Difference between revisions of "Progress Note"

 

A '''progress note''' is a document in the medical record that is copied and pasted over and over again so that all '''progress notes''' look exactly the same<ref>[http://gomerblog.com/2014/10/hospitalist-2/ Hospitalist Abusing Copy and Paste in Paper Charts (Gomerblog)]</ref><ref>[http://gomerblog.com/2015/08/surgery-resident/ Surgery Resident Successfully Writes an Entire Consult Note Using Only Copy-and-Paste (Gomerblog)]</ref>, which is worth it even if the case goes to court because doing so saved valuable time.  Two exceptions are the Ortho progress note, which is often blank to 3 words long<ref>[http://gomerblog.com/2014/12/soap-note/ Ortho Writes Perfect SOAP Note, First No-Worder This Year (Gomerblog)]</ref><ref>[http://gomerblog.com/2015/09/orthopaedics-progress-notes/ Orthopaedics to Begin to Use Emojis in Progress Notes (Gomerblog)]</ref>, and the Ophtho progress note, which has been until now indecipherable until the discovery of a missing [[Rosetta Stone]] fragment.<ref>[http://gomerblog.com/2016/06/rosetta-stone-ophtho-notes/ Rosetta Stone Unlocks Mystery of Ophtho Notes (Gomerblog)]</ref>  

Did you know that the United States [[Surgeon General]] has to [[Rounds|round]] on 320 million Americans every day and write '''progress notes''' on each and every one of them?!<ref>[http://gomerblog.com/2016/12/surgeon-general-murthy-notes-rounding/ Surgeon General Finishes Rounding on 320 Million Americans, Dreads Writing Notes (Gomerblog)]</ref>

* [[H&P]]

* [[Discharge Haiku]]

* [[Is it a good idea to read my progress note during a poetry slam open mic?]]

* [[Letter of Recommendation]]

* [[Note Bloat]]

* [[Regress Note]]

* [[Soap Note]]

* [[Work Excuse]]