What type of note should be written for a patient who has been admitted for several days and has a scheduled surgery?

Prepare for the ScribeAmerica Hospitalist Exam. Dive into flashcards, multiple-choice questions with hints and detailed explanations. Master the exam!

For a patient who has been admitted for several days and is scheduled for surgery, a progress note is the most appropriate document to create. Progress notes are used to record ongoing patient assessments, updates on the patient's condition, and pertinent details regarding their care and treatment plan, particularly as they prepare for surgery.

These notes serve to communicate changes in the patient's status, the response to treatment, and upcoming plans such as surgical interventions. They are an important part of maintaining continuity in patient care and ensuring that all members of the healthcare team are informed about the patient's progress and any new developments.

In contrast, an admission note is used for recording initial findings and plans at the time of a patient's admission. A discharge summary summarizes a patient's stay upon leaving the hospital, documenting the course of treatment, and key outcomes. A consult note is typically created when a specialist evaluates a patient and recommends a specific course of action. None of these would be appropriate for documenting the ongoing care of a patient who is already admitted and has a scheduled surgery.

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