Nurse Charting Pro · RN 

Now fully native on iPad. Side‑by‑side charts let you see vitals, head‑to‑toe, and psych notes together so you spend less time scrolling and more time with patients.

Bedside AI charting for psych and med-surg RNs. Complete nursing documentation — per shift, per patient, per category. Nothing missed.

Now covering all bedside specialties: med-surg, tele, ICU, step-down, wound care, and float pool.

CLINICAL CHARTING — 7 CATEGORIES

Fall Risk Assessment Morse Fall Scale auto-calculates Low, Moderate, or High risk across 6 factors. Documents restraints, isolation, seizure precautions, and bedside safety checks.

Skin and Wound Assessment Braden Scale pressure injury risk scoring, PUSH healing trajectory, NERDS/STONEES infection screening. 12 wound types: pressure injuries, diabetic ulcers, surgical wounds, burns, skin tears, and more. Structured wound documentation across 10 assessment dimensions.

Head-to-Toe Assessment 10-system bedside nursing assessment with WDL toggles and exception tracking. Neuro, respiratory, cardiac, GI, GU, musculoskeletal, skin, and vascular — every system, every shift.

Nursing Vitals BP, pulse, resp, temp, O2 sat with source, weight, and full DVPRS pain scale.

IV Lines PIV, PICC, central line, midline, and port-a-cath. Site, gauge, fluid, rate, and clinical findings.

Safety Check Fall precautions, restraints, isolation status, seizure protocol, and bedside environment documentation.

Notes and Patient Education Draft and sign nursing notes. Patient teaching tracked across 6 topic areas.

PSYCHIATRIC DOCUMENTATION

The standard for psych charting. 8 structured categories ensure SI, HI, and AVH are addressed every single entry — mandatory for RN license protection. Thought, mood, behavior, functioning level, group attendance, medication compliance, and discharge status. Every note legally defensible.

PSYCH AND MED-SURG IN ONE SHIFT

Set your specialty to Psych, Clinical, or Both. Chart any patient type in the same shift with the same workflow. One charting template. Zero gaps.

HIPAA-COMPLIANT. LOCAL ONLY.

All data encrypted on-device with AES-256. No cloud. No upload. No transmission to any server. End-of-shift crypto-shredding permanently deletes all patient data. HIPAA-compliant by architecture — not just policy.

HOW THE AI WORKS

You complete structured bedside assessment fields. AI generates a complete clinical nursing note — consistent terminology, correct format, ready to copy into your EMR or CPRS. You review. You sign. Clinical judgment stays with you.

BUILT FOR:

· Med-surg RNs who need complete bedside documentation · Psych RNs documenting SI, HI, and AVH every shift · Wound care nurses using Braden Scale and PUSH scoring · Night shift RNs: 8 patients, 90 minutes, nothing missed · Float pool and travel nurses rotating between specialties · Charge nurses standardizing charting across the unit

"Having any structure at all is a revelation — it trains your brain to hit everything you need." — Psychiatric RN, VA Hospital

Note: This app is a documentation aid. Always verify generated narratives for accuracy before including them in official medical records.

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