Step 1: Download the App and Sign Up
Download ScribeMD.ai: Start by downloading the ScribeMD.ai application from your smartphone’s app store.
Create an Account: Open the app, enter your email and password to sign up. Once registered, you’ll be able to access the main features.
Step 2: Start a New Visit
Initiate a Visit: When you’re ready to start a patient visit, tap on the 'New AI Private Visit' button.
Configure Settings: Select the appropriate settings for your visit. You have the option to show patient consent forms directly on your device.
Step 3: Obtain Consent
Display Consent Form: You can choose to show the consent form prior to the visit or during the visit on your device.
Patient Signature: Allow the patient to sign the consent form directly on your smartphone or tablet.
Step 4: Record the Visit
Begin Recording: Enter the patient’s room and press the 'Start Recording' button. The app will begin transcribing everything spoken.
Continue Interaction: You can safely put your phone into sleep mode while recording. Engage with the patient and conduct your visit up to two hours.
Step 5: Transcribe and Summarize
Automatic Transcription: The app will transcribe the conversation in real-time.
Summarize Notes: After the visit, press the 'Summarize' button to generate concise medical notes automatically.
Step 6: Review and Save Notes
Review Notes: Check the automatically generated notes for accuracy. These will include chief complaints, patient reports, and the planned course of action.
Edit if Necessary: You can edit the notes directly within the app to add more details or correct any inaccuracies.
Step 7: Integrate with EHR
Copy to EHR: Once you’re satisfied with the notes, you can copy and paste them into your Electronic Health Record (EHR) system.
Step 8: Follow-Up
Set Follow-Up Appointments: Schedule follow-up appointments as needed and advise any additional precautions like quarantine measures if required.
Conclusion
This quick and efficient method ensures that your patient interactions are well-documented and easily integrated into your medical records system. With ScribeMD.ai, managing medical documentation on the go has never been simpler.
Additional Tips
Battery Management: Ensure your device is fully charged or has sufficient battery life to last through long recording sessions.
Privacy Settings: Always ensure that your privacy settings comply with healthcare regulations to protect patient information.
By following these steps, you can effectively use ScribeMD.ai to enhance your clinical practice, ensuring thorough and secure patient documentation.