As our office transitioned to electronic charting, I found that I was missing some of the “personal” components related to my patients’ general circumstances. I requested from our EMR [electronic medical record] provider the ability to add a “sticky note” to our client records. 

Now, I can make a note just for my own viewing (for example, information such as “Sister is Jane Doe,” or “Was engaged at last visit”), or I can make a note in “in view” for other providers in our group (for example, “Lives 1 hr away and prefers group appts whenever possible”). 

Not only does this tell patients I’m personally interested in their life and its impact on their care, but it also helps my memory! — Kay Medford, APN-C, Chattanooga, Tenn. (190-7)


These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.