Specialty

EMR and hospital software for emergency & critical care

Triage at the door, a patient nobody can name yet, and critical care charted hour by hour.

About emergency & critical care

Emergency medicine receives whoever comes through the door, at any hour, and decides in minutes who is sickest; critical care then looks after the patients whose organs need support. Both depend on speed, on the vital signs, and on a record that starts before the paperwork can.

What the practice sees most

Chest pain and strokeTrauma and injuriesBreathlessnessSepsis and feverPoisoningSeizuresUnconscious patientsMedico-legal cases

What makes this specialty hard to run

The operational problems a system has to answer, before any feature list.

  1. 01

    Patients arrive unannounced, sometimes unconscious and unidentified, and the record has to start before the paperwork can.

  2. 02

    Who is seen first is a clinical decision that has to be visible to everyone in the department.

  3. 03

    Medico-legal cases carry their own records and duties to the police.

  4. 04

    A critical care patient is charted hour by hour, against limits that differ for every patient.

How Nirogix supports emergency & critical care

Grouped the way the day runs. Every line says whether it is in the product today or planned.

Available todayPlanned, not available yet

Clinical pathways are reference content your clinical team reviews and edits as its own; nothing is ordered or prescribed until a doctor chooses it. Calculators inform a decision and do not write to the record. A line that needs a particular module names it.

Arrival and triage

With the Emergency module.

  • Registration of a known, new or unidentified patient, with sex, estimated age and identifying features, completed into a full chart once identified
  • Five-category triage with target times to a doctor, plus AVPU, and vital signs that join the patient’s own history
  • An emergency board of everyone in the department, most urgent first, with the minutes each has waited against their target

Medico-legal cases

  • The MLC number, police station, intimation time and officer recorded at registration
  • A printed emergency record

Treatment and disposition

  • The doctor’s assessment, STAT treatment orders recorded as given, and laboratory orders sent to the lab
  • A disposition: discharge, admission to a bed, theater booked, referral, left against advice, absconded or death
  • Emergency billing and deposits, and alerts to on-call teams(planned)
  • Ambulance arrivals on the emergency board(planned)

The ICU

With the ICU Management module.

  • An hourly bedside chart: vital signs plus arterial pressure, CVP, EtCO₂, sedation score and pupils
  • Alarm limits the doctor sets for each patient, every reading flagged against the limits in force when it was charted
  • An ICU board of every critical care bed, those outside their limits first
  • Ventilation episodes (invasive, non-invasive and high-flow oxygen) with the ventilator chart and its P/F ratio, driving pressure and compliance
  • Values read from monitors and ventilators, infusion and vasopressor charting, and SOFA and APACHE II on the chart(planned)

Around the patient

  • The medication administration record and the nursing round, with the Nursing module
  • Central lines, arterial lines, intubation and chest drains recorded as bedside procedures with consent
  • Blood crossmatched and issued by the Blood Bank, and ambulance trips dispatched and charged with the Ambulance module

How a patient moves through it

  1. 01

    Arrive: registered as known, new, or unidentified

  2. 02

    Triage: a category with its target time to a doctor

  3. 03

    Treat: assessment, orders recorded as given, tests sent

  4. 04

    Decide: discharge, admit to a ward or the ICU, theater, or refer

What changes for the practice

Everyone sees who is sickest

The board orders the department by category and by how long each patient has waited.

A chart before a name

An unidentified patient is registered in seconds and identified later on the same chart.

Limits set per patient

ICU readings are flagged against the limits the doctor set for that patient, never a default.

One record from the door to the ICU

Triage vitals, ICU charting and the ward share the patient’s own history.

The modules a practice like this turns on

Modules are entitlements: enable what you need now and add the rest when you are ready. Nothing is re-implemented per specialty.

What gets configured for you

Wards of type ICU, NICU and PICU with their own beds and tariffWho may register, triage, assess and admitNursing chart columns for each critical care ward

Most specialties differ in configuration rather than code: the same modules are enabled and set up differently. Where a specialty has a module of its own (twenty-three today, from Pediatrics, Obstetrics and Dentistry to Cardiology, Oncology and Nephrology), it is switched on per hospital. Where a specialty needs a capability the platform does not have yet, we say so during the demo rather than after you buy.

Questions we are asked

Can we register an unconscious patient with no name?

Yes. The chart is opened with sex, estimated age and identifying features and named for the visit; it is completed when the patient is identified.

Does the ICU chart connect to monitors?

No. Every value is charted by the nursing team from the monitor or the ventilator. Device integration is planned.

Is triage based on a protocol?

Triage uses five categories with target times to a doctor, in the structure of the Manchester Triage System. The category is the clinician’s decision; triage flowcharts are not modeled.

How are emergency charges billed?

Registration and emergency charges are billed through Billing today, and laboratory tests at collection. Emergency billing and deposits inside the department are planned.

See it running with your own workflows.

Book a walkthrough and we will map your clinic or hospital onto the platform, module by module.