Start of shift: unit, shift, headcount
A new shift asks three questions. Which unit, Med-Surg, ICU, or Tele. Day or night. How many patients you are carrying. From those answers the grid lays itself out, one cell per patient, and you fill in what report gave you: room number, initials, code status, allergies, and the things to watch for. There is no template to build and no form to configure, so the sheet is ready before the first round.
During the shift: the timeline and the Right now line
Each patient's meds and treatments sit on a timeline. A Right now section keeps whatever is due in the next hour at the top, so the thing you need to do next is the first thing you see. One tap checks an item off. Quick notes and lab values have their own fields designed for the hallway: a few seconds, gloves on, done.
The whole sheet is a personal memo tool. It is not a medical device, not an EMR, and not a charting system, and it does not help with diagnosis or medication decisions. Your facility's policies come first.
Handoff: SBAR order, one patient per screen
At handoff, each patient appears on one screen laid out in SBAR order, Situation, Background, Assessment, Recommendation, and you swipe for the next patient. It is the cheat sheet you glance at while you talk, not a document you hand over. That is why there is no export, no PDF, no print, and no share sheet anywhere in the app. The surface for leaking a sheet was not built.
End of shift: the sheet shreds itself
Paper brain sheets go into the shredder on the way out the door. This one does the same. Tap Shred and the sheet tears into strips and falls away, and the data is erased at that moment. If you forget, the app waits for your shift to end plus the delay you set, then shreds the sheet on its own before anyone opens the app. The next shift starts from an empty home screen.
Nothing to leak in the first place
There is no field for a full name, date of birth, or medical record number. A room number and initials are enough to run a shift, and that is all the sheet holds. Sheets are stored outside iCloud backup, the app hides its contents in the app switcher, and you can lock it with your fingerprint or face.
The app makes no network requests and carries no analytics library. It works with no signal, no Wi-Fi, and no login, on your worst charting day, because there is nowhere for the data to go but this phone.
Frequently asked questions
Where does patient information go?
Nowhere. It stays on this phone. There is no server, no account, and no export, print, or share function in the app.
What happens if I forget to shred?
After your shift ends and the delay you set has passed, the sheet shreds itself before the app is opened again.
Can I put a patient's full name or MRN on the sheet?
No. There are no fields for a full name, date of birth, or MRN. Room number and initials are what the sheet takes.
Does it work without Wi-Fi or a login?
Yes. There is no login and no network use, so it works with no signal at all.
Is this an EMR or charting tool?
No. It is a personal note-taking tool for one nurse and one shift. It is not a medical device, not an EMR, and not a charting system, and it gives no help with diagnosis or medication decisions. Follow your facility's policies first.