Since I do not know how your office operates, I can only speak to mine. I have two nurses and a secretary. All of them are constantly sending messages, forwarding charts, importing items from UPDOX, etc. I will leave my AC open at times in my office and then go to the exam room. If I do not complete the note in the exam room, as is often the case with my comnplex elderly patients, I will forward the chart to myself. If I go back to my office and do not refresh the inbox or sign out and log back in, I will accidentally click on the chart initially forwarded to me by the nurse checking in the patient after she completes the vital signs,etc. That really screws things up if I do not catch it and start dictating into that chart instead of the one I forwarded. Believe me, it is easy to do when you are in a hurry and did not refresh the inbox. All I can do is encourage whoever reads this post to refresh, refresh, refresh (now it sounds like a soda pop commercial). There are new users all the time who can use pointers from those of us who have had to learn things the hard way. I appreciate all the stuff I have learned from you over the past year, as well as from the other members who post.
