One patient, one MRN, one built-in ledger, one live command centre — from the registration counter to the operating theatre.
Why EloHIMSICU & Critical Care Management
Your ICU holds the patients with the least margin for error, and their chart must be as rigorous as their care. EloHIMS gives the unit a dedicated critical-care chart — an APACHE II calculator with its published mortality band, a lines register that flags overdue lines, ventilators charged by the day, and a typed SBAR handover that a step-down cannot skip.
A controlled, auditable environment for your sickest patients.
The critical-care chart scores each admission on APACHE II from the worst values of the first 24 hours and shows the published mortality band. Every line, tube and drain goes on a lines register that counts its dwell days against a review limit. Ventilators and other bedside equipment are assigned to the patient and charged per calendar day. Continuous vitals include a mean arterial pressure that recalculates whenever a source reading is edited, and an automatic sepsis alert flags risk from recorded data. Handovers are typed as a nurse's or a doctor's, and moving the patient out of the unit to a ward needs a written SBAR handover to a named colleague. A dedicated NICU profile covers the smallest patients.
A rigorous, alert-driven critical-care record
APACHE II, scored by the system — with the published mortality band
The APACHE II calculator sits on the ICU chart, pre-fills from the last round and scores live as values are entered. The score is worked out on the server from the worst values of the first 24 hours: the A–a gradient when FiO₂ is 50% or more (calculated from PaO₂ and PaCO₂), PaO₂ otherwise; pH, or serum HCO₃ when there is no blood gas; creatinine points doubled in acute renal failure; 15 minus the GCS; age points; and chronic health points — 2 after elective surgery, otherwise 5.
The result shows its published mortality band. Saving charts the score on the flowsheet without it appearing as a round, and a score with more than four values missing is refused rather than saved as a misleading number.
Every line counted in days, flagged when it is due for review
The lines panel on the ICU chart records each line, tube and drain with its site, side, size and who put it in. Its dwell is counted against the review limit for its type and turns red once the limit has passed, so the round sees which lines need a decision.
The register keeps its own dates honest: a line cannot be inserted in the future, removed before it was inserted, or removed twice.
The ventilator is on the patient — and on the bill, once a day
Assign a ventilator from the bedside-equipment panel on the ICU chart. It is charged once for every calendar day it was on the patient, for any part of the day, at the hospital's ICU ventilator tariff: the first day at once, later days by the nightly charge run, and the last day at discharge. Swapping machines mid-day is still one charge, and everything still on the patient comes off with them at discharge.
A machine already on another patient is refused, naming that patient, as is one under repair or retired, or a time in the future or before admission. If no tariff is set, nothing is charged and a warning shows on screen — assigning is never blocked. The equipment register shows which patient each machine is on, its patient-use history and its daily bedside charge.
No patient leaves the unit without a written SBAR handover
Every ICU handover is typed as a nurse's or a doctor's, and goes to a colleague chosen from the staff list. "Step down" on the ICU chart moves the patient to a ward bed with the SBAR handover and the colleague taking over on the same screen, and the transfer signs the handover.
Any move from an ICU, CCU or NICU bed to a non-critical bed is refused without the Situation, the Recommendation and the receiving colleague — from the bed board, the admissions list or anywhere else. Moves between units, or between wards, need nothing extra. Each ICU stay records its outcome: stepped down, or discharged, referred, left against medical advice or died straight from the unit; a patient who comes back in has it cleared.
Haemodynamics that stay accurate, sepsis flagged early
An automatic sepsis alert surfaces risk from recorded data early enough to act. Mean arterial pressure is auto-recomputed whenever a source reading changes, so the number teams rely on is never stale, and derived values stay synchronised with their inputs.
Patients who arrive from theatre bring their operation with them: the ICU chart shows the op note, drains and implants from the operation theatre case. For newborns, a dedicated NICU profile captures the parameters neonates need.
Account for outcomes with the same rigour as care
When an ICU patient dies, discharging the admission as expired writes the death record and its mortality-register entry, with the timing band. The death certificate records the (a)/(b)/(c) and Part II cause chain, also written to the register, and medico-legal deaths go through police intimation before the body is released.
Around the register sits a structured mortality review workflow, so deaths are examined and the findings recorded for governance and learning, and an MRC (Medical Record Committee) register supports committee-level oversight — all audit-logged and connected to the same patient record. See hospital registers.
An ICU where severity is scored on APACHE II, every line is counted in days, every ventilator day reaches the bill, no patient steps down without a written handover, and every outcome is recorded — all on one auditable chart.
Connected across critical care
See EloHIMS run your critical-care unit.
APACHE II, a lines register, daily ventilator charges, SBAR step-down, sepsis alerts, NICU and a mortality register — on one ICU chart.