Bridge HMS Suite · health
Intensive Care
$0.25 per user/moICU flowsheets, scoring, ventilator and infusion documentation.
Works with
Wards & Inpatient
Wards & Inpatient
01
ICU Admission & Records
Dedicated 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.
02
Clinical Status Workflows
Header 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.
03
Severity Scoring
Records 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.
04
Ventilation Management
Captures 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.
05
Infusions & Drug Charts
Tracks 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.
06
Nursing, Fluid Balance & Rounds
Records 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.
07
Infection Prevention Bundles
Tracks 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.
08
Family Communication, Incidents & Safety
Records 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.
09
Wards & Admissions
Tracked with base admission, patient and facility — shown as a kanban board, graph, pivot or list.
ICU CensusTracked with base admission, patient and facility — shown as a kanban board, list or form.
ActiveTracked with base admission, patient and facility — shown as a kanban board, list or form.
Daily ICU ReportTracked with reference, icu episode and patient — shown as a pivot, graph or list.
WeaningTracked with base admission, patient and facility — shown as a list or form.
Severity ScoresTracked with reference, icu episode and patient — shown as a list or form.
Monthly OutcomesTracked with base admission, patient and facility — shown as a pivot, graph or list.
10
Documents it prints
Printed as a PDF straight from the record, on your own letterhead.
ICU 72h SummaryPrinted as a PDF straight from the record, on your own letterhead.
ICU Bundle CompliancePrinted as a PDF straight from the record, on your own letterhead.
ICU Mortality ReviewPrinted as a PDF straight from the record, on your own letterhead.
11
It runs by itself
Runs every 1 days, unattended — nobody has to remember it.
HMS ICU: Step-down eligibility checkRuns every 1 days, unattended — nobody has to remember it.
HMS ICU: Family update due (24h)Runs every 6 hourss, unattended — nobody has to remember it.
12
Roles it ships
A role in BridgeERP HMS / ICU — enforced on every screen, report and API call, not just hidden from the menu.
BridgeERP HMS / ICU NurseA role in BridgeERP HMS / ICU — enforced on every screen, report and API call, not just hidden from the menu.
Integrated apps
Intensive Care shares one database with the rest of BridgeERP — these are the apps it already talks to, with nothing to buy in between.
Builds on
Intensive Care needs these to run — they come with it in the same plan.
And the wider platform
Any BridgeERP app can join the same database.
AccountingFull double-entry accounting, bank reconciliation, assets, budgets and statutory reports.
ExpensesEmployee expense claims with receipt capture and reimbursement.
InvoicingCustomer invoices, vendor bills, payments and tax handling.
SignSend documents for legally binding electronic signature.
SubscriptionsRecurring contracts, automatic renewals and MRR reporting.
EmployeesEmployee records, contracts, attendance, skills, appraisals and referrals.More Bridge HMS Suite apps
HMS CorePatient master index, facility setup, clinicians, encounters and role security.
ReceptionRegistration, queueing, triage desk and visit slips.
AppointmentsClinician diaries, online booking and reminders.
Consultation / OPDOutpatient consultation, SOAP notes, orders, prescriptions and visit summaries.
Electronic Health RecordLongitudinal record, problem lists, allergies, care plans and clinical decision support.
LaboratoryTest catalogue, sample tracking, analysers, result validation and reporting.From front desk to discharge, on one system
One patient record across reception, clinics, wards, theatre, lab, pharmacy and the cash office — with billing and insurance claims built in.