Physician Assistants · Templates

PA inpatient progress note template

A problem-oriented inpatient progress note for PAs on hospitalist, surgical, and specialty services—interval overnight events, data, assessment, and disposition planning in one place.

Template content

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

Physician Assistant Inpatient Progress Note

Hospital Context
- Hospital day, service, and level of care.
- Attending / collaborating physician for the service as applicable.

Interval Events
- Overnight events, new symptoms, rapid responses, falls, procedures, and response to interventions.
- Consultant recommendations and care-coordination updates.

Subjective
- Patient-reported status: pain, dyspnea, appetite, sleep, mobility, and concerns.

Objective
- Vital trends, I/O, oxygen requirement, drains/lines, weight if relevant.
- Focused exam findings.
- Key labs/imaging/microbiology reviewed today with interpretation.

Assessment & Plan
- Problem-based list with status and next steps for each active problem.
- VTE prophylaxis, lines/catheters, glycemic control, and other safety items as relevant.
- Code status / goals-of-care updates if discussed.
- Disposition barriers, pending items with owners, and anticipated discharge needs.
- Note discussion with attending/collaborating physician if required.

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

  • Matches hospital team workflows where PAs own daily progress documentation.
  • Keeps overnight events, consultant input, and pending items visible.
  • Supports problem-based planning across medicine and surgical co-management.
  • Documents collaborating physician involvement when required by site policy.
  • 1PA hospital medicine daily notes
  • 2Surgical PA inpatient progress notes
  • 3Inpatient co-management documentation

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.

Hospital Context
Hospital day 2; medicine floor. Collaborating hospitalist Dr. Nguyen.

Interval Events
Overnight: one episode of nausea after dinner, improved with ondansetron. No fever or hypoxia. ID agrees with oral step-down today if afebrile through AM.

Subjective
Feels better; pain 2/10 at IV site. Ambulating with nursing. Asking about discharge.

Objective
Afebrile; BP 118–130/70–78; HR 70s; SpO2 97% RA. Lungs clear; abdomen soft; wound clean if applicable. WBC trending down; blood cultures NGTD to date. CXR improved.

Assessment & Plan
1) Community-acquired pneumonia — improving; switch to oral amoxicillin-clavulanate today if lunch tolerated; complete 5-day total course.
2) Dehydration — resolved; saline lock IV; encourage PO.
3) Disposition — likely discharge tomorrow if afebrile and saturating on RA; PCP follow-up 3–5 days; return precautions reviewed tentatively with patient.

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.