What if nobody says the child's weight?

Doses are marked "weight needed" and the note asks you for it. The scribe never guesses a weight from age.

Will it write that vaccinations are up to date?

Only if the parent or clinician said so.

Can I use the Paediatrics template for ward notes?

Yes. Specialty templates work for outpatient clinic notes and inpatient ward notes.

What if I also have my own template?

Both are used together: your own sections first, then the specialty sections.

Paediatrics template

Paediatrics notes, written while you talk

A children's consultation is often a three-way conversation between doctor, parent and child. The Paediatrics template records who gave the history, birth history, immunisations, growth, development and feeding.

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Built for a Paediatrics clinic

The consultations this template is laid out for, among others:

Fever
Ear infections
Diarrhoea and dehydration
Asthma and wheeze
Growth and feeding concerns
Vaccination visits

See a Paediatrics note

A short consultation in Urdu, and the note Hikayat Scribe writes from it.

The consultation (Urdu)

Mother: Bachay ko do din se bukhar hai aur kaan mein dard.

Doctor: Umar aur wazan?

Mother: Teen saal, chaudah kilo.

Doctor: Right ear drum laal aur bulging hai. Antibiotic aur paracetamol de rahe hain. Teen din mein behtar na ho to wapas aayein.

The note

History given by: Mother.
Presenting complaint: Fever and right ear pain x2/7. Age 3 years.
Growth: Weight 14 kg.
Examination: Right tympanic membrane red and bulging.
Medicines: Paracetamol 15 mg/kg = 210 mg, based on 14 kg, up to four times a day. Antibiotic dose calculated from 14 kg for the prescriber to confirm.
Safety-netting: Return if not improving within 3 days.

Fictional patient. Sections that were not discussed are left off.

What the Paediatrics template records

Alongside the usual history and examination, every Paediatrics note has these sections:

History given byBirth historyImmunisationsGrowthDevelopmentFeedingSafeguardingPain assessmentPatient education

Only what was discussed

Doses are weight-based and show the weight used. If no weight was given, the note asks for one instead of guessing, and immunisations are never assumed to be up to date. Any section that was not covered is simply left off the note, so it never fills up with "not discussed".

Set it once

Choose Paediatrics when you start a clinic or ward note, or tick "Always start my notes with this specialty" and it stays selected until you change it. Specialty templates are part of Pro and Enterprise, and included in the 7-day free trial.

The rest of the note

Ranked differentials with the reasoning shown, for you to choose from
Investigations and medicines you tick yourself; nothing is prescribed until you do
ICD-10 and SNOMED codes for your review
Your name, qualifications, registration number and the date and time on the printed note

How it works

Record. Press the button and talk with your patient in any of nine languages, or dictate on your own.
Review. The note is ready in seconds. Tick the diagnosis, investigations and medicines you are keeping, and edit anything.
Use it. Copy, print or email the note, with your name, qualifications and registration number on it.

Common questions

What if nobody says the child's weight?: Doses are marked "weight needed" and the note asks you for it. The scribe never guesses a weight from age.
Will it write that vaccinations are up to date?: Only if the parent or clinician said so.
Can I use the Paediatrics template for ward notes?: Yes. Specialty templates work for outpatient clinic notes and inpatient ward notes.
What if I also have my own template?: Both are used together: your own sections first, then the specialty sections.

Better notes start today.

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