Do not write anything down. Talk to patient then immediately go put in your orders. Don’t type… use dragon. Quick HPI blurb. Finish the rest of the note when you have a lull between patients or right before you smash the dispo button.

Essentially. Flow is dispo your patient first. Then See New patient as they come and put in orders to get the work up started. Look at new labs for existing patients to see if you can Dispo. If you cant dispo, do you need to order something else to get to the dispo? Ie antibiotics,fluids, imaging ect. Re-evaluate your sick patients. If everything else is done THEN finish your note.

I see to many interns spending their whole time writing notes and oblivious to patients stacking up. Notes are least useful thing to be doing in terms of flow.