Posted
June 17th, 2025

Ambient Documentation for Nurses, Built Specifically for Their Workflow

Hospitals are making great strides with ambient documentation for physicians — but nurses have been left behind. Most nurse charting still requires clicking through sheets, rows and menus, stealing time from patient interaction and other activities. What if they could document in real time using their voice instead?

That’s the power of Aiva’s Nurse Assistant: ambient documentation designed for the way nurses actually work. Unlike ambient solutions for doctors that focus on narrative dictation, Aiva’s app enables real-time entry of discrete data and longer-form notes — all via conversational voice or text. That’s crucial for nurses, who often need their documentation reflected in the EHR instantly to inform care decisions.

Aiva is already used by major health systems like Cedars-Sinai Medical Center and BayCare Health.  Cedars-Sinai has talked to Becker’s about their ROI from ambient documentation for nurses, and they recently reported metrics in webinars for the AONL and the AMIA.  Highlights include:

81%

faster documentation

50%

less incidental overtime

37%

higher Press Ganey scores on nursing-specific questions

Perhaps most impressively, nurses aren’t just using Nurse Assistant:  67% say they actually enjoy it.  How many of your current apps get that kind of response?

The team is super excited,” said Liza Redmond, Nurse Manager at BayCare St Anthony Hospital. “It gives them more time with patients and less behind a computer.”

Nurse Documentation ≠ Doctor Documentation


While physicians often dictate long notes that are transcribed and reviewed later, nurses mostly chart structured data in real time — often across multiple rows in flowsheets, with cascading logic and drop-down options. They also document progress notes and comments, but most of what they chart needs to be instantly visible in the record.

“We’ve had a history in healthcare of pushing technology out to nurses without really ensuring it supports nursing workflow and practice.”
– Kathleen Harmon, MS, RN, Clinical Innovation Advisor at Aiva Interview with AVIA Health



That’s why ambient documentation for nurses must go beyond passive voice capture. Aiva is built for the fast-paced, task-oriented world of nursing:

  • Reads and writes to Epic and Cerner, with Meditech coming soon
  • Captures both free text and structured data
  • Allows for voice corrections to submitted entries
  • Supports both real-time charting and time-stamping earlier documentation
The Documentation Burden Nurses Face Today

A few numbers tell the story:

600–800 data points are documented during a typical 12-hour shift Source

25% to 41% or their shift is spent documenting Source

69% blame poor EHR usability for job dissatisfaction Source

Clinician burnout is directly tied to documentation burden Source

45% of inpatient nurses plan to leave their jobs in the next 6 months Source

The High Cost of Ignoring Your Nurses’ Needs

Hospitals want to do right by their nurses.  They care about nurses’ wellbeing, of course, but they’ve also come to realize the tremendous cost of dissatisfaction and inefficiency in their single-largest department.

86% of hospital CEOs cite RN shortage as a major concern Source

$61,110 is the cost per bedside RN turnover Source

$70,000 is the cost of non-compliance related to hospital-acquired pressure injury Source

There’s a 5% - 25% increase in patient satisfaction for every 25% increase in nurse satisfaction. Source

There’s been a 30% - 45% increase in overtime as a percentage of total hospital labor cost Source

Built for the Real World of Nursing

Nurses log into Aiva’s app using their standard credentials on hospital-issued iPhones or Androids. To identify the patient, they say something like:

“Room 8915 has back pain rated 3.”

They confirm Aiva’s proposed chart entry, which is then written to the patient’s record in seconds, not minutes. If the nurse wants to change or correct the entry, they can do that with their voice too.

Unlike embedded tools that require extra clicks, Aiva is designed for speed, accuracy, and usability, offering a single interface for ambient documentation, smart room control, reminders, and EHR data access.

More Than Just Documentation

Ambient tools should save time across the board, not just for charting. Nurses waste precious time navigating many other systems when they’d rather be doing hands-on patient care.  Aiva already integrates with 30+ nurse-facing systems, enabling conversational control over:

  • Smart Room devices (TVs, blinds, lights, thermostats)
  • Patient-specific reminders (e.g., “Remind me to check pain in an hour”)
  • EHR data retrieval (e.g., “What’s the latest hemoglobin for Room 215?”)
  • Support systems like dietary, interpreter services, policies & procedures, and staff messaging
Real ROI for Health Systems

Hospitals using Aiva can earn ROI across multiple fronts:

  • Lower OT: For example, Cedars-Sinai has reported 50% lower incidental OT  (source)
  • Less turnover: 80% of nurses say nurse-friendly systems affect where they decide to work. (source)
  • Improved outcomes: Faster charting = quicker intervention visibility
  • Better regulatory compliance: Easier documentation = fewer missed entries
  • Higher HCAHPS: Better patient experience and higher reimbursement
Designed with Nurses in Mind

Aiva’s interface feels like a modern messaging app — no bloated screens, no hunting through menus. It adapts to your roles:

  • Customizable by role: CNAs, therapists, RNs, and more
  • Promotes autonomy: Nurses can set their own reminders and UI preferences
  • Supports new nurses: Documentation prompts and access to policies & procedures

“Wow, so in the time it takes me to badge into the computer, I’ve already completed the task in Aiva.”
Nurse Manager. Cedars-Sinai

What do Nurses Say about Aiva?

Hundreds of nurses are using Aiva for ambient documentation, and you can hear them talk about their experience in these two videos:

Ready to Explore Ambient Documentation for Nurses?

If you’re a CMIO, CNIO, CIO, or nurse leader evaluating ambient documentation for nurses, be sure to ask these questions about any app you consider:

  • Was it designed specifically for nurses or repurposed from physicians?
  • Has it proven it saves time and money?
  • Can it handle structured and unstructured data?
  • Does it go beyond the EHR to control the other systems taking nurses’ time away from patients?

Aiva checks all of these boxes.
“It’s a lifesaver. My teammates keep asking how I’m finishing so fast.” – RN, Cedars-Sinai

If you’re new to Aiva and want to learn more, please provide your contact info.

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