What does the procedure section of the SOAP format include?

The procedure section of the SOAP format includes any problems that should be monitored and follow-up care instructions. This is a critical part of the SOAP note because it details the approach taken by the veterinary technician or veterinarian regarding the patient's care.

In the SOAP format—where S stands for Subjective, O for Objective, A for Assessment, and P for Plan—the procedure section captures the planned interventions and necessary follow-up to ensure the patient's recovery and ongoing health. This might involve outlining treatment plans, scheduling follow-up appointments, and specifying any additional diagnostic tests or treatments that may be needed.

By including problems that should be monitored, this section ensures that all aspects of the patient's care are documented, reinforcing accountability and thoroughness in fostering the patient's best outcome. It sets the groundwork for continuity of care and allows all team members to be aware of the patient's progress and ongoing needs.