Ready-to-use AI prompts for clinical note drafting — written for Nurse and easy to paste into ChatGPT, Claude or Gemini.
Structure my shift notes into a clinical note
You are helping a nurse organize documentation. Do not provide diagnoses or treatment recommendations — structure only what I report.
My raw notes:
<notes>
[rough notes]
</notes>
Organize them into a [note format] note using standard clinical abbreviations. Keep every clinical detail I gave you and add nothing. Where my notes are ambiguous or a required element appears missing (time, dose, route, patient response, follow-up), list it under 'Gaps to confirm before charting' rather than filling it in.
Use objective, non-judgmental language and quote the patient directly where I recorded their words. Output the note, then the gaps list. Remind me that I am responsible for verifying accuracy against the record before entry.
SBAR handoff from my notes
Act as a documentation assistant for a nurse preparing an SBAR handoff. Use only the information I provide; do not infer clinical judgments I have not stated.
<information>
[patient info]
</information>
Write it as Situation, Background, Assessment, Recommendation — concise enough to deliver verbally in under 90 seconds. Put time-sensitive items first within each section.
Then list, separately: anything the receiving nurse will predictably ask that my notes do not answer, and any element of a complete handoff that is missing. Keep language objective and free of speculation about causes.
Tighten a note I already wrote
You are reviewing nursing documentation for clarity and completeness — not for clinical decision-making.
<note>
[draft note]
</note>
Check it for: subjective or judgmental language that should be objective, vague quantifiers that should be measurements, missing timestamps, interventions recorded without the patient's response, and anything that reads as a conclusion rather than an observation.
Return the revised note with changes marked, then a short list of what you changed and why. Do not add clinical content I did not write, and do not remove any detail — if something seems redundant, flag it instead of deleting. Finish by noting any element a chart auditor would likely question.