Nervecentre V8.1 Help for Users

About bed management

Nervecentre Bed Management allows you to manage the flow of all patients and beds around a hospital, offering complete oversight and visibility of hospital bed capacity and demand in real time. Bed Managers don’t need to call wards or walk around to obtain information about beds, because real-time information is provided by normal working practice, with no extra effort needed from staff.

This feature directly reduces time spent:

On the phone
Walking ward to ward for beds
In bed meetings

Nervecentre identifies when bed moves are Interdependent Depend on each other.. It makes these visible at an operational level, and highlights empty and reserved beds, allowing bed managers to act and maintain flow.

Patients and beds can be tagged as having infections, to flag any special cleaning requirements or trace patients who have unknowingly been in contact with the infection. Nervecentre Bed Management leads to a safer, more efficient, handover between clinical areas.

About bed management on a mobile

Bed managers can't manage beds on a mobile. Clinicians can request beds, transfer patients between beds in their own ward or area, and add tags to and remove tags from beds.

About bed management on a desktop

On a desktop, bed managers can:

Reserve beds
Cancel bed reservations
View specialty and ward bed capacity and demand
View and interact with patient lists, patient details, and the Patient Status At A Glance (PSAAG) dashboard
Close a bed space
View operational summaries from wards
View and manage outbreaks, if your organises uses Nervecentre Infection Prevention

Clinicians can request beds, transfer patients between beds in their own ward or area, and add tags to and remove tags from beds.

Overview of Bed Management

Home	Your home dashboard. You can customise your home dashboard to show your choice of information. Your home dashboard is available across Nervecentre. Read about setting up your home dashboard
Manage Beds	Manage all beds in your organisation. You can: Reserve beds Cancel bed reservations View specialty and ward bed capacity and demand View existing bed stock including available and occupied beds View and interact with patient lists, patient details, and PSAAG Patient Status At A Glance. A view of information relating to patients within a specific ward or area. Close a bed space View operational summaries from wards View and manage outbreaks of infections Read more about managing beds
Bed Reservations	Manage reserved beds. Read more about bed reservations
Patient List	View patient list dashboards. Patient list dashboards show groups of patients who match specific criteria, for example, patients in a ward or location. Read more about patient lists
Patient Detail	View and edit demographic and clinical information about a patient. Read more about finding a patient's record
Bed Status	View Patient Status At A Glance (PSAAG). Read more about PSAAG
Summaries	View a set of pre-configured summaries of information held in Nervecentre. For example, discharge summaries in progress across your organisation. Read more about summaries
Outbreaks	This is only available if your organisation has Nervecentre Infection Prevention. View summaries of outbreaks of infections.

Overview of Manage Beds

Patients waiting for beds

EDnnn	nnn indicates customisable text. What you see depends on your organisation. This is a folder. Select this to view a list of specialties. Select a specialty to view patients in ED with an open bed request, and any bed requirements. The patient count appears as X/Y, where X is the number of patients waiting for a bed reservation, and Y is the total number of bed requests for the area or specialty, including any reserved beds. For example, Requires Gastro 1/2 shows that there are two bed requests for Gastrology, one of which has a bed reserved, and one is still waiting to be assigned a bed.
TCI	To Come In. This is a folder. Select this to show patients scheduled to come in. Each line includes the expected date and location of arrival.
Admission wardsnnn Inpatientsnnn	nnn indicates customisable text. What you see depends on your organisation. This is a folder. Select this to view a list of specialties. Select a specialty to view inpatients with an open bed request, and any bed requirements. The patient count appears as X/Y, where X is the number of patients waiting for a bed reservation, and Y is the total number of bed requests for the area or specialty, including any reserved beds. For example, Requires Gastro 1/2 shows that there are two bed requests for Gastrology, one of which has a bed reserved, and one is still waiting to be assigned a bed.
None of the above	If the bed requester did not choose a specialty when they made the bed request, the patient is listed under None of the above.
	Select a specialty to see a list of patients with open bed requests for that specialty. Each patient shows the time and date the bed request was made, or the time the patient has been in ED, and the patient's gender, age, and current location. Double-click a patient's name to open their patient record.

Overview of hospital capacity

Ward/Area	Select a hospital to see its associated divisions or specialties. Select a division or specialty to see its associated wards. Select a ward to see bed stock. Read more about bed stock
Available beds	The number of beds available on each ward, specialty, or hospital. Available beds are empty and unreserved.
Discharge	Shows the number of patients in each area with specific discharge information in their records. The information comes from the clinical notes EDD Expected Date of Discharge. The date a patient is expected to go home from hospital. (Expected Date of Discharge), Medically Fit, and Home Today. Discharge information helps you make informed decisions about bed requests and reservations.
Outliers	Outliers are patients in locations that are not the preferred location, for example, a surgical patient in a respiratory medical ward. Your organisation can define what an outlier is.
Summary	Select to filter the view to show available beds, discharge, and outliers. This is the default view.
Beds and Patients	Select to filter the view to show more detail about available beds and patients. Available beds shows: The types of beds available, for example, beds, trolleys, and chairs. Patients shows: Total number of bed stock, including chairs and trolleys Number of admitted patients Total occupied bed stock Number of admitted patients not allocated a bed space
Patients and Acuity	Select to filter the view to show more detail about available beds, patients, and acuity. Available beds shows: The types of beds available, for example, beds, trolleys, and chairs. Patients shows: Total number of bed stock, including chairs and trolleys Number of admitted patients Total occupied bed stock Number of admitted patients not allocated a bed space Acuity shows: The individual acuity levels. This information comes from the clinical note Acuity.
Patients	Select to filter the view to show more detail about patients, outliers, and discharge.
All Beds	Select to filter the view to show more detail about bed stock. Total: the total number of beds, chairs, or trolleys Closed: the total number of closed beds, chairs, or trolleys Empty: the number of empty beds, chairs, or trolleys Unres: the number of unreserved beds, chairs, or trolleys

Overview of bed stock for a ward

Select a ward to view information about its bed stock.

Select Available to show empty, unreserved beds. Available beds show a grey box.
Select Potential to show beds for patients who have been identified as being medically fit, are going home today, or have an EDD Expected Date of Discharge. The date a patient is expected to go home from hospital. in the past or today.
Select All to see a whole ward.

Each bed space has the following information:

Bed space

The name of the bed space.
Gender

The gender and number of patients within the bay. For example, 3M means three beds occupied by males.

In our standard product, where a patient identifies as a gender other than male or female, for example, non-binary, gender is labelled O for other, and appears with a grey background. What you see depends on your organisation.
Status

The current status of the bed, for example, Occupied, Available, or Home Today where the patient occupying that bed space has been identified as going home today.
Patient name

The patient currently occupying the bed space. Double-click the patient’s name to open their record.

If the bed space has more than one occupant, the number of patients is written. You can’t click through to the patient record if multiple occupancy.
Tags

Any tags linked to the patient or bed space.

Read more about bed tags

Read more about patient tags
Reserved beds

Reserved beds show  in the bed space.

Overview of Bed Reservations

Bed Reservations provides you with an overview of all information about bed reservations.

When a patient moves into the reserved bed space, they are removed from this page.

	Shows colour coded chains of beds, where all the beds in a chain show the same colour. There is no significance to the colours, and you can't customise them. Chains of beds are linked bed reservations. For example, a bed reservation is in place for W1B1, but the patient in W1B1 has a bed reservation for W2B2. The bed in W2B2 is occupied. When the patient in W2B2 is moved or discharged, the whole chain can be moved.
Date Reserved	The date and time the bed was reserved.
Patient Name	The name of the patient, shown as SURNAME, Forename. Double-click the patient's name to view the patient's record.
Hospital Number	The patient's hospital number.
Admitted	How long the patient has been admitted.
Requested	How long the bed has been requested.
Current Location	The current location of the patient.
Reserved Location	The location of the reserved bed.
Status	The status of the reserved bed, and the duration of that status. For example, 'Empty 00:45' shows that the bed has been empty for 45 minutes. Nervecentre automatically updates the status.
Porter Task	If your organisation uses Nervecentre for managing portering tasks, any portering tasks related to the reserved bed appear here.
Reserved By	The username of the user who reserved the bed space.

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