AI Medical Scribe for
You see residents more than anyone else on the care team, and every meal, transfer, and skin check needs writing down. Speak what you observed and Medical Scribe drafts the care note.
A real example of the documentation Medical Scribe generates for nursing aides — ready before your patient leaves the room.
84F resident with moderate dementia. Pleasant this morning, oriented to name only. Said her hip 'aches a little' during transfer; no other complaints voiced.
Needing more prompting at meals than last week. Sacral redness is new this shift.
Redness improved after repositioning. Resident settled and comfortable at end of shift; handoff given to evening aide.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Bathing, dressing, feeding, toileting, repositioning — documented for every resident, every shift. The care takes minutes; the paperwork trail never stops.
A new red patch of skin, a half-eaten lunch, unusual confusion — aides spot changes first, but the observation only counts once it's written down and reaches the nurse.
With a full resident assignment, every minute spent writing at the station is a minute a call light waits — so notes get shortened, or skipped.
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.
Aides don’t get protected charting time — the work is bathing, feeding, transferring, and answering lights. Medical Scribe lets you speak a short summary as you finish with each resident, from your phone or Apple Watch, and drafts the care note for you. In-person is the whole job here, and that’s exactly what it’s built to capture.
The generated note follows the built-in Nursing Aid’s note template: Patient Information, Subjective, Objective, Assessment, Plan, Interventions, Evaluation, and Plan for Continuing Care. Meal percentages, transfer assistance, skin checks, and what you reported to the charge nurse all land in the right section — in complete sentences, ready to review and sign.
In long-term care, an aide’s note is often the first written signal of a pressure injury, dehydration, or decline — and it gets read in surveys and incident reviews. Because Medical Scribe documents only what you actually said and observed, your record shows the change you caught and the escalation you made, in your own words.
Yes. The built-in Nursing Aid's note template structures exactly what aides record: ADL assistance, intake, transfers, skin observations, and what was reported to the nurse — from Subjective and Objective through Interventions, Evaluation, and Plan for Continuing Care.
That's the point. The note captures what you actually said and saw — including when and to whom you escalated — and nothing you didn't. You read and approve the note before it's filed.
No. Medical Scribe works on iOS, Android, Web, Apple Watch, and Mac — dictate a quick care summary from your phone or watch between rooms instead of queueing for the station computer.
Yes. Medical Scribe is HIPAA compliant, with encryption in transit and at rest, and it works in 57 languages — helpful for teams and residents who don't all share one.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.