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The ward is where an admitted patient’s whole stay is run: the bed they are in, their observations, their drug round, their orders, their notes, and the discharge that ends it. Wards need the Enterprise plan and the In-patient care area in Settings → Facility. Wards, sub-wards and beds are created under Settings → Ward Management — see Wards and beds.

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Finding a bed

Ward Admissions walks through four states in order, and you cannot skip one:
  1. Select a ward to view its sub-wards — pick the ward.
  2. Pick the sub-ward. Until you do, the page says Select a ward first.
  3. Ward statistics appear.
  4. The bed grid appears.
Each bed shows Patient, Admitted, Diagnosis, Attending Doctor, Notes and Last Updated, so an empty bay is obvious at a glance. If the page says No wards available — Please contact your administrator, none have been created yet. That is a settings job, not a ward job.

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Admit a patient

1

Start from the consultation

On the consultation, select Admit Patient.
2

Choose the bed

“Select a bed to admit the patient” walks wards → sub-wards → beds, the same order as the admissions page.
3

Fill in Admission Details

Admission Summary, Patient Diagnosis and Patient Status. This is what every colleague sees first on the bed grid, so write it for them.
4

Select Admit Patient

You get Patient admitted successfully and the bed fills.

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The ward chart

Opening an occupied bed opens the inpatient chart. Its tabs: SnapShot · Flowsheets · MAR · Orders · Notes · Results · Care History · Problem List · Care Plan · Medications · History · Media Two pairs of names look alike and are not:
Care History is the running record of this stay. History is the structured history a provider entered — past conditions, surgeries, family history. Likewise, the Problem List belongs to the patient and follows them between admissions, while the Care Plan belongs to this admission and ends with it.
The header carries four actions, and their order is deliberate: Discharge sits leftmost and is never the primary button, then Notes, then New order, with Record obs in the primary slot on the right. The frequent, safe action is where your thumb lands; the irreversible one is not.

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Record observations

From the bed grid, Record Patient Vitals opens a dialog in four sections — Vital Signs, Measurements, Blood Sugar and Status, which carries a Triage Status select. Save Vitals files them against the admission. Only doctors and nurses may record observations. Anyone else is told Only doctors and nurses can record vitals.

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Run the drug round

The MAR tab is the drug chart. For each due dose you can do one of three things:
A hold or a refusal without a reason is a patient-safety gap: “A blank hold is indistinguishable from a missed dose.” ClinikEHR will not accept either without one, and the record carries your name.
Edit schedule opens the schedule sheet for a drug. A Needs scheduling band sits above the grid and catches active drugs that have no schedule at all — without it, an unscheduled drug is invisible on a grid and a blank grid reads as “nothing due”. Read the two empty messages carefully; they mean different things:
  • No doses due in this window. — the drug is active, nothing falls in this window.
  • No doses in this window — this drug is no longer generating any. — the drug has been stopped.

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Claiming the round

A banner above the chart offers Claim this round, and every device sees it, so a second nurse knows the round is taken before walking to the bay.
  • Claiming reserves this patient’s outstanding doses for your device, so you can keep recording if the signal drops mid-round, and stops a second nurse giving the same dose from another device. It covers the next few hours and expires on its own, so a flat trolley never blocks the ward.
  • Hand back releases it when you finish.
  • A round held by someone else shows amber with no way to take it. That is the point of the design. You can still read the chart; give from the device that holds the round, or ask an owner or manager to release it.
  • As-needed (PRN) doses always need a connection, because their daily maximum is counted as each one is recorded.

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Order for an inpatient

New order opens a tabbed sheet. It disables itself with the reason stated rather than silently greying out:
  • This stay has ended — nothing further can be ordered against it
  • Ordering needs a connection

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Discharge

1

Select Discharge

On the chart header. It opens the Discharge Patient sheet.
2

Write the Discharge Summary

Condition on discharge, treatment given, follow-up arranged.
3

Select Discharge Patient

You get Patient discharged successfully and the bed frees.
Completed stays are reviewed under Ward Discharges, with tabs for Timeline, Consultations, Nursing Notes, Prescriptions, Lab Tests, Services, Radiology and Vitals.

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Working offline

Observations and notes carry on offline. Discharge and ordering do not, and an amber banner says why: “You are offline. Discharge and ordering need a connection — a bed is a shared resource, and an order composed offline would be a draft nobody has confirmed.” See Working offline.

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Who may do what

These are granted per person, on top of the role, so a ward can let a nurse record and give without letting them discharge:
  • Recording vitals
  • Administering medication
  • Discharging a patient
  • Amending the problem list
  • Amending medication orders
See Staff permissions.

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Check it worked

  • The patient occupies the bed on the grid, with the diagnosis and attending clinician you entered.
  • Saved observations appear on Flowsheets and the vitals summary.
  • A recorded dose shows as given on the MAR grid, against your name.
  • After discharge the bed is empty and the stay is listed under Ward Discharges.

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If something goes wrong

You have not picked both a ward and a sub-ward. The grid only builds after the second choice.
No wards exist yet. They are created under Settings → Ward Management — see Wards and beds.
Recording observations is restricted by role and can also be granted per person. Ask an owner or manager.
Look at the Needs scheduling band above the grid — an active drug with no schedule produces no doses. Use Edit schedule to give it one.
Give from the device holding the round, or ask an owner or manager to release it. There is deliberately no way to take a live claim.
Either you are offline — the amber banner says so — or the stay has already ended. Neither is recoverable on the device; reconnect, or reopen the stay under Ward Discharges to read it.