Image 1 of 1
Image 1 of 1
Image 1 of 1
Image 1 of 1
The visit note built for speed, not paperwork.
When you're seeing four or five clients in a day, you don't have time for a multi-page assessment packet at every stop. This is the note I use in the field: one page, mostly checkboxes, organized the way a real visit unfolds. History, assessment, what you did, what you taught, and what's next.
What's inside:
Client and visit information (name, DOB, visit location, referring provider, diagnosis or referral reason)
Relevant history: diabetes, PVD, neuropathy, anticoagulant use, other conditions, medications
Structured assessment: skin, nails, circulation, sensation, temperature and color, deformities
Interventions performed: nail care, callus and corn care, skin care, and other services, with a details field
Education provided checklist
Plan and follow-up with return-interval options and referral checkboxes
Nurse signature, credentials, and license number line
Format: a print-ready PDF and an editable .docx, delivered together in one ZIP file, so you can adapt it to your own practice or workflow.
How this differs from the Clinical Documentation Pack: the Documentation Pack is four separate forms for a complete clinical record: a full SOAP note, a comprehensive baseline assessment, a diabetic monofilament screening, and a care plan and visit log. This template is a single, faster form for routine visits. Many nurses use both: the Pack for new clients and periodic reassessments, and this template for routine follow-ups in between.
Scope note: like all RNscrub Foot Care documentation tools, this template is a starting point. Adapt it to your state Board of Nursing documentation requirements and your practice's scope.
Instant download. The link stays active for 24 hours after first access, so save the files right away. All sales are final.
The visit note built for speed, not paperwork.
When you're seeing four or five clients in a day, you don't have time for a multi-page assessment packet at every stop. This is the note I use in the field: one page, mostly checkboxes, organized the way a real visit unfolds. History, assessment, what you did, what you taught, and what's next.
What's inside:
Client and visit information (name, DOB, visit location, referring provider, diagnosis or referral reason)
Relevant history: diabetes, PVD, neuropathy, anticoagulant use, other conditions, medications
Structured assessment: skin, nails, circulation, sensation, temperature and color, deformities
Interventions performed: nail care, callus and corn care, skin care, and other services, with a details field
Education provided checklist
Plan and follow-up with return-interval options and referral checkboxes
Nurse signature, credentials, and license number line
Format: a print-ready PDF and an editable .docx, delivered together in one ZIP file, so you can adapt it to your own practice or workflow.
How this differs from the Clinical Documentation Pack: the Documentation Pack is four separate forms for a complete clinical record: a full SOAP note, a comprehensive baseline assessment, a diabetic monofilament screening, and a care plan and visit log. This template is a single, faster form for routine visits. Many nurses use both: the Pack for new clients and periodic reassessments, and this template for routine follow-ups in between.
Scope note: like all RNscrub Foot Care documentation tools, this template is a starting point. Adapt it to your state Board of Nursing documentation requirements and your practice's scope.
Instant download. The link stays active for 24 hours after first access, so save the files right away. All sales are final.
