how do you best use your EMR in outpatient clinic?

[cyberknife]

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my residency got a new EMR and it's a total mess switching over from paper charts. for those of you who are are in ambulatory residencies (or have some form of clinic time in your residencies) and are completely using electronic health record system (no paper chart or dictation setup):

When do you do your clinic notes / documentation?

a. In the patient room with the patient present

b. After the patient leaves but before the next patient

c. You do a few notes at a time when you can find time between patients

d. End of the day using memory or written scribble

e. Next day

f. from home/weekend

Any best practice / strategies would be appreciated! 🙂

 

[ioh]

Great topic, cyberknife! My method:

1) Populate as much of the chart as possible before walking in the room (PMH, PSH, Social Hx, Family Hx, any HPI and ROS that can be used from the triage note).

2) Complete the HPI & ROS while talking to the patient and then finishing the Physical Exam and A&P immediately after the patient leaves.

3) Leave the charts open to review them when I have a few minutes or at the end of the day before signing off.

Life is just better when charts don't stack up 🙂