Modules
Three therapies. One record.
Each module is a complete order set, assessment and flowsheet for one therapy, sharing the same record model, audit trail and reporting. A department running more than one therapy does not run more than one system.
CRRT — Regional citrate
- Citrate infusion and calcium chloride replacement
- Post-filter ionised calcium target 0.25–0.3 mmol/L
- Peripheral ionised calcium target 1.12–1.2 mmol/L
- Both monitoring schedules and sliding scales
CRRT — Heparin
- Dosing scale keyed on post-filter clotting time
- Guardrails on bolus, initial, minimum and maximum rate
- Standard and tight heparinisation protocols
- Ceiling on total heparin under the tight protocol
Haemodialysis
- Dialyser and mode — ultrafiltration alone, or with dialysis
- Dialysate composition and prescribed ultrafiltration goal
- Blood pressure thresholds, support and vasopressors
- Transfusions, medications and laboratory schedule
What the flowsheet holds
Prescription
Modality, blood flow, replacement and dialysate rates, target ultrafiltration, and each change with the time it was made.
Hourly balance
Intake, output, effluent and net balance per hour, with running and shift totals calculated.
Circuit observations
Access, return, filter and effluent pressures, transmembrane pressure and filter age, on the same clock as the balance.
Anticoagulation
Regime, rates, and the monitoring results that govern them, beside the observations they respond to.
Interruptions
Downtime, filter and circuit changes, alarms and the reason for each, so lost therapy time is visible.
Sign-off
Shift handover and clinician review recorded against the entries they cover, with author and timestamp.
Clinical content
Protocol detail, not a generic template.
The forms carry the protocol the way the unit writes it, down to the dosing steps and the order labs are drawn in.
Sliding scales
Explicit adjustment bands with their own step in millilitres per hour, and a call-the-physician instruction on the band above target.
Post-filter ionised calcium · citrate
| 0.20 – 0.24 | Decrease 5 mL/hr |
| 0.25 – 0.30 | No change · target |
| 0.31 – 0.40 | Increase 5 mL/hr |
| 0.41 – 0.45 | Increase 10 mL/hr |
| > 0.45 | Increase 15 mL/hr · call physician |
Laboratory sequence
Peripheral, then post-filter, then pre-filter, then ultrafiltrate — because sampling out of order makes clearance calculations meaningless.
Standing instructions
Maintenance orders live in the order set rather than in a nurse's memory — when to notify, how often to check line patency and pulses.
Modalities
SCUF · CVVH · CVVHD · CVVHDF
Machines
Prismaflex · Prismax · Multifiltrate · Aquarius · Braun · Fresenius · Baxter
Access
Temporary · Tunnelled · Fistula · Graft · ECMO circuit
Configurable
Every list here is an option set an administrator can edit
How it is used
- At the bedside — hourly entry in the order the nurse works through the machine, continuing if the network drops
- At handover — totals, prescription changes and interruptions summarised, on any window from twelve hours to a week
- Afterwards — retrievable for review and audit, in a form that prints
Paper parity
Every form ships as a blank fillable A4 template drawn from the same layout — three order sets, the assessment, and the twenty-four hour flowsheet.
A unit falling back to paper during an outage charts on a form that matches what it will type back in.
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