SOAP, ADPIE & ISBAR
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SOAP, ADPIE & ISBAR
HEALTHCARE MNEMONICS
Anne M. Simpson ASN, BS, RN-BC
About Me
•
Began in Healthcare 2006
•
Graduated Nursing school 2008
•
Board Certified in Cardiovascular Nursing
•
Practicing in a Cardiovascular ICU
•
In school to earn Master of Science Degree in
Nursing
SOAP
NOT JUST FOR THE SHOWER
SOAP Assessment
•
S
– Subjective data
•
What the patient tells you
•
O
– Objective data
•
Facts – vital signs, results from
tests, lab work
•
A
– Assessment
•
Physical exam
•
P
– Plan
•
Interventions
This Photo
by Unknown Author is licensed under
CC BY-NC-SA
SOAP Provider Example
•
S
–
Patient c/o sore throat, watery eyes, headache x 3days
•
O –
VS WNLs, temp 98.6, Lab work WNLs,
•
A –
Neurologically intact, clear drainage from Nares, palate erythema
•
P -
Ibuprophen for pain, zyrtec for rhinitis
SOAP Nursing Example
•
S
–
Patient c/o sore throat, watery eyes, headache x 3days
•
O –
VS WNLs, temp 98.6, Lab work WNLs,
•
A –
Patient at risks for impaired swallowing
•
P –
Position patient upright at 90-degrees for meals
ADPIE
WHAT KIND OF PIE?
ADPIE
–
The Nursing Process
•
A
- Assessment
•
D
- Diagnosis
•
P
- Plan
•
I
- Interventions
•
E
- Evaluate
ISBAR
A COOL PLACE FOR COFFEE
ISBAR
-
Communication
•
I -
Identify
•
S –
Situation
•
B –
Background
•
A –
Assessment
•
R -
Recommendation
This Photo
by Unknown Author is licensed under
CC BY-NC-ND
ISBAR Example
•
I –
Hi Dr. Bock this is Anne from CVICU calling about Mr. Smith in room 2330
•
S –
The patient is complaining of pain in his left upper chest at his pacemaker site
•
B –
Mr. Smith had a permanent pacemaker inserted this morning and has allergies to
tylenol
•
A –
Patient c/o 7/10 pain, PM site is C/D/I
•
R –
I would like an order for 2mg of Morphine PRN for pain q2h
.
Questions?
Learn about the essential healthcare mnemonics - SOAP, ADPIE, and ISBAR. Understand how these structured frameworks help healthcare professionals in effective communication, patient assessment, and treatment planning. Enhance your knowledge in nursing processes with detailed examples and explanations. Dive into the world of healthcare mnemonics for improved patient care and communication strategies.
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Presentation Transcript
SOAP, ADPIE & ISBAR HEALTHCARE MNEMONICS
Anne M. Simpson ASN, BS, RN-BC About Me Began in Healthcare 2006 Graduated Nursing school 2008 Board Certified in Cardiovascular Nursing Practicing in a Cardiovascular ICU In school to earn Master of Science Degree in Nursing
SOAP NOT JUST FOR THE SHOWER
SOAP Assessment S Subjective data What the patient tells you O Objective data Facts vital signs, results from tests, lab work A Assessment Physical exam P Plan Interventions This Photo by Unknown Author is licensed under CC BY-NC-SA
SOAP Provider Example S Patient c/o sore throat, watery eyes, headache x 3days O VS WNLs, temp 98.6, Lab work WNLs, A Neurologically intact, clear drainage from Nares, palate erythema P - Ibuprophen for pain, zyrtec for rhinitis
SOAP Nursing Example S Patient c/o sore throat, watery eyes, headache x 3days O VS WNLs, temp 98.6, Lab work WNLs, A Patient at risks for impaired swallowing P Position patient upright at 90-degrees for meals
ADPIE WHAT KIND OF PIE?
ADPIETHE NURSING PROCESS A - Assessment D - Diagnosis P - Plan I - Interventions E - Evaluate
ISBAR A COOL PLACE FOR COFFEE
ISBAR - COMMUNICATION I - Identify S Situation B Background A Assessment R -Recommendation This Photo by Unknown Author is licensed under CC BY-NC-ND
ISBAR Example I Hi Dr. Bock this is Anne from CVICU calling about Mr. Smith in room 2330 S The patient is complaining of pain in his left upper chest at his pacemaker site B Mr. Smith had a permanent pacemaker inserted this morning and has allergies to tylenol A Patient c/o 7/10 pain, PM site is C/D/I R I would like an order for 2mg of Morphine PRN for pain q2h.
