Step-Down / PCU / Telemetry

The bridge between ICU and the floor, charted right

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 Features
Glance — PCU Board
Step-Down Unit 3 — Day Shift
Rm 301 — Adams, K.
Post-CABG Day 3 · ICU step-down
NEWS 2
NSR Ambulating
Rm 303 — Patel, S.
New-onset AFib · Rate control
NEWS 4
AFib RVR Dilt drip
Rm 305 — Nguyen, T.
CHF · Diuresis protocol
NEWS 1
NSR DC plan active

Purpose-built for progressive care

Every feature designed for the unique challenge of step-down nursing — complex patients who need close monitoring but are progressing toward the floor or discharge.

Continuous Cardiac Monitoring

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.

Early Warning Scores

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.

ICU Transition Documentation

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.

Activity Progression Tracking

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.

Patient Education Documentation

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.

Discharge Planning Integration

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.

Why step-down nurses choose Glance

Adaptive

Right escalation level

Early warning scores calibrated for step-down acuity, not med-surg. Fewer false alarms, better signal.

Seamless

ICU transition

Structured handoff from ICU with device, drip, and hemodynamic status. Nothing falls through the cracks.

Visible

Discharge readiness

Real-time criteria tracking so you know exactly where each patient stands toward discharge.

Offline

Works anywhere

Chart at the bedside on your phone. Syncs when WiFi reconnects. No data lost.