Sandwich Note

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

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1. NAME OF SANDWICH
2. TYPE OF BREAD AND NUMBER OF SLICES
3. LIST ANY MEATS
4. LIST ANY CHEESES
5. LIST ANY TOPPINGS
6. LIST ANY CONDIMENTS
7. HUNGER PAIN SCORE BEFORE SANDWICH (ON SCALE FROM ZERO TO INFINITY)
8. TIME OF FIRST BITE
9. TIME OF PENULTIMATE BITE
10. TIME OF LAST BITE
11. HUNGER PAIN SCORE AFTER SANDWICH (ON SCALE FROM ZERO TO INFINITY)
12. PERCENTAGE OF SANDWICH CONSUMED (EXCLUDING THE CRUST)
13. PERCENTAGE OF CRUST CONSUMED
14. ALWAYS WRITE NOTE IN CAPS LOCK
15. CODE STATUS

Example of a Sandwich Note

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1. TURKEY SANDWICH
2. WHITE BREAD, 2 SLICES PRESENT
3. TURKEY PRESENT
4. AMERICAN CHEESE PRESENT
5. LETTUCE, TOMATO, PICKLE, ONIONS PRESENT
6. MAYONNAISE PRESENT
7. HUNGER PAIN SCORE BEFORE SANDWICH: 30 MILLION
8. TIME OF FIRST BITE: 12:22 PM
9. TIME OF PENULTIMATE BITE: 12:32 PM
10. TIME OF LAST BITE: 4:32 PM
11. HUNGER PAIN SCORE AFTER SANDWICH: 13
12. 100% OF SANDWICH CONSUMED
13. 83% OF CRUST CONSUMED
14. FULL CODE

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