AI Medical Scribe for
Between the ventilated patient in bed 4 and the family meeting at noon, ICU documentation piles up fast. Medical Scribe drafts systems-based notes from your rounds so charting doesn't wait for the end of the shift.
A real example of the documentation Medical Scribe generates for adult intensive care specialists — ready before your patient leaves the room.
67M, ICU day 3, septic shock secondary to community-acquired pneumonia. Overnight: norepinephrine weaned to 0.04mcg/kg/min, no new fevers. Nursing reports improving alertness during sedation holds; following simple commands this morning.
WCC 14.2 (from 21.6 on admission), lactate 1.6, creatinine 1.1 (baseline). CXR this morning: right lower lobe consolidation, no effusion. Blood cultures: Streptococcus pneumoniae, ceftriaxone-sensitive.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
A full census means a complete systems-based note per patient per day — plus event notes for every deterioration, procedure, and escalation in between.
Ventilator settings, vasopressor doses, lines, drains, fluid balance, overnight labs — the objective section of an ICU note alone can take longer than the bedside review did.
Goals-of-care conversations must be documented precisely — what was explained, what was asked, what was agreed. These notes matter clinically, ethically, and legally.
Real-time transcription that understands medical terminology and clinical context.
Recognizes terms, conditions, and procedures specific to your practice area.
Generate comprehensive clinical notes in minutes instead of hours.
Enterprise-grade encryption and security to protect sensitive data.
These aren't generic formats — they ship in the product today, structured around how you actually document.
Plus 280+ templates across every specialty — or build your own in minutes.
ICU documentation follows the rhythm of the unit: morning rounds across every bed, event notes when a patient deteriorates, and scheduled family meetings. Medical Scribe records each of these encounters and drafts the note while you move to the next bed — so the day’s documentation tracks the day, not the evening.
The built-in Adult Intensive Care Specialist’s Note organizes the encounter into Subjective, Review of Systems, and Objective — with Examination, Investigations, and a problem-by-problem Impression & Plan. Pressor weans, ventilation changes, culture results, and disposition planning each land in the section where the next intensivist expects to find them.
What was said in a goals-of-care discussion, and which numbers drove a treatment change, cannot be approximated. Medical Scribe never invents clinical findings — it documents the conversation that happened, and every note remains an editable draft until you review and sign it.
Yes. Record each bedside review as its own encounter and each patient gets a separate draft note. By the time you finish the round, the notes are waiting for review instead of waiting to be written.
Yes. Record the meeting like any visit and the note documents what was actually discussed — prognosis explained, questions raised, decisions made. Nothing is paraphrased into existence; it only reflects what was said.
No. Medical Scribe documents only what was said or observed during the encounter. Numbers you state on rounds are captured; anything not mentioned is simply absent, ready for you to add during review.
Medical Scribe is HIPAA compliant with encryption in transit and at rest, and runs on iOS, Android, Web, Apple Watch, and Mac — so it works from a unit workstation or the phone in your scrubs.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.