The detox round, in your nurse’s hand.
Withdrawal management for detox: cadence-driven vitals rounds, CIWA-Ar and COWS scoring tuned per level of care, and MAT safety, designed for the phone nurses actually carry on the floor.
Vitals and score, totalled in one round.
CIWA-Ar and COWS total and severity band computed as the round is entered, the arithmetic done for the nurse and saved straight to the chart, one-thumbed on the phone your staff already carry.
CIWA-Ar & COWS, scored for you
The standard alcohol (CIWA-Ar) and opioid (COWS) withdrawal scales, scored right in the chart, the total and severity band computed as the round is entered, no mental math at 3am.
Cadence-driven rounds
The next round is scheduled per level of care, and the due round surfaces on the nurse’s worklist, a standing heads-up so a detox reassessment shows up instead of relying on memory.
A one-thumb round on the floor
Purpose-built for the phone your night staff actually carry, vitals, scores, and the protocol note done at the bedside, not a desktop form squeezed onto a small screen.
Vitals in the same round
Blood pressure, heart rate, temperature, and SpO₂ captured alongside the withdrawal score, with abnormal-value flagging so a concerning vital never slips past.
The protocol lives on the order
A prescriber sets the symptom-triggered PRN protocol on the medication order. When a PRN dose is given, the eMAR checks it against the latest score and opens the reassessment window (CIWA-Ar 2h, COWS 4h), the protocol travels with the med, not a guess at the bedside.
MAT-safe on the med side
A PRN hold gate checks vitals before an as-needed dose, and MAT monitoring watches methadone, buprenorphine, and naltrexone orders, including QTc on methadone, so withdrawal management and a patient’s MAT regimen are reconciled, not colliding.
CIWA-Ar & COWS, scored for you
The standard alcohol (CIWA-Ar) and opioid (COWS) withdrawal scales, scored right in the chart, the total and severity band computed as the round is entered, no mental math at 3am.
Cadence-driven rounds
The next round is scheduled per level of care, and the due round surfaces on the nurse’s worklist, a standing heads-up so a detox reassessment shows up instead of relying on memory.
A one-thumb round on the floor
Purpose-built for the phone your night staff actually carry, vitals, scores, and the protocol note done at the bedside, not a desktop form squeezed onto a small screen.
Vitals in the same round
Blood pressure, heart rate, temperature, and SpO₂ captured alongside the withdrawal score, with abnormal-value flagging so a concerning vital never slips past.
The protocol lives on the order
A prescriber sets the symptom-triggered PRN protocol on the medication order. When a PRN dose is given, the eMAR checks it against the latest score and opens the reassessment window (CIWA-Ar 2h, COWS 4h), the protocol travels with the med, not a guess at the bedside.
MAT-safe on the med side
A PRN hold gate checks vitals before an as-needed dose, and MAT monitoring watches methadone, buprenorphine, and naltrexone orders, including QTc on methadone, so withdrawal management and a patient’s MAT regimen are reconciled, not colliding.
Common questions
Which withdrawal scales does vPro EMR support?
vPro EMR supports the CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol, revised) and COWS (Clinical Opiate Withdrawal Scale). Each item is scored in the chart and the total and severity band are computed automatically as the round is completed.
How are withdrawal rounds scheduled?
Rounds are cadence-driven: vPro EMR derives the next due round from a facility-configurable, per-level-of-care cadence and surfaces it on the responsible nurse’s worklist. It is a standing nursing heads-up so the round shows up rather than relying on memory.
Can a nurse complete a withdrawal round on a phone?
Yes. The withdrawal round is a purpose-built mobile experience designed for the device staff carry on the floor, vitals, CIWA-Ar or COWS scoring, and the protocol note completed at the bedside, then signed and saved straight to the chart.
How does it handle MAT during withdrawal management?
MAT safety lives on the medication side: a PRN hold gate checks vitals before an as-needed dose, and MAT monitoring, including QTc surveillance for methadone, watches the patient’s medication-assisted-treatment orders. The withdrawal score and the MAT regimen are reconciled on the eMAR rather than run as separate workflows.
Explore more of the platform
eMAR & medication management
An electronic MAR with controlled-substance rigor, witnessed counts, a second-nurse witness, and an event-sourced cabinet, connected to e-prescribing.
Learn moreLabs & drug testing (UDS)
Definitive UDS with prescription reconciliation, expected vs. unexpected results, flagged for review.
Learn moreA real mobile EMR, not an afterthought
A PWA with real-time push and full desktop parity, every workflow, purpose-built for the phone your staff carry.
Learn more