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Hi Reader, The free download is long, but it's easy to skim. I included guiding questions, verb banks, sentence starters, and examples. If you'd like to write your session notes faster or more succinctly, this guide just might help you!
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Write SLP SOAP notes better and faster (with examples). If you read the post, you'll hear about my documentation woes (some of them!). But, long story short, I wrote this guide to help me write better (and shorter) notes.
The handout (SLP SOAP Note Guide) is long, but it's designed to be easy to scan. Feel free to share it with your colleagues.
Either way, you will find a guiding question, what belongs, helpful verbs, sentence starters, and example statements for each SOAP note section.
In fact, you'll find 5 separate sections for Assessment!
Why would I do something so crazy?
Ever have trouble articulating the skill you provided during a session? (Please tell me I'm not the only one!)
Turns out, there are 4 types of clinical reasoning. (Maybe more?)
Before I wrote this guide, I would not have been able to name them off the top of my head.
So, I wrote a guiding questions, what belongs, helpful verbs, sentence starters, and example statements for each type of clinical reasoning.
The 5th section gives examples of statements that combine types of clinical reasoning, since this is how we typically write our notes.
The draft handout has already been helpful, and this final version is even better. I'm excited to try it out this week!
If you try it out, I'd love to hear what you think! Constructive feedback is always appreciated.
Thanks for reading!
Consider supporting EST by telling a friend or directly through Buy Me a Coffee.
Stay safe and be well,
Lisa
(she/her/hers)
I've been a medical speech-language pathologist since 2008, and I'm passionate about sharing useful tips and resources to help people living with swallowing, communication, or cognitive challenges.
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