How might a corpsman document the results of a diagnostic test?

Documenting the results of a diagnostic test accurately and systematically is crucial in medical practice. The Objective section of the SOAP note is specifically designated for factual, measurable outcomes such as test results. This section serves to provide a clear and concise account of the findings that can be referenced by other healthcare professionals. By listing the results clearly along with relevant details, the corpsman ensures that the information can be understood in the context of the patient’s condition and contributes to the overall assessment and treatment plan.

Including details such as the date of the test, specific values or findings, and any interpretations is important for clarity and for maintaining comprehensive medical records. This structured approach not only adheres to best practices for documentation but also enhances communication among healthcare team members.