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DocuCare Workflow Guide
DocuCare Workflow Guide

This guide provides a structured approach to using the AI Scribe app effectively in various clinical workflows.

Joseph Tutera avatar
Written by Joseph Tutera
Updated over a week ago

Table of Contents

  • 1. The One-Stop Shop Workflow

  • 2. Paused Recording and Resumption Workflow

  • 3. Mobile Recording with Desktop Editing Workflow

  • 4. Collaboration with Medical Assistant or Nurse (Option 1)

  • 5. Collaboration with Medical Assistant or Nurse (Option 2)

  • 6. The Monologue Method

1. The One-Stop Shop Workflow

A streamlined approach for handling patient encounters efficiently.

Steps:

  1. Select Patient: Begin by selecting the patient in the app or desktop.

  2. Record Entire Encounter: Record the whole patient encounter.

  3. Generate Note in Exam Room: Initiate the note generation process immediately after the encounter.

  4. Utilize Generation Time: Use the brief note generation period to complete other related tasks.

  5. Final Edits: Make the final edits using voice or keyboard functions.

  6. Push to EHR: Conclude by pushing the completed note to the EHR (If supported) or Copy/Pasting Fields into appropriate EHR fields

2. Paused Recording and Resumption Workflow

Ideal for healthcare professionals who need to start a recording, pause, and resume later while preserving the context.

Steps:

  1. Start Recording: Begin by recording the patient encounter using the app.

  2. Pause as Needed: If an interruption occurs or a pause is needed, press the "pause" button to save the current state of the recording.

  3. Resume Recording: When ready to continue, simply resume the recording by pressing the "unpause" button.

  4. Complete Session: After the encounter, press the stop checkmark to end the recording session and generate the note.

    <aside> πŸ’‘ NOTE: You can leave the app while it is generating the note.

    </aside>

  5. Final Edits: Make the final edits using voice or keyboard functions.

  6. Push to EHR: Conclude by pushing the completed note to the EHR.

3. Mobile Recording with Desktop Editing Workflow

For professionals who prefer to record on mobile but do detailed editing on a larger desktop screen.

Steps:

  1. Record on Mobile: Start by recording the patient encounter on the mobile app.

  2. Initiate Note Generation: Press the stop checkmark after the encounter to start the note generation process.

  3. Access Dashboard: Log in to your dashboard on DocuCare Admin from a desktop computer.

  4. Select Encounter: Choose the specific encounter you recorded on the mobile app.

  5. Desktop Editing: Use the larger screen and advanced editing tools on the desktop to make final edits to the note.

  6. Sync and Save: The changes made on the desktop will sync with the mobile app, ensuring consistency across devices.

  7. Finalize and Push: Once editing is complete, push the finalized note to the Electronic Health Record (EHR) system.

4. Collaboration with Medical Assistant or Nurse (Option 1)

For scenarios involving a Medical Assistant or Nurse collecting initial patient information.

Steps:

  1. Assistant/Nurse Preparation: The Nurse or Assistant uses the app on their phone to record the conversation with the patient, asking necessary questions.

  2. Pause Recording: After their conversation, they pause the recording to save the current state.

  3. Doctor Joins: The Doctor enters, opens the app to the ongoing encounter, and unpauses the recording to continue.

  4. Complete Recording: Press the stop checkmark to start the note generation process.

  5. AI Integration: The AI will consider both the Nurse/Assistant and Doctor's conversations in the note creation.

5. Collaboration with Medical Assistant or Nurse (Option 2)

For doctors preferring to gather information from the Nurse or Assistant directly.

Steps:

  1. Initial Patient Interaction: The Nurse or Assistant converses with the patient without recording.

  2. Briefing the Doctor: The Nurse or Assistant then briefs the doctor about their findings.

  3. Record Briefing: The Doctor records this briefing.

  4. Doctor-Patient Encounter: The Doctor proceeds to record the conversation with the patient.

  5. Comprehensive AI Analysis: The AI will analyze both the Doctor-Nurse/Assistant and Doctor-Patient conversations.

6. The Monologue Method

Ideal for non-verbal patients or doctors preferring a monologue approach.

Steps:

  1. Start Recording: Enter the exam room and begin recording your observations aloud.

  2. Acknowledge Non-Verbal Cues: Verbally acknowledge any non-verbal communications from the patient.

  3. Alternative Approach: Alternatively, step into the hallway to speak your findings aloud.

  4. Flexible Dictation: The app does not require verbatim dictation; speak as if conversing with a person.

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