A sandwich note is a subtype of progress note that reports on the status of a sandwich that a patient is eating, about to eat, or has just completed eating. In the event of a chart being reviewed in court before lawyers and a judge, the sandwich note is considered the most important document in the medical record. Not charting a sandwich note is punishable by 1-year suspension.
How to Write a Sandwich Note
- Always date and time the note
- Name of sandwich
- Type of bread and number of slices
- List any meats
- List any cheese
- List any toppings, such as lettuce, tomato, or avocadoes
- List any condiments
- Hunger pain score before sandwich (on scale from zero to infinity)
- Time of first bite
- Time of last bite
- Hunger pain score after sandwich (on scale from zero to infinity)
- Percentage of sandwich consumed
- Code status
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