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IPD queue and inpatients

Admit inpatients, manage beds, write orders, record medication and nursing care, create sales, transfer beds and discharge

31 steps~85 minclinic.app-apsx.comAdd-on required
Contents

The IPD queue is for patients who stay overnight and requires the IPD add-on. Adding a queue admits the patient to the Census immediately; the care team then records in the doctor’s orders, nursing notes and Vital/IO tabs. Before discharge, create the sale, take payment and bring the queue to Finished, because the discharge button only works on finished queues

1

Before admitting patients

One-time setup — add-on, rooms and beds

Step 1.1Owner/manager

Enable the IPD add-on

IPD queue and Census pages need the IPD add-on

Enable the IPD add-on

Enable the IPD add-on

Why

Without the add-on, the IPD queue and Census pages show an add-on notice and cannot be used

How

  1. 1Open the IPD queue menu — an add-on notice means the shop does not have it yet
  2. 2The owner opens the account centre (User menu › Shop settings) and buys the IPD add-on on the packages page

Done when: The IPD queue page shows the queue list

Step 1.2Owner/manager

Set up inpatient rooms and beds

The Census map and add-queue form use these rooms and beds

Set up inpatient rooms and beds

Set up inpatient rooms and beds

1Numbers in the screenshot match the steps · click to enlarge

Why

The Census counts free and occupied beds from this setup, and "Add queue" needs a room and bed before it can be pressed

How

  1. 1The owner opens Shop settings › Rooms/Beds and creates rooms for inpatients
  2. 2Add every real bed to each room

Done when: The Census bed map shows every room and bed

2

Admit and see the overview

Add queues, use the list and read the Census bed map

Step 2.1

Admit by adding a queue

Customer · doctor · room · bed · priority

Admit by adding a queue

Admit by adding a queue

1Numbers in the screenshot match the steps · click to enlarge

Why

Adding an IPD queue admits the patient: they appear in the Census immediately and length of stay starts counting

How

  1. 1Open the IPD queue menu and press Add queue
  2. 2Search customer: type at least 3 characters and pick the patient — check the Allergy tag
  3. 3Choose the attending Doctor
  4. 4Choose a free Room and Bed — occupied beds show as unavailable
  5. 5Press Add queue under the formConfirm add queue
  6. 6Choose a priority and press Add queue in the dialog

Done when: The queue is listed and the patient appears on a Census bed

Step 2.2Optional

Read the IPD queue list

Status cards · my queue · filters · length of stay · admission source

Read the IPD queue list

Read the IPD queue list

1Numbers in the screenshot match the steps · click to enlarge

Why

The list helps track work per queue and shows each patient’s length of stay and source without opening the room

How

  1. 1Press a status card to filter — press it again to show all
  2. 2Press My Queues to see only your own queues
  3. 3Filter & Search tab: find a patient, then choose date, department, doctor or priority
  4. 4See the Length of stay column for days stayed and the admission source
  5. 5Press Start exam, Continue exam or View items on the row to open the room — Start exam moves the queue to Examining

Tips

  • Press the patient’s name in the list to open their profile

Done when: You can find a patient’s queue and see their length of stay

Step 2.3

See all patients in the Census

Occupied · free beds · admitted today · ready to discharge · bed map

See all patients in the Census

See all patients in the Census

1Numbers in the screenshot match the steps · click to enlarge

Why

The Census answers the ward’s daily questions on one page: how many patients, how many free beds, and who is ready to go

How

  1. 1On the IPD queue page press Inpatient census
  2. 2Read the top cards: current patients, occupied, free beds, admitted today and ready to discharge
  3. 3Under View choose Bed board or Table — your choice is remembered
  4. 4Read each bed’s labels: patient name, allergy, length of stay and queue code
  5. 5Press History (discharged) to see admission dates, discharge dates and discharge types

Tips

  • A bed marked as having a queue but not admitted has no admission record yet — open that queue in its room

Done when: You can see patients, free beds and who is ready to discharge

3

Care during the stay

Doctor orders, medication, nursing notes and Vital/IO

Step 3.1

Read the header and safety details

Admitted · length of stay · source · dispensed · allergies

Read the header and safety details

Read the header and safety details

Why

The IPD header gathers admission status so a new shift can catch up quickly and read allergies before ordering or giving drugs

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Read the header: admitted, length of stay, source and dispensed
  3. 3Read Pre-procedure safety and the scores and alerts card
  4. 4Press Add history to record history, diagnosis and ICD codes — they appear under DiagnosisAdd history

Done when: Allergies are read and this admission’s history is recorded

Step 3.2

Write doctor’s orders (CPOE)

Order group · item · dose · route · frequency · continuous

Write doctor’s orders (CPOE)

Write doctor’s orders (CPOE)

Why

Doctor orders are the treatment record nurses work from, and the starting point for medication records

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Open the Doctor orders tab
  3. 3Press Add doctor’s orderAdd doctor's order
  4. 4Choose the order group, then search or type freely in the order/item field
  5. 5For drugs, enter the dose, route and frequency
  6. 6Choose a priority and tick continuous if the order repeats until stopped, then set start, end and notes
  7. 7Press Save order — it appears under active orders
  8. 8When no longer needed, press the order’s ⋯ menu and choose stop, hold or complete

Tips

  • Use the chips to switch between active and all orders and filter by group — stopped orders are struck through

Done when: The order appears in the doctor’s orders tab

Step 3.3

Record medication (MAR)

Actual time · status · dose given · history

Record medication (MAR)

Record medication (MAR)

Why

The MAR shows who gave which drug and when, preventing doubled or missed doses across shifts

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2On an active drug order press the MAR buttonRecord administration
  3. 3Enter the actual time, the administration status and the dose given
  4. 4Press the save button — the entry appears in the administration history with the giver’s name

Tips

  • Stopped drug orders still show their history from the order’s ⋯ menu

Done when: The administration history shows this dose

Step 3.4

Nursing notes (FAIE)

Focus · assessment · intervention · evaluation · by shift

Nursing notes (FAIE)

Nursing notes (FAIE)

Why

A shared format lets the next shift pick up immediately, and notes are grouped by day and by morning, afternoon and night shift

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Open the Nursing notes tab
  3. 3Press Add New NoteAdd nursing note (FAIE)
  4. 4Enter the note time and choose the shift
  5. 5Fill in focus, assessment (A), intervention (I) and evaluation (E) — at least focus or assessment is required
  6. 6Press Save, then use Today, Yesterday or All to review notes

Done when: The note appears under the correct day and shift

Step 3.5

Record vital and I/O

Continuous vitals · intake · output · temperature chart

Record vital and I/O

Record vital and I/O

Why

This tab shows the patient’s trend during the stay, and the chart and red values make fevers and abnormal values easy to spot

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Open the Vital/IO tab
  3. 3Press Record vitalRecord vital signs + I/O
  4. 4Enter the time, vital signs, pain score, intake and output
  5. 5Press Save, then read the total intake and output cards and the temperature chart of the latest 12 readings, with a 37.5 °C fever line

Done when: The latest values appear in the table and chart

Step 3.6Optional

Send on or transfer beds

Send to · bed transfer · only free beds can be chosen

Send on or transfer beds

Send on or transfer beds

1Numbers in the screenshot match the steps · click to enlarge

Why

Recording the transfer keeps the Census map accurate and frees the old bed for the next patient

How

  1. 1In the Census press Transfer bed on the patient’s row or bed, or in the room use More › Transfer bedTransfer bed
  2. 2Choose the new room and bed — occupied beds are unavailable
  3. 3Press Transfer bed in the window — a success message appears
  4. 4To send to another department or doctor while Waiting or Examining, press Send to in the room

Done when: The bed map shows the patient on the new bed

4

Results, documents and tools in the room

Use the remaining IPD room tabs and the "More" menu

Step 4.1Optional

Scores and alerts bar

Health icons · assessment scores · form history

Scores and alerts bar

Scores and alerts bar

Why

This bar summarises risk before treatment, including allergies, temperature, blood pressure, age, blood disorders and special conditions

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Read the health icons: allergies · temperature · blood pressure · elderly · blood disorder · special conditions
  3. 3If an assessment form exists, read the latest score and risk level, then press View criteria for its meaning
  4. 4Press Form History to see the customer’s latest entries

Tips

  • The bar is only a prompt; the doctor still reads the full patient details

Done when: You see alerts before treatment

Step 4.2Optional

Enter and check lab results

Analyst · checker · value · flag · advice

Enter and check lab results

Enter and check lab results

1Numbers in the screenshot match the steps · click to enlarge

Why

These results are printed for patients and reviewed later. Naming the analyst and checker shows who is responsible

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Open the Lab tab — it appears when the queue has lab items and the role is allowed
  3. 3Choose the Analyst and press the save button beside it
  4. 4Choose the Checker and press the save button beside it
  5. 5Read each item: current result, previous result, reference value, flag and examiner
  6. 6Press Edit on the itemEdit LAB/X-Ray result
  7. 7Enter the detected value, choose the reference, enter a flag such as H, L or N and the unit, then press Save
  8. 8To bring in the previous result, press Update previous results
  9. 9Choose the advice item and enter the description, then press save

Tips

  • Result sections and the edit button follow role permissions

Done when: Each item has a result, and the analyst and checker are named

Step 4.3Optional

Enter and view X-ray results

Upload images · analyst · checker · compare images

Enter and view X-ray results

Enter and view X-ray results

Why

The analyst and checker are required before saving, and storing images with the queue allows comparison with earlier ones

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Open the X-Ray tab — it appears when the queue has X-ray items and the role is allowed
  3. 3Choose and save the Analyst and Checker
  4. 4Press Edit on the itemEdit LAB/X-RAY
  5. 5Enter the result, reference, flag and unit
  6. 6Press Add images (multiple allowed) for images or PDFs up to 10MB each
  7. 7Press Save — a success message appears
  8. 8Press Compare to see the current image beside the previous one

Tips

  • Shops with PACS have a View All DICOM button for medical images

Done when: The result and images appear in the X-Ray tab

Step 4.4Optional

Print lab documents

Request slip · lab sticker · test results

Print lab documents

Print lab documents

Why

These documents accompany samples, label tubes and give results to patients. The button appears when the queue has lab or X-ray items

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Press Lab documents
  3. 3Application to LAB: choose a language and press Print
  4. 4Sticker Lab: choose items, paper size and language, then press Print
  5. 5Test results: choose a language, sign if the shop requires it, and press Print

Done when: The documents you need are printed

Step 4.5Optional

Diagnosis tab

View, print OPD, edit, issue certificates and delete

Diagnosis tab

Diagnosis tab

Why

This tab holds every history record of the queue. Changes affect medical records and reports, so use each action carefully

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Open the Diagnose tab and read each record: number, date, doctor, vitals and diagnosis
  3. 3Press Print OPD to print that record
  4. 4Press the record’s more actions menu (⋯)
  5. 5Edit: reopen the history form, change it and press Save
  6. 6Issuing a medical certificate: create a certificate from this record; it then appears in the Medical certificate tab — shown according to role permission
  7. 7Delete: remove the record — this cannot be undone and affects reports and treatment history, so you must confirm first — shown according to role permission

Done when: You can print or edit the record you need

Step 4.6Optional

History list tab

Visits, documents, drugs, courses, exams, lab, X-ray, appointments, images and surgery

History list tab

History list tab

Why

Doctors see the customer’s past records without leaving the room, helping avoid duplicate or problematic orders

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Open the History List tab
  3. 3Choose a sub-menu: visits · documents · drugs · courses · exams · lab · X-ray · appointments · images/PDF · surgery
  4. 4In visits: filter by doctor, search by number or issuer, then open a visit’s details

Tips

  • A sub-menu you cannot open is one the role has no permission for

Done when: You can find the past record you need

Step 4.7Optional

Picture/PDF tab

Upload, view and delete queue files · check shop storage

Picture/PDF tab

Picture/PDF tab

Why

Files attached to the queue can be reviewed later from history and the shop’s file page, and count against shop storage

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Open the Picture/PDF tab and check the storage used
  3. 3Drag files in or browse — several can be chosen; supported types are shown under the box
  4. 4Wait for the upload success message, then open the file
  5. 5Delete with that file’s button and confirm

Tips

  • When storage is full, uploads are blocked until you add space or delete files

Done when: The file appears in the queue’s tab

Step 4.8Optional

Medical certificate tab

Print · edit certificate data · delete · print status

Medical certificate tab

Medical certificate tab

Why

Certificates are given to patients. Use this tab to check the data before printing and see which were printed

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Create it from the Diagnose tab › ⋯ › Issuing a medical certificate
  3. 3Open the Medical certificate tab and check the number, type, doctor and printed status
  4. 4⋯ › Edit certificate data: change this certificate’s symptoms, findings and opinion, then press SaveEdit medical certificate data
  5. 5Press Print, choose the language and print options, then press Print in the windowPrint medical certificate
  6. 6If it was issued in error, choose ⋯ › Delete and confirm

Tips

  • Once a certificate has its own data, later diagnosis edits do not affect it, and editing it does not affect the diagnosis

Done when: The certificate is correct and printed

Step 4.9Optional

Verify Face tab

See the queue’s face verification records

Verify Face tab

Verify Face tab

Why

Use it to review how the patient’s identity was confirmed for this queue

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Open the Verify Face tab — it only appears when the shop enables queue face verification
  3. 3Read each entry’s image, date and notes

Done when: You can see the queue’s verification records

Step 4.10Optional

Bill tab

Follow documents: queue → quotation → invoice → receipt

Bill tab

Bill tab

Why

The room team can see payment status and open the queue’s documents without searching the sales pages

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Open the Bill tab — it says when the queue has no sale yet
  3. 3Read the bill status: awaiting payment · partly paid · paid in full · cancelled
  4. 4Press the bill or a document step to open its documents page — this leaves the room

Tips

  • This tab only appears for roles with sales document permission

Done when: You know the queue’s payment status

Step 4.11Optional

Draw a Face Chart

Mark treatment areas and save as a queue file

Draw a Face Chart

Draw a Face Chart

Why

It records treatment areas as a picture, which is clearer than a description

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Press More and choose Face ChartFace Chart
  3. 3Draw in the window’s drawing area
  4. 4Press save — if nothing is drawn, the system asks you to draw first
  5. 5The image is saved as a queue file in the Picture/PDF tab

Done when: The Face Chart appears in the queue’s files

Step 4.12Optional

Open a Video Call

For queues with a Telemed link

Open a Video Call

Open a Video Call

Why

Doctors can talk to patients remotely from the same queue and record treatment there

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Press More and choose Video Call — it appears when the queue has a Telemed link and the role is allowed
  3. 3The call opens in a new window — allow browser pop-ups

Done when: The call opens in a new window

Step 4.13Optional

Create a surgery form from the queue

Needs the IPD add-on · customer comes from the queue

Create a surgery form from the queue

Create a surgery form from the queue

Why

It links the surgery booking to this queue, so no new search is needed and the surgical team sees where it came from

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Press More and choose Create surgeryCreate surgery
  3. 3Check the prefilled customer and complete the required surgery fields
  4. 4Press save — the system tells you if anything is missing

Tips

  • A surgery appointment must be saved before it can be printed

Done when: The surgery appointment appears in the operating room menu

Step 4.14Optional

Book the next appointment

Book from the room without searching again

Book the next appointment

Book the next appointment

Why

Booking a follow-up while the patient is there keeps treatment continuous after discharge

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2In the room press Appointment
  3. 3Choose the date, time, doctor and topic, then save

Done when: The new appointment appears on the appointments page

5

Charges and discharge

Add items, dispense, create the sale, close the queue and discharge

Step 5.1

Add items and dispense

Tests · order drugs · use service · use drugs · dispense

Add items and dispense

Add items and dispense

Why

These items are the charges during the stay that later go on a sale. Recording them along the way prevents missed charges at discharge

How

  1. 1In the queue list, open a queue with no sale yet using Continue exam or Start exam
  2. 2Scroll down to Items in this queue and press a category
  3. 3Type a name or code in the search box and pick the item — choose a unit and directions for drugs
  4. 4Press Summary of the program to check every category and the net total
  5. 5After the pharmacy dispenses, press Confirm dispensing — the count rises until everything is dispensed

Done when: Charges are complete and dispensing status matches reality

Step 5.2

Create the sale and take payment

Pick unbilled items · queue becomes Awaiting payment · payment closes it

Create the sale and take payment

Create the sale and take payment

Why

Discharge only works on a finished queue, and a queue finishes on its own once paid with nothing pending, so all items must be billed first

How

  1. 1In the queue list, open a queue with no sale yet using Continue exam or Start exam
  2. 2Press Create order listCreate order list
  3. 3Press items on the left to select them, or press Add all — already billed items cannot be selected again
  4. 4Check the selected items and the totals
  5. 5Press Save — the sale is created and the queue becomes Awaiting payment
  6. 6Take payment on the bill from the Bills tab or the sales page — once paid with nothing pending, the queue becomes Finished

Tips

  • To add items after creating a sale, press Update status and return the queue to in progress
  • A queue cannot be set to Finished manually while it has unbilled items

Done when: The bill is paid and the queue is "Finished"

Step 5.3Optional

Update the queue status

Waiting · in progress · finished · cancelled

Update the queue status

Update the queue status

Why

IPD queue status can be changed from the room, for example to reopen and add items after a sale was created

How

  1. 1In the queue list, open the patient’s queue with Continue exam or View items (Start exam moves it to Examining)
  2. 2Press the status button — it appears until the queue is finished or cancelledUpdate status
  3. 3Check the queue code and choose the status
  4. 4If Finished cannot be chosen, the window lists unbilled items, so create the sale first
  5. 5Press Confirm — a success message appears

Done when: The progress bar shows the new status

Step 5.4

Discharge the patient

Discharge type · date and time · discharge summary

Discharge the patient

Discharge the patient

1Numbers in the screenshot match the steps · click to enlarge

Why

Discharge closes the admission, stops the length of stay and frees the bed. The record moves to the Census history tab

How

  1. 1Open the Census and use Ready to discharge to find patients with finished queues
  2. 2Press Discharge on the patient’s row or bed, or in the room use More › Discharge inpatientDischarge inpatient
  3. 3Choose the discharge type: Improved · AMA · Refer · Death
  4. 4Check the discharge date and time, and fill in the summary: symptoms, advice and follow-up care
  5. 5Press Discharge in the window — a success message appears and the patient moves to the history tab

Tips

  • If Discharge is disabled, the queue is not finished yet — create the sale and take payment first

Done when: The patient is in the history tab and the bed is free

Step 5.5Optional

Record hand fees / commission

Only for finished queues

Record hand fees / commission

Record hand fees / commission

Why

Hand fees and commission flow into reports. Without an entry, staff do not get credit for the work

How

  1. 1In the queue list, open the queue with View items
  2. 2In a finished room press Give CommissionAdd hand fee/commission
  3. 3Choose Employee/Doctor, check the calculated amount and press + to add it
  4. 4Press Save

Done when: The fee appears in the queue’s added items

Step 5.6Optional

Cancel an IPD queue

Reason required · any sale must be cancelled first

Cancel an IPD queue

Cancel an IPD queue

Why

Use this when a queue was opened by mistake. Cancelling frees the bed. If a sale exists it is blocked, so bills are not left without a queue

How

  1. 1In the list, press the row’s ⋯ menu and choose Cancel QueueCancel Queue
  2. 2If the system says the queue has a sale, cancel the listed sale first and come back
  3. 3Enter a reason and press Confirm cancel queue

Tips

  • A finished queue cannot be cancelled from the list

Done when: The queue is "Cancelled" and the bed is free

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