Triage at 3am shouldn’t require muscle memory.
ER and urgent care run on speed and clean handoffs. Vetch was built around the live board, the fast note, and the shift change. Vetch stays alongside, never ahead of you.
6pm to 6am, ranked by who needs you next.
The board re-orders itself. The notes write themselves. The handoff doesn't drop.
- 6:02pWalk-in · GDVBear Sullivan, 7y Lab — bloat retching.Owner texted a photo from the parking lot. Vetch pre-flagged it crit.Vetch · Surgical consent drafted from the species/age/weight. Anesthesia pre-mix calculated. Blood draw orders queued.
- 6:14pFast-noteYou scrub in, dictating as you go.Vetch listens through the room mic. Note builds in real time. You sign at the end of the case, not at midnight.
- 8:30pShift changeDr. Kwan hands off three actives.One-tap signout. Each patient has a structured "to know in 30 seconds" — last vitals, what was done, what to watch for.
- 11:48pPre-auth callEmbrace insurance pre-auth pending.Vetch already drafted the records bundle and faxed it. Owner status is in their portal — they're not calling at 2am.
- 2:14aRe-rankLobby wait at 21 min — Vetch suggests a bump.Stable patient was up next; allergic-reaction pet has been waiting twice as long. Re-rank in one tap.
- 5:50aDischargeBear is discharged to home practice.Discharge instructions, surgical report, and rDVM letter all generated. Owner gets the summary on the way to the car.
What ER asks of software.
Live, ranked board
Severity, wait, location, doctor — all visible at once. Re-rank in one tap. Vetch surfaces who's been waiting longest, given their severity.
Dictate while you work
Sign at the case, not at the end of the shift. Vetch writes the SOAP, the surgical report, and the discharge in parallel.
30-second sign-out
A structured handoff card per active patient — last vitals, what was done, what to watch for. Read in the time it takes to wash your hands.
Insurance, in parallel
Vetch assembles the records bundle, faxes/portals the pre-auth, and shows the owner their status — without you stopping the case.
ER-shaped charting
Bloat, blocked cat, HBC, toxin, dystocia — the templates that match what walks through the door. Pre-built orders and consents.
rDVM letter on discharge
A clean letter to the home practice goes out the moment the patient leaves. They open Monday and the chart is already current.
What ER software is supposed to feel like.
Quiet defaults. Loud when it matters.
An ER PMS that pings for every refill request burns out the staff that matter most. Vetch mutes the routine, escalates only when severity, wait, or risk crosses your line. Configurable per shift.
- Severity-aware notifications — crit pings the room, refills don't
- Vetch can be Off / Suggest / Auto per capability, per shift
- Shift-aware permissions — overnight has the access overnight needs
- SOC 2 Type II + HIPAA BAA · audit trail on every chart change
“The board re-ranks itself. The notes are done when I walk out. I forgot what 9am post-shift feels like without a chart backlog.”
Coming from ImpromedInfinity, ezyVet, Cornerstone, IDEXX Neo, or Asteris? 6–8 weeks.
ER migrations cut over by shift, not by site. Day team trains first, validates the board against your live patients for two weeks, then night team cuts over on a low-volume Sunday. Old PMS stays read-only for 90 days. We've never had to roll one back.
Honest answers.
The night runs the way it should.
Tour the triage board with an ER medical director on the call.