Pterion · Anesthesia charting
The anesthetic record, written as the case runs.
An anesthetic record written by hand after the case is the document the College reads most closely, produced under the worst conditions. We wire the monitors in each procedure room to the record, so the chart is written during the case and the physician signs what happened.
Assess Design Build Operate
What it involves
The monitors, the wire, the record, the signature.
- 01
The monitors. Most patient monitors can send their readings over a cable. We use that output, so the record gets the numbers the screen shows, at the moment it shows them, without anyone transcribing.
- 02
The network. The monitors and the server sit on their own segment inside the clinic with no route to the internet. Nothing about a case leaves the room except through the record itself.
- 03
The server. A small machine in the clinic, encrypted, that keeps running through a power loss and stores every case on the premises.
- 04
The record. Vitals charted at the interval the standard asks for; the drugs, doses and times entered by the provider during the case; events marked as they happen. A gap is shown as a gap and a stale reading is flagged, never silently filled.
- 05
The signature. The physician reviews the record at the end of the case and signs it. The signed record is stored, and printed or exported for the chart.
- 06
Setup and commissioning. Cabling and converters in each room, the switch and the server, a screen in the room, staff access from the clinic network only, a test case per room before the first patient, and a written fallback to paper for the day something fails.
- 07
Operate. Monitors get replaced, rooms get added, standards change. We stay, on a monthly arrangement agreed in advance.
What we have built
- Automated anesthesia charting Monitor readings are captured straight into the anesthetic record as the case runs, so the chart is written during the case rather than reconstructed after it. Applies to Medical · Dental
- The privacy audit that looked inside the software Real patient records found compiled into a front-desk application, removed, and the history scrubbed so it could not return. Applies to Medical · Dental · Aesthetics
What we will not do
- Sign the record. The physician reviews and signs; the system writes what the monitors reported and what the provider entered.
- Fill a gap. If a monitor stopped reporting, the record says so.
- Send monitor data off the premises. The segment has no route out, and we do not hold patient data on our side.
- Replace clinical judgement. The record is a faithful account; the anesthetic is the provider’s.
Questions clinics ask
- Which monitors does this work with?
- Any monitor with a data output, which most procedure-room monitors have. We confirm the specific model in the room, with the cable in hand, before quoting.
- Does the record meet the College’s standard?
- It is built to contain what the standard asks an anesthetic record to contain: vitals at the interval, drugs with doses and times, events, the provider’s notes and signature. Whether a premises meets the standard is the College’s decision at inspection; we make sure the record can be shown in full for any case.
- What happens if the system fails during a case?
- The monitor still shows the vitals. The provider charts on paper from the fallback sheet kept in the room, and the case continues. The failure is logged and fixed before the next case. We built it that way because our own rooms needed it.
The first step
Tell us how many rooms and what the monitors are. We visit, confirm the outputs, and send a short written note: what the setup would be, what it would run on, and what it would cost. No obligation.
Start with an assessment No obligation · a diagnosis first
What it costs
Setup is quoted per room as a fixed scope, in writing, once we have confirmed the monitors. Operating it, with the server, updates and the fallback tested on a schedule, is a monthly amount agreed in advance. Nothing is billed that was not quoted.
We have run the front desk we are selling the fix for.
Being a clinician is hard enough. Running the business around it is not taught in professional school, and the field is corporatizing around the owners who learned it the hard way.
We exist to help clinician-owned clinics stay independent and succeed: to make the operation efficient, to teach what we had to learn ourselves, and to give owners back the part of the work they love.
an assessment.
No obligation · a meeting about the problem and what can be done about it · every scope quoted on its own