Sandwich Note

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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, especially if the patient is diagnosed with sandwich deficiency syndrome (SDS). Not charting a sandwich note is punishable by 1-year suspension.


How to Write a Sandwich Note


  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. CODE STATUS
  15. ALWAYS WRITE NOTE IN CAPS LOCK


Example of a Sandwich Note


  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


Other Notes



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