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When a health insurance company denies a prior auth, it can create a sense of imposter syndrome for the nurse practitioners. The NP may have a lack of confidence or second guess their clinical judgment. Maybe they think they should have prescribed a different medication. Or been more thorough with the patient’s physical exam. Maybe the…

As The Burned-out Nurse Practitioner, I am a strong advocate of improving work-life balance as a nurse practitioner. As previously mentioned, prior authorizations are very time consuming for nurse practitioners. When the APRN’s time and energy is drained from completing prior auths, there is a decrease in productivity. This causes the provider to be behind during…

Here are some common barriers that hospitalists may encounter: Workload in the hospital setting. Hospitalists often have a heavy workload, with multiple patients and competing demands. Hospitalist nurse practitioners are busy with admitting new patients, rounding on inpatients, and discharging patients. This can make it challenging to prioritize tasks and manage time effectively. Current tasks. …

SUBJECTIVE Chief complaint and History of present illness: 24-year-old male presents to the clinic for complaints of left ankle pain. Patient was playing basketball when she laterally rolled ankle. Reports 10/10, sharp pain. Difficulty bearing weight. Denies numbness or tingling. Swelling and bruising but no open wounds. Event occurred 15 minutes before presentation to clinic…

Examples of a SOAP note #1 SUBJECTIVE Chief complaint and history of present illness: 55-year-old female presents to the clinic for 6 month follow-up of hypertension and hyperlipidemia. Taking lisinopril 10mg daily and tolerating well. Home blood pressures 120/80. Tolerates atorvastatin 20mg daily. Reports improvement of low carb, low fat diet. Exercising 30 minutes 4…

Here is a quick overview of the components of a SOAP note. **For a complete breakdown, read this article: How to write a SOAP note: 4 basic components of a chart note. The acronym SOAP stands for subjective, objective, assessment, and plan.  S- Subjective: Information provided by the patient, family, etc. Chief complaint History of present…

SOAP notes are essential for effective patient care and documentation in chiropractic care. This guide provides detailed instructions for each section of a SOAP note, helping you understand the structure and content required for thorough documentation in the chiropractic context. By mastering SOAP notes, you can enhance patient care, ensure effective communication among healthcare providers,…

  Assessment The patient is diagnosed with a cervical strain with associated muscle spasm. The clinical impression indicates that the patient’s symptoms are consistent with this diagnosis, likely exacerbated by poor posture and prolonged computer use. Functionally, the patient has significant limitations in neck mobility and experiences pain during prolonged sitting. Since the last visit,…

Assignment: Assessing and Treating Pediatric Patients With Mood Disorders Mood disorders can impact every facet of a human being’s life, making the most basic activities difficult for patients and their families. This was the case for 13-year-old Jeanette, who was struggling at home and at school. For more than 8 years, Jeanette suffered from temper…

Marcus, an 18-year-old high school senior, presents with symptoms of difficulty sleeping and feeling sad, which result in an initial diagnosis of depression. His mother later reports, however, that Marcus exhibits symptoms of irritability and risk-taking behaviors. (His little brother reported to his mother that they were driving over 90 miles an hour on the…