Soap note 2 hepatic encephalopathy_
Date of Encounter: Preceptor/Clinical Site: Clinical Instructor: Patricio Bidart MSN, APRN, FNP-C Soap Note # _2___ Main Diagnosis ___hepatic encephalopathy___________ PATIENT INFORMATION Name: Age: Gender at Birth: Gender Identity: Source: Allergies: Current Medications: · PMH: Immunizations: Preventive Care: Surgical History: Family History: Social History: Sexual Orientation: Nutrition History: Subjective Data: Chief Complaint: Symptom analysis/HPI: The patient is … Review of Systems (ROS) (This […]