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Emergency Care Physician
5-10 minutes

Emergency Room Documentation Template

The ER Note template by s10.ai is an all-encompassing documentation solution tailored for Emergency Medicine Specialists, capturing essential patient data such as past medical history, lifestyle habits, medications, and a thorough history of present illness. Perfect for acute cases like chest pain, shortness of breath, and abdominal pain, this template ensures comprehensive system reviews. It streamlines the documentation of physical exams and clinical assessments, promoting rapid decision-making. Optimized for integration with s10.ai, it enhances the precision and efficiency of emergency department documentation, encouraging clinicians to adopt this advanced tool for improved patient care.

1,277 uses
4.1/5.0
D
Dr. Alex Thompson
Template Structure

Organized sections for comprehensive clinical documentation

[Patient's age] [gender of patient] with [primary complaint]
PMH
[Enter patient's past medical history]
[Enter patient's past surgical history]
[Include relevant family history if noted]
Habits (include in PMH section)
[Enter smoking history if noted]
[Enter drug use if noted]
[Enter alcohol use if noted]
Meds cf list
[Enter patient's medications]
[Enter patient's natural products if noted]
HPI
[Enter details about main complaint location of pain, pain radiation, pain type, pain severity on a scale of 10, factors that alleviate or exacerbate the pain, or event/symptom description in patient's words] (list all findings with commas on one bullet point line)
[Enter symptoms related to the main complaint as per instructions for each complaint]
Cardio (if complaint involves chest pain, shortness of breath, palpitations, syncope, or loss of consciousness, mention in symptoms related to present complaint) [Enter if patient experiences chest pain, shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, leg swelling, palpitations, syncope, symptoms before syncope/loss of consciousness, symptoms after syncope/loss of consciousness] (list all cardio symptoms with commas on the same line)
Respiratory [Enter if patient experiences shortness of breath, cough, expectoration, expectoration color, increased expectoration amount, more frequent coughing, change in expectoration color, URTI symptoms, rhinorrhea, hemoptysis]
[If patient is speaking, mention pulmonary embolism risk factors here, past DVT or PE history, calf symptoms, hemoptysis, OCP or hormone therapy, recent immobilization, recent surgery or cast] (If no PE risk factors are mentioned in transcription, write no history of DVT or PE, no calf symptoms, no recent immobilization, no hemoptysis, no OCP or hormone use) (mention in history of present illness if patient has chest pain, shortness of breath, or syncope)
Abdominal: (if complaint involves abdominal pain, pelvic pain, flank pain, chest pain, include in symptoms related to present illness) [include nausea, vomiting, diarrhea, hematemesis, melena, bright red blood per rectum, constipation, abdominal pain, rectal pain, alcohol consumption, anti-inflammatory use, urinary symptoms: frequency, hematuria, dysuria, nocturia] [if no urinary symptoms are mentioned in transcription, write no hematuria, no dysuria, no frequency] (put in one paragraph with commas)
Gyne/Gu (if complaint involves urinary symptoms, flank or pelvic pain, include in history of present illness) [urinary symptoms: frequency, hematuria, dysuria, nocturia, flank pain, pelvic pain, abdominal pain, change in vaginal discharge amount or color, new sexual partner, stable sexual partner, other sexual partner if has stable or partner has another partner, previous STD diagnosis, last STD test, rectal pain, anal intercourse, oral intercourse receptive or giving, vaginal intercourse, sexual abuse, abnormal vaginal bleeding, last menstrual period, possibility of pregnancy, sexually active] (put in one paragraph with commas) (If no urinary symptoms are mentioned, write in parentheses: no dysuria, no frequency, no hematuria)
Neurological symptoms (if complaint involves neurological symptoms, dizziness, vision loss, headache, syncope, vertigo, aphasia, weakness, confusion, include in history of present illness) [headache, head trauma, aphasia, ataxia, dysarthria, dysphagia, dysphonia, limb weakness, paresthesias or loss of sensation in a limb, vision loss, double vision, confusion, neck pain, chiropractor neck manipulation, amusement park ride] (if no neurological symptoms are mentioned in transcription, write: no aphasia, no ataxia, no dysarthria, no dysphagia, no dysphonia, no vision change (diplopia or vision loss), no peripheral neuro symptoms (sensory or motor) in parentheses)
Constitutional symptoms (mention in history of present illness) [fever, chills, myalgia, arthralgia, unexplained fevers, unexplained weight loss, swollen lymph nodes, sick contact] [if no B symptoms are mentioned in transcription, write no unexplained weight loss or fever]
Eyes: [Symptoms like eye pain, swelling, redness, foreign body sensation, discharge, vision changes] (include in HPI if main complaint is vision loss, eye foreign body, eye trauma, floaters, or flashing lights in vision, red eye)
Ears, Nose, Mouth, Throat: [Symptoms like hearing changes, ear pain, nasal congestion, sinus pain, hoarseness, sore throat, rhinorrhea, swallowing difficulty] (mention in HPI if main complaint is hearing loss, throat pain, ear pain, dysphagia, voice change, URTI symptoms)
(For review of systems not included in HPI, include in a separate paragraph on the same line separated by commas)
PE (if normal exam is mentioned: write the exam mentioned in plain text below HN, heart, lungs, abdomen for all patients unless there are added descriptions for physical exam)
[write general appearance]
[vital signs] (if normal or stable vitals are mentioned, write VSS)
H/N N
Heart Ns1s2, (write no murmurs if complaint is syncope or chest pain)
Lungs: clear GEAB
Abdo: soft (if complaint involves abdominal, flank, or pelvic pain, write: no guarding, no rebound, no peritoneal)
I/P
[main diagnosis and clinical reasoning] (write in one line with commas)
[other diagnosis with clinical reasoning] (write in one line with commas)
[orders, medications, imaging] (in one line with commas)
Reassessment
[date and time mentioned in transcription]
[insert clinical assessment of patient's symptoms]
Exam [insert changes or updates in physical exam] (omit if not explicitly mentioned)
I/P [insert changes and updates in previously described plan] (do not recopy previous plan or modify initial plan)
Sample Clinical Note

Example of completed documentation using this template

45-year-old male presenting with intense chest pain
PMH
Hypertension, Hyperlipidemia
Appendectomy in 2005
Father experienced a heart attack at age 60
Habits (include in PMH section)
Smokes 10 cigarettes daily
No use of illicit drugs
Occasional alcohol intake
Meds cf list
Aspirin 81 mg daily, Lisinopril 10 mg daily
No use of natural products
HPI
Severe, crushing chest pain radiating to the left arm, 8/10 on pain scale, worsens with exertion, improves with rest, began 2 hours ago
Associated symptoms: shortness of breath, nausea
Cardio
Chest pain, shortness of breath, no orthopnea, no paroxysmal nocturnal dyspnea, no leg swelling, no palpitations, no syncope
Respiratory
Shortness of breath, no cough, no expectoration, no hemoptysis
No history of DVT or PE, no calf symptoms, no recent immobilization, no hemoptysis, no OCP or hormone use
Abdominal
Nausea, no vomiting, no diarrhea, no hematemesis, no melena, no bright red blood per rectum, no constipation, no abdominal pain, no rectal pain, no alcohol consumption, no use of anti-inflammatories, no urinary symptoms (no hematuria, no dysuria, no frequency)
Gyne/Gu
No urinary symptoms (no dysuria, no frequency, no hematuria)
Neurological symptoms
No headache, no head trauma, no aphasia, no ataxia, no dysarthria, no dysphagia, no dysphonia, no limb weakness, no paresthesias or loss of sensation in a limb, no vision changes (diplopia or vision loss), no peripheral neuro symptoms (sensory or motor)
Constitutional symptoms
No fever, no chills, no myalgia, no arthralgia, no unexplained fevers, no unexplained weight loss, no swollen lymph nodes, no sick contact
Eyes
No eye pain, no swelling, no redness, no foreign body sensation, no discharge, no vision changes
Ears, Nose, Mouth, Throat
No hearing changes, no ear pain, no nasal congestion, no sinus pain, no hoarseness, no sore throat, no rhinorrhea, no swallowing difficulty
PE
Alert and oriented, appears in mild distress
VSS
H/N N
Heart Ns1s2, no murmurs
Lungs: clear GEAB
Abdo: soft, no guarding, no rebound, no peritoneal
I/P
Acute coronary syndrome, likely unstable angina, based on chest pain characteristics and risk factors
Consider myocardial infarction, rule out with ECG and cardiac enzymes
Orders: ECG, cardiac enzymes, chest X-ray, continue aspirin, start nitroglycerin
Reassessment
1 November 2024, 14:00
Patient's chest pain has decreased to 4/10 after nitroglycerin administration
Exam
No changes in physical exam
I/P
Continue monitoring, consider cardiology consult if symptoms persist
Clinical Benefits

Key advantages of using this template in clinical practice

  • This comprehensive clinical template is designed to streamline the documentation process for healthcare professionals, ensuring a thorough and organized approach to patient assessment. By incorporating high-search healthcare and clinical keywords, this template facilitates efficient data entry and retrieval, enhancing the accuracy and completeness of patient records. Clinicians can easily document patient demographics, past medical and surgical history, habits, medications, and detailed history of present illness, including specific symptoms across various systems such as cardiovascular, respiratory, abdominal, gynecological, neurological, and more. The template also includes sections for physical examination findings, diagnostic impressions, and management plans, allowing for a holistic view of the patient's condition. By adopting this template, healthcare providers can improve clinical workflows, ensure compliance with documentation standards, and ultimately enhance patient care outcomes. Explore and implement this template to optimize your clinical documentation process today.
Frequently Asked Questions

Common questions about this template and its usage

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