AI scribe for nurses in Australia — Nursing notes and assessments, drafted for you.
Clinical documentation made simple for nurses
Audio deleted once processed · AI runs in Australia · you finalise every note
Sound familiar?
What gets in the way for nurses.
Double Documentation
Writing notes at the bedside and then again in the system takes twice as long.
Handover Stress
Preparing detailed handovers at the end of a long shift is exhausting.
Compliance Risks
Ensuring every clinical interaction is documented to legal standards.
Complex Regimens
Documenting complex medication administration and wound care protocols accurately.
How it works
From the session to a finished note, in four steps.
Rather see it first? Try the two-minute demo.
- 01 Choose how you’re working
In the room with your patient, by telehealth, dictating afterwards, or uploading a recording.
- 02 Record
No transcript scrolls on screen, so your attention stays where it should. The audio is deleted once it is processed. If it can’t upload, it stays on your device to retry.
- 03 Pick your note
Choose one of the templates for nurses below, or your own. One recording can make several notes.
- 04 Check and finalise
Edit anything, then finalise it. If you use Halaxy, Cliniko or Nookal, push it to the file in a tap.
Templates
The template library, filtered for nurses.
Pick one to see its sections, or browse every template. You can also build your own, with your headings and detail level.
Showing 12 of 62 templates for nurses
- Clinical NotesSOAP NoteThe most widely used clinical note format across medicine and allied health. Captures the client's self-report (S), your observations and findings (O), your…
- Clinical NotesDAP NoteStreamlined three-part format favoured in mental health, counselling, and psychotherapy. The Data section combines what the client reported with what you…
- Clinical NotesStructured Session Note (BIRP/GIRP/PIRP)Unified structured session note covering BIRP (Behaviour), GIRP (Goals), and PIRP (Problem) formats. The AI selects the appropriate framing based on your…
- Clinical NotesSession NoteGeneral-purpose session documentation suitable for a wide range of clinical and allied health encounters, including therapy sessions and treatment sessions.
- Clinical NotesInitial AssessmentComprehensive intake assessment covering presenting concerns, history, risk, and treatment goals.
- Clinical NotesCase NoteBrief, narrative-style note for routine case management, contact records, and inter-agency coordination. Lighter than a full session note — captures who you…
- Clinical NotesConsultation NoteDocumentation for specialist consultations, second opinions, and inter-professional referrals.
- Clinical NotesPsychiatric Admission NoteComprehensive admission note for inpatient psychiatry, mental health units, and acute crisis services. Covers presenting illness, psychiatric and medical…
- Clinical NotesTelehealth ConsultationDocumentation format adapted for telehealth and phone consultations. Captures the technology used, identity verification, environment safety, consent for…
- Clinical NotesPsychosocial AssessmentComprehensive assessment of psychosocial factors including living situation, supports, and barriers.
- Clinical NotesGroup Session NoteDocumentation for group therapy and group program sessions with participant-level observations.
- Clinical NotesCrisis Intervention RecordDetailed record of an acute crisis contact — what triggered the presentation, the de-escalation approach used, risk assessed at the time, and the safety plan…
Show all 62 templates
- Clinical NotesComp. Suicide Risk AssessmentDetailed suicide risk formulation covering ideation, intent, plan, and protective factors.
- Clinical NotesPalliative Care ConsultationHolistic care note for palliative patients addressing physical, emotional, and spiritual needs.
- Clinical NotesAOD Comprehensive AssessmentAlcohol and Other Drugs assessment covering substance use history, dependence, and impacts.
- Clinical NotesPain Management AssessmentBiopsychosocial pain assessment covering pain history, character and intensity, functional interference, mood and sleep impact, treatment history, and coping…
- Clinical NotesPsychiatric Medication ReviewStructured note for psychiatric medication reviews covering current medications, side effects, efficacy, and changes.
- Clinical NotesMental Status Examination (MSE)Standalone Mental Status Examination covering appearance, behaviour, speech, mood and affect, thought form and content, perception, cognition, and…
- Clinical NotesPROC NoteFive-part psychotherapy progress note format that is structured around an explicit, stated session objective and goal-attainment review. Captures the client's…
- MBS MedicareNDPSC — Non-directive Pregnancy Support Counselling (81010 / 93026 / 93029)Non-directive Pregnancy Support Counselling — the only MBS pathway available to credentialled mental health nurses (item 81010 in person; 93026 video; 93029…
- NDISSIL Shift NoteShift documentation for Supported Independent Living covering daily routines, health monitoring, behavioural observations, and handover.
- NDISNDIS Incident ReportNDIS Commission-compliant incident report with reportable incident classification, required timeframes, and follow-up actions.
- NDISNDIS Service AgreementService agreement template for NDIS participants outlining supports, costs, scheduling, and cancellation terms.
- NDISNDIS Incident Report (Quick)Reportable incident template for NDIS registered providers. Must be submitted within 24 hours for serious incidents.
- NDISNDIS Plan Review Summary (NDIA Submission)Comprehensive plan review summary for submission to NDIA, covering goal progress, outcomes, and recommendations for the next plan period.
- Therapy ModalitiesCBT Session NoteCognitive Behavioural Therapy session note with thought records, behavioural experiments, and homework.
- Therapy ModalitiesACT Session NoteSession note grounded in Acceptance and Commitment Therapy. Tracks work across the six hexaflex processes — defusion, acceptance, present-moment contact…
- Therapy ModalitiesCFT Session NoteSession note in the Compassion Focused Therapy framework. Documents work with the three affect-regulation systems (threat, drive, soothing), self-criticism and…
- Therapy ModalitiesDBT Session NoteDialectical Behaviour Therapy session note covering mindfulness, distress tolerance, emotion regulation, and interpersonal skills.
- Therapy ModalitiesEMDR Session NoteSession note for EMDR therapy structured around Shapiro's eight-phase protocol. Tracks target memory, negative and positive cognitions, SUDS and VOC ratings…
- Therapy ModalitiesCBT-I Session NoteCBT for Insomnia session note covering sleep hygiene, stimulus control, and sleep restriction.
- Therapy ModalitiesMotivational InterviewingMotivational Interviewing note tracking change talk, sustain talk, and readiness for change.
- Therapy ModalitiesInterpersonal Therapy (IPT)Interpersonal Psychotherapy note focusing on grief, role disputes, role transitions, or interpersonal deficits.
- Therapy ModalitiesEating Disorder Session NoteStructured session note for eating disorder treatment covering food behaviours, body image, medical monitoring, and therapeutic interventions.
- Therapy ModalitiesGrief and Loss Session NoteSession note for grief and bereavement counselling including loss details, grief responses, and therapeutic support.
- Therapy ModalitiesTrauma-Focused CBT (TF-CBT) Session NoteStructured session note for Trauma-Focused CBT with children and adolescents, covering PRACTICE components.
- Documents & LettersProfessional Letter / CorrespondenceUnified professional letter template for referrals, GP correspondence, school letters, employer letters, and provider emails. The AI adapts content and…
- Documents & LettersDischarge SummaryDischarge summary closing out an episode of care. Captures presenting concerns, treatment delivered, outcomes and current functioning, risk status…
- Documents & LettersTreatment Plan SummaryFormal treatment plan document covering diagnoses, biopsychosocial formulation, treatment goals (with measurable indicators), proposed interventions, expected…
- Documents & LettersMedical / WorkCover CertificateCertificate of capacity for fitness for work, study, or WorkCover purposes. Includes optional workers compensation fields for claim number, mechanism of…
- Documents & LettersClinical Supervision RecordRecord of clinical supervision session documenting case review, skill development, and self-care.
- Documents & LettersPeer Supervision RecordRecord of peer consultation or group supervision sessions — capturing the cases discussed (de-identified), reflections and feedback received, learning points…
- Documents & LettersCritical Incident ReportFormal reporting of a serious incident, responding actions, and organisational notification.
- Documents & LettersGP Letter (Brief / First Session)Brief letter to referring GP following initial consultation, confirming attendance, presenting concerns, and initial plan.
- Documents & LettersGP Letter (Progress / MHTP Review)Progress letter to GP for Mental Health Treatment Plan review, summarising treatment to date, outcomes, and recommendations for further sessions.
- Documents & LettersDisability Support Pension (DSP) Supporting LetterSupporting letter for Centrelink Disability Support Pension applications documenting diagnosis, functional impact, treatment history, and prognosis.
- MDT / HospitalMDT Meeting MinutesMulti-disciplinary team meeting minutes documenting case discussions, decisions, and action items.
- MDT / HospitalCase Conference NoteStructured case conference note for multi-provider meetings about an individual client. Captures attendees and roles, the case formulation discussed, agreed…
- MDT / HospitalWard Round NoteInpatient ward round entry capturing interval progress since the last review, current MSE/clinical status, observations and investigations, medication changes…
- MDT / HospitalConsultation-Liaison NoteConsultation-liaison note for psychiatry or psychology services in a general hospital. Documents the referring team's question, relevant medical context…
- MDT / HospitalDischarge Planning NoteMulti-disciplinary discharge planning documentation for inpatient-to-community transitions.
- MDT / HospitalCare Coordination NoteCare coordination contact log for activities outside direct client sessions — phone calls with other providers, advocacy, referrals, transitions, and…
- MDT / HospitalISBAR Clinical HandoverAustralian national standard clinical handover format (ACSQHC) for shift changes, unit transfers, and clinician escalation.
- MDT / HospitalFamily Meeting NoteDocumentation for family meetings involving consent for information sharing, shared decision-making, and family dynamics observations.
- MDT / HospitalCMHT Review NoteCommunity mental health team review using recovery-oriented framework, including legal status, structured risk assessment, and step-up/step-down decisions.
- MDT / HospitalRehabilitation Team Meeting NoteStructured rehabilitation MDT meeting documentation with functional outcome measures (FIM/Barthel), discipline-specific updates, and discharge planning.
- MDT / HospitalPerinatal MDT ReviewPerinatal mental health team review covering maternal mental health, mother-infant relationship, EPDS scores, and child safety considerations.
- MDT / HospitalPain Service MDT NotePersistent pain MDT documentation with biopsychosocial formulation, functional goals, and medication rationalisation.
- Assessment ReportsADHD Assessment SummaryStructured summary report for ADHD diagnostic assessments including rating scales and clinical interview.
- Assessment ReportsSafety PlanStanley-Brown style safety plan for clients at risk of suicide or acute crisis. Documents personal warning signs, internal coping strategies, social…
- Assessment ReportsCapacity AssessmentAssessment of decision-making capacity regarding finances, lifestyle, or medical treatment.
- Assessment ReportsAdult ADHD Clinical InterviewStructured clinical interview for adult ADHD assessment covering childhood onset, current symptom presentation, functional impact, and differential…
Also included
More for nurses.
Bedside Dictation
Dictate notes straight after patient care. Audio is deleted immediately once it's processed. If it can't upload, it stays on your own device so you can retry; if it uploads but can't be processed, it's held in Australia for up to 48 hours, then deleted.
Clinical Notes
AI structures your dictation into professional clinical notes (SOAP, ISBAR).
Wound Care
Specific templates for wound assessment and management plans.
Handover Sheets
Generate structured ISBAR handovers for the next shift.
Care Plans
Create and update nursing care plans efficiently.
Incident Reports
Document falls, errors, or incidents quickly and accurately.
Privacy
Built for patient records.
- Audio deletedonce processed; if it can’t upload, it stays on your device to retry
- AI runs in Australiaand your records are stored here
- You choosehow long transcripts are kept, from 1 day to 1 year
- You decideevery note is a draft until you finalise it
Questions
What nurses ask before they start.
Is my data secure?
Yes. We adhere to strict privacy standards including Australian Privacy Principles with all client health and personal information stored in Australia.
Can I use it for community nursing?
Yes. Record from your phone’s browser during home visits.
Does it work for mental health nursing?
Yes. We have specific templates for mental state exams and risk assessments.
Can I generate handovers?
Yes. Use the ISBAR template to create clear, structured handovers.
Try it on your next session.
Start free, or try Pro for 14 days. No card needed.
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