Intensive Care: ICU flowsheets, scoring, ventilator and infusion documentation

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Wards & Inpatient

What's inside

Everything in Intensive Care

76 items in 12 areas, every one shipping with the app today.

ICU Admission & Records
- ICU Episode LifecycleDedicated ICU/critical-care episode linked one-to-one to the base hospital admission with auto-generated ICU/{year}/ reference.
- One-Click Transfer to ICUA button on the base admission spins up an ICU episode (or opens the existing one) carrying over the attending doctor as intensivist.
- ICU Admission CategoriesClassifies each episode as post-op, medical emergency, trauma, cardiac, respiratory failure, sepsis, neurological, metabolic, obstetric or other.
- Nine-State ICU Status MachineTracks admitted, stable, critical, weaning ventilator, weaning vasopressor, step-down ready, transferred out, deceased and DAMA states.
- Length-of-Stay TrackingComputes actual ICU LOS in hours live and compares it against an expected LOS in days set on admission.
- Admission Severity BaselinesStores admission APACHE II and SOFA scores, auto-seeded from the first documented severity score of each type.
Clinical Status Workflows
- Mark Critical / StableHeader buttons flip the patient between critical and stable status with an automatic chatter note.
- Guarded Ventilator WeaningStarts a ventilator-weaning workflow, blocking the action if the patient is not currently ventilated.
- Guarded Vasopressor WeaningInitiates vasopressor weaning only when an active infusion exists, otherwise raises a user error.
- Step-Down Readiness GateMarks the episode step-down ready, refusing while the patient is still on ventilator or vasopressor support.
- Deceased Closure CascadeMarking a patient deceased closes the episode and writes died status, discharge type and mortuary destination to the base admission.
Severity Scoring
- Multi-Score EngineRecords APACHE II, SOFA, SAPS II, GCS, MEWS, NEWS2, SIRS, qSOFA and RASS severity scores per episode.
- Full APACHE II CalculatorAuto-scores 14 physiologic variables from the Knaus 1985 point tables to a total APACHE II score.
- Predicted MortalityDerives predicted hospital mortality from APACHE II via a logistic model and from SOFA via published outcome bands.
- SOFA Six-Organ ScoringSums respiratory, coagulation, liver, cardiovascular, CNS and renal sub-scores with 0-4 clamping.
- qSOFA & SIRS Bedside ScreensComputes qSOFA from RR/MAP/GCS and SIRS from temperature, heart rate, RR and WBC automatically.
- Component Audit JSONStores the structured per-variable component breakdown behind every total score for traceability.
Ventilation Management
- Ventilator Settings LogCaptures mode across 13 options (AC-VC, AC-PC, SIMV, PSV, CPAP, BiPAP, PRVC, APRV, NIV, extubated, spontaneous) with timestamped history.
- Full Parameter CaptureRecords tidal volume, set rate, FiO2, PEEP, pressure support/control, plateau and peak pressures, trigger sensitivity and I:E ratio.
- Lung-Protective GuardrailBlocks saving a plateau pressure above 30 cmH2O and enforces FiO2 within 0.21-1.0.
- Spontaneous Breathing Trial TrackingFlags weaning attempts and SBT performance with success/failed outcome buttons that post chatter to the episode.
- Live Ventilator StatusDerives current ventilator mode and on-ventilator flag on the episode from the latest setting for dashboards and color coding.
Infusions & Drug Charts
- Vasopressor Titration LogTracks each vasopressor infusion with start/stop times, concentration, current rate in mcg/kg/min, weight and titration target.
- Max-Rate WatermarkAutomatically records the highest rate ever reached for each vasopressor infusion.
- Active Infusion FlagMarks infusions as currently infusing until a stop time is set, feeding the episode's on-vasopressor status.
- Titration Target SelectionTargets MAP, central venous pressure, lactate clearance or urine output for the infusion.
- Continuous Drug ChartsManages sedation, analgesia, paralysis, insulin, heparin, KCl and other continuous infusions with dose, unit and narrative target.
- Dose Adjustment HistoryRecords every dose change with old value, new value, reason and nurse, and posts each adjustment to chatter.
Nursing, Fluid Balance & Rounds
- Hourly Intake/Output ChartRecords IV, oral/NG, blood, TPN, medication and other intake against urine, stool, NG aspirate, drain and vomit output per hour.
- Automatic Insensible LossAdds a standard 25 mL/hour insensible loss into the total output calculation.
- Net & 24h Cumulative BalanceComputes hourly net balance and a rolling 24-hour cumulative net fluid balance across prior charts.
- ICU Vitals TaggingExtends the nursing vitals chart to auto-tag readings belonging to an ICU episode for filtered critical-care monitoring.
- Daily Goals SheetOne goals sheet per episode per day (enforced unique) capturing multidisciplinary round goals.
- Categorized Goal LinesStructures goals across ten body-system/ethical categories with a responsible owner and status per line.
Infection Prevention Bundles
- VAP Prevention ChecklistTracks head-of-bed elevation, sedation vacation, DVT and ulcer prophylaxis and chlorhexidine oral care with completeness flag.
- CAUTI Prevention ChecklistCaptures catheter necessity review, aseptic insertion, sterile closed system and timely removal with completeness flag.
- CLABSI Prevention ChecklistRecords line insertion bundle observation, intact dressing and daily line review with completeness flag.
- Overall Compliance ScoringComputes a combined compliance percentage across all VAP/CAUTI/CLABSI items plus mobilization and glycaemic control.
- Daily Bundle UniquenessEnforces a single bundle checklist per ICU episode per day.
- Canonical Bundle Reference TextShips WHO/IHI bundle wording as config parameters so on-screen help and reports pull consistent descriptions.
Family Communication, Incidents & Safety
- Family Update LogRecords each family communication with recipient, mode (in person, phone, video, written) and what was discussed.
- Questions CaptureLogs questions raised by family alongside the update content.
- Auto Next-Update DueAutomatically sets the next update due 24 hours after each logged communication.
- Family-Update Overdue CronA six-hourly job raises an activity when more than 24 hours pass without a family update on an active episode.
- ICU Incident ReportingLogs line infections, pressure ulcers, accidental extubations, falls, medication errors, equipment failures and needle-stick events.
- Severity GradingGrades incidents minor, moderate, major or sentinel with follow-up-required flagging.
Wards & Admissions
- ICU Dashboard
- ICU Census
- Active
- Daily ICU Report
- Weaning
- Severity Scores
- Monthly Outcomes
- Ventilator Settings
- Step-Down Ready
- Vasopressor Titrations
- Mortality Review
- Drug Charts
- Discharged
- Daily Goals
- Bundle Performance
- Bundle Compliance
- All
- Family Updates
- I/O Charts (hourly)
- Incidents
- Step-Down Plans
Documents it prints
- ICU Daily Review
- ICU 72h Summary
- ICU Bundle Compliance
- ICU Mortality Review
It runs by itself
- HMS ICU: Daily severity score reminderRuns daily
- HMS ICU: Step-down eligibility checkRuns daily
- HMS ICU: Family update due (24h)Runs every 6 hours
Roles it ships
- BridgeERP HMS / Intensivist
- BridgeERP HMS / ICU Nurse

Works with

What Intensive Care works with

Intensive Care shares one database with the rest of the Bridge HMS Suite and BridgeERP: these are the apps it already talks to, with nothing to buy in between.