1. SOAP, ADPIE & ISBAR
Healthcare Mnemonics

2. Anne M. Simpson ASN, BS, RN-BC
About Me
Began in Healthcare 2006
Graduated Nursing school 2008
Board Certified in Cardiovascular Nursing
Practicing in a Cardiovascular ICU
In school to earn Master of Science Degree in Nursing

3. SOAP
Not just for the shower

4. SOAP Assessment S – Subjective data O – Objective data A – Assessment
What the patient tells you
O – Objective data
Facts – vital signs, results from tests, lab work
A – Assessment
Physical exam
P – Plan
Interventions
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5. SOAP Provider Example
S – Patient c/o sore throat, watery eyes, headache x 3days
O – VS WNLs, temp 98.6, Lab work WNLs,
A – Neurologically intact, clear drainage from Nares, palate erythema
P - Ibuprophen for pain, zyrtec for rhinitis

6. SOAP Nursing Example
S – Patient c/o sore throat, watery eyes, headache x 3days
O – VS WNLs, temp 98.6, Lab work WNLs,
A – Patient at risks for impaired swallowing
P – Position patient upright at 90-degrees for meals

7. ADPIE
What Kind of pie?

8. ADPIE – The Nursing Process
A - Assessment
D - Diagnosis
P - Plan
I - Interventions
E - Evaluate

9. ISBAR
A cool place for coffee

10. ISBAR - Communication I - Identify S – Situation B – Background
A – Assessment
R - Recommendation
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11. ISBAR Example
I – Hi Dr. Bock this is Anne from CVICU calling about Mr. Smith in room 2330
S – The patient is complaining of pain in his left upper chest at his pacemaker site
B – Mr. Smith had a permanent pacemaker inserted this morning and has allergies to tylenol
A – Patient c/o 7/10 pain, PM site is C/D/I
R – I would like an order for 2mg of Morphine PRN for pain q2h.

12. Questions?