AI Medical Scribe for
Three patients on the floor, access checks, pre- and post-weights, an intradialytic BP dip — and a full note owed for every run. Medical Scribe captures your assessment as you speak, so charting doesn't wait until your patients come off the machine.
A real example of the documentation Medical Scribe generates for hemodialysis nurses — ready before your patient leaves the room.
68M, ESRD secondary to diabetic nephropathy, MWF schedule. Reports mild calf cramping at the end of the last run; slept well, denies chest pain, dyspnea, or dizziness today. Admits extra fluid intake over the weekend.
Treatment tolerated well. Interdialytic weight gain above 4% target, consistent with reported weekend intake. Vascular access patent and intact; no signs of infection.
Post: weight 82.4kg, BP 132/78, ambulated without difficulty. Return Wednesday. Monitor weekend IDWG pattern — renal dietitian referral discussed if it continues. Monthly labs due next run, including Kt/V and phosphorus.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Alarms, line checks, and intradialytic events keep you moving between chairs — full run documentation gets squeezed into whatever minutes are left at shift's end.
Thrill and bruit on every run, signs of infection or stenosis — undocumented access checks are both a clinical miss and a liability if a fistula fails.
Pre and post weights, UF goals, vitals through the run, tolerance, teaching given — the same complete note is owed per patient per treatment, session after session.
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.
A dialysis shift is continuous assessment: pre-run checks, access evaluation, intradialytic monitoring, post-run teaching. Medical Scribe records what you say as you work each patient and drafts the complete run note — weights, UF, events, and education — ready for your review before the chair turns over. Nothing is filed until you approve it.
Drafts follow the built-in Haemodialysis Nurse’s Note template: Patient Information, Subjective, Objective, Assessment, Plan, Interventions, Evaluation, and Plan for Continuing Care — with the Iron Infusion Consent template alongside for units administering IV iron. It’s one of 280+ specialty templates, and your unit’s own format can be built in minutes.
When an access clots or a patient event is reviewed, the record of your run is what speaks for you. Medical Scribe documents the thrill you palpated, the BP you called out, and the teaching you gave — exactly as said, never inferred — so every treatment leaves behind a note as thorough as the care.
Yes. Values spoken during your assessment land in the note as stated: pre and post weights, blood pressures through the run, UF volume, blood flow rate. Medical Scribe never fills in a vital sign or machine parameter that wasn't actually said.
When you verbalize your fistula or catheter check — thrill, bruit, skin condition — it is captured in the Objective section of the Haemodialysis Nurse's Note template, giving you a consistent per-run access record without extra typing.
You record your interaction with one patient at a time, with the patient informed and consenting, the same as bedside dictation. Medical Scribe is HIPAA compliant with encryption in transit and at rest, and works on iOS, Android, Web, Apple Watch, and Mac — including hands-busy moments via the watch.
The Haemodialysis Nurse's Note follows a full nursing process structure — Subjective, Objective, Assessment, Plan, Interventions, Evaluation, and Plan for Continuing Care — and your unit can build custom templates in minutes if your facility charts differently.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.