Trusted from independent practice to national hospital groups
The Montgomery consent, the tourniquet time and every structure repaired, Note Dr writes the hand surgery record, ready for hand therapy and approval.
Get Note Dr free→Trusted from independent practice to national hospital groups
Note Dr listens to the appointment as it happens. While you examine the hand and talk through the operation and its risks, it writes the record in the background, so a patient weighing up surgery gets you, not the top of your head over a keyboard.
Tourniquet and the structures repaired
Tourniquet time, the structures explored, every tendon and nerve repaired, the suture and technique used, captured as you operate, not reconstructed at the end of the list.
Consent to the Montgomery standard
The material risks you set out, rupture, stiffness, adhesions, nerve injury, and the reasonable alternative discussed, recorded in the patient's own context as the conversation happens.
Complications and the therapy protocol
Any complication or extra procedure and why, with the post-operative instructions and the rehabilitation protocol handed to hand therapy, the elements audits show drop out most.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny in surgery, the operation-note detail, consent to the Montgomery standard and the continuity through to therapy, where published standards and audits show conventional records routinely fall short.
Standards and audits referenced: RCS England Good Surgical Practice (2025), Montgomery v Lanarkshire Health Board (2015), GMC Good Medical Practice (2024), with operation-note and consent audits (Singh et al, 2012; Tonge et al, 2021).
Ask what was found at the laceration, exactly what you repaired, or what the patient consented to, answered in seconds from their own record.
Walk into theatre, or the review, already knowing the story, without trawling the notes.
When a case calls for it, Note Dr surfaces the published guidance behind your decisions, the RCS Good Surgical Practice operation-note standard, GMC Good Medical Practice, Montgomery and the GMC consent guidance, the WHO Surgical Safety Checklist and BSSH flexor tendon and hand-trauma guidance, with the source cited. It never tells you how to treat your patient; that judgement stays with you.
Want me to surface any guidance for this? You could ask:
Why hand surgeons trust Note Dr with a record that stands up to scrutiny.
★★★★★
The operation note, complete every time
Tourniquet time, the structures I repaired, the closure, the prophylaxis, all the fields an audit pulls you up on are there. The operation note is finished before I leave theatre, and it reads to the Good Surgical Practice standard without me chasing it.
★★★★★
Montgomery consent, in their own words
It captures the material risks and the alternative I discuss in the patient's own context, as the conversation happens. When consent is questioned, the discussion is in black and white, not reconstructed from a tickbox at the end of a clinic.
★★★★★
Patients facing surgery get my attention
Someone weighing up an operation on their dominant hand does not want me typing. Now I can examine, explain and reassure, and the clinic note is still written. It has genuinely changed how my consultations feel.
★★★★★
The therapy handover writes itself
The protocol, the precautions and the structures repaired go straight to the hand therapists in a clear note. The shared care just works, and the discharge summary is drafted before the patient has left recovery.
★★★★★
Complications documented as they happen
If there is an extra procedure or a complication, it goes in the note with the reason, at the time. That contemporaneous record, and the candour it supports, is exactly what you want behind you when a case is reviewed.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
My records have never been this thorough: the clinic assessment, the Montgomery consent, the operation note down to the tourniquet time and every structure repaired, and the protocol I hand to therapy. For the first time I'd give a court the full file on any case I have done and trust it to speak for itself.
Miss Anwen TConsultant hand surgeon
Yes. It drafts the full operation note as you work: the findings, the structures repaired with the suture and technique, tourniquet time, closure, estimated blood loss, any complication and the post-operative plan. The note is structured to the RCS Good Surgical Practice elements, and you review and approve it before it is saved.
Note Dr is built for clinical vocabulary, so hand surgery terms are transcribed as you say them: FDP and FDS, flexor zones, Dupuytren's fasciectomy, carpal tunnel decompression, K-wires and WALANT. Transcription happens on your device, the draft keeps your terminology, and you review and approve every record before it goes anywhere, so an unusual eponym never slips through unchecked.
Yes. As you call out the tourniquet pressure and time, the tendons and nerves explored and repaired, the pulleys managed and the closure, Note Dr records each in the operation note. Run a list of similar finger cases and, writing up afterwards, which pulley you vented and which side's nerve you repaired blur between fingers; recorded live, each stays pinned to its case.
As you discuss the material risks and the reasonable alternatives, Note Dr captures the key points of the conversation in the patient's own context: the risks of rupture, stiffness, adhesions, infection and nerve injury, and the option of non-operative management. It records the discussion, not a tickbox, for you to review.
Yes. A wide-awake list suits ambient capture well: with the patient awake under local anaesthetic you are already talking through what you find and repair, and Note Dr captures that to draft the operation note, including the structures repaired and the aftercare you explain. You review and approve the note before it is saved, exactly as in clinic.
Yes. Any intra-operative complication, extra procedure or unexpected finding is logged with the reason, at the time it happens. A complete, contemporaneous note supports an open conversation with the patient and a clear record of it, though the clinical judgement and the candour discussion remain entirely yours.
Yes. Note Dr drafts a clear handover for the hand therapists: the structures repaired, the splint applied, the early active motion protocol and the precautions, ready to copy into a liaison note or discharge summary. The detail the therapy team relies on is documented every time, with you approving it before it is sent.