Nurse Practitioners · Templates

NP acute / sick visit template

Built for nurse practitioner acute and sick slots—cough, fever, UTI symptoms, rash, musculoskeletal strain—where the note needs a tight HPI, red-flag screen, focused exam, and clear disposition.

Template content

Copy or download, then paste into Wavo under My Templates.

Nurse Practitioner Acute / Sick Visit Note

Chief Complaint
- Primary acute symptom(s) and duration.

History of Present Illness
- Onset, course, severity, associated symptoms, exposures, and prior self-treatment.
- Pertinent positives/negatives and red flags (e.g., dyspnea, chest pain, neurologic deficit, severe dehydration, immunocompromise).
- Relevant chronic conditions and current medications/allergies.

Exam
- Vital signs and focused exam directed to the acute complaint.
- Document key negative findings supporting lower-acuity disposition when applicable.

Diagnostics
- POC testing, labs, imaging ordered or reviewed today.

Assessment
- Acute diagnosis / working impression and differential if uncertain.
- Severity and disposition rationale (discharge home vs escalate / ED referral).

Plan
- Medications, supportive care, work/school notes, isolation guidance if infectious.
- Explicit return precautions and follow-up timing.
- Escalation to collaborating physician / ED if indicated.

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

  • Keeps episodic visits from bloating into full chronic-care documentation.
  • Prompts red flags and return precautions NPs expect in acute ambulatory care.
  • Supports same-day, walk-in, and scheduled sick visits with one skeleton.
  • Pairs with Wavo so acute visits stay fast without losing clinical structure.
  • 1NP same-day sick visits
  • 2Acute URI, UTI, and soft-tissue complaints
  • 3Nurse practitioner urgent ambulatory slots

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.

Chief Complaint
Sore throat, fever, and cough for 3 days.

HPI
Max temp 101.2°F at home. Painful swallowing; mild dry cough; no dyspnea, chest pain, rash, or neck stiffness. Sick contact: child with strep. No antibiotic allergy. Asthma well controlled; albuterol PRN unused this week.

Exam
T 99.8°F, HR 88, SpO2 98% RA. Tonsils erythematous with exudate; anterior cervical nodes tender. Lungs clear; no stridor or trach tug.

Diagnostics
Rapid strep positive.

Assessment
Acute streptococcal pharyngitis; low concern for peritonsillar abscess or pneumonia today.

Plan
Amoxicillin 500 mg BID × 10 days. Supportive care; stay home until afebrile 24h and on antibiotics ≥12–24h per school policy. Return/ED for dyspnea, drooling, severe unilateral throat pain, or neck swelling. Follow up PRN if not improving in 48–72 hours.

How Wavo automates this

What the product actually does with your template.

1. Add the template

Paste this content into My Templates, or start from a specialty-generated template and edit the sections.

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.

Put this template to work on your next visit

Start free, paste the template, and see how Wavo documents in your structure.