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CODE + CAREOctober 23, 2026·Florida Healthcare Collective

AI is charting with nurses now. You still sign the note.

Nurse AI use nearly tripled in a year, and it's already at the bedside in Miami Beach. What's changing, the catch, and 5 rules that don't change.

A year ago, 15% of nurses used AI at work. In 2026 it's 44%, according to Incredible Health's survey of 2,240 U.S. nurses. The top uses: documentation and charting (37%), patient education materials (37%), and drug or clinical lookups (32%).

It's already here in Florida

  • Mount Sinai Medical Center in Miami Beach was the first hospital in Florida to give its inpatient nurses Epic's ambient AI. It listens at the bedside, in English or Spanish, and drafts the note. The nurse reviews and approves it before it goes in the chart, and patients are told and can say no.

  • BayCare Health System in Tampa Bay is an early adopter of Oracle Health's AI agent for nurses, with voice charting and chart search.

The catch

Training hasn't kept up: 46% of nurses got no AI training last year, and only 8% say their employer has a clear AI plan for their role. In a smaller Black Book survey of 202 hospital nursing professionals:

  • 65% feel individually watched or tracked by at least one AI system

  • 63% say AI added tasks without taking any away

  • 52% changed when they chart, or the order of care, to avoid negative flags

  • Only 38% feel safe overriding or disagreeing with the AI

5 rules that don't change

  1. You sign it, you own it. The American Nurses Association is clear: nurses stay accountable for their practice, even when technology fails.

  2. Read every line. Check numbers, meds, times and names before it goes in.

  3. Chart what you assessed. Delete anything the AI guessed or you didn't see yourself.

  4. Protect patient data. No identifiers in public chatbots. Use tools approved for patient information, and initials when you can.

  5. Ask for a seat at the table. Nurses who helped pick their AI tools trust them 74% of the time, vs 38% of those who weren't asked.

Try it in myFHC: Oxi

Oxi is the AI in the myFHC app. Open Oxi, tap New chat, and tell it what happened in a visit, in English or Spanish. Oxi drafts the note in English and lists what's still missing so you can add it. It's an AI draft: you review it and decide. Only you see your Oxi chats, and initials are enough. myFHC is free on the App Store and Google Play.

Sources

General information, not legal or clinical advice. Follow your employer's policies for AI and patient information.

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