Emergency department follow-up

Template

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SettingChoose oneTitle

RecordsChoose one

Pending resultsChoose one

CourseChoose one

ExamChoose one

MedicationsChoose one

Additional planChoose any

DispositionChoose one

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

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CounselingNot in the note with these choices

Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Emergency department follow-up
• Visit records and discharge instructions reviewed
• Improving as expected since the visit
• Well appearing, well hydrated, and breathing comfortably today
• Medications from the visit reviewed; continue as prescribed
• Follow up as needed

The child is recovering as expected after the visit. Recommended continuing the supportive care from the visit. Return precautions given including the original symptoms coming back, trouble breathing, signs of dehydration, fever that is not improving, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

ED records, testing, treatment, discharge instructions reviewed
Pending results from the visit
Urgent care and telemedicine visits
Specialist follow-up, labs or imaging, action plan, vaccines, school note
Medical home first for nonemergency concerns
Follow-up timeframe and reasons
Counseling paragraph

Return precautions in the template

the original symptoms coming backtrouble breathingsigns of dehydrationfever that is not improving

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.