Specialty

EMR and hospital software for general surgery

Pre-op workup, the theater from booking to the signed note, and post-op follow-up.

A surgical scalpel beside an anatomical illustration of the stomach.

About general surgery

General surgery treats hernias, the gallbladder, the anorectal region, skin and soft tissue, veins and the breast, from the outpatient clinic through the theater to recovery. A case passes through several registers, and each has to be complete before the next step can start.

What the practice sees most

Inguinal and umbilical herniaGallstonesHemorrhoids and fissureFistula in anoAbscessesLipomaVaricose veinsDiabetic footPilonidal sinusPost-operative wounds

What makes this specialty hard to run

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

  1. 01

    A surgical case starts in the outpatient department, passes through admission and ends in follow-up, and each stage is often a different register.

  2. 02

    Pre-operative workup is a checklist of investigations that must all be back before the patient is listed.

  3. 03

    Inpatient stays need beds, nursing notes and a running bill that is right at discharge.

  4. 04

    Post-operative reviews and dressings are frequent short visits that still need to be recorded and billed.

How Nirogix supports general surgery

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.

From clinic to listing

  • Twelve surgical pathways ready on day one: hernia, gallstones, hemorrhoids, fissure, fistula, abscess, varicose veins, diabetic foot and more
  • Pre-operative investigations ordered in the consultation, with flagged results beside the order
  • The Revised Cardiac Risk Index, Alvarado, Wells and Padua scores in the consultation
  • Admission from the consultation to a ward and bed

The operation theater

With the Operation Theater module.

  • Theaters booked without overlaps, each case with the procedure, side, urgency, planned anesthesia and surgeon
  • The patient taken in only with a signed pre-operative checklist, a consent on record and a pre-anesthesia assessment (ASA, Mallampati) that does not say unfit
  • A surgical safety checklist (sign in, time out, sign out) signed in order, and the anesthesia record
  • An operative note signed by the surgeon, locked, and added to only by addendum
  • Standard operative note templates(planned)

Recovery and the ward

  • Recovery charted with the Aldrete score, and a handover to the ward or critical care
  • Signed daily rounds, the Rx sheet, the nursing chart and the medication administration record
  • A discharge summary written, finalized and printed

Instruments, implants and billing

  • Instrument sets issued to the case by CSSD, with the sterilization cycle that made them sterile
  • Implants and consumables recorded by batch and serial number and posted to the inpatient bill with theater time and fees
  • Theater utilization per theater: cases, minutes booked and used, and starts on time
  • An implant and consumable stock ledger, and surgical packages(planned)

Dressings and follow-up

  • Dressings, suturing and suture removal recorded as bedside procedures, with the Clinical Support module
  • Post-operative reviews booked from the consultation, with reminders through your own accounts
  • A treatment case that holds the operation and every review after it

How a patient moves through it

  1. 01

    Consult and work up in the outpatient department

  2. 02

    Admit and book the theater, with checklist and consent

  3. 03

    Operate: safety checklist, anesthesia record, signed note

  4. 04

    Recover, hand over to the ward, and follow up

What changes for the practice

No patient in theater before the checks

The checklist, consent and fitness are gates the system enforces, not boxes on paper.

Theaters without double booking

An overlapping case is refused when it is booked, not discovered on the day.

Every implant on the bill

Implants and consumables recorded on the case post once to the inpatient invoice.

A recall that names patients

A failed sterilization load lists every operation and patient it reached.

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

Pre-operative investigation sets in the investigation catalogTheaters, wards and beds for surgical admissionsProcedure, implant and consumable pricing

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

Does the OT module enforce the safety checklist?

Yes. The phases are signed in order, the incision is recorded only after the time out, and the patient leaves theater only after the sign out. Where pre-operative checks are on, the patient is taken in only with them signed.

Can we bill implants?

Yes. Implants are recorded with batch, serial number and maker on the charge sheet and posted to the inpatient bill once.

Are there operative note templates?

Not yet. The note starts from the booking’s diagnosis and procedure and the surgeon writes it; standard templates are planned.

Do device readings flow into the anesthesia record?

No. Every value is recorded by the team; no anesthesia machine or monitor is connected.

See it running with your own workflows.

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