HOW TO WRITE A SOAP NOTE / Writing Nurse Practitioner Notes Step by Step Tutorial

HOW TO WRITE A SOAP NOTE / Writing Nurse Practitioner Notes Step by Step Tutorial. In today’s video I’ll walk you through how I write SOAP notes as a family nurse practitioner. We will discuss what information goes in each section of the SOAP note, as well as some tips for making your charting more efficient.
00:00 Intro
01:00 Template for Notes
02:30 Basic Patient Info For a Chart
04:17 HPI. How to Write a History of Presenting Illness
09:05 Tips for Precharting your HPI
10:15 Review Of Systems
11:15 My Favorite Hidden Part Of The Review Of Systems
13:00 How To Document A Physical Exam
14:57 Labwork
16:00 What Is A Differential Diagnosis and do you chart it?
17:00 Assessment / Working Diagnosis
17:31 Where do the ICD 10 Codes go?
18:40 Documenting a Treatment Plan
26:00 Things I ALWAYS Chart Before going into the next room
27:00 My Biggest Time Saving Tip for Charting
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SOAP notes can be incredibly confusing to chart, know what information to put where, and how to do it in an organized fashion. In today’s video I will walk you through step by step of how I write notes as a nurse practitioner. Using subjective, objective, assessment, and treatment as the guideline for the notes, I’ll explain how to make note writing as a healthcare provider easier.
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[@Nealsonsons]

How did you just make a video on SOAP notes interesting to watch? You are magic.

[@sakinaNP]

This was better then my textbook. Please make a head to toe physical exam Liz 🙏🏼😫 we are dying trying to figure it out online only

[@ccd5942]

Yes I second that a full head to toe physical exam would be awesome.

[@1shaymocha]

I've been praying for a mentor. Then 1 day I discovered your videos. Thanks for all you do, the time, energy, teaching, transparency, caring. You are truly a God sent angel. You have a beautiful family as well. That's for being my mentor

[@erinlandisio6072]

Liz this was soooo very helpful! I really enjoy and learn from these types of videos! Keep 'em coming!!

[@kittyworld1366]

I just started researching NP videos and stumbled upon yours. I am a FNP student and will be starting clinical soon. Your videos seriously help me not feel so lost. Thank you. I also just bought the NP resource material. This looks like it will help me throughout my career and clinical. You're the best.

[@katielevens7797]

I'm in NP school and this was extremely helpful! Thank you!

[@cherylann2271]

This is going to be so helpful for when I start clinical rotations. I love the NP binder! Thank you

[@aflores31]

Constantly looking out for us! You’re awesome!

[@LovelyGlow01]

I needed this when I was in clinicals! Thanks for sharing. Looking forward to more tips and tricks.

[@lisanicholson1347]

So helpful! Thank you Liz for sharing this!!

[@avocado_enthusiest]

I loved this video after 3 seconds because yay! I feel happy Im not the only one who isnt particularly fond of this part (yet). thanks for being so relatable!

[@NurseKary]

GREAT video... the 1/2 hours was so worth it! Thank you for sharing your knowledge... I am about to jump into advanced assessment class and this will be super helpful!!

[@chayoluna1351]

This is very helpful & informative. Thank you Liz!

[@NvrLseHope]

i’m not a nurse. i’m not in nursing school. blood makes me nauseous. i just think liz is so good at explaining things and i love listening to her talk

[@tinamillon843]

You are amazing! I’m a WHNP student and starting clinical hours soon! This will be super helpful. P.S. I love your NP binder notes 📝🥰

[@zincman1995]

The updates in your binder is very helpful as well, thanks

[@mavis613]

It’s very very helpful, thank you Nurse Liz😊

[@raquelv.4243]

Thanks so much Liz:) You're videos are invaluable! And they're getting better and better -pretty fancy thank u💞

[@NurseLiz]

Oh why thank you! I try 😂

[@sabak3550]

very helpful video..will def use these tips in my current practice!

[@kimberlyhudson3554]

Liz thanks so much, this is really helpful and has helped decreased my performance anxiety in clinic👍

[@breeb2638]

Im still a student (doing RNs) but I actually love writing progress notes. Maybe it's because I'm a student and it really helps enforce my learning going through a case methodically that way. Thanks for the video, very thorough and educational!

[@gaylegonzalez71]

ahhhhh i've missed you!! been too busy with school to watch you, but definitely needed this since I'm starting clinicals next week!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

[@chiniemichelle4306]

love watching your videos, , Thanks for sharing .. very helpful

[@karenleroy499]

I am in clinicals currently. This is helpful. Thank you.

[@StayingKingdomMinded]

I loved this!!!! Thanks Liz!!

[@AmorepassionatemeBlogspot]

This video is timely! I’m taking Advanced Health Assessment, and the SOAP notes are kicking my butt!

[@AmorepassionatemeBlogspot]

OLDCARTS!

[@bonecrusher9745]

You are absolutely amazing. What stores do you usually do your grocery shopping at? Do you ever stock up on water? Can you possibly do some in store grocery shopping videos? It would be awesome if you could show your full shopping trip

[@luzmarieramirez5369]

Appreciate this!!

[@Winterseve86]

So far we really have only done SBAR. SOAP notes are not my forte bc they never get explained or reinforced. Love this video. Thank you so much!!

[@bethaudet9007]

Thank you so much!

[@nanceeq26]

Hi Liz. Thank you so much for this video. Could you please post the differential diagnosis book recommendations, please?? 😁

[@samuelchaseshoptaw365]

first np clinical this evening. thank you:)

[@anniepapciak1051]

That lip color is GORGEOUS!!!!

[@03nursing]

Omg thank you!!!

[@AntoneyaCarhart]

I just started nursing school well last year and your channel has been a huge help ! Thank you for all of the information ! 🤩

[@fairuzastevenson9896]

Thank you

[@blessedlh3860]

Nurse Liz, thank you for your channel, tips, recommendations and encouragement. You are awesome! Many blessings. Thank you

[@uzomamaledo8698]

Awesome video!!! Super educative and helpful. Can you teach me how to show my document on the screen while presenting? I have a teaching exam coming up and I would like to use it. I really like your binder notes. How can I achieve that? Oh!!!! so cute a baby!!! Thank you for teaching. How can I make a template?

[@drei000]

Great Vidio What do you look for when listening with the stethoscope?

[@NICKVERAPEREZ]

cute son! Thanks for these tips Liz!

[@NurseLiz]

of course!

[@chrissyscavo6424]

Can someone post the link to the np binder :) ty

[@atlantahotrod1970]

I am in FNP school and our SOAP note contains "Positive Findings and Negative Findings" in the objective portion. Can you explain this?

[@pankajrattanmanocha5189]

hi, this is my first time. can you please tell me how to add binder notes

[@ccd5942]

Can you do a complete head to toe exam and a complete sports physical exam ?

[@Jacc6180]

Hi Liz I’m new to your channel, I made a purchase and made a mistake in one letter on my email address when I purchased the binder. Is there a way to correct it?

[@dmdm9198]

How long can I hold on to soap note before I put it into the electronic system? 24hr max? Week? Month? Can’t find an answer to this on google or even the board.

[@jessdugdale6919]

I’m a scribe for an oncology nurse practitioner. :) get one of us and then you can do slightly less charting haha (unless you have a bad scribe. But we won’t talk about that).

[@victoriadominick-ford4149]

Can you post help with how to pass the OSCE?

[@Nurseruby818]

Did you make a template video?

[@Tonnie31]

Thank you Liz

[@jh1178]

What is your usual patient load?

[@talz0416]

can i have your templates please

[@huongtranthithuhuong6286]

the sound is not good I am quite disappointed

[@gztowing]

Omg.... get to the POINT

[@NurseLiz]

awful demanding for a free youtube video lol