UltraCare/The Shift Loop
Product flow · Part 2 of 2 · The engine of daily use
The ICU runs in shifts. So does UltraCare.
The middle of the journey is not a line. It is a loop. Round, note, handover, authentication. Then it locks, and the next shift begins with full context. This is why UltraCare is opened every shift, on every patient, by design: rounds and handovers are mandatory clinical work, not optional software.
Nothing is lost between shifts. Every event linked. Every decision traceable.
Step 04 in detail · The daily round
Anatomy of a round.
This is where intensivists spend most of their time, so it earns the most design. Ten steps, always in the same order, ending in a signed note.
4.1
ICU Command Center — understand the patient in five seconds: trajectory, today's mission, biggest risk, next milestone.
4.2
What changed — only the important changes since the previous round. New fever. Lactate down. NorAd stopped.
4.3
AI interval summary — one editable paragraph summarising the interval.
4.4
Organ support — ventilator, vasopressors, dialysis, sedation, nutrition. Detail stays collapsed until needed.
4.5
Active problems — one card per problem: trajectory, today's assessment, today's plan, handover flag.
4.6
Today's tasks — operational checklist generated from the master plan, pending work and today's assessment.
4.7
Pending investigations — only today's pending tests. Nothing stale.
4.8
Safety — lines, code status, step down readiness.
4.9
FAST HUGS BID — the safety sweep. Collapsed by default, expanded when needed.
4.10
Progress note — generated automatically. The doctor edits and signs.
Output — signed ICU round→ proceeds to I-PASS handover
Why this flow wins
Three audiences. One product logic.
For intensivists
Built on your cognitive workflow, not a billing workflow.
Five second situational awareness at the start of every round.
SOFA, APACHE II, NEWS2 and qSOFA computed for you, every time.
AI drafts. You review, edit, approve and sign. Always.
For hospital owners
Authenticated I-PASS handovers that lock. Accountability on every shift change.
A complete, traceable timeline of every decision across the stay.
Protocol bundles and safety sweeps built into daily work, not bolted on.
Step down readiness surfaced early. Better ICU bed utilisation.
For investors
Used every shift by design. Rounds and handovers are mandatory clinical work.
Every stay compounds into structured longitudinal data.
The wedge is workflow. The moat is context that cannot leave.