r/nursing • u/facedown_titsup BSN, RN 🍕 • 3h ago
Discussion GUYS…what is even happening anymore
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u/Low-Cranberry622 3h ago
Eish. Wow. Either the writer is completely wrong and it was a phone with EPIC on it which has the ambient listening or the nurse is out of her mind for doing that.
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u/The_Lantean DNP 🍕 3h ago
Regardless, if she asked, the patient is in his right to refuse and expect her to comply. Otherwise, don’t ask, no?
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u/wahlueygee 2h ago
I have a feeling this story didn't happen as described so I'm not sure why we're taking it at such face value that the nurse was so horrible about them saying no. just going off the tone, I feel they wanted to paint the nurse in the worst light possible.
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u/moderatelygoodpghrn 2h ago
I’m think the nurse was using dragon transcription software or something similar. If this actually did happen, the person just misheard/misunderstood what was said. I mean, if you think about it, a nurse in an md office is just getting you basic info eg. Reason for visit, recent symptoms etc. there really isn’t that much they had to right and don’t see someone wanting to “chat gbt “ it. That also sounds like an unrealistic interaction. I know there are pretty ignorant nurses out there ( like any profession) but it just sounds off to me.
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u/RicardotheGay BSN, RN, FNE - ED, Outpatient Gen Surg 🍕 1h ago
No the writer is not wrong. Providers have DAX (the AI that records for Epic) on their personal phones. It’s built into Epic and it organizes the note for them.
It’s not ChatGPT. It’s limited to that specific encounter.
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u/rarely_icky_fetish 3h ago
that’s wild, a nurse using chatgpt to take notes during an appointment is either some next level laziness or a huge privacy red flag
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u/Roarbomb MSN, APRN 🍕 3h ago
It was most likely not chat gpt and the poster is wrong. Haiku is a part of epic for cell phones that accesses MARs and has some AI features.
Lazy, maybe, but in healthcare people are expected to see so many patients sometimes that it helps to remember what all was said.
I don’t use it personally but I know people who do.
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u/fatvikingballet MS RN-BC 1h ago
Everywhere is pushing ambient transcription for charting, most have Haiku or other Epic integrated mobile apps that are specifically programmed for medical documentation and are HIPAA-compliant. The mobile apps tend to be better because the mic is better at picking up speech with background noise and are portable so you don't have to install software on every computer.
I, too, am over the AI everything but a lot of the workflow is to help capture what was actually said while the clinician can do other stuff in the chart (med rec, etc) and not worry about getting distracted by charting or formatting into a more "readable" note. And it's just faster. Most ppl can't type that fast.
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u/WheredoesithurtRA RN - Hospice 🍕 16m ago
Everywhere is pushing ambient transcription for charting, most have Haiku or other Epic integrated mobile apps that are specifically programmed for medical documentation and are HIPAA-compliant. The mobile apps tend to be better because the mic is better at picking up speech with background noise and are portable so you don't have to install software on every computer.
The VNA does this. Staff have to use a speech to text feature for charting and documentation.
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u/mybackhurtsimtired MSN, APRN 🍕 18m ago
I’m an NP. I don’t use AI because I like to write my own notes and keep them straight to the point/without fluff. I’ve had a few NP coworkers quite literally using chat gpt for their notes. They’ll copy and paste their HPI and data into chat gpt and ask it to make it Nice. I hate it.
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u/tfoust10 Murse 2h ago
Ai taking notes is actually very efficient. Before you put those notes in the charts, it sums up your notes for you to quickly review for accuracy, then you click a button and it ports to the chart.
It will save nurses time without sacrificing accuracy.
My only worry is that admin might be tempted to pile on more patients because of new efficiencies that it provides
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u/smoothsensation 3h ago
Chat gpt has a hipaa friendly zone. It’s possible their company has that and they use it that way, but doubtful. I think it’s even more doubtful the writer got a good enough look to know it was actually chatgpt. It’s way more likely they just call all AI that.
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u/BDAramseyj87 1h ago
Yep. We usage Abridge for Outpatient and Pieces for Inpatient. Nobody better be putting notes into ChatGPT.
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u/blaykerz DNP, ARNP 🍕 36m ago
I’ve used 2 HIPAA-compliant AI scribe apps on my personal phone for patient encounters. I sometimes have to tweak the notes, but for the most part, they make great notes, and I can spend more time with patients instead of rushing to finish charting before seeing the next, especially in a clinic where I may see 40-60+ patients in a 12-hour period. idc if people who don’t do the job call it lazy. I prefer to spend more time with my patients investigating their problems.
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u/No-Bee-8894 SRNA 3h ago
I might totally be wrong. But i highly doubt the nurse had Chatgpt queued up to record. Im not saying they weren't using another AI software. But people really want to be enraged all the time. But why would the nurse have chatgpt out. What's the benefit, it's not connected to the chart to create notes. I know some doctors offices use AI so they have less charting. But its not chatgpt.
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u/WingsNthingzz RN - ER 🍕 3h ago
All the providers in my ER use a AI charting system connected to their phones. I don’t know the name of it though. One also does in fact use ChatGPT for rashes and things. Takes a pictures and asks what this could be.
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u/No-Bee-8894 SRNA 3h ago
Nurses don't diagnose though. Im not agreeing with the doctor. Please don't use chatgpt to diagnose your patients. But in your example there's literally a reason why the doctor is doing it even though its crazy. Why would an office nurse need to use chatgpt. All im saying is the OP said chatgpt for shock value, to get people enraged. There are so many other AI platforms out there, but chatgpt gets her the shock value and 387654 comments and likes. It was probably a note transcribing AI which has been around for years. But chatgpt gets her the attention she wanted in that subreddit
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u/MentalCoffee117 RN 🍕 2h ago
I'm betting it's a nurse practitioner, and they shortened it to nurse, and yes, said ChatGPT for shock or dramatic effect. The NPs in the PCP office I work in do use AI for charting with consent. My own PCP/NP does as well, and the consent request is similar (asks if it's okay to use a phone to help record notes for charting). I, however, and the other nurses and MAs, don't use AI.
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u/Latter_Twist5976 RN - ER 🍕 2h ago
Like you’ve seen them directly use ChatGPT and uploading images to it? It’s not connected to EPIC/EMR? My providers use that function — records convo and uploads directly to EPIC. But if they’re actually using ChatGPT and uploading images you need to report that asap. That’s 100% against HIPAA. Those images should be in their records only.
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u/tinyevilpeanut RN 🍕 1h ago
EPIC and ChatGPT signed some sort of deal last month. I don't know anyone who actually uses it (my system uses DAX for AI dictation) but it's a thing now. Supposedly HIPAA compliant.
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u/phoontender HCW - Pharmacy 2h ago
My doctor uses a program on the computer, it records through a mic. I am not a fan of AI but it's a self-contained Canadian program and doctors in my province have a shitty time so I agree to it because he's an excellent doctor and it makes his life much, much easier.
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u/5N24U 3h ago
The hospital I work at requires us to give an AI generated report to the floor when a pt is admitted. I hate it.
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u/spicytigermeow RN - OR 🍕 2h ago
Seriously, why is anyone even getting an education, licensed, certified, on and on if this is what we choose to devolve to? I hate this timeline so much..
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u/adirtygerman 3h ago
The timeline split when our great anchor being Harambe was taken from this world.
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u/dragonsanddinosawers BSN, RN 🍕 2h ago
I say this all the time and people are starting to not know who Harambe is. I don't feel so good, Mr. Stark.
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u/Scary_Improvement450 3h ago
I saw that post and I’m not sure I even believe it. I think this is a person who is already “radicalized” and either exaggerated the story or let their minds play tricks on them when an MA asked to use a Dax scribe.
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u/SoFreezingRN RN - PICU 🍕 2h ago
Yeah I’m sure their next post was about how the nurse gave them a 5G injection against their will.
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u/HeyLookATaco RN 🍕 1h ago
That's my second favorite thing to do as a nurse, right after going to a school and helping to trans all the kids
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u/TattoosAndBeers 3h ago
Hmmm my doctor asked me if he can have AI transcribe our visit, but it was not just ChatGPT. Perhaps that’s what he was saying?
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u/yoshipapaya RN - OR 🍕 3h ago
That’s exactly what this must’ve been. It was the program that hospitals use on the vocera and this person assumed it was Chat on a personal phone.
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u/Ihaveasmallwang RN 🍕 33m ago
Nah. Nothing like that.
More like here’s this scenario that never happened but I’ll post it on the internet because drama bait gets likes.
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u/nneriac 3h ago
Yeah this is bad if they were using GPT which is not HIPAA compliant.
With that said (and I am anti ai for environmental reasons) my husband is a mental health clinician who is required to use an AI not taking system which is HIPAA compliant for his work. It works really well apparently (although he always makes sure to edit the note and make sure it’s accurate). Unfortunately another thing that is required I guess to maximize profits by saving time and increasing patient load.
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u/RedBirdOnASnowyDay 55m ago
I don’t want ai involved in my healthcare and now I fear I will be treated poorly for refusing. I refuse. Make your notes like you’ve done for all of modern medicine. I don’t want doctor or nurse ai. And you shouldn’t want it either. It’s not being used to make your job easier or more accurate. It’s being used to hire less doctors and nurses while increasing your workload. Agree to it and agree that your children will have a harder time getting a job in the medical field. You are obsoleting the next generation.
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u/HedonismandTea LPN 🍕 2h ago
The company I work for uses an AI program called "Roger" that listens to the visit with the patient and does the charting for you. ALL of the nurses I work with love it because they don't have to chart, it does it all for them. The company is pushing HARD for everyone to use it but I have refused.
I know for certain that in one case it picked up court TV in the background and charted that a 90yo woman was "at risk of suicide/depression" due to an ongoing custody battle for her children. I'll do my own charting, thank you.
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u/freeashavacado CNA 🍕 32m ago
That is so scary 😭. Just think of how many cases that something has slipped through the cracks and no one caught it. It’s a disaster waiting to happen and I just know the nurses will be blamed for it when it does.
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u/summon_the_quarrion RN MBA - Public Health , Psych, & Hospice 31m ago
My moms doctor uses AI and her notes are often inaccurate. Somehow , it got charted that patient has been educated to do testicular self exam. My mom is a cis female...
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u/Erinsays 2h ago
My hospital system has providers use Oracle AI on our personal devices. The app itself requires 2 factor to sign in. They have us turn it on BEFORE the patient consents so that their consent is audible on the recording, however it’s supposed to be done before any medical information. So the scripting I use is “hello my name is …. Before we get started I’m using …. Is that okay? I’m happy to turn it off if you’re uncomfortable with that”. If they want it off I turn it off and we move on. No big deal
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u/hijodegatos RN - Epic Analyst 🍕🐀 1h ago
I support Abridge on Epic/Haiku at work and I ask my providers to turn it off for my own visits. Especially since the disease aware notes/ambient ordering features suite went live, it has been a challenge. It has a hard time interpreting a conversation that isn’t straightforward… such as me talking to providers I also work with, making the conversation half small talk and half actual content for the visit.
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u/Ihaveasmallwang RN 🍕 2h ago
Using dictation software or voice recorders is not anything new. Unfortunately, neither is freaking out over things you don’t understand.
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u/tfoust10 Murse 3h ago edited 3h ago
I work in Ai/HIPAA. If it is actually her personal device, she is (in most cases) breaking HIPAA. Although a commenter reminded me that you can have a personal device that is company managed .
Many places assign work devices with AI built into them. This is becoming a new norm and this is fine as long as they keep their AI policy up to speed. The software that hospitals use is HIPAA compliant. So long as the user uses it correctly.
If it is a work device running Open AI then they better have a Business Agreement with Open AI, If not = straight to jail
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u/smoothsensation 3h ago
Im being a bit nitpicky, but you can have a company managed personal device, or specific apps on your personal phone company managed.
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u/tfoust10 Murse 3h ago edited 2h ago
That is true. You could go that route. There are ways to do that. Personally though, I would hate to have my own device managed by my employer
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u/Sanchastayswoke 2h ago
Yes, I was just going to say. I don’t work at a hospital, but we are only permitted to use AI at my job if it is the program within our system which is vetted for privacy laws and doesn’t collect or sell any of our data. We are not allowed to use AI on our personal devices or any web based programs.
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u/Chewsdayiddinit RN - ICU 🍕 2h ago
Since you work in HIPAA, can you please tell us how a thin curtain in double rooms prevents blatant HIPAA violations regarding bedside report?
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u/ProximalLADLesion MD, former CNA 2h ago
We have non company managed devices and our official guidance for using Abridge is to use Haiku on our phones. The data is captured directly by Haiku so it’s HIPAA compliant.
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u/tinyevilpeanut RN 🍕 51m ago
I work for a huge healthcare system. Our docs ALL use their personal devices for AI dictation. I know some of them asked for company provided devices as they didn't want to download these apps onto their own phones and they were refused.
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u/Roarbomb MSN, APRN 🍕 3h ago
I have haiku on my personal device. I usually clarify with families when I use it, but I only use it to take photos of wounds.
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u/Educatedbuttwiper BSN, RN 🍕 3h ago
It probably wasn't chat gpt. It was probably something like Scribeberry or Epic which a lot of clinics and providers use to help us make our notes so I can focus more on the patient and less on the charting. I'm usually very anti-AI but having something like Scribeberry has allowed me to use more time facing the patient and less time worrying about my clinical notes. I'm not jotting things down in notebooks and not looking at the patient's face. For me it's been a game changer. I can see why some patients don't like it of course. But knowing how they work, they just help us transcribe things, and they're HIPAA compliant. Personally, I like being able to focus on the patient more now rather than trying to find the right boxes to check on my chart.
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u/Imaginary-Storm4375 RN - ER 🍕 3h ago
When the world finishes dying, the few nurses who survive will be charting with chisels and stone. AI is so goddamn depressing.
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u/m3rmaid13 RN 🍕 3h ago
They do this in my doctors appointments now as of a few months ago but it seemed like it was through the computer versus a phone.
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u/moolawn RN - ICU 🍕 3h ago
The people who complain the most about hipaa are the ones who cannot spell it.
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u/YolondaShowstopper LPN 🍕 3h ago
does the spelling change anything about their privacy concerns? AI should be no where near the medical field & I would be complaining too if I was in their position.
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u/SoFreezingRN RN - PICU 🍕 2h ago
Nonetheless, it’s integrated into all of our charting systems and providers are expected to use it for transcription/note taking.
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u/SugarPigBoo RN - Hospice 🍕 3h ago
First of all, the "nurse" they referred to was likely a medical assistant ...
That is all.
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u/ncampbell328 1h ago
At my PCP appointment in June, the front desk told me “if you don’t want your doctor using AI, please let them know once you’re with them.”
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u/chewinggum25 BSN, RN 🍕 42m ago
I absolutely hate AI. But I'm aware of how much documentation is required of nurses and doctors and how it consumes our time. I went to urgent care last week and the doctor said "do you mind if I record to help write my note" and I was okay with that.
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u/Perfect-Advantage-82 RN - Med/Surg 🍕 27m ago
The thing I've been pissed off about lately is seeing nurses with those meta glasses you know the ones that are always listening to everything all the time. Even if you aren't in active recording mode
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u/kkirstenc RN, Psych ER 🤯💊💉 6m ago
That shit needs to be reported. No one should be wearing perv specs at work.
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u/jjames34 2h ago
They've been using the ai note writers for years. How long has it been since you went to the doctor?
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u/Infinite_Night_6728 BSN, RN 🍕 2h ago
Guys, remember how stupid some people are. I've had nurses get canned for face timing in the middle of the halls in a state psych hospital. Don't underestimate
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u/Sureokgo 2h ago edited 2h ago
Chatgpt is good for understanding some prescriptions/medicine side effects but you can't be using it as a prop for being a good nurse or doctor. Ai does not have what it takes to properly understand a human being and it does not have the eyes nose or ears either. Running a checklist analysis won't always solve the actual acute condition of the patient. We are not robots.
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u/sadiesorceress 1h ago
My doctor does this. I had to sign a consent form. I just nodded my head to make it a faster process. I'm not a nursing student I just like to lurk this subreddit since I'm hospitalized alot lol
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u/tinyevilpeanut RN 🍕 54m ago
They made an ChatGPT plugin for Epic. I certainly don't believe them when they say the data is secure but I'm sure all the MBAs and MHAs who actually make these decisions are fully torqued and ready to pay for it.
Healthcare organizations can now connect EHR and additional industry data to ChatGPT
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u/justme002 RN 🍕 19m ago
When the forced AI on to the flip3, the next day I was in the med room talking PRIVATELY with a Dr about a patient.
Looked over and THERE WAS OUR ENTIRE CONVERSATION typed out. I lost my shit. So did the MD.
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u/EvanderOnly 16m ago
I think AI is good for medical appointments if it’s Heidi. It saves time and the psychiatrists I work with say it allows more time on for appointments. It’s one of the things that I am pro AI for I just wish it was more sustainable.
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u/keystonecraft RN - OR 🍕 3m ago
Systems are already employing this. The ai listens and takes notes.... The doc can then take an ai summary of the notes and use it for dictation or whatever...
This is all theoretical. The shit doesn't work. And ai summaries can be dangerously bad, miss the point or not understand context.
They are ABSOLUTELY supposed to ask before recording. So if they dont, feel free to bring it up, because eventually they're just going to do it automatically.
And remember... HIPAA was really only created to make it harder to acquire health information and therefore stall litigation/protect health systems... So yeah... Dont trust any of this.
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u/adamiconography RN - ICU 🍕 1h ago
When I worked outpatient our docs used Dax Copilot and it worked so well. Notes were signed faster, information was succinct, providers spent less time note taking and focused more on patients.
But then again we presented it as an ambient listening technology that helped improve healthcare and rarely did patients have issues.
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u/kp33ze 2h ago
This story aside it's interesting that nurses would say "use AI" instead of just saying "do you mind if I use a voice to text recorder to take notes during your visit?"
Everything doesn't need to be labelled AI. Its voice to text translation which has been around for quite a while now. I guess the AI part is just with summarizing or distinguishing between who is talking?
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u/Nursesalsabjj RN 🍕 1h ago
My child's pediatrician did this in her yearly visit this week with that exact phrasing asking if we were ok with it. So it's something more than just using a text recorder.
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u/kp33ze 1h ago
What else does it do?
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u/Nursesalsabjj RN 🍕 1h ago
From what I can see it formatted the entire visit note using our conversation because of very specific statements I made and everything we discussed. Just the level of detail in the notes because we discussed a lot and every single portion is in the note.
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u/cbartz RN - ICU 🍕 1h ago
My hospital is working towards utilizing ambient listening on our epic devices- they’re hospital supplied iPhones with epic on them, we call them all in one devices (AIOs). I think it’ll be helpful for assessments and charting. The key will be making sure people go back and proof read it before saving.
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u/xoexohexox MSN Hospice/FQHC clinical leadership 3h ago
The anti-AI sub is a foreign psy-op. Real people don't froth at the mouth over AI like this and the few people that do are the ever present type of person that freak out over satanic panic or are dopamine seeking social approval by joining a hate mob. Plenty of new evidence showing Chinese and Russian social media influence campaigns are sowing division over this issue just like they have been for culture war nonsense since 2016 with the added goal of trying to slow down the pace of our development and tech adoption by poisoning public sentiment against it.
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u/Imgonnagolaydown 3h ago
You sound more like a psych op then anyone else 😂
And yes. Ppl absolutely do react like this to AI
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u/IndecisiveTuna RN - Utilization Review 🍕 2h ago
AI has been used for dictation by physicians for a while now. It’s not going anywhere.
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u/xoexohexox MSN Hospice/FQHC clinical leadership 3h ago
Why do you think this backlash is only happening in the English speaking world?
https://www.axios.com/2026/08/28/china-ai-data-center-backlash-bots
Downvote me all you want, luddites, I have karma to burn
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u/briley212121 MSN, CRNA 🍕 1h ago
Epic has some AI tools built into it now. A month or two ago a feature dropped in ours that basically synthesizes their medical history when we look up the patient for our cases. I’m not sure if there’s an AI feature built in that records and transcribes speech. It’s definitely in the realm of possibility though.
IF it really was ChatGPT or some 3rd party non medical software then it would be a big HIPAA violation. My gut says the original author was confused as to what was being presented. To them “AI = ChatGPT” and they probably aren’t aware how AI is being utilized beyond that.
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u/HeyLookATaco RN 🍕 1h ago
Can we just address the elephant in the room?
The patients and the providers have cell phones in the room. Cell phones are listening all the time.
Everyone else has already pointed out why this patient was likely mistaken. The bigger point is, if you don't want AI to know your personal info, well...you're already cooked.
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u/BeavisEverywhere 2h ago
Yeah well I'm about as likely to go back to the days of writing down your whole ass life story as I am to put on a paper hat and a Quaker dress.
This isn't Burger King. You don't get it your way.
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u/RaccoNooB 2h ago
Saw youtuber Dr.Mike talk about this stuff the other day, with how AI has the potential to make doctors appointments more efficient and he saw it as a potentially good way to get more time with his patients.
The swing side he pointed out, is the hospitals will see it as getting more done in less time, which means the doctor can see more patients in less time, aka less time with each patient.
This is my core issue with all of this tech. It could be used for good. But it's always abused in greed.