purcom 2

• Initial notes


  Refer to the first or earliest assessment
• Initial notes


  Refer to the first or earliest assessment
• Interim or progress notes


  Refer to the assessment reports done in order to monitor the condition of the patient
• Discharge notes


  Reports given once medication is discontinued or the patient is released from the hospital
• SOAP


  • Subjective (assessment given by the family member or patient himself)
  • Objective (assessment seen by you or reflected in laboratory or other medical reports)
  • Assessment (diagnosis)
  • Plan (procedures to be done to address the diagnosis)
• Writing the opening paragraph of a news article or the lead


  One of the most challenging tasks
• Types of lead


  • Summary lead
  • Straight lead
  • Question lead
  • Quotation lead
  • Funny lead
  • Anecdotal lead
  • Descriptive lead
• Effective lead


  • Emphasize the most important details
  • Be specific and concise
  • Use active verbs as much as possible