The reason she is up so late doing the notes is that it takes longer to do a note that you are struggling to remember a visit hours after an appt as well as while sleep-deprived. Type the pt's info while they are speaking to you. Practice your typing skills until you are up to speed. Then do the exam, hit the templates while the pt is throwing those last questions out. I usually get slowed down by searching for dx codes and coding the visit so I may leave that part until later. This will go much faster than typing nothing at the time of the visit. I tried using the nurses as scribes but I could not perfect that skill and it sometimes inhibited the patient's ability to disclose sensitive information.
