This website is targeted to physicians, health care professionals, students, residents, patients and the medically sophisticated. Do not expect all of your medical questions to be answered but you may expect a reference or probably helpful directions. The site contains basic Critical Care Medicine information. Only formal medical training can provide the depth of understanding and integration required to understand all information here and/or its implications. If you are a patient or think you may have a problem requiring medical advice, the best is to seek an evaluation by a physician. This site is not a tool for self-diagnosis.
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A Systems Review Approach: What It Means
The systems review approach to the evaluation of a patient in the ICU is both useful and easy. More than a way of writing notes, it is a way of thinking. It is more than academic instrument that makes it a habit to scrutinize the details of each clinical situation. It is a powerful tool for visualizing the data on a sheet of paper, all at the same time. It serves as documentation of your work and thinking processes in clinical decision-making. It also helps to find the missing pieces of information and, therefore, to decide what diagnostic tests should be ordered.
Flow sheets complement these notes. All together, notes and flow sheets permit the clinician to monitor the effect of therapeutic interventions and course of the disease process.
In this type of approach, you will follow the usual SOAP (Subjective-Objective-Assessment-Plan) format. However, your "O" portion will be extensive and detailed. The components of the "O" portion will be the organ systems plus separate sections for central lines, including the dates when they were placed.
Here is an example of such note: CLICK HERE!
Other useful links on the WWW:
CRITICAL CARE NEUROLOGY: Intervention in Acute Neurologic IllnessTRIBUTE TO AMERICASociety of Critical Care Medicine
USA
Click here to start.
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