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A founder’s product decision

NurseNote began with a documentation problem. It became a learning product.

I am Ian Mayor, a UK registered nurse with respiratory experience. I built NurseNote because writing a clear record can feel disproportionately difficult at the end of a demanding shift—especially while a student or newly qualified nurse is still building confidence.

The first idea was too simple

The earliest version tried to turn shorthand into polished documentation. That looked convenient, but it exposed the wrong product behaviour: a fluent answer can hide whether the learner recognised the important facts, can encourage copying and creates an obvious temptation to enter real clinical information.

Better wording is not the same as better documentation judgement. If NurseNote was going to deserve trust, the product needed to help people practise the skill rather than outsource it.

The rebuild

Write. Understand. Retry.

NurseNote Assess now starts with a fixed fictional case. The learner writes the record, sees evidence-specific feedback across six documentation domains and tries again before the nurse-written example unlocks.

The learner writes first

NurseNote does not generate the first answer. The value is in deciding what matters, expressing it clearly and revising it.

Fictional information only

The product supplies the case. It does not need a live clinical record and explicitly prohibits real patient information.

Feedback must show its working

Each current case uses a visible six-domain, scenario-specific rubric and names the evidence detected or missing.

Why the product stays deliberately focused

A long catalogue can create an impression of maturity before the scoring deserves it. The current three-case beta therefore stays deliberately focused: each case has fixed ground truth, versioned checks and explicit boundaries. The rubrics are deterministic, but consistency is not the same as validity.

The next gate is independent review: compare learner attempts and rubric results with qualified human reviewers, examine disagreement and change each version where the evidence requires it. Future scenarios should pass that same process.

No claim of NMC approval or institutional endorsement
No competency, recruitment or academic pass/fail use
No submitted learner-note text kept in application records
No clinical advice, diagnosis or treatment recommendation

The business has to earn trust as it grows

The commercial aim is a sustainable documentation-learning product for training teams, preceptorship programmes and learners. The first paid offer is intentionally controlled: one six-week founding pilot, up to 30 learners, the three current beta cases and one light setting adaptation, all agreed in writing.

Revenue matters because it funds review, accessibility, new scenarios and reliable product support. It cannot come from overstating validation or presenting a beta score as proof of competence.

Experience the product I chose to build

Choose a fictional case, write the note yourself, inspect the feedback and retry. All three current assessments are free during the formative beta.

Written by

Ian Mayor

UK Registered Nurse and respiratory clinical nurse specialist · independent creator of NurseNote Assess

Educational interpretation only. Check current authoritative guidance and local policy; NurseNote does not replace supervision or professional judgement.

View professional profile

Authoritative starting points

These are the core standards used for the documentation principles on NurseNote. Condition-specific guidance should be checked in the linked article and against current local policy.

Last editorial review: 22 August 2026 · Educational content only · Always follow current local policy and professional judgement.