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

Ward nursing with barcode medication administration: shifts and nurse-to-bed assignments, the MAR with witnessed controlled doses, vitals with NEWS2, intake and output, care plans, scored assessments, signed handovers and incident investigation; acuity scoring that becomes staffing recommendations and gap alerts; and a bedside scanner that enforces the five rights.

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Wards & Inpatient

Nursing in the Bridge HMS Suite: Vitals charting, medication administration with barcode checks and nursing notes

The right drug, scanned at the bedside

The medication administration record with barcode checks of patient and drug, witnessed controlled doses and the reason for every missed dose; vitals charts with NEWS2; hourly intake and output.

Assessments and diagnoses

Nursing assessment types with their scoring and the nursing diagnoses catalogue.

What's inside

Everything in Nursing

76 items in 15 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 workflow with Start, Complete and Cancel buttons that allow only valid steps.
- Shift in-charge and nurse rosterAssign a shift in-charge nurse plus a roster of nurses, picked only from 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.
- Duplicate-safe 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 history.
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
More in this app
- Nursing quality, measuredMAR compliance, vitals trends and incidents, and plans, shifts, handovers, I/O, assessments and assignments in pivot and graph.

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.