Cassie Marcelle, VP of clinical informatics and CNIO at UF Health, Marc Perkins-Carrillo, CNIO at Moffitt Cancer Center, and Lisa Stephenson, CNIO at Cedars-Sinai, discuss why ambient AI built for physician notes cannot simply be pointed at nursing flowsheets. They cover device platform gaps, nurses who use discrete fields as a checklist, super user programs with paid training hours, and governance built to remove flowsheet rows.