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Flashcards in Surgical Note Deck (3)
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1

What is the acronym to remember admission orders?

ABC Vandalism

A; admit (where)
B: Dx (Because)
C: condition

V: vs
A: allergies
N: nursing orders
D: diet
A: activity
L: labs
I: IV fluids
S: Studies
M: medications

2

What are the post op orders?

Similar to admission orders but more specific to operative procedure, includes:
-Drains
-Incision
-pain management
-n/v management
-DVT prophylaxis

3

What is SOAP?

The acronym for daily progress note.

S: subjective
O: objective
A: assessment
P: Plan