How to review and edit an AI-drafted wound note before you sign it

An AI scribe gives you a draft. You are still the author of record. A short, repeatable review routine keeps that draft accurate and keeps your signature meaningful.

This guide walks through a review you can finish in a couple of minutes per visit. It works with any AI scribe for wound care, including ours.

Before you start

• Have the visit details fresh: what you saw, measured, and said.
• Open the draft in edit mode, not read-only.
• Keep the patient's prior note nearby for comparison.

Step 1: Check the patient and wound identity

Confirm the patient, date of service, and wound location. Wrong-site or wrong-wound errors are the easiest to miss and the most important to fix.

Step 2: Verify measurements

Compare length, width, and depth against what you recorded at the bedside. Check that units are correct and that the numbers make sense against the last visit.

Step 3: Read the wound description

Look at tissue type, exudate, odor, periwound skin, and signs of infection. Remove anything you did not observe. Add anything the draft left out.

Step 4: Confirm the plan and orders

Check dressings, offloading, debridement details, and follow-up timing. The plan should match what you actually decided.

Step 5: Edit, then sign

Change anything that is off. Once the note reflects your clinical judgment, sign it. AI drafts. You decide.

Make the routine stick

If review feels slow, see how to cut wound care charting time per visit. To understand the safety questions behind this routine, read Is AI safe in my notes?