Step-down nursing sits at a unique intersection — your patients are too sick for med-surg but stable enough to leave the ICU. You need ICU-level monitoring documentation with med-surg efficiency. Glance gives you both: continuous cardiac monitoring charting, early warning scores calibrated for your acuity, and workflow tools that keep 3-4 complex patients organized.
Built for progressive care. Chart telemetry rhythms, track activity progression, manage ICU step-down transitions, and plan discharges — all from your phone.
Schedule a Demo See FeaturesEvery feature designed for the unique challenge of step-down nursing — complex patients who need close monitoring but are progressing toward the floor or discharge.
Document cardiac rhythm every shift and with any change — quick-select for NSR, sinus tach/brady, AFib, AFL, PVCs, PACs, and paced rhythms. Rate, regularity, and ectopy burden in structured fields. Rhythm change notifications tie to your vitals timeline.
NEWS2 auto-calculated from your vitals with step-down-appropriate escalation thresholds. A score of 5 on med-surg triggers a rapid response — on step-down, it may trigger increased monitoring frequency instead. Configurable escalation pathways that match your unit's protocols.
Structured step-down from ICU checklist — device removal status (arterial line, central line, chest tubes), drip weaning progress, ventilator liberation, and hemodynamic stability assessment. Ensures nothing gets lost in the transition from 1:1 or 1:2 ICU care to your 1:3 or 1:4 assignment.
Document mobility milestones from bed rest to independent ambulation. Track distance, duration, assistive devices, hemodynamic response to activity, and patient tolerance. Ties to PT/OT assessments and discharge criteria. Visual progression timeline shows improvement over the admission.
Track teaching topics delivered and patient comprehension — medication education, disease management, dietary restrictions, activity guidelines, and follow-up instructions. Document barriers to learning (language, cognition, health literacy) and teaching methods used. Feeds directly into discharge readiness assessment.
Track discharge criteria status in real time — ambulation goals met, pain controlled on oral meds, tolerating diet, education completed, follow-up scheduled, prescriptions sent. Discharge checklist auto-populates based on diagnosis and procedure. Estimated discharge date visible on the unit board.
Early warning scores calibrated for step-down acuity, not med-surg. Fewer false alarms, better signal.
Structured handoff from ICU with device, drip, and hemodynamic status. Nothing falls through the cracks.
Real-time criteria tracking so you know exactly where each patient stands toward discharge.
Chart at the bedside on your phone. Syncs when WiFi reconnects. No data lost.