General · Templates

Nurse triage note template

Built for triage RNs: capture the concern, key screening questions, protocol used, disposition (home care, clinic, UC, ED), and exactly what the patient was told—ready for clinician review when needed.

Template content

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

Nurse Triage Note

Encounter Details
- Date/time, triage nurse name, and channel (phone, portal, walk-in).
- Patient identity verification and callback number.

Chief Concern
- Patient/caller statement and symptom duration.
- Pregnancy status, anticoagulation, immunocompromise, or other risk modifiers if asked per protocol.

Triage Assessment
- Focused symptom questions and pertinent positives/negatives (fever, dyspnea, chest pain, neurologic deficits, severe pain, dehydration signs, etc. as relevant).
- Vital signs if obtained (walk-in).

Protocol / Decision Support
- Protocol or guideline referenced (name/topic) and any deviation with rationale.
- Clinician consult requested/obtained if applicable.

Disposition
- Home care with advice / schedule clinic visit (timing) / urgent care / ED / call 911.
- Appointment made or ED instructions given.

Advice Provided
- Specific home-care steps, warning signs, and when to recontact.
- Patient/caller verbalized understanding.

Follow-Up / Escalation
- Chart routed for clinician cosign if required.
- Scheduled callbacks or message follow-up.

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

  • Aligns with protocol-driven triage without freezing clinical judgment notes.
  • Makes disposition and escalation criteria explicit.
  • Works for phone triage, portal escalation, and walk-in nurse triage.
  • Clean cosign path when a clinician must review high-risk dispositions.
  • 1Telephone nurse advice lines
  • 2Clinic walk-in triage
  • 3Portal message escalation to nursing triage

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.

Details
Phone triage 7/26/2026 11:05, RN Alvarez. Patient verified; callback OK.

Chief Concern
Child’s parent calling for 4-year-old with fever to 101.5°F ×1 day, runny nose, tugging ears; drinking OK; no rash.

Assessment
No difficulty breathing, stridor, neck stiffness, inconsolability, or decreased urine. Immunizations UTD per parent. Not immunocompromised.

Protocol
Pediatric fever / ear pain protocol — non-toxic URI/possible OM pathway; advise clinician visit within 24h if pain persists; ED if red flags.

Disposition
Booked pediatric sick visit tomorrow 09:20. Home care meanwhile.

Advice
Age-appropriate acetaminophen dosing reviewed; fluids; monitor for breathing difficulty, lethargy, fever >3 days, or rash. Parent teach-back completed. Encounter routed to pediatrician pool for awareness; no same-day cosign required per protocol.

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.