syllabus ota 140 medical terminology and documentation · pdf fileota 140 – medical...

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Syllabus

OTA 140 – Medical Terminology and Documentation for OT

OTA 140 – D01 Class Times: T: 10:45 a.m. – 12:45 p.m. Fall 2016 Classroom: AHB 203 Instructor: Ellen Siegmund, M.S., OTR/L Department Head and Associate Professor The Occupational Therapy Assistant Program Office: AHB 307J Office Hours: Phone: 410-572-8768 T: 1:00 – 3:00 p.m. ; Th: 9:00 – 10:00 Email: [email protected] F: 10:00 – 12:00 p.m. Other times by appointment Texts

Gylys, B., & Masters, R. (2014). Medical terminology simplified: A programmed learning approach by body system (5th Ed.). Philadelphia, PA: F.A. Davis Company. Morreale, M., & Borcherding, S. (2013). The OTA’s guide to documentation: Writing SOAP notes. (3rd Ed.). Thorofare, NJ: SLACK Incorporated. Note: These texts may be used and referenced during the entire OTA

program. You will also reference these texts during your career as a practicing COTA.

Course Description

This course will provide instruction and understanding of the medical terminology that will be required for practice as an occupational therapy assistant in a variety of practice settings. Medical terminology will be reviewed, integrated, and memorized. Required documentation in occupational therapy practice settings will be reviewed. This will include methods of documentation such as paper documentation and electronic medical records. The importance of using and documenting statistics, tests, and measurements for the purpose of supporting evidence based practice will be presented. Hours: 26 lecture. Prerequisite: Permission of the department head. Corequisites: OTA 101 and OTA 120. Course Fee: $40. Usually offered in the fall.

mailto:[email protected]

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Course Objectives

Upon completion of the course the student will:

Course Objectives Assessment Goals

Assessment Strategies

1. Apply the techniques in the text for learning medical terminology and medical word building. (GEO 1, 2, 3, 5, 7, 9) (B.1.1., B.2.5., B.5.20., B.5.21., B.5.22.)

1. Identify and define four elements used to build medical words.

2. Identify and define the various parts of a medical term. 3. Apply the rules of the chapter to pronounce medical words

correctly. 4. Define and name surgical, diagnostic, pathological, and

related suffixes. 5. Apply guidelines for pluralizing suffixes. 6. Write singular and plural forms of medical words. 7. Recognize, define, pronounce and spell terms correctly.

1. Examinations 2. Tests 3. Group

Discussion & Acitivities

2. List and describe the basic structural units of the body using correct terminology. (GEO 1, 2, 3, 5, 7, 9) (B.1.1., B.5.20., B.5.21., B.5.22.)

1. List and describe the basic structural units of the body. 2. Describe the anatomical position of the body. 3. Locate the body cavities and the abdominopelvic regions of

the body. 4. Describe terms related to position, direction, and planes of

the body. 5. Describe common diseases, conditions, and procedures

related to several body systems. 6. Recognize, define, pronounce and spell terms correctly.


Discussion & Activities

3. Identify structures and describe the respiratory system using correct terminology. (GEO 1, 2, 3, 5, 7, 9) (B.1.1., B.5.20., B.5.21., B.5.22.)

1. Define and describe pulmonology. 2. Identify respiratory structures. 3. Describe the primary functions of the respiratory system. 4. Describe diseases, conditions, and procedures related to the

respiratory system. 5. Describe common abbreviations and symbols related to the

respiratory system. 6. Recognize, define, pronounce and spell terms correctly.



4. Identify structures and describe the cardiovascular and lymphatic systems using correct terminology. (GEO 1, 2, 3, 5, 7, 9) (B.1.1., B.5.20., B.5.21., B.5.22.)

1. Define and describe cardiology and immunology. 2. Identify the structures of the cardiovascular and lymphatic

systems. 3. Describe the primary functions of the cardiovascular and

lymphatic systems. 4. Describe diseases, conditions, and procedures related to the

cardiovascular and lymphatic systems. 5. Describe common abbreviations and symbols related to the

cardiovascular and lymphatic systems. 6. Recognize, define, pronounce and spell terms correctly.



5. Identify structures and describe the endocrine and nervous systems using correct terminology. (GEO 1, 2, 3, 5, 7, 9) (B.1.1., B.5.20., B.5.21., B.5.22.)

1. Define and describe endocrinology and neurology. 2. Identify the structures of the endocrine and nervous systems. 3. Describe the primary functions of the endocrine and nervous

systems. 4. Describe diseases, conditions, and procedures related to the

endocrine and nervous systems. 5. Describe common abbreviations and symbols related to the

endocrine and nervous systems. 6. Recognize, define, pronounce and spell terms correctly.



6. Identify structures and describe the musculoskeletal system using correct terminology. (GEO 1, 2, 3, 5, 7, 9)

1. Define and describe orthopedics, osteopathy, and chiropractic specialties.

2. Identify skeletal structures. 3. Describe the primary functions of the musculoskeletal

system.



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(B.1.1., B.5.20., B.5.21., B.5.22.)

4. Describe diseases, conditions, and procedures related to the musculoskeletal system.

5. Describe common abbreviations and symbols related to the musculoskeletal system.

6. Recognize, define, pronounce and spell terms correctly.

7. Identify structures and describe the special senses of the eyes and ears using correct terminology. (GEO 1, 2, 3, 5, 7, 9) (B.1.1., B.5.20., B.5.21., B.5.22.)

1. Define and describe ophthalmology, optometry and otolaryngology.

2. Identify structures of the eye and the ear. 3. Describe the primary functions of the eye and the ear. 4. Describe diseases, conditions, and procedures related to the

eye and the ear. 5. Describe common abbreviations and symbols related to the



8. Explain documentation in the Occupational Therapy Process. (GEO 1, 2, 3, 4, 5, 6, 7, 8, 9) (B.5.20., B.2.1., B.2.2., B.4.4., B.4.5., B.5.1., B.5.30., B.6.1., B.9.3., B.9.8.)

1. Explain and define the letters for the acronym SOAP note. 2. Name and describe the Occupational Therapy Professional

language and focus. 3. Describe how the Occupational Therapy Practice Framework

provides focus for OT documentation. 4. Define an Occupational Profile. 5. Identify the Areas of Occupation and define meaningful

occupation. 6. Explain and demonstrate the role of the OT and the OTA in

documenting Occupational Therapy intervention. 7. Identify different types of notes including: Evaluation,

Contact Note, Progress Report, Reevaluation Report, Transition Plan, or Discharge Report.

8. Under appropriate supervision, collect, organize, and report on data for evaluation of outcomes.



9. Define and demonstrate knowledge of the Health Record or Medical Record as a legal document that provides exchange of information among health care providers. (GEO 1, 2, 3, 4, 5, 6, 7, 8, 9) (B.1.8., B.4.4., B.4.10.)

1. Identify and define what the Electronic Health Record (HER) or Electronic Medical Record (EMR) means.

2. Describe the impact and importance of the Health Insurance Portability and Accountability Act (HIPAA).

3. Identify the population that is covered by the Family Educational Rights and Privacy Act (FERPA).

4. Explain the guidelines for storing, managing and retaining Health Records.

5. Explain SOAP note history and development. 6. Name the uses and users of the health record. 7. Demonstrate the mechanics of documentation.



10. Describe the basic legal and ethical considerations for reimbursement, guidelines for documentation, funding sources, and billing codes related to Occupational Therapy. (GEO 1, 2, 3, 4, 5, 6, 7, 8, 9) (B.2.3., B.4.4., B.4.10., B.5.32., B.6.2., B.7.2., B.7.4.)

1. Describe Skilled Occupational Therapy services and define non-skilled services.

2. Explain reasonable and necessary care. 3. Name primary funding sources in health care. 4. Summarize the Healthcare Common Procedure Coding

System (HCPCS), ICD-9 and ICD-10 codes, and perspective payment system.

5. Discuss strategies to assure that documentation is consistent with current standards.

6. Be able to describe to customers the unique nature of OT and the value of occupation, participation, health and well-being in documentation.



11. Demonstrate the use of symbols and abbreviations for documentation in the health record. (GEO 1, 2, 3, 4, 5, 6, 7, 8, 9) (B.5.20., B.5.21.)

1. Translate abbreviations and symbols into medical terminology.

2. Translate sentences into abbreviations using appropriate “Abbreviations and Symbols” lists.

3. Demonstrate ability to shorten notes using standard abbreviations.



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12. Understand the importance of accurate written and verbal communication as an occupational therapy practitioner. (GEO 1, 2, 3, 4, 5, 6, 7, 8, 9) (B.1.8., B.5.19., B.5.20., B.5.21., B.9.5.)

1. Identify the potential outcome of an inaccurate or careless mistake in documentation.

2. Demonstrate correct techniques for written communication through practice activities.

3. Discuss appropriate education methods for the OT practitioner in the teaching-learning process with clients and caregivers.

4. Effectively communicate interprofessionally to clarify each professional’s role and responsibility in the intervention plan.



13. Define and demonstrate writing the “S” – Subjective component of the SOAP note. (GEO 1, 2, 3, 4, 5, 6, 7, 8, 9) (B.5.20., B.5.21.)

1. Define and write examples of the SUBJECTIVE information obtained from a client.

2. Explain and correctly document the subjective component client’s report of limitations, concerns or problems, and what the client communicates as relevant to treatment.

3. Demonstrate and understand application of the use of direct quotes, paraphrasing, or summarizing what the client said in the “S” section of the note.



14. Define and demonstrate writing the “O” – Objective component of the SOAP note. (GEO 1, 2, 3, 4, 5, 6, 7, 8, 9) (B.5.20., B.5.21.)

1. Define and write examples of the OBJECTIVE information obtained from a client for the “O” part of the note.

2. Demonstrate and describe measurable, quantifiable and observable objective data in the “O” section of the note.

3. Explain how “skilled observation” relates to the objective data in the SOAP note.

4. Review and practice TIPS for writing a better “O” section of the note.



15. Define and demonstrate writing the “A” – Assessment component of the SOAP note. (GEO 1, 2, 3, 4, 5, 6, 7, 8, 9) (B.5.1., B.5.20., B.5.21.)

1. Define and write examples of the ASSESSMENT section of the note.

2. Define and interpret how the ASSESSMENT part of the note consists of the OT practitioner’s skilled appraisal of the client’s progress, functional limitation, issues and expected gains from rehabilitation.

3. Explain the 3 P’s: problems, progress, and rehab potential in relation to the “A” section of the note.

4. Explain how the Assessment continued OT treatment for your client.



16. Define and demonstrate writing the “P” – component of the SOAP note. (GEO 1, 2, 3, 4, 5, 6, 7, 8, 9) (B.4.9., B.5.1., B.7.6.)

1. Define and write examples of the PLAN section of the note. 2. Identify and explain what is written in the “P” section,

including length and frequency of treatment, and priorities for goals.

3. Explain how the PLAN in your SOAP note must follow the OT’s intervention plan.

4. Demonstrate proficiency in writing basic SOAP notes. 5. Discuss when to refer clients for additional evaluation. 6. Identify and discuss how documentation provides ongoing

processes for quality improvement and program changes to ensure quality of services.



General Education Objectives (GEO) may be found in the college’s catalog and website.

Course Objective (CO) see syllabus.

ACOTE Standards are listed under GEO’s of CO in syllabus

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Course Requirements and Expectations (GEO 1, 2, 3, 5, 8, 9) (CO 1 – 10)

For successful completion of the course, students are expected to:

Complete the course with a minimum grade of 75%.

Attend class at the stated times, from start to end time.

Complete required examinations, tests, assignments, and lab activities.

Actively participate in discussions and activities during class.

Complete an electronic writing assignment in APA format.

Complete assignments as directed, must be typed or handwritten neatly and legibly.

Use The Medical Language Lab, with Medical Terminology Simplified, 5th (Ed.), to supplement your learning of Medical Terminology. The subscription, access, and access code is free with the purchase of your text.

Abide by the attendance policy of the course.

Abide by the make-up examination policy of the course.

Maintain professional behavior and communication at ALL times.

Academic Honesty Policy (GEO 8, 9)

Academic integrity is expected of all students. Cheating and plagiarism are violations of academic integrity. All papers and presentations must be the student’s own work. Any student who has violated the academic honesty policy by exhibiting any of the following types of behavior during or in the preparation/performance of any quiz, project, report, test, or exam will receive a zero “0” for the assignment, and the student conduct violation will be referred to the Student-Faculty Disciplinary Committee. Cheating will not be tolerated in the Occupational Therapy Assistant Program. Students found cheating will be dismissed from the Occupational Therapy Assistant Program. Documented evidence of the offense will be kept in the General Education Department office and/or the Occupational Therapy Assistant Program office. 1. Cheating is defined as the act of obtaining information or data improperly or by

dishonest or deceitful means. This includes the intentional use of unauthorized materials, information, or study aids in any academic exercise. This also includes helping or attempting to help another student to cheat or submit the same paper for two different classes without the explicit authorization / approval of both instructors. Each instructor will be available for consultation regarding any confusion a student may have before submitting an assignment.

2. Plagiarism is defined as the copying or imitating the language, ideas, or thoughts of another author and presenting them as one’s original work or the copying of another’s words in any medium without giving credit in a footnote in the proper format (such as MLA or APA documentation format). In both oral and written communication, the following guidelines for avoiding plagiarism must be followed:

Any words quoted directly from a source must be in quotation marks and cited.

Any paraphrasing or rephrasing of the words and/or ideas of a source must be cited.

Any ideas or examples derived from a source that are not in the public domain or of general knowledge must be cited.

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Sharing information present on a quiz or test or exam are examples of academic dishonesty and will result in a grade of “F” for the course and immediate dismissal from the Occupational Therapy Assistant Program.

Emergency Information

In the event of a flu epidemic, severe inclement weather, or other emergency that results in the suspension of classes, faculty will be communicating with students about their courses and course requirements, such as assignments, quiz and exam dates, and class and grading policies, via e2Campus, the College’s website and Blackboard. Students will be responsible for completing all of these assignments in accordance with class policies. Information about the resumption of classes will be communicated via the College’s website and email system. Class information will also be provided via “Remind”, contact TBA in class.

Attendance (GEO 8, 9) (CO 1 – 10)

Students are expected to attend all class sessions. Students will not be allowed to make up activities or group work missed due to an unexcused absence. Students are expected to arrive on time for class and stay until the end of class. It is the student’s responsibility to acquire the information reviewed and ask questions to the course instructor. The student is encouraged to ask questions to the course instructor regarding content missed. Students absent from class will not be permitted to make-up missed tests, examinations or graded assignments administered during the scheduled class session unless the instructor is given prior notification of the absence. If a student is unable to attend a class, it is expected that the instructor is given prior notice of the absence. Prior notice should be given by a direct phone call to the instructor. Students are expected to act and perform in a respectful and professional manner at all times, including while in class, lab, and clinical. Students should contact the instructor by phone if absent, an email or text message will not be accepted. Repeated episodes of in-class disruption will be considered a valid reason for dismissal from the class session. Pager and cell phones must be placed in silent mode during the class sessions. Talking on cell phones or sending texts messages during class is prohibited. Blackboard and Class Communication (GEO 3, 5, 8, 9)

Blackboard will be used in all OTA courses. To access course information in Blackboard you need to have access to a computer with an Internet connection. Computers that meet these requirements are available on campus in AHB 108, MTC 200, AAB 217, HH 100, GH 204 and WDC 305. Please follow these directions to access course syllabi and any other materials posted for this course:

Login Information:

1. From the Wor-Wic home page, point to “Quick Links” (top-right) and click the “Blackboard Login” link.

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2. Enter your Wor-Wic user ID and password (same as your Wor-Wic email user ID and password). Don’t know your user ID or password? Contact Student Services.

Blackboard Components: 1. Posted course syllabus. 2. Instructor Announcements for the class will be listed under Announcements. 3. Messages from the course instructor will be located under the messages

section of Blackboard. 4. When completed the following may be posted: presentations, study guides,

assignment information, and grades. Blackboard Integrity (GEO 1, 2, 7, 8, 9)

All students logging into Blackboard affirm that they understand and agree to follow Wor-Wic Community College policies regarding academic integrity and the use of College resources as described in the college catalog. Wor-Wic Community College considers the following as violations of the computer usage policy:

Using the campus computing network and facilities to violate the privacy of other individuals.

Sharing of account passwords with friends, family members or any unauthorized individuals.

Violators are subject to college disciplinary procedures. OTA Tutoring

Tutoring sessions will be scheduled individually or in group sessions upon request by students or as determined necessary by the instructor. Please contact the instructor for an appointment with any questions related to the course or course content. Writing Assignment (GEO 1, 2, 3, 5, 6, 7, 8, 9) (CO 2, 3, 4, 5, 6, 7, 8, 9, 10)

For this course, each student shall prepare formal, accurate, documented SOAP notes for two (2) client scenarios. Client scenarios will be assigned. The following components must be included in the SOAP notes: Subjective, Objective, Assessment, and Plan. The medical terminology and/or abbreviations used in the SOAP notes must be accurate in context and spelled correctly. Specific assignment criteria and rubric will be given prior to the assignment.

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Due Date: Wednesday, December 7, 2016, 11:00 p.m. by electronic submission.

NO late writing assignments will be accepted.

Failure to submit the writing assignment by Wednesday, 12/07/16, 11:00 p.m. EST,

will earn a grade of 0 for the paper. The report you prepare must: 1. Have a cover page listing the course number, your name, and the due date. 2. Be at least ½ a page in length for each SOAP note and no longer than 1 page for

each SOAP note. SOAP notes must be in accurate SOAP note format. 3. Have one inch margins, be double spaced, and be typed using 12 point fonts.

Arial or Times New Roman fonts should be used. 4. The references MUST be properly referenced following the current APA format.

The reference page should be attached. A copy of the APA formant is available in the Media Center. An abstract page IS NOT required.

5. The writing assignment must use the two text books for the course as references. Any other references used must be documented but are not required for this writing assignment. References must come from peer-reviewed journals, up-to-date occupational therapy or medical textbooks or publications, or AOTA publications. Wikipedia may NOT be used as a cited reference source.

6. Electronic submission is required. Your assignment must be in file format of a Microsoft Word or Adobe PDF document.

Examination / Test Policy (GEO 1, 2, 3, 4, 5, 6, 7, 8, 9) (CO 1 – 10)

It is expected that students complete all examinations and tests. This course has a comprehensive Midterm and Final Examination. Tests will be scheduled in class. Examinations and tests are based on the objectives for the course. Material for the exams and tests is derived from the course texts, assignments, and class discussions. Please keep in mind that material assigned from the texts may not be covered during lecture. The student is responsible for reading the text and knowing the assigned material regardless if it is discussed during the lectures. Exams and tests may be in the form of multiple choice, true/false, short answer, case studies or scenarios, essay questions, and demonstration of skills.

A comprehensive Midterm and Final Examination (exam/s) will be given. These exams will evaluate ALL material covered in the course. The comprehensive Midterm and Final examinations will be administered as written exams and will be timed. No additional time will be awarded if a student arrives late to complete the exam. Students are expected to be present on examination and test days. It is understood that emergencies, illness, or other situations may arise that cause a student to miss an exam/test. At the discretion of the instructor, a student may be permitted to take a make-up exam/test. The instructor may require the student to submit documentation verifying the circumstances that caused the student to miss an exam or test. If the instructor authorizes a make-up exam/test, the student will be provided with a time frame during which the make-up exam/test must be taken. If the student fails to take the make-up

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exam/test by the established deadline, he or she will receive the grade of zero for the exam/test and will not be granted the opportunity to retest. No exceptions. Make-up exams/tests will follow the same examination/test policy as previously stated. Missed quizzes cannot be made up. Notification, by phone, of an absence must be received by the instructor prior to the date of the exam/test being missed. Students are expected to attend classes at the listed time of class, arriving prior to the start of class. If a student is unable to attend a class, it is expected that the instructor receive notification of the student’s absence prior to the start of the class. The student is responsible for obtaining all information covered during a missed class.

Unless authorized by the instructor, students are not permitted to use electronic devices during testing (i.e. calculators, PDA’s, cell phones, pagers, etc.). If the student is observed using an unauthorized device during testing, he or she will have their test or exam collected and the student will be dismissed from the examination site. The student will receive a score of zero “0” for the exam or test. No exceptions. Examinations and tests administered during the course may NOT be taken from the classroom. There may be NO pictures or recordings taken of the tests or exams. After examinations and tests are graded, students will be given an opportunity to review their examination or test. Test and examination review MUST be supervised and after review, the student must return all testing instruments to the instructor. Tests and examinations may be reviewed by appointment only with the instructor. No electronic devices or note taking are allowed during test or examination review. Course Evaluation

Assignments / Class Participation 15% of grade Writing Assignment 15% of grade Tests 20% of grade Midterm Examination 25% of grade Comprehensive Final Examination 25% of grade

Grading Scale

A 93-100 Excellent B 84-92 Good C 75-83 Average D 66-74 Poor F 0-65 Failing

A FINAL GRADE BELOW A 75% RESULTS IN COURSE FAILURE AND DISMISSAL FROM THE OCCUPATIONAL THERAPY ASSISTANT PROGRAM. GRADES ARE ROUNDED BY STANDARD MATH ROUNDING. ANY GRADES .5 AND HIGHER WILL BE ROUNDED UP, AND GRADES BELOW .5 WILL BE ROUNDED DOWN.

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Services for Students with Disabilities Wor-Wic provides reasonable accommodations for students with disabilities, in compliance with the Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. If you are in need of accommodations, please contact the counseling office at (410) 334-2889. For more information, see Wor-Wic’s Services for Students with Disabilities web page. The Occupational Therapy Assistant Program at Wor-Wic Community College is

accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of

the American Occupational Therapy Association (AOTA), located at 4720 Montgomery

Lane, Suite 200, Bethesda, MD 20814-3449. ACOTE’s telephone number c/o AOTA is

301-652-AOTA and its Web address is www.acoteonline.org. Graduates of the program

will be eligible to sit for the national certification examination for the occupational therapy

assistant administered by the National Board for Certification in Occupational Therapy

(NBCOT). After successful completion of this exam, the individual will be a Certified

Occupational Therapy Assistant (COTA). In addition, most states require licensure in

order to practice; however, state licenses are usually based on the results of the NBCOT

Certification Exam. Note that a felony conviction may affect a graduate’s ability to

sit for the NBCOT certification examination or attain state licensure.

http://www.acoteonline.org/

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OTA 140 – Medical Terminology & Documentation for OT

Tentative Schedule: The Instructor reserves the right to modify the schedule.

Week In Class Topics Text Reference

Week 1 9/13/16

Medical Terminology and Medical Word Building (9/04)

Medical Terminology for Structural Units of

the Body (9/09)

Gylys & Masters Chapter 1

Keough, Sain & Roller

Chapter 2

Week 2 9/20/16

Medical Terminology for the Basic Structural Units of the Body (9/11)

Medical Terminology for the Respiratory

System (9/16)

Gylys & Masters Chapter 2 (Cont’d)

Gylys & Masters

Chapter 4

Week 3 9/27/16

Medical Terminology for the Cardiovascular and Lymphatic Systems


Week 4 10/04/16

Test #1 – Gylys Chapters 1, 2, 4 & 5

Medical Terminology for the Endocrine and Nervous Systems


Week 5 10/11/16

Medical Terminology for the Musculoskeletal System


Week 6 10/18/16

Medical Terminology for the Special Senses of the Eyes and Ears (10/09)

Questions and Review for Midterm Exam

(10/14)

Gylys & Masters

Chapter 11

Gylys & Masters Chapters 1, 2, 4, 5, 9, 10 & 11

Week 7 10/25/16

MIDTERM EXAM

Gylys & Masters Chapters 1, 2, 4, 5, 9, 10, 11

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Week 7 10/25/16

Documentation in the Occupational Therapy Process

Morreale & Borcherding Chapter 1

Gylys & Masters

Reference

Week 8 11/01/16

Definition and Purpose of The Health or Medical Record (10/23)

Overview of Billing and Reimbursement

(10/28)


Morreale & Borcherding

Chapter 3

Gylys & Masters Reference

Week 9 11/08/16

Using Medical Terminology and Abbreviation in the Health Record

(10/30)

Avoiding Common Documentation Mistakes (11/04)


Morreale & Borcherding

Chapter 5

Gylys & Masters Reference

Week 10 11/15/16

Test #2 – Morreale Chapters 1, 2, 3, 4, 5

Writing the “S” – Subjective in SOAP Note Documentation


Gylys & Masters

Reference

Week 11 11/22/16

Writing the “O” – Objective in SOAP Note Documentation

Morreale & Borcherding Chapter 7 & 8

Gylys & Masters

Reference

Week 12 11/29/16

Writing the “A” – Assessment in SOAP Note Documentation


Gylys & Masters

Reference

Week 13 12/06/16

Writing the “P” – Plan in SOAP Note Documentation


Gylys & Masters

Reference

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Writing

Assignment

SOAP Note Writing Assignment Due Wednesday 12/07/16

Week 13 12/06/16

Review and Practice writing SOAP Note Documentation with Accurate Medical

Terminology

Morreale & Borcherding Chapters 1-10

Gylys & Masters

Reference

Week 14 12/13/16

Comprehensive Final Examination

Morreale & Borcherding Chapters 1-10

Gylys & Masters

Chapters 1, 2, 4, 5, 9, 10 & 11

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