Which narrative format is commonly used in patient care reports?

The SOAP format is widely used in patient care reports and is an acronym that stands for Subjective, Objective, Assessment, and Plan. This structured approach allows EMTs and other healthcare providers to clearly and concisely document patient information.

In the Subjective section, the EMT includes the patient's verbal report about their condition, including symptoms and chief complaints. This is critical for understanding the patient's perspective and the context of their condition. The Objective section contains measurable data and observations made by the EMT, such as vital signs and physical exam findings. This information provides an objective basis for understanding the patient's situation.

The Assessment part involves the EMT’s interpretation of the information collected, which may include a preliminary diagnosis or a summary of the patient's condition. Lastly, the Plan outlines the interventions performed or those that need to be carried out next, which can include transport decisions, treatments administered, or further evaluations.

Using the SOAP format allows for organized and comprehensive reports that facilitate communication among healthcare providers and ensure a systematic approach to patient care.