![]() This is where you interpret what “S” and “O” mean in your report. “The patient produced /l/ in the final position of words with 70% accuracy.” This section includes quantifiable, measurable, and observable data. Example: “Patient’s father said, ‘Her teacher said she can understand her better now.’” This is a statement about the relevant status or behavior that has been observed in your patient. If you need a refresher on the SOAP method of note taking here’s a reminder: I’ve also included a SOAP note template and some other helpful resources at the bottom of the post.įeel free to take this information and tailor it to your own note-taking style! What is the SOAP method? While every SLP has their own way to document their sessions, these guidelines can help you write notes that include the critical information and present those details in a way that’s easy to digest for caregivers and other therapists. And remember: better notes mean better therapy and less claim denials. In this article, I’ll cover some guidelines you can follow to improve your SLP documentation with or without speech therapy documentation software. But you don’t have to let that affect the quality of your notes. Whether you use clinic software or the old pen and paper method, managing your SOAP notes and evaluations can easily become overwhelming when working with multiple patients. ![]() ![]() As a pediatric speech therapist, you know that defensible documentation (i.e., clear and detailed notes) is an essential part of demonstrating your skilled service and getting paid. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |