Chief Complaint (CC)Nausea and vomitingHistory of Present Illness (HPI)Ken Fowler is a 70-year-old male who presents to the ED for evaluation of elevated creatinine, having been referred by his Primary Care Provider (PCP). Prior to that PCP visit
iHuman Clinical Case Documentation · Academic Nursing · SOAP Note FormatiHuman SOAP Note / Emergency Department Ken Fowler — Clinical Case Format: SOAP NoteSetting: Emergency DepartmentEncounter Type: Acute EvaluationDocumentation Level: CompletePatient NameKen FowlerAge70 YearsSexMaleChief ComplaintNausea & VomitingAllergiesNKDASettingEmergency Department Subjective Chief Complaint…
