Designed for bedside speed
Reduce typing and repetitive tasks with structured templates, quick selections, and prefilled context from EMR and orders. Support mobile friendly charting readiness.
Bedside charting and care continuity
Rayterton Nursing Documentation & Care Plans
A nursing documentation platform for structured assessments, care planning, bedside charting, and shift handover. Standardize nursing workflows with templates, risk scores, medication and procedure documentation, vital signs, I O charts, and outcomes tracking, enabling safer care and better continuity across teams.
Request Nursing Demo
Share your nursing forms, scoring tools, and ward workflow, we will prepare a tailored prototype
Operational outcomes
Care Continuity
Assessment to outcome
- Faster documentation with templates
- Better shift handover quality
- Clear risk and safety visibility
- Audit ready nursing records
Structured nursing workflow
Standardize Nursing Documentation Across Wards
Manage nursing assessments, care plans, interventions, and outcomes in one place. Support ward based templates, policies, and approval controls to improve quality and continuity.
Connected to inpatient workflows
Link nursing documentation to orders, medication administration, procedures, and discharge planning, ensuring the patient story is consistent across teams.
Assessments
Nursing Assessments and Risk Screening
Capture structured assessments and calculate risk scores consistently to support safer decisions and timely escalation.
Admission assessment
Structured intake assessment including complaints, history, mobility, pain, and baseline vitals.
Risk scores and screening tools
Fall risk, pressure injury risk, infection screening, and early warning score readiness.
Wound and skin assessment
Track wounds, stages, measurements, dressing, and photo attachment readiness with timelines.
Pain assessment and monitoring
Pain scale documentation, interventions, and reassessment tracking to ensure follow through.
Neuro and mobility checks
GCS, neuro checks, mobility status, and assist level documentation for safety.
Escalation triggers
Trigger notifications for critical values or worsening scores with acknowledgement tracking readiness.
Care plans
Care Plans, Interventions, and Outcomes
Create patient specific care plans with goals, interventions, and outcomes tracking. Support standardized nursing diagnoses and ward protocols.
Care plan builder
Build care plans from templates, define goals, interventions, frequency, and evaluation criteria.
Nursing diagnoses and goals
Standardized nursing diagnoses and goal tracking with patient specific customization readiness.
Intervention scheduling
Schedule interventions, reminders, and documentation prompts per shift and per patient.
Progress and evaluation
Evaluate outcomes, update care plans, and document progress with structured notes and timestamps.
Multidisciplinary collaboration
Link to diet, physio, wound care, and physician plans for aligned patient management readiness.
Audit trails and approvals
Track edits, sign offs, and supervisor reviews with complete audit logs for compliance.
Bedside charting
Vitals, I O, Procedures, and Medication Documentation
Chart bedside activities consistently, including vitals, intake output, procedures, and medication administration readiness tied to orders and schedules.
Bedside charting coverage
- Vitals charts with scheduled and ad hoc entries.
- Intake and output tracking with totals per shift.
- Procedure documentation linked to orders and notes.
Medication and safety readiness
- Medication schedules and administration record readiness.
- Double check workflow for high risk medications.
- Exception reasons, holds, and adverse event tracking.
Shift handover
Handover Notes and Continuity
Ensure smooth shift transitions with structured handover notes, task lists, and risk visibility, improving continuity and reducing missed actions.
Structured shift handover
Handover templates per ward with diagnosis, risks, lines, drains, and pending actions.
Task list and reminders
Pending tasks and scheduled interventions per patient, with escalation readiness.
Escalation and rapid response readiness
Capture deteriorating patient signals and support rapid response workflow tracking.
Ward census overview
Ward overview of all patients, risk flags, pending labs, and key notes for quick awareness.
Supervisor rounding notes
Track rounding notes, coaching, and compliance checks with audit trails.
Discharge readiness documentation
Discharge instructions readiness, education logs, and follow up planning support.
Analytics
Quality Metrics, Compliance, and Nursing Workload Insight
Monitor documentation compliance, response times, risks, and workload distribution to improve safety and staffing.
Documentation compliance
Compliance rates by ward, shift, and nurse, with missing documentation alerts.
Risk and incident trends
Track falls, pressure injuries, and incidents with contributing factors and prevention actions.
Workload distribution
Workload by patient acuity, interventions, and time spent across wards and shifts.
Response and escalation insight
Measure response times to deterioration signals and escalation event outcomes.
Care plan effectiveness
Track outcomes per care plan and identify improvements for standardized pathways.
Export and BI readiness
Export nursing metrics for enterprise analytics and continuous improvement programs.