NursingCarePlan

Who uses it

Built for: Every specialty

Reads

Patient record, IV and vascular lines

Writes

Care plans, goal outcomes, IV site scores

Never

It does not auto-close goals at discharge — each one records met or not met.

Access

Only people whose role includes it — the clinic owner decides who

Your data

Full PHI. Hosted in Boston, United States. On uninstall: All clinical data stays in the record; operational history stays queryable.

In the product

1. 1Write a care plan against an open admissionOn Write a care plan, pick Which patient… from the occupied beds, type the nursing diagnoses comma separated and press Open the plan. The service refuses a plan on a closed admission, a second active plan on the same admission, and a plan with no diagnosis.
2. 2Set one goal per shiftGoals on the plan: morning, evening or night, what this shift is aiming at, then Set the goal. The database keeps one goal per shift on a plan, so each can be closed.
3. 3Close goals, then the planOpen shift goals lists every open goal across the wards, overdue first. Close goal asks for met, partially met or not met; a goal that was not met needs the note that says why, and the service refuses it without. Close the plan closes when the admission is discharged, or earlier with a reason — goals are not closed for you at discharge.
4. 4Score every IV line on the roundIV site rounds lists every open IV and vascular line Lines & Tubes holds on an admitted patient, with its dwell against that line’s limit. Press a line and record the score on the unit’s own phlebitis scale. The unit sets the scale as it names and cites it, its highest score, the score at which its policy says act and how often each line is scored, with the source; until then scores are kept and nothing is flagged. A line at the action score comes first, then a line overdue for its round. Removing a line stays on Lines & Tubes.