AI FOR NURSING
Dedicate more attention to care and less time to recording every encounter
Itaca brings together observations, conversations, and documents to prepare auditable records and facilitate shift handovers between professionals. It also allows you to consult sourced clinical answers directly from the care context, depending on the workflow available to your team.
MORE THAN DOCUMENTATION
A platform for documenting and communicating care
Utility does not end with the note: continuity between shifts, professionals, and documents also matters.
Documentation while attending
Organize assessment, available signs, interventions, response, and communication into a draft for the nurse to review.
Longitudinal context
Keep relevant changes, pending items, and observations visible between shifts or encounters without repeating unnecessary information.
Clinical responses with sources
Consult guidelines, care, education, or procedures from clinical answers with references. Open the references and review them.
deep research to review evidence
Review the literature and recommendations when a protocol or research question requires comparing multiple sources. See how it presents sources, dates, and relevant fragments.
Documents after the consultation
Prepare shift summary drafts, educational instructions, or other documents compatible with the team's workflow. Know the documents that Itaca can help prepare.
BEFORE, DURING, AND AFTER
Support to assess, record, communicate, and ensure continuity
Nursing care spans the entire encounter. Itaca helps reduce transcription and keep observations, interventions, and responses visible.
Upon receiving the person
Retrieve relevant background, documented risks, needs, devices, treatment, and current reason. The assessment is organized without filling in data that was not observed or reported.
During the care
Record observations, scales used, interventions, education, and response. The draft preserves the source of the information and is ready for review.
At shift change
Prepare a brief summary including the current situation, changes, risks, pending items, and responsible parties. The deliverable is supported by documented facts, not an extensive copy of the history.
In the follow-up
Compare evolution, tolerance, goals, and care compliance. You may also prepare instructions or consult sources when a question requires verification.
THE REAL WORK OF THE SPECIALTY
The nursing note must show what was observed and what was done
A clear record facilitates shift handovers and makes it possible to recognize changes without confusing referenced information, observation, and intervention.
- Assessment and observations obtained.
- Signs and measurements with date and time.
- Interventions performed.
- Observed or referred response.
- Communication with other professionals.
- Pending tasks and continuity of care.
To delve deeper into this flow, please refer to nursing notes guide.
Practical example
Here's an example of a draft outline for the evolution of nursing
This example shows how information can be organized so that the professional can review it, complete it, and clarify the next steps.
Available context
During the shift, an assessment, measurements, an intervention, the patient's response, and a report to the team are documented. The draft compiles this sequence for review.
Draft for review
- Date, time, and context of the record.
- Available assessments and measurements.
- Interventions effectively carried out.
- Follow-up response.
- Communication and recipient.
- Items to be addressed in the next session.
The professional checks the data, adds their evaluation, and approves only the version that represents the actual care.
For individual practice and for teams
The greatest value appears when documentation helps the next professional. The team's rules, templates, and access should reflect real responsibilities and the organization's flow.
You can use the Itaca mobile app when the flow requires it or to know the Clinic software if several professionals need to share context, templates, and continuity.
Protected information and professional control
Itaca organizes information and prepares drafts for review. The professional retains responsibility for the evaluation, decisions, and final documents. Check current details of security and privacy.
FREQUENTLY ASKED QUESTIONS
AI questions for nursing
Does Itaca replace the nursing assessment?
No. Organizes information and prepares drafts; the nurse performs the assessment and confirms the record.
Can you help out with a shift swap?
You can organize observations, interventions, and pending items to create a reviewable summary within the team's workflow.
How are signs and measurements handled?
They must be recorded with the date, time, and context. The professional verifies their accuracy before approving the note.
Can I keep the institutional format?
You can provide an example of the format you already use and convert it into a reusable template.
Does this work for a clinic?
Itaca offers workflows for teams and clinics. Specific availability must be confirmed based on roles, plan, and configuration.
Close the shift with a clear record for whoever continues the care
Learn how Itaca can reduce paperwork and maintain team continuity.
