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The Inpatient Progress Note: A Practical Guide for NP and PA students

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The Inpatient Progress Note: A Practical Guide for NP and PA Students Writing clear, concise, and accurate inpatient progress notes is a fundamental skill for Nurse Practitioner (NP) and Physician Associate (PA) students. Effective documentation ensures excellent patient care, supports medical decision-making, facilitates communication among the interdisciplinary team, and helps meet billing and regulatory requirements. This guide offers essential tips to help you develop this critical skill. Developing Your Documentation Style NP and PA students must develop the skill of writing effective progress notes tailored to their clinical roles. NP students, especially, should transition from the documentation style typical of registered nurses by focusing on concise, pertinent data directly relevant to their specific service line and clinical decision-making. The Purpose of the Progress Note Daily progress notes serve multiple key purposes: Document the patient’s response to treatme...

Introduction

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Hello! Welcome to the NP & PA Student Essentials Blog! This blog will:  give you tips on how to get the most out of your clinical rotations for nurse practitioners and physician associates help you navigate and progress through your hospital and clinic rotations provide clinical content to compliment what you are learning in your NP or PA program help you to write better progress notes, history & physicals, and consult notes improve your ability to communicate more effectively with your preceptor, attendings, and patients About me: I am Kate Morgan. I have been a nurse practitioner since 2007 and an RN since 1995. I have worked as a hospitalist NP for the first 5 years of my career and currently work in an inpatient cardiology service since 2012. I have an adult acute care NP certification (ACNP-BC), a doctorate in nursing practice (DNP), and am certified as a nurse educator (CNE).  This blog is meant to be interactive so please feel free to ask questions and post comm...