Rounding Mode: one recording for the whole service, one note per patient

I built Rounding Mode because I got tired of charting a full list of patients from memory at the end of morning rounds. You see fourteen people before noon, you make fourteen sets of decisions, and then at two o'clock you sit down and try to reconstruct which one had the potassium of 3.1 and which one you told you'd call the daughter. The notes get written in the order you remember them, not the order you saw them, and the details that didn't make it onto the folded piece of paper in your pocket don't make it into the chart.

A scribe built for the clinic visit assumes one patient, one room, one recording, one note. That model breaks on rounds. You don't have a clean start and stop for each patient; you have a hallway, a team, a workroom, and a conversation that keeps going. So the scribe either records one patient at a time, which means you're tapping a phone between every door, or it records everything and hands you one enormous transcript to sort out yourself.

What Rounding Mode actually does

You start one session and round. That's it. While you keep moving, Scribeable transcribes the recording and splits it per patient in the background, using the transitions in the conversation: the name, the room, the moment you say "new patient." Saying "new patient" marks the next patient hands-free, and saying you're discharging someone pre-selects the discharge summary; generating the notes is still a tap. Each segment is then matched to the patient's existing chart, which is the part that matters, because a progress note written against yesterday's note is a different document from one written against nothing. When a match is uncertain it asks you to confirm rather than guessing; a clearly new patient gets a new chart.

When you're ready, you generate the note you need per patient: a progress note, an H&P, a consult note, or a discharge summary. You review each one and sign it the same way you'd review anything that carries your name. Nothing files itself anywhere; the note goes into the EHR through the browser extension insert, or the clipboard, like every other Scribeable note.

Built for the parts of the hospital that don't cooperate

• It records offline. Hospital Wi-Fi drops in the stairwell and the basement, so the recording is kept on the device and syncs when the connection comes back.
• Start on your iPhone, finish on the web dashboard. The session hands off, so you can round with the phone in your pocket and sit down at a real keyboard to review.
• Sessions run up to 8 hours, which covers a long service and a long list.
• It won't start until you have accepted the recording-consent terms on your account. That is enforced server-side and it fails closed: if it can't check, the session doesn't start. Getting each patient's consent is still your job, not the app's.

What I'm not claiming

I'm not going to tell you how many minutes it saves, because I haven't measured that in a way I'd put my name on, and I'm not going to pretend it handles every style of handoff. Some services round in a way the segmentation reads cleanly; some talk over each other in a workroom for forty minutes, and you'll do more sorting on those days. What I can tell you is that the notes get written against the chart, in the order you saw the patients, while the encounter is still fresh, and that the thing you say in room 412 ends up in room 412's note.

If you round on a list, the Rounding Mode page and the hospitalist page have the details. Start the 14-day trial at scribeable.ai to see the rest of the product; the rounding sessions themselves come with Pro. No sales call; a card on file, and nothing is charged if you cancel before the trial ends.