Secure ward observation workflow

Digital observations for secure clinical environments.

SecureObs is being developed to support general observations, enhanced observations, NEWS2 recording, staff cover, security checks, and NFC staff identification in one ward-focused Android app.

SecureObs shown on a tablet

What the app does

Built around the ward observation workflow.

01

General observations

Staff can select a patient, record location and presentation, save the check, and see overdue intermittent observations clearly highlighted.

02

NEWS2 recording

NEWS2 values are captured with Scale 1 and Scale 2 support, current score visibility, and patient-level history for previous readings.

03

Enhanced observations

Enhanced and TESO checks support dedicated patient workflows, staff assignment, presentation, location, comments, and saved history.

04

Staff rota cover

Ward managers can configure shift times, breaks, staff cover, handover overlaps, and rota gaps so cover can be seen at a glance.

NFC staff login

Tap a staff card to identify the clinician.

SecureObs can read NFC staff card data on Android EAS builds and use the staff code from the card to select the matching staff member. Card values are treated as confidential identifiers and are mapped to staff records inside the authorised system.

Start ward observations
Staff member identified
NFC staff card demo Card accepted and matched to authorised staff access.
North Secure Hospital
Cedar Ward

App screenshots

Clear screens for repeated ward use.

The Android tablet interface is designed around fast selection, large touch targets, clear status colours, and side-by-side working views for ward teams.

SecureObs general observations screen with patient list and save check form

General observations

Patient list, NEWS2 summary, observation type, location, presentation, notes, and save check workflow.

SecureObs NEWS2 chart with physiological observations plotted over time

NEWS2 chart

NEWS2 entry and charting with respiration, SpO2, blood pressure, pulse, consciousness, and temperature.

SecureObs enhanced observations screen showing assigned staff and TESO entry form

Enhanced observations

Enhanced/TESO checks with assigned staff, presentation, current location, and entry notes.

SecureObs patient settings screen for observation level and TESO configuration

Patient Observation

Observation level, seclusion status, TESO ratios, and reasons for enhanced observation.

SecureObs security checks screen showing checkpoint status and record check form

TESO settings

Create, Start and End a TESO recording Observation level, seclusion status, TESO ratios, and reasons for enhanced observation as well as a plan of care for the patient.

SecureObs staff rota screen showing shift cover and role assignment

Staff rota

Time-ordered cover, handover overlap, gap visibility, and assignment by role or enhanced patient need.

Trust-hosted data model

Designed so clinical data remains under Trust control.

The production architecture is intended to use a secure backend API connected to SQL databases hosted on the Trust's own servers. The Android app should communicate with that API over HTTPS rather than connecting directly to SQL.

Secure API layer between app and SQL database

Trust-controlled hosting and data retention

Role-based staff access by site and ward

NFC staff identification mapped to staff records

Audit-ready observation history for clinical review