Documentation for PT Students: Physical Therapy Specific Documentation and the SOAP Note Format

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Keywords

Physical Therapy , Healthcare Provider , Patient Care , Reimbursement , Communication , Consistency , Medical Record , Physical Therapy Notes , SOAP note , PT Evaluation Note , Examination , Evaluation , PT Diagnosis , Plan of Care , Prognosis , Interventions , Progress Notes , Flow Sheet , Discharge Note , Verbal Orders , Subjective , Objective , Plan , Assessment , SOAP Note Format

Project

Authors

Bresnick, Jennifer

Date Submitted

2016

Material Type

Online Course Module

Secondary Material Type

Tutorial

Institution

Norwalk Community College

Industry Partner

Microburst Learning worked with instructors to convert and create boosters in an interactive, AIM compliant e-learning format associated with this grant.

License

CC BY

Funding Source

TAACCCT Round 2

Additional Public Access

https://moodle.skillscommons.org/course/view.php?id=131

Abstract

This booster teaches students about specific physical therapy notes commonly found in the medical record and the SOAP note. These files are SCORM packages and can be easily uploaded to your Learning Management System (LMS), such as Blackboard or Desire2Learn. If you want to view or use the files without an LMS, download the files to your computer, extract (unzip) the file, open the extracted folder, and click to open the story.html file. The booster or test will open in your browser window. If used on your LMS, for the booster, the user will be given a score of complete or incomplete; for the pre and post-tests, the user will be given a numerical score. This scoring functionality and completion data is only available if used on an LMS. The SCORM packages are complete and not available for editing. If you would like to include additional information, consider adding the content before or after the booster on your LMS.

Industry (NAISC)

Developmental Education

Occupation (SOC)

Life, Physical, and Social Science Occupations (19-0000)

Instructional Program (CIP)

Credit Type

Credential Type

Certificate
Stacked/Latticed Credential Model
Associate Degree

Educational Level

1st year Community College or equivalent
2nd Year Community College or equivalent

Skill Level

Quality Assurance Organization