ICU Management

February 2026 · 7 min

Overview

The ICU module extends the standard IPD workflow with critical care-specific features. It is designed for hospitals with dedicated ICU, MICU, SICU, CCU, or HDU beds.

The module provides a bedside view with continuous monitoring, severity scoring, infusion management, and specialized documentation for ventilated and critically ill patients.

ICU Bedside View

Each ICU bed has a dedicated bedside screen showing:

• Real-time vital signs (integrated with bedside monitors via HL7)
• Ventilator parameters (mode, FiO2, PEEP, tidal volume)
• Active infusions with calculated rates
• Fluid balance (intake vs output)
• Latest lab values with critical flags
• Active medications with next-due times
• Severity scores (APACHE II, SOFA, GCS)
• Lines and devices registry (central lines, catheters, drains)

Care Bundles

Pre-configured evidence-based care bundles:

• Ventilator Bundle -- Head elevation, DVT prophylaxis, oral care, sedation vacation, weaning assessment
• Central Line Bundle -- Hand hygiene, barrier precautions, chlorhexidine, optimal site, daily review
• Sepsis Bundle -- Lactate measurement, blood cultures, antibiotics within 1 hour, fluid resuscitation

Nurses document compliance with each bundle element per shift. Non-compliance triggers alerts and is tracked in quality metrics.

Critical Events Log

Document critical events:

• Cardiac arrest / Code Blue
• Unplanned extubation
• Central line-associated bloodstream infection (CLABSI)
• Ventilator-associated pneumonia (VAP)
• Falls
• Medication errors

Each event triggers an incident report workflow with root cause analysis.

ICU Handover

ICU shift handovers use a structured ISBAR format:

• Introduction: patient identity and bed
• Situation: current clinical status
• Background: admission diagnosis and course
• Assessment: active problems and plan
• Recommendation: tasks for incoming shift

Handover data is pre-populated from the patient chart. Both incoming and outgoing staff digitally sign the handover.

Notes

Related topics