How to Write Progress Notes EFFICIENTLY
ฝัง
- เผยแพร่เมื่อ 3 มิ.ย. 2024
- How I was able to finish progress notes on 10 patients before 9am!
Granted, the above day was a lucky day in which I had all relatively stable patients but I do think there are some key concepts that can help you finish your notes earlier. Please let me know about ideas you've been using in order to write your notes more quickly and efficiently! I feel like we should all work together in order to help build more effective workflows in the hospital. These are just some of the few concepts I have been utilizing over my past 8 months of being an intern and that I hope might be helpful to you as well!
Note - I ended up switching from printing out the notes to just presenting off of my phone, which was a nice change and also environmentally friendly! Less paper waste is always good in the hospital :)
0:00 Introduction
1:45 Stop handwriting to preround
3:48 Design your notes to preround for you
8:10 Start your notes first thing in the morning, finish by noon
11:38 Stop aiming for perfection
13:02 Conclusion
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Guides for medical students: • Medical School Guides
Guides for residents/interns: • Residency Guides
Guides for using Epic: • Epic EMR Guides
All my other videos: • Conan's Residency Play...
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Outro track -
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Bro we need a video on how to make that preround note, thats game-changing
Share your smart phrases doc!
can you share those .phrase for the preround note?
MS3 here, still learning how to be efficient with Epic, echoing a prior comment, would you be willing to share your progress note .phrase template?
This is awesome man, keep doing these vids!
Awesome, thank you!
Outstanding
I am so glad I found your channel! I am begining IM resiency this summer and these videos are super helpful! Please make more!
Damn, I wish I would have seen this at beginning of third year. So glad I’ve found your channel now! Thank you for this!
i like how these are all tips you can apply to fields outside of medicine as well
Really liked the note-writing tips & tricks you gave! Also cool that you can work so closely with your institution's EPIC team to help make changes like the refreshable i/o to improve clinician workflow !! hope ur doing well :)
Dude this is a game changer thanks
Very very helpful
Awesome. As an attending, thanks for the review
Appreciate if you explain how to create smart phrases?
These are great but I would love to see some videos on using Epic for surgical attendings. We use Epic in a very different way. I don't look at labs or write these types of progress notes. However, I do need to write op reports and revise clinic notes written by scribes. I also need a way to send thank you notes or operative reports back to referring physicians. I also want to run analytics on who's referring patients to me.
Thanks!
Thank you!!! 😊
Thank you for your videos. They are great. Is it possible that you can make videos that apply to nurses too? Thanks in advance.
@Conan Liu, M.D. How did you import the last bowel movement into your progress note template? I use epic at my institution and am trying to create a dot phrase for it; currently, I always have to check the I&Os tab but it’s too time-consuming especially when I’m pre-rounding 10 patients every AM
Great video. How many hours do physicians spend with paper work per day? Do you do this notes in the end of your day or while talk to pacients? Is faster to dictate? Do you spend more time with pacients or doing paperwork? Thanks🙏
Please tell me what your dot phrase in epic is for the scheduled medication and prn medication. I realize that it might be different at my institution but i have been looking for that simple format for so long!!
It varies from institution to institution. Try typing .? into your EMR and it should pull up a list of all the available smartphrases! I think ours is .RRPRNMED and .RRSCHEDMED and .RRIVMED or something like that, there's actually quite a few duplicates as well that all pull up the same info
how do you make the tables with the invisible/dotted lines, for example the box around your scheduled and PRN meds in this template?
There should be a "create table" function in your notewriter if you look for it! Sometimes you have to click on a drop down list that will show all of the features, and then you can set some as frequently used so that it shows up by default
The EMR my facility uses does not have the dot phrase option. what is a workaround?
Thank god someone believes in the same philosophy. So many attendings and uppers keep giving useless advice of hand writing shit when theyre all just repeated in your electronic notes any way lmao. I just present off my note too and change/refine shit as we round so i dont need to re write.
I work in a rural hospital in Australia, hospital utilises paper handwriting for progress notes, how would you approach that more efficiently ?
Amazing. Intern here that’s overwhelmed hahaha
Thank you but I just became confused
Outstanding