Question

The charge nurse is reviewing SOAP format documentation with a newly hired nurse. What information should the charge nurse discuss?

Answer 1

The charge nurse should discuss the important components of SOAP format documentation with the newly hired nurse.

Step-by-step explanation:

The charge nurse should discuss the important information related to SOAP format documentation with the newly hired nurse. This includes:

1. Subjective information: This includes the patient's chief complaint, symptoms, and history.
2. Objective information: This includes the nurse's observations such as vital signs, physical examination findings, and test results.
3. Assessment: This involves the nurse's professional judgment and analysis of the subjective and objective data.
4. Plan: This includes the nurse's plan of action, interventions, and goals for the patient's care.

By discussing these components, the charge nurse can ensure that the newly hired nurse understands the proper format for documenting patient information.