How this exercise works
Sort ALS narrative elements into SOAP sections or discard non-clinical filler. Advanced calls include more objective data, interventions, and reassessment findings.
Fundamental concept
Building paramedic PCRs that capture interventions, reassessment, medical direction, and critical time stamps for ALS calls.
Read: Advanced ALS Documentation & SOAP Narratives →Scenario
89-year-old from SNF: fever, altered, hypotensive. Suspected urosepsis.
Facility nurse reported UTI treatment started yesterday. DNR status not present; full code.
Report statements
Drag each sentence into the correct SOAP section, or into the trash if it does not belong in the chart.
SNF hallway carpet was blue.
Severe sepsis with hypoperfusion.
Febrile 39.6°C, dry mucous membranes, mottled knees.
History dementia, diabetes, indwelling catheter.
BP 88/50, HR 118, RR 26, SpO₂ 93% on NRB.
Staff report increasing confusion and decreased oral intake over 24 hours.
Sepsis alert, 500 mL crystalloid bolus, repeat vitals, broad-spectrum abx at ED.
Patient favorite bingo night is Tuesday.
Trash — not charted
0Drop useless or irrelevant statements here
S — Subjective
0Drop statements here
O — Objective
0Drop statements here
A — Assessment
0Drop statements here
P — Plan
0Drop statements here
