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Critical Care Medicine

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Intensive Care Unit Progress Note

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Finished note

Example — generated by Notat from a sample visit

Presenting concern:
Twisted right ankle while stepping off a curb this morning. Able to bear weight with discomfort.

Assessment:
Soft-tissue ankle injury. No immediate features suggesting fracture identified in the history and examination.

Plan:
Advised rest, ice, compression, elevation, and analgesia as appropriate. Return for reassessment if unable to bear weight or symptoms worsen.

Clinical documentation:
Relevant symptoms, meaningful negatives, assessment, and follow-up advice were captured from the sample visit and organised into the selected template.

FactsContext™

symptoms

Injury: Right ankle pain after twisting injury this morning

history of present illness

Function: Able to bear weight with discomfort

Visit focus: The main concern, timeline, and functional impact were identified from the conversation.

assessment

Working diagnosis: Soft-tissue ankle injury

plan

Advice: Rest, ice, compression, elevation, and return precautions

Safety-netting: Follow-up triggers and urgent return precautions were documented as part of the plan.

denials of symptoms

Denies: Relevant denials: Relevant red flags and absent symptoms were retained to support the documented assessment.

Template

ICU Progress Note

Patient Identification: [Patient name, age, gender, reason for ICU admission, relevant medical history]

Subjective:
(hyphenated list)
- [Brief summary of overnight events or interval history]
- [Patient-reported symptoms if applicable]
- [Family concerns or updates]

Objective:
(hyphenated list)
- [Vital signs with units in one line] (e.g., HR: #, BP: #, T: #, RR: #, O2 sats: #%)
- [Ventilator settings and respiratory support] (e.g., Mode, FiO2, PEEP, Rate)
- [Lines, tubes, drains present] (e.g., Central line, Foley catheter, Chest tube)
- [Physical exam findings] (Format as "System: Exam findings", one system per line. Specify anatomical location if relevant)
- [Laboratory results] (Include most recent and relevant labs with units)
- [Imaging and other investigations] (Include completed results only)

Assessment:
(hyphenated list)
- [Primary diagnosis and current status]
- [Secondary diagnoses or active problems]
- [Response to treatment]
- [Complications or new issues]

Plan:
(hyphenated list)
- [Hemodynamic management]
- [Respiratory management]
- [Renal management]
- [Infection control/antibiotics]
- [Nutrition plan]
- [Sedation/analgesia]
- [DVT prophylaxis]
- [GI prophylaxis]
- [Consultations/referrals]
- [Planned investigations]
- [Family communication]
- [Goals for next 24 hours]
- [Discharge planning or transfer considerations]

Shared by

LM

Dr. Lucas Meyer

Emergency Physician, Germany

How it works in Notat

Add this template to your library, record the visit as usual, and Notat drafts the note in this exact structure from the extracted clinical facts. You review, edit, and sign.

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