Module Walkthrough: IPD & Nursing

February 2026 · 20 min

Admission Module

IPD admissions create a long-running clinical encounter that may span days, weeks, or months.

Admission Fields:

Admission Flow:

1. Doctor writes an admission request (from OPD or ED)
2. Front desk/nurse processes the admission -- selects bed, captures attendant info
3. System creates the admission record, assigns the bed, and notifies nursing
4. Billing starts accruing room charges from admission timestamp
5. Kitchen receives a new patient notification for dietary planning

Try It Yourself:

1. Log in as doctor, create an admission request for a test patient with diagnosis "Acute Appendicitis"
2. Switch to receptionist role, process the admission, assign a bed
3. Verify the bed board shows the bed as occupied
4. Verify the nursing console shows the new admission

Bed Management Module

The bed board is a real-time visual map of all beds in the hospital.

Bed States:

Bed Master Configuration:

Bed Charges: Each bed type has a daily rate configured in the tariff master:

• General Ward: Rs 1,500/day
• Semi-Private: Rs 3,000/day
• Private: Rs 5,000/day
• ICU: Rs 10,000/day

FC Configuration:

• Create ward hierarchy (ward → room → bed)
• Assign bed type and billing category to each bed
• Configure bed charges in tariff master per bed type
• Set housekeeping SLA for bed turnaround (time between discharge and next admission)
• Enable real-time bed board in the command centre

Nursing Console

The nursing console is the IPD nurse's primary workspace -- a dashboard showing all patients under their care.

Console Panels:

Medication Administration Record (MAR): The MAR is a grid showing every medication for a patient, with time slots for each scheduled dose:

The nurse scans the patient wristband, then the medication barcode, and marks the dose as given. This enforces the 5 Rights: right patient, right drug, right dose, right time, right route.

FC Configuration:

• Configure nursing shift timings (6-2, 2-10, 10-6 or hospital-specific)
• Set vitals capture frequency per ward type (ICU: every 1h; General: every 6h)
• Configure fall risk assessment tool (Morse Fall Scale or custom)
• Set up pain assessment scale (numeric 0-10 or Wong-Baker faces)
• Enable barcode scanning for medication administration

Diet Orders Module

Diet management is critical for IPD patients -- especially post-surgical, diabetic, renal, and paediatric patients.

Diet Order Flow:

1. Doctor writes a diet order (e.g., "Soft diet, low sodium, 1800 kcal")
2. Dietitian reviews and creates a meal plan
3. Kitchen receives the order via the Kitchen Display System (KDS)
4. Kitchen prepares and dispatches meals per ward at scheduled times
5. Nurse confirms meal delivery and patient consumption

Standard Diet Categories:

FC Configuration:

• Define diet categories and descriptions
• Configure meal timings (breakfast 8 AM, lunch 12:30 PM, snack 4 PM, dinner 7:30 PM)
• Set up kitchen display system for each kitchen/pantry
• Configure dietary allergen flags (nuts, gluten, lactose)
• Link diet charges to billing if applicable (some hospitals include diet in room charge)

OT (Operation Theatre) Scheduling

The OT module manages surgical scheduling, team assignment, and intra-operative documentation.

OT Booking Flow:

1. Surgeon requests OT slot -- specifies procedure, estimated duration, anaesthesia type
2. OT coordinator reviews and assigns theatre, date, and time
3. Pre-operative checklist is completed (consent, labs, blood reservation, NPO status)
4. On the day, patient is wheeled in; team performs the surgical safety checklist (WHO checklist)
5. Surgery proceeds; anaesthetist documents vitals, drugs, events
6. Post-operative notes are entered; patient transferred to recovery/ICU/ward

OT Master Data:

FC Configuration:

• Set up OT theatres with capacity (major/minor), equipment list
• Configure procedure catalogue with estimated durations and pricing
• Set up surgeon preference cards
• Configure the WHO Surgical Safety Checklist (Sign In, Time Out, Sign Out)
• Link OT charges (theatre, anaesthesia, implants, surgeon fee) to billing

Discharge Module

Discharge is the most complex cross-module event in IPD -- it touches billing, pharmacy, nursing, kitchen, housekeeping, and insurance.

Discharge Checklist (system-enforced):

• Final diagnosis entered (ICD-10 coded)
• Discharge summary written and signed by attending doctor
• All pending lab/radiology results reviewed
• Discharge medications prescribed (prescription for take-home meds)
• Final bill generated and reviewed
• Payment collected or insurance discharge approved
• Nursing handover notes completed
• Patient/attendant counselling documented
• Follow-up appointment scheduled
• Bed released for housekeeping turnover

Discharge Types:

FC Configuration:

• Set mandatory discharge checklist items (which items block discharge if incomplete)
• Configure discharge summary template (sections, doctor sign-off)
• Set up auto-billing for final day charges
• Configure bed release → housekeeping notification workflow
• Set up post-discharge follow-up SMS/call reminder

Notes

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