Use a pediatric SOAP note | FREE PDF

Pediatric SOAP Note template

Work with this pediatric SOAP note to document the child patient’s condition. Pediatricians can use this template to conduct the documentation of the child’s medical data. Provide proper diagnoses and present good therapy plans using this template or see how to write a SOAP note.

Pediatrician Utilizes SOAP Note to Monitor Patient's Health Progress

A pediatric SOAP note is a type of progress form used by pediatricians, nurses, and other healthcare professionals when assessing the health of a child. It is based on the acronym SOAP, which stands for Subjective, Objective, Assessment, and Plan. The note includes information gathered from the patient and/or parent, physical exam findings, diagnoses, treatments, and a plan for future care. This pediatric SOAP note is used to document the patient's history and progress over time, and to communicate between members of the healthcare team. By having a detailed set of information, pediatric SOAP notes provide an organized approach to patient care.

Pediatric soap note template enables medical staff to provide clear and precise documentation of patient information. This way of recording helps those involved to get a precise overview and a better understanding of the patient's concerns and needs. This way standardized note formats like SOAP notes need to be adopted to avoid misunderstanding and ensure reliability in the patient's documentation process.

Related categories

Preview of the template

Inspection

Subjective Data

Age:

Gender:

Main complaint:

History of Present Illness (location, quality, severity, timing, setting, alleviating/ aggravating factors, associated signs and symptoms):

Past Medical History (allergies, current medication, injuries, hospitalizations, surgeries):

Family medical history:

Social medical history:

Review of Systems:

Objective Data

Height (in):

Weight (lbs):

BMI:

General appearance:

Body temperature:

Eyes, Ears, Nose, Throat:

Blood pressure (BP):

Cardiovascular:

Respiratory:

Integument/ Lymphatic Inspection:

Laboratory Results:

Assessment

General Observations:

Differential Diagnosis:

Plan

Treatment/Therapy Plan:

Completion

Name and Signature of Pediatrician:

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This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.