ED triage nurses cannot initiate basic orders for labs, imaging, or medications without MD approval, causing long waits for unassigned patients.

No system for nurse-initiated standing orders based on triage protocols; MDs must manually approve each order even for standard protocols.

Severity

4High

Willingness to Pay

implied

Added

Jun 24, 2026

Workarounds Described

Triage nurse meets MD on iPad to get initial orders
Nurse bullies MD into ordering meds for unassigned patients
Patients sit in waiting room with no orders until provider picks up case

Implied Software Gaps

System that allows nurses to initiate standing orders based on triage protocols without MD approval
Automated order set triggering when patient meets predefined criteria

App Concept

TriageFlow Protocols

A clinical decision support platform that enables ED nurses to initiate pre-approved standing orders for labs, imaging, and medications based on triage criteria. Integrates with existing EMR to streamline order sets, reducing time to first intervention and improving throughput.

Key Features

Configurable standing order sets by chief complaint and acuity
Mobile interface for triage nurse to select protocol and document criteria
Automatic routing of orders to lab, pharmacy, and radiology
Real-time MD notification for exceptions or escalation

Target Users: ED nurses and nurse managers in hospital emergency departments, especially those without existing standing order protocols

Revenue Model: $10,000–$50,000 per hospital site annually based on ED volume, plus implementation fee

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