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Emergency Medicine · Templates
ED progress / reevaluation note template
Use this when the patient is still in the ED and you need a crisp interval note—new vitals, results, response to therapy, consultant input, and updated disposition thinking—without rewriting the full H&P.
Template content
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ED Progress / Reevaluation Note Interval Status - Time of reevaluation and patient-reported change since last assessment. - Response to interventions (analgesia, fluids, respiratory therapy, antibiotics, etc.). Vital Signs / Monitoring - Repeat vitals, telemetry events, oxygen requirement changes, and pain scores as relevant. New Data - New labs, imaging, ECG, microbiology, or outside records reviewed with brief interpretation. Exam Update - Focused reassessment findings; document improvement or deterioration. Consultations / Procedures - New consultant recommendations; procedures performed or pending. Updated MDM - How new information changes differential, risk, and plan. - Barriers to disposition (pending studies, bed availability, social factors) if relevant. Plan / Disposition Trajectory - Next diagnostics or therapeutics. - Likely disposition and criteria for discharge vs admission/transfer. - Pending items and who is responsible.
When to use this template
What makes the structure useful, and which visits it fits best.
Why this template works
Structural advantages for real documentation
Best for
Visit types and clinicians who use this format
- Captures reevaluation timing and clinical change—core to ED MDM.
- Keeps new results and consultant recommendations from getting lost in the chart.
- Supports boarding and prolonged ED stays with clear interval documentation.
- Pairs cleanly with the Emergency H&P and discharge summary templates.
- 1ED reevaluations after treatment or results
- 2Prolonged ED / boarding progress notes
- 3Shift handoff updates during an active ED workup
Example output shape
Illustrative excerpt of how a visit can land in this structure. Not a real patient record—review and edit every note before signing.
Interval Status Reevaluated at 14:40, 90 minutes after initial assessment. Patient reports abdominal pain improved from 8/10 to 3/10 after morphine 4 mg IV and ondansetron. Tolerating sips of water without vomiting. Vitals / Exam BP 122/76, HR 82, Temp 37.0°C, SpO2 99% RA. Abdomen softer; mild RLQ tenderness without rebound or guarding. No peritoneal signs. New Data WBC 11.2. CRP pending. CT abdomen/pelvis with IV contrast: uncomplicated early appendicitis; no perforation or abscess. Updated MDM / Plan Diagnosis refined to acute uncomplicated appendicitis. Surgery consulted—recommends laparoscopic appendectomy. NPO, IV fluids continued, ceftriaxone/metronidazole given per surgery. Admit to surgery; OR timing pending. Risks/benefits of surgery discussed with patient who agrees.
How Wavo automates this
What the product actually does with your template.
2. Record or dictate
Capture the encounter with ambient recording or dictation. Wavo structures the note using your template.
3. Review and sign
Edit with Smart Transform if needed, then export or copy into your EHR. You stay responsible for the final note.
Related templates
Put this template to work on your next visit
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