The OTA's Guide to Writing Soap Notes

Written by and specifically for Occupational Therapy Assistants, The OTA's Guide to Writing SOAP Notes is an instruction manual for teaching a specific skill: documentation as required for reimbursement in occupational therapy. With the current changes in healthcare, documentation of patient care is essential to meet standards for reimbursement of services. The purpose of this new text is to teach the Occupational Therapy Assistant to write SOAP notes that will be reimbursable under Medicare Part B and managed care.

Documentation is learned in the same way that any other skill is learned-instruction and practice. The OTA's Guide to Writing SOAP Notes is the only text that provides instruction in writing SOAP notes specifically aimed at the OTA practitioner and student. This exceptional new text offers both the necessary instruction and multiple opportunities to practice, as skills are built on each other in a logical manner. Templates are provided for beginning students to use in formatting the SOAP note, and the task of documentation is broken down into small units to make learning easier.

A detachable summary sheet is included that can be pulled out and carried to clinical sites as a reminder of the necessary contents for a SOAP note. "Answers" are provided for all worksheets so that the text can be used for independent study if desired.

This new manual is a must-have for all Occupational Therapy Assistant students!

Features:

The only text that is written as a "how to" manual rather than as a philosophic treatise. Skills are broken down into small steps and taught as discrete units, allowing mastery of each segment before moving on. Many examples are provided for different stages of treatment, in a variety of practice settings. An appendix gives possible solutions to the worksheets, making the text useful for self-directed learning.

University of Missouri, Columbia, MO