The patient's condition requires monitoring and further assessment in a hospital setting, but does not warrant a full inpatient admission at this time, and will be managed under observation status by the internal medicine team.
Used when a patient's presentation necessitates a period of close monitoring to determine if a full inpatient admission is required or if the patient can be safely discharged after a shorter observation period. This typically involves a stay of less than 24-48 hours.
"Patient meets criteria for observation and will be admitted to medicine service for monitoring of their chest pain and serial cardiac enzymes."
This phrase is typically used in the plan section of an emergency department note to document the disposition of a patient who requires further monitoring and assessment.
Common questions about using medical phrases in clinical documentation