Lab Skills: Obtain a new patient history and accurately record information
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Created by S Sousa
over 7 years ago
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Close
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Created by S Sousa
over 7 years ago
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SOAP
1. Subjective Section
2. Objective Section
3. Assessment Section
4. Plan Section
Patient Signalment
How is patient NAME listed/noted?
What is appropriate to list under the SPECIES category?
How should an animals BREED be noted?
How should an animal's sex and reproductive status be noted?
What is important to know when listing the AGE of a patient?
How should an patient's COLOR and MARKINGS be listed?
Patient History
Patient history should cover these items
Chief Complaint
Chief Complaint: What?
Chief Complaint: Where
Chief Complaint: When?
Chief Complaint: How?
C/S/V/D
Vaccination history & status
Medical history
Medications & Supplements
Diet & Feeding Schedule
Environment
