Sorry, Didn't think of it as a final note....was thinking of paperwork given to patients.
In ER, our charting is done on computers, so for say ankle sprain: dx of ankle sprain, RICE, crutch walking instructions, meds prescribed would be printed along with referral. The note on the actual discharge paperwork may look like this. DX: Ankle sprain. Keep leg elevated. Follow RICE therapy. Take medications as ordered, follow precautions. Follow up with PMD and Orthopedist in 1-3 days. Return to ED if numbness, increased pain, or for any additional concerns.
My final nursing note would be something like this. Perform crutch walking with patient with return demonstration. Patient ambulating steadily and state "they feel fine using crutches". Patient stable, pain relieved. Patient able to move toes, foot warm, +pedal pulse-splint care and precautions explained. Discharge instructions administered-patient to follow up with physician.