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The Facility tab does two jobs. The top half decides which units this hospital runs: “Which departments this hospital runs. These control what appears in navigation.” The bottom half carries the timing thresholds that decide when the Nursing Station, the front desk board and the Records desk start flagging things — and those exist nowhere else in the product.

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What this tab controls

Eight care-area switches under Clinical units and Operational units, then up to four threshold blocks. Each switch saves the moment you flip it; each threshold block has its own Save button, and appears only while its own care area is on.

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Set it up

1

Turn the areas you run on, and the rest off

Flip each switch under Clinical units and Operational units. Each saves immediately, confirming with “Area enabled” or “Area hidden”. Setting up from scratch? Turn on your care areas covers the sequence.
2

Set the nursing observation cadence

Under Nursing observations, enter Every (minutes) and Grace (minutes), then select Save cadence.
3

Set the shift boundaries

Under Nursing shifts, choose a Pattern — Two 12-hour shifts (day / night), Three 8-hour shifts (morning / afternoon / night), or Custom shift times…, where you name each shift and give it a Starts at hour. The boundaries are spelled out underneath as ranges. Select Save shifts.
4

Set the front-desk wait threshold

Enter Long wait after (minutes) and select Save threshold. Use the wait your team would actually want flagged, not an aspiration.
5

Set the records chase bands

Enter the three day counts and select Save bands.
The shift pattern is one definition feeding three surfaces — which handover a shift note is filed under, how the fluid balance chart is split, and what “nothing charted this shift” means on the Nursing Station. Change it mid-week and the boundary moves under staff who are on the ward now, so a patient can look charted or uncharted purely because the boundary moved. Change it at a quiet changeover and tell the ward first.

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What changes once you save

Each block saves on its own: selecting Save bands does not save the cadence above it.

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Check it worked

The sidebar lists the groups you left on and nothing for an area you switched off, and the settings rail shows a tab for each area you kept. Open the Nursing Station: the next observation is due at your new interval, and the shift named at the top matches your pattern. Open the front desk board: someone waiting past your threshold is flagged and sorted to the top. Open the records desk: the chase queue counts move to match the new bands.

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Common issues

“Only the clinic owner or a manager can change these.” An accountant can read Facility but not change it.
Observations and shifts appear only while In-patient care is on, Front desk waiting only while Front desk is on, and Records chase only while Records is on.
The reason is stated beside the button: “A ward needs at least two shifts — a single shift has no handover”, “Every shift needs a name”, or “Two shifts start at the same hour — the later one would be unreachable”. Fix that and select Save shifts again.
By design. Switching an area off hides navigation; it does not revoke access, and a direct link still works so half-finished records are never stranded. Use Role navigation and staff permissions for who may go where.
Facility exists on the Enterprise plan only. A link with ?tab=facility that lands on General Settings is the fallback for a tab this workspace does not have.