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Most healthcare clinicians including nurses, physical and occupational therapists and doctors use SOAP notes. As a med student, you also need to use a SOAP note format. The purpose of a SOAP note is to have a standard format for organizing patient information.

An effective SOAP note is a useful reference point in a patient's health record, helping improve patient satisfaction and quality of care.

Today, it is widely adopted as a communication tool between inter-disciplinary healthcare providers as a way to document a patient's progress. SOAP notes are commonly found in electronic medical records (EMR) and are used by providers of various backgrounds.

5 tips for writing strong nursing SOAP notesDon't assume the first complaint is the chief complaint.Double check your EMR entries for errors.Connect diagnosis with intervention.Don't make assumptions about the person reading your notes.Limit the Assessment portion of soap nursing notes to appropriate information.

Assessment & PlanWrite an effective problem statement.Write out a detailed list of problems. From history, physical exam, vitals, labs, radiology, any studies or procedures done, microbiology write out a list of problems or impressions.Combine problems.

However, all SOAP notes should include Subjective, Objective, Assessment, and Plan sections, hence the acronym SOAP.

Nurses and other healthcare providers use the SOAP note as a documentation method to write out notes in the patient's chart. SOAP stands for subjective, objective, assessment, and plan.