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Ward Admissions is the bed map for your hospital: who is in which bed, and what is happening to them. From here you admit a patient, record their observations, run the drug round and place inpatient orders.

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Before you start

The In-patient care area must be switched on in Settings → Facility, or the whole Inpatient group is absent from the sidebar — see Care areas. At least one ward, sub-ward and bed must exist; create them under Wards and beds.

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What you’re looking at

The page walks four states in order and you cannot skip one: choose a ward under Select a ward to view its sub-wards, then a sub-ward — until you do, the panel reads Select a ward first — after which the ward statistics and then the bed grid appear, one card per bed. A brand-new hospital sees No wards available with Please contact your administrator underneath. That is a settings job, not a ward job. Selecting a bed card opens the Bed {number} Details dialog, where the detail lives: Admitted, Diagnosis, Attending Doctor, Notes and Last Updated. The grid stays deliberately sparse so an empty bay is obvious from across the room.

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Admit a patient

Admission starts from the consultation that decided the patient needs a bed, not from this page.
1

Select Admit Patient on the consultation

Open the patient’s consultation and select Admit Patient. A bed picker opens and walks the same ward → sub-ward → bed order as this page. Pick a free bed.
2

Fill in Admission Details

Enter the Admission Summary, the Patient Diagnosis and the Patient Status. This is what every colleague reads first on the bed grid, so write it for them rather than for the record.
3

Select Admit Patient

You get Patient admitted successfully, and the bed fills on the grid.

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Record observations

From an occupied bed, 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 stay and they appear on the chart’s Flowsheets tab. Only doctors and nurses may record them; anyone else is told Only doctors and nurses can record vitals.

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Read the ward chart

Opening an occupied bed opens the inpatient chart. Its tabs are: 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 past history a provider entered. The Problem List belongs to the patient and follows them between admissions; the Care Plan belongs to this admission and ends with it.
A badge next to the patient’s name states the stay in both directions — Admitted, Discharged, or Admission date not recorded — and the line under it reads ward · bed · Day 3. The header carries four actions in a deliberate order: Discharge leftmost and never primary, then Notes, then New order, with Record obs in the primary slot. The frequent, safe action is where your thumb lands; the irreversible one is not.

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Run the drug round

The MAR tab is the drug chart. For each due dose you can give it — a dialog asks Record this dose as given?, states that it is recorded against your name, and you confirm with Record as given — or use Hold this dose or Record a refusal, both of which require a reason before they will save.
A hold or a refusal with no reason is a patient-safety gap: “A blank hold is indistinguishable from a missed dose.” ClinikEHR will not accept either without one, and the entry carries your name permanently.
Edit schedule opens the schedule sheet for a drug. A Needs scheduling band above the grid catches active drugs with no schedule at all — without it an unscheduled drug is invisible, and a blank grid reads as “nothing due”. Read the two empty messages carefully: No doses due in this window. means the drug is active and nothing falls here, while No doses in this window — this drug is no longer generating any. means it has been stopped.

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Claiming the round

Claim this round reserves that patient’s outstanding doses for the device you are holding, so you can keep recording if the signal drops and so a second nurse cannot give the same dose elsewhere. Hand back releases it. A round claimed by someone else shows amber with no way to take it — give from the device that holds it, or ask an owner to release it.

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Order for an inpatient

New order opens a tabbed sheet. Where it cannot be used it disables itself and says why: This stay has ended — nothing further can be ordered against it, or Ordering needs a connection. Observations and notes carry on offline; ordering and discharge do not, and an amber banner explains that a bed is a shared resource. See Working offline.

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Who can do this

Opening the ward is decided by your role, and by whether an owner has hidden the Inpatient group from that role under Role navigation. What you may do inside is decided by permissions, granted per person: Enforcement is opt-in per person — anyone never saved in the permissions sheet is unrestricted, and the sheet warns “Saving starts enforcing”. A denied action is recorded in the audit log while an allowed one is not, so hiding the group from a role is a convenience, not a security boundary. See Staff permissions.

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Check it worked

  • The patient occupies the bed on the grid, with the diagnosis you entered.
  • Saved observations appear on the chart’s Flowsheets tab.
  • A recorded dose shows as given on the MAR grid, against your name.

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Common issues

You have picked a ward but not a sub-ward — the panel says Select a ward first. The grid only builds after the second choice.
No wards exist yet. An owner creates them 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 at all. Select 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.
Hover it for the reason: This stay has ended — nothing further can be ordered against it, or Ordering needs a connection.

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FAQ

No. Admission starts from the consultation that decided a bed was needed, so the reason for the stay is always attached to it. Open a consultation first.
No. It belongs to the patient and follows them into their next admission. The Care Plan is the one that ends with the stay.
A claim covers the next few hours and expires on its own, so a flat trolley never blocks a ward overnight. An owner or manager can release one sooner.
Under Ward discharges, which keeps the whole stay — timeline, consultations, nursing notes, prescriptions, lab tests, services, radiology and vitals.