Save hours of time on documenting with less effort than ever.
Easy-to-edit templates
customizable for each unique client. Save directly to your computer to copy and paste into your EMR.
1- and 3-page outpatient visit templates
to help you focus your documentation on what matters most.
Includes common interventions
so you can copy and paste exactly what you need into the EMR.
WHAT'S INSIDE:
Support your diagnoses.
Prove you listen to your patients.
Document your medical decision-making.
Make your planned interventions clear.
Phrase your observations in a way that won't affect rapport with your clients when they read your notes.
Are you spending too much time each week on documentation (or just avoiding documentation altogether) ?
Fast, effective, thorough, and timely charting shouldn't be taking time away from clients or your family.
I created both a one- and a three-page outpatient visit template so you can choose how much detail you want on your templates.
I created templates for the most common primary care visits.
I drafted templates that form the backbone of any note you need to write.
I bundled all of these resources into a single zipped file that you can use forever.
Are you an FNP student?
My guides can help facilitate learning to write effective SOAP notes for class and set you up for success after graduation in the field.
Learn the components of effective SOAP notes.
Build time management habits you can apply as soon as you're licensed.
Pay once, use these templates forever.
Looking for a paperback copy of my SOAP Note Examples book to carry with you?
RN-MSN, Entrepreneur, Writer, Documentation Expert.
It's true, I have a passion for documentation in nursing. When I worked bedside, mastering my documentation gave me a sense of control over chaotic shifts. I quickly became the go-to resource amongst my team of nurses for documentation-related questions. I completed my MSN degree in Forensic Nursing with a thesis centered around the legalities of nursing documentation with the goal of making the gray part of medical records as clear as possible for my fellow nurses.
Since that time, I've published multiple resources on nursing documentation with best-sellers in the categories of Medical Records, Medical-Surgical Nursing, and Nursing References. I have a desire to empower every PMHNP with the knowledge and resources they need to charge effectively without letting documentation take over their lives.
I am confident this resource will save you time and frustration, answer questions you didn't even know you had, and empower you to take charge of your documentation rather than allowing medical records requirements to dictate your schedule.
"What happens after I checkout?"
I organized these templates and information into a single zipped file to which you will have instant access!