Nursing: Vitals charting, medication administration with barcode checks and nursing notes

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Works with

Wards & Inpatient

What's inside

Everything in Nursing

75 items in 14 areas, every one shipping with the app today.

Shift Management
- Ward-based nursing shiftsSchedule morning, afternoon, night and on-call shifts per ward with automatic start/end times computed from the shift type.
- Auto-computed shift hoursOn creation each shift type seeds standard clock windows (e.g. morning 07:00-15:00, night 21:00-05:00) if start/end not supplied.
- Shift lifecycle workflowScheduled to Active to Completed state machine with Start, Complete and Cancel buttons guarded so only valid transitions run.
- Shift in-charge and nurse rosterAssign a shift in-charge nurse plus a many-to-many roster of nurses, all domain-filtered to staff with the nurse role.
- Patients-covered counterEach shift auto-counts occupied beds across its assignments so charge nurses see live census at a glance.
- My Shifts viewDedicated menu and action filtering shifts to the logged-in nurse via their linked user account.
Nurse-to-Bed Assignments
- Per-nurse bed assignmentsAssign specific beds to each nurse within a shift to enforce nurse-to-patient ratios and accountability.
- Assignment patient load counterEach assignment computes how many of its beds are actually occupied so real workload is visible.
- Assignment notesFree-text note per assignment for special-watch or task instructions.
Medication Administration (MAR)
- Auto-generated MAR from prescriptionsScheduled dose rows are generated from active prescriptions on admitted patients based on each drug's frequency.
- Frequency-to-schedule engineMaps od/bd/tds/qds/4-hourly and clock frequencies to correct daily dose counts and time-of-day slots.
- PRN and stat handlingPRN (as-needed) lines are excluded from auto-scheduling while dose-based frequencies populate the round times.
- Idempotent dose schedulingGeneration dedupes on prescription line plus scheduled time so re-runs never create duplicate doses.
- Dose administration workflowNurses mark each dose Given, Refused, Held, Missed or Wasted with capture of time and administering staff.
- Controlled-substance witness enforcementDoses flagged as controlled cannot be administered without a second-staff witness, blocked at the server.
Inpatient Vitals Charting
- Full vitals captureRecord BP systolic/diastolic, pulse, temperature, respiratory rate, SpO2 and pain score per observation.
- Glasgow Coma Scale scoringCapture GCS eye, verbal, motor and total components for neurological monitoring.
- Automated NEWS2 early-warning scoreComputes an indicative NEWS2 track-and-trigger score from respiratory rate, SpO2, temperature, BP, pulse and GCS.
- Clinical alert flaggingAuto-classifies each observation Normal, Watch or Critical from NEWS2 and vital thresholds to prompt escalation.
- Vitals trend graphLine graph view of vitals over time for spotting deterioration trends.
- Recorded-by auto-captureDefaults the recording staff to the logged-in nurse or doctor for accountability.
Intake / Output Charting
- Detailed intake trackingLog oral, IV, NG feed, TPN, blood/products and other intake volumes in millilitres per shift.
- Detailed output trackingLog urine, stool, vomit, drainage, NGT aspirate and other output volumes in millilitres.
- Auto-computed totals and net balanceAutomatically totals intake, totals output and computes net fluid balance for the record.
- Shift-tagged I/O recordsEach I/O entry is tagged morning, afternoon or night for per-shift fluid reconciliation.
Care Plans & Nursing Diagnoses
- Patient nursing care plansStructured care plans per admission with goals, interventions and evaluation as rich-text sections.
- Standardized nursing diagnosis catalogAttach diagnoses from a seeded, unique-coded catalog (Acute Pain, Fall Risk, Pressure Injury, Infection, and more).
- Care-plan review datesStart and target-review dates keep plans current and prompt reassessment.
- Care-plan lifecycleActive to Resolved or Discontinued workflow with buttons logging the change to chatter.
Structured Assessments
- Validated assessment scalesSeeded Braden, Morse Fall, Numeric Pain, Wong-Baker FACES and RASS scales with score ranges and thresholds.
- Configurable assessment typesManage assessment types by category, min/max score, risk thresholds and recommended interventions.
- Sub-score line entryEnter individual parameter sub-scores that auto-sum to the assessment total.
- Automatic risk categorizationDerives Low/Moderate/High/Very High risk correctly per scale direction (Braden inverse, Morse and pain direct).
- Auto-suggested interventionsPulls the assessment type's recommended interventions into the record, editable per patient.
Shift Handovers
- Structured handover sheetsOutgoing-to-incoming shift handover records per ward with sequence-numbered references (HOV/year/xxxxx).
- Critical patient listFlag specific critical admissions on each handover so the incoming crew is briefed on high-risk patients.
- Incident linkage on handoverAttach relevant safety incidents to the handover for cross-shift awareness.
- Live patient countAuto-counts active admissions in the ward at handover time.
- Dual-signature sign-offBoth outgoing and incoming nurses must sign before the handover locks to Signed state.
What it keeps
- Hospital Bed
- Patient Admission
- Medication Administration Record (MAR)
- BridgeERP HMS Clinical - Prescription
What it configures
- Nursing Care Plan Diagnosis
- Nursing Assessment Type
- Nursing Shift
- Nursing Assignment
- Inpatient Vitals Chart
- Inpatient Intake/Output Chart
What it configures (continued)
- Nursing Care Plan
- Nursing Assessment
- Nursing Assessment Sub-Score
- Nursing Shift Handover
- Patient Safety Incident
Nursing
- My Shift
- Shifts
- MAR Compliance
- Assignments
- Medication Admin
- Vitals Trends
- Vitals Charts
- Incidents
- I/O Charts
- Care Plans
- Assessments
- Handovers
- Assessment Types
- Nursing Diagnoses
Documents it prints
- MAR Sheet (24h)
- Vitals + I/O (72h)
- Care Plan
- Handover Sheet
- Incident Report
- Nursing Assessment
It runs by itself
- HMS Nursing: Generate MAR (24h lookahead)Runs hourly

Works with

What Nursing works with

Nursing 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.