Trusted from independent practitioners to community services
The splint you fabricated, the protocol you follow and the COPM goals, Note Dr writes the full, watertight hand record, ready to approve.
Get Note Dr free→Trusted from independent practitioners to community services
Note Dr listens to the session as it happens. While you take the occupational history, fabricate the splint and talk through the protocol, it writes the record in the background, so your hands stay on the patient and your eyes stay off the keyboard.
Reasoning and protocol on record
The surgeon's protocol you are following, the precautions you set and your occupational reasoning, captured as you talk them through, not reconstructed later.
Consent for splinting and loading
What you explained about the orthosis, the exercises and the restrictions, and what the client agreed to, recorded the moment you gain consent.
Client-centred goals and outcomes captured
The COPM goals you scored and the validated measure you took, such as the DASH, the very elements audits show go missing most.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the occupational profile, assessment, intervention rationale, consent and outcomes, where published standards and audits show conventional occupational therapy records routinely fall short.
Standards and audits referenced: the HCPC standards of proficiency and the RCOT professional standards and Keeping records guidance, with a documentation audit of 320 records (Gibson et al, British Journal of Occupational Therapy, 2004).
Ask what protocol stage they reached, the splint you fabricated, or what the client consented to, answered in seconds from their own record.
Walk into the review already knowing the story, without trawling the notes.
When a presentation calls for it, Note Dr surfaces the published guidance hand therapy OTs work to, from the RCOT professional standards and Keeping records guidance to flexor tendon rehabilitation protocols and outcome-measure guidance, with the source shown. It never tells you how to treat your client; that judgement stays with you.
Want me to surface any guidance for this? You could ask:
Why hand therapy OTs trust Note Dr with a record that stands up to scrutiny.
★★★★★
The occupational goals are finally on record
I always tied the splint back to what the patient actually needed to do, but the COPM scores and the why behind them rarely made the note. Now the occupational goals and my reasoning are right there. I edit and approve in under a minute.
★★★★★
Splint specs, captured every time
The exact orthosis, the angles, the wearing schedule, all the things you swear you'll write up and never quite do. Note Dr records the splint as I fabricate it, so the detail is in the note, not just on the patient.
★★★★★
Hands stay on the patient
I'm not breaking off mid-assessment to type any more. I measure, I fabricate the splint, and the record writes itself in the background. The patient gets a clinician, not someone half-watching a screen.
★★★★★
Outcomes tied to daily life
DASH and COPM were the first things to slip when clinic ran late. Note Dr captures the measures and the ROM every review, so my notes show progress against what the patient came in to get back to, not just my impression of it.
★★★★★
Liaison the surgeon trusts
Our consultants want a clear record of where each patient is in their protocol. Contemporaneous notes with the splint, the precautions and the outcome measures mean the discharge letters write themselves and the shared care just works.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
Across a hand caseload, post-op reviews, splint fittings and discharges, every record now reads to the same standard, with the occupational goals, the splint detail and the outcome measures that used to vanish when I was busy. My notes finally match the work I actually do.
Llinos HHand therapy occupational therapist
Yes — Note Dr captures the session ambiently, so you can document while fabricating an orthosis. As you mould the thermoplastic and talk through joint positions, the wearing regime and the precautions, it drafts the splint record in the background. Your hands stay on the splint pan and the patient, not the keyboard, and you review and approve the note once the fitting is done.
Yes — Note Dr is built for clinical language, including the vocabulary of hand therapy. Say zone two FPL repair, palmar abduction, extension lag, thumb spica or two-point discrimination and it uses your words, not a paraphrase. The DASH, QuickDASH, PRWE and COPM are recognised too, and you review every note before approving, so anything mis-heard is corrected first.
HCPC and RCOT standards require full, clear, accurate and contemporaneous records, and you remain responsible for every entry — an AI scribe does not change that. Note Dr drafts the note during the session and nothing enters the record until you have reviewed, amended and approved it, so authorship stays with you. Transcription happens on your device, supporting your confidentiality obligations.
You should explain that an AI scribe is drafting the note and gain the patient's consent, just as you would for any part of treatment. Note Dr transcribes on your device, not streaming audio elsewhere, making that conversation easier. Because consent is captured contemporaneously, the record shows what was explained and agreed — including splinting, exercises and the scribe itself.
Yes. As you score a validated measure such as the DASH, QuickDASH or PRWE and a client-centred tool like the COPM, Note Dr records them in your structured note, ready to repeat through the episode. Grip, pinch and ROM baselines are captured too, so progress against the goals is documented.
Yes. As you talk through the surgeon's protocol, Note Dr records the protocol stage, the loading allowed and the restrictions in place, such as no resisted pinch on an early active motion regime. The protocol and the precautions are documented every session, so your record shows what you are working to.
Yes. Note Dr drafts a clear record of the protocol stage, the splint, the outcome measures and your progress, ready to copy into a liaison note or discharge summary for the operating surgeon. The shared-care detail the consultant relies on is documented every session, with you reviewing before it is sent.