2steps removed
per note
per note
Typical5 steps
SecureScribe3 steps
Interactive workflow demo
Step into a behavioral-health nurse’s shift.
Drop in messy nurse shorthand. SecureScribe reasons across the note, identifies the event, places it in the right workflow, and prepares the documentation for review.
1Free-text observation
0Event forms to select
1Review before approval
0Cloud AI calls
Try the documentation workflow
Write it once. SecureScribe places it.
Type an observation the way a nurse actually would, or load one of the examples. No event type, template, or destination needs to be selected first.
Step 1 of 4
What happened on the unit?
Shorthand, fragments, abbreviations, and out-of-order details are fine. SecureScribe determines where the information belongs.
Load an example
Step 2 of 4
SecureScribe understood and placed the event.
The note was classified from meaning, routed into the appropriate documentation workflow, and structured without the nurse choosing a form.
Detected documentationBehavioral event
Placed in shift recordBehavior / milieu timeline
Semantic confidenceHigh
!One detail still needs the nurseDocument the patient’s response after the intervention.
SecureScribe prompts for the missing observation. It does not generate a fact that was never documented.
✓No re-entry requiredSecureScribe populated the matching fields and preserved anything unstated as a visible review flag.
Step 3 of 4
Review the EHR-ready draft.
The nurse remains the final clinical decision-maker. Nothing posts until this draft is approved.
Nursing progress note · draftReview required
Source observation retained
✓
End-of-shift output
One reviewed draft from the entire shift.
SecureScribe assembles the documented events into a chronological, source-grounded shift note instead of handing the nurse another set of fragments.
Nursing shift noteUnit 3B · 19:00–07:00Reviewed
19:42 PRN intervention21:10 Medication refusal23:35 Behavioral event
Generated end-of-shift narrative
During the shift, the patient received a PRN intervention for reported anxiety with improvement documented on reassessment. The patient later declined scheduled evening medication; the stated reason, education provided, and required notification were retained in the refusal workflow. Following a family phone call, the patient demonstrated increased pacing and volume in the dayroom, accepted staff redirection to a quiet area, and returned to baseline without physical intervention. Safety observations and unresolved review flags remain attached to their source events.
✓Ready for the existing EHR workflowNo narrative retyping required. Integration method is configured with the facility.
What a clinical director controlsRequired fields, review policy, integration method, audit trail, and pilot success criteria are configured with the facility.
Why the workflow is different
Less charting between the event and the record.
~3minutes saved
per note
per note
Jot once
Auto-chart
Review once
Illustrative workflow estimate. Actual time savings will be measured against each facility’s baseline during a pilot.
RxStep 01 · PRN
A nurse documents naturally
“Gave PO for agitation, patient reports relief within 20 minutes.”
Structured by SecureScribe
ReasonAgitation✓
EffectivenessRelief reported✓
Time19:42 · 20 min follow-up✓
Medication / doseNot documented!
Patient educationNot documented!
SecureScribe flags the gaps instead of guessing the medication or dose.
✕Step 02 · Refusal
A patient refuses medication
“Pt declined evening dose, stated he didn’t want to feel groggy for group tomorrow.”
Structured by SecureScribe
Medication refusedScheduled evening dose✓
Patient-stated reasonSedation concern✓
Education providedAwaiting entry!
Prescriber notifiedAwaiting entry!
Required elements are defined by your facility’s workflow, not by the model.
◆Step 03 · Behavioral
An escalation near shift change
“Pt escalated in dayroom after phone call, redirected verbally, no restraint, calm within 10 min.”
Structured by SecureScribe
AntecedentPhone call✓
BehaviorVerbal escalation, dayroom✓
InterventionVerbal redirection✓
Restraint / seclusionNone used✓
OutcomeCalm within 10 minutes✓
The nurse’s original wording stays attached to the structured record.
✓Step 04 · End of shift
The timeline becomes a draft
“Four documented events, one open gap, note drafted before handoff.”
Structured by SecureScribe
Events included4 documented✓
Required fields complete11 of 13!
Narrative draftReady for review✓
Posted to EHRBlocked until reviewed!
Nurse review required before posting. Nothing reaches the EHR unapproved.
Four stages, every shift
SecureScribe sits around the existing record. It does not replace your EHR.
STAGE 01
Document
Nurses capture events during the shift in their own clinical language.
STAGE 02
Validate
Required elements are checked and anything missing is flagged.
STAGE 03
Generate
A structured draft is assembled from the shift timeline, on-device.
STAGE 04
Review
The nurse verifies and approves before anything reaches the EHR.