MedAssistant
Scribe

Tips for better notes

What improves note quality the most, before and during the recording.

Sound

  • Speak clearly, at a normal pace. No need to speak loudly.
  • Limit noise: door closed, fan away from the microphone, no paper rustling near the device.
  • Place the device between you and the patient, microphone unobstructed, at a reasonable distance.
  • Watch the level bars at the start: if they don't move, the wrong microphone may be selected.

During the exam

The Scribe only hears what is said. Say out loud what you are doing and what you observe:

  • announce the exam: "I'm going to examine your knee";
  • describe what you do, even without exact terminology: "I'm palpating the inner side…";
  • state findings as you go: vital signs, range of motion, response to palpation;
  • state your impression and plan out loud before the patient leaves, or dictate them right after.

Context

  • Choose the right category before generating: it determines the structure of the note.
  • Put what the conversation doesn't contain in Additional details: vital signs taken by the nurse, a previous note, results.
  • Add useful documents (results, a photo of the wound) as attachments.
  • For a complex visit, choose Thorough mode, or let Auto decide.

After the note

  • Always read the note and check doubtful passages in the transcript.
  • If the note isn't right, regenerate it with another category or another mode rather than rewriting it all.
  • Making the same correction often? Add it to your note preferences: it will apply to all your next notes.
  • Rate the note: your feedback helps us improve the scribes.

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