assessments, ranging from tests of knowledge, skills, or abilities to organizational assessments. Therefore, basic knowledge of test and assessment development principles will be useful in your career.

    Use the Item Writer Training Handout Template provided in the Resources for this assignment to prepare your training handout focused on developing higher quality test items.

    **Note:** The template provides a completed example to help you complete the rest of the template.

    The items on the training handout are not the same items developed by the SMEs; rather, they reflect the types of errors that the SMEs made the day before. For each item on the template, provide the following information:

    · Identify the flaw(s) with the item. (1–2 sentences per flaw in bold font; you may use a bulleted list format.)

    · Explain why each identified flaw is a flaw to provide a teaching point to the SMEs. (1–2 sentences for each flaw—normal font, not bold.)

    · Rewrite the item to improve its quality. Use the comment feature in Word or another form of tracking to highlight your change(s). Make sure your changes are easily distinguishable.

    At the end of the handout, provide
    **at least three** references to professional standards, best practices from reputable sources, or the scholarly literature on item/test development, test fairness, or test bias. These references may be from the course readings or from your independent research. Adhere to APA formatting and style guidelines for these references.

    **Additional Requirements**

    ·
    **Writing style:** Imagine you are a trainer providing tips to improve item writers' skills. Write in a conversational style suitable for a business setting, rather than in a formal, academic style. Describe the flaws in a respectful manner so as not to offend participants, who may have made the mistakes you are calling attention to in the training materials. Feel free to be directive (you are the expert, after all), but remember your goal is to cultivate their item writing skills.

    ·
    **Font and font size**: Times New Roman or Arial, 10 or 12 point.

    ·
    **References:** Include a
    **minimum** of three references to current authoritative and/or scholarly sources. Current means no more than five years old. Insert these references in the appropriate space on the Item Writing Training Handout Template rather than on a separate reference page.

    ·
    **APA format:** Use APA style and formatting guidelines for all references. For an APA refresher, consult the Evidence and APA section of the Writing Center. See specific requirements for references under Instructions.

    ·
    **Rubric:** Review this assignment's rubric so that you understand how your instructor is going to evaluate your assignment.

    **Resources**

    ·
    [Item Writer Training Handout Template [DOCX]](https://courseroom.capella.edu/courses/40185/files/7621143/download?wrap=1) [Download Item Writer Training Handout Template [DOCX]](https://courseroom.capella.edu/courses/40185/files/7621143/download?download_frd=1).

    ·
    [Evidence and APA](https://campustools.capella.edu/redirect.aspx?linkid=1540).

    **## PSY8765WK6ASSIGNMENTINSTRUCTIONS.docx**

    **Introduction**

    In this third course assignment, you are to assume the role of an industrial-organizational psychology practitioner on an external consulting team. The consulting team is tasked with conducting a 3-day item writing workshop for a group of subject matter experts (SMEs) who are writing items for a noncognitive assessment.

    This assessment will be used to promote individual contributors to supervisory roles. On the first day of training, the SMEs drafted their assigned items based on the test blueprint, or test specifications. You understand that even when following item writing best practices, many items will not survive pilot testing, As a result, the SMEs need to create as many quality items as possible.

    The first batch of items contains consistent flaws relating to failure to follow item writing best practices and fairness. You will develop an item development training handout for the second day of the training session that:

    · Provides examples of problematic items that demonstrate the types of flaws you observed when reviewing the SMEs' items.

    · Specifies item flaws.

    · Explains why the item is flawed.

    · Revises the item to eliminate flaws.

    **Instructions**

    You are not expected to be an expert item writer for this assignment. Rather, this assignment is to allow you to apply your knowledge about item writing and defend your decisions. This will help you build your test development skills. At some point as an internal or external consultant, you will likely need to write items, review items, or contract with a vendor to purchase off-the-shelf or custom assessments.

    Many test development principles apply across a variety of assessments, ranging from tests of knowledge, skills, or abilities to organizational assessments. Therefore, basic knowledge of test and assessment development principles will be useful in your career.

    Use the Item Writer Training Handout Template provided in the Resources for this assignment to prepare your training handout focused on developing higher quality test items.

    **Note:** The template provides a completed example to help you complete the rest of the template.

    The items on the training handout are not the same items developed by the SMEs; rather, they reflect the types of errors that the SMEs made the day before. For each item on the template, provide the following information:

    · Identify the flaw(s) with the item. (1–2 sentences per flaw in bold font; you may use a bulleted list format.)

    · Explain why each identified flaw is a flaw to provide a teaching point to the SMEs. (1–2 sentences for each flaw—normal font, not bold.)

    · Rewrite the item to improve its quality. Use the comment feature in Word or another form of tracking to highlight your change(s). Make sure your changes are easily distinguishable.

    At the end of the handout, provide
    **at least three** references to professional standards, best practices from reputable sources, or the scholarly literature on item/test development, test fairness, or test bias. These references may be from the course readings or from your independent research. Adhere to APA formatting and style guidelines for these references.

    **Additional Requirements**

    ·
    **Writing style:** Imagine you are a trainer providing tips to improve item writers' skills. Write in a conversational style suitable for a business setting, rather than in a formal, academic style. Describe the flaws in a respectful manner so as not to offend participants, who may have made the mistakes you are calling attention to in the training materials. Feel free to be directive (you are the expert, after all), but remember your goal is to cultivate their item writing skills.

    ·
    **Font and font size**: Times New Roman or Arial, 10 or 12 point.

    ·
    **References:** Include a
    **minimum** of three references to current authoritative and/or scholarly sources. Current means no more than five years old. Insert these references in the appropriate space on the Item Writing Training Handout Template rather than on a separate reference page.

    ·
    **APA format:** Use APA style and formatting guidelines for all references. For an APA refresher, consult the Evidence and APA section of the Writing Center. See specific requirements for references under Instructions.

    ·
    **Rubric:** Review this assignment's rubric so that you understand how your instructor is going to evaluate your assignment.

    **Resources**

    ·
    [Item Writer Training Handout Template [DOCX]](https://courseroom.capella.edu/courses/40185/files/7621143/download?wrap=1) [Download Item Writer Training Handout Template [DOCX]](https://courseroom.capella.edu/courses/40185/files/7621143/download?download_frd=1).

    ·
    [Evidence and APA](https://campustools.capella.edu/redirect.aspx?linkid=1540).

  • [Solved] Shay

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    Executive Solution Overview

    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) Shay now – a year ago

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    Assignment Prompt & Instructions

    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management)

    Shay now

    – a year ago

  • [Solved] Role of the Masters Prepared Nurse- Nurse Administrator

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    Executive Solution Overview

    ## Role of a Master's Prepared Nurse Discussion This discussion needs to be geared to the specialty of Nurse Administrator. All 4 of these readings (attached) need to be referenced in APA format ### . ### Action Items Your initial response should address all of the elements below, in depth and bread…

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    Assignment Prompt & Instructions

    ## Role of a Master's Prepared Nurse Discussion

    This discussion needs to be geared to the specialty of Nurse Administrator.

    All 4 of these readings (attached) need to be referenced in APA format

    ### .

    ### Action Items

    Your initial response should address all of the elements below, in depth and breadth.  A minimum of 350 words is expected in your initial response.  Citations and references are included, in correct APA format.

    – Describe the advanced nursing role you anticipate achieving after completing your graduate degree.  How did you choose this area? Where might you practice?
    – Identify how you anticipate your graduate education will correlate with the AACN Master's Essentials.
    – Cite the articles you have read using APA citations and include the references at the bottom of your initial post.

    – [\
    \
    Essentials-2021.pdf](https://www.sweetstudy.com/files/essentials-2021-pdf-10289107 "Essentials-2021.pdf")
    – [\
    \
    Masters-Tool-Kit.pdf](https://www.sweetstudy.com/files/masters-tool-kit-pdf "Masters-Tool-Kit.pdf")
    – [\
    \
    masterseducationforleadership.pdf](https://www.sweetstudy.com/files/masterseducationforleadership-pdf "masterseducationforleadership.pdf")
    – [\
    \
    nurseleader.pdf](https://www.sweetstudy.com/files/nurseleader-pdf-10289123 "nurseleader.pdf")

    – a year ago

  • [Solved] Roch week 2 soap updated

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    Executive Solution Overview

    – a year ago **files (1)** – ## SOAPNoteTemplate-Final13.docx **## SOAPNoteTemplate-Final13.docx** | | | | — | — | | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: ______…

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## SOAPNoteTemplate-Final13.docx

    **## SOAPNoteTemplate-Final13.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

    **## SOAPNoteTemplate-Final13.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

  • [Solved] Roch week 2 soap

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    Executive Solution Overview

    – a year ago **files (1)** – ## SOAPNoteTemplate-Final13.docx **## SOAPNoteTemplate-Final13.docx** | | | | — | — | | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: ______…

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## SOAPNoteTemplate-Final13.docx

    **## SOAPNoteTemplate-Final13.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

    **## SOAPNoteTemplate-Final13.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

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