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Paste this content into My Templates, or start from a specialty-generated template and edit the sections.
A systems-oriented inpatient progress note you can standardize across a hospitalist group, then customize per service line in Wavo.
Copy or download, then paste into Wavo under My Templates.
Hospital Progress Note Hospital Day - Hospital day number and level of care (floor, telemetry, stepdown, ICU step-down as applicable). Interval Events - Overnight events, new symptoms, rapid responses, falls, and response to interventions. - Consultant recommendations and care-coordination updates. Subjective - Patient-reported status today: pain, dyspnea, appetite, sleep, mobility, and concerns. Objective - Vital signs 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 (preferred) or systems-based list with status and next steps for each active problem. - Code status / goals of care updates if discussed. - VTE prophylaxis, lines/catters status, glycemic control, and other hospital safety items as relevant. - Disposition planning, barriers to discharge, and pending items with owners.
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
Illustrative excerpt of how a visit can land in this structure. Not a real patient record—review and edit every note before signing.
Hospital Day Hospital day 3; telemetry floor. Interval Events Overnight: one episode of nausea after dinner, improved with ondansetron. No chest pain or desaturations. Cardiology agrees with continuing heparin drip pending coronary CTA tomorrow AM. Subjective Feels better; pain 2/10 at IV site only. Ambulating with nursing. Asking about discharge timing. Objective Afebrile; BP 118–132/70–78; HR 70s; SpO2 97% RA. Lungs clear; abdomen soft; no edema. Troponin negative ×3. WBC trending down. CTA coronary pending. Assessment & Plan 1) Chest pain / rule-out ACS — low-intermediate risk; continue ASA, statin, heparin drip; CTA AM; serial exams. 2) Hypertension — restart home amlodipine today; hold ACEi while on aggressive diuresis (not applicable—euvolemic). 3) Disposition — likely discharge tomorrow if CTA non-obstructive and symptoms resolved; follow-up with PCP and cardiology arranged tentatively.
What the product actually does with your template.
Paste this content into My Templates, or start from a specialty-generated template and edit the sections.
Capture the encounter with ambient recording or dictation. Wavo structures the note using your template.
Edit with Smart Transform if needed, then export or copy into your EHR. You stay responsible for the final note.
Start free, paste the template, and see how Wavo documents in your structure.