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aurora-ehr.app / chart / margaret-chen / overview Patient overview

Chart Overview

2 alerts Shift begins 14:00 Current snapshot · as of 13:42
Current statusOpen flowsheet →
93% · 2 L NC
22/min
96bpm
142/84
37.8°C
2/10
Last observed 13:00 · N. Okafor, RN
Respiratory trendView all observations →
93%SpO₂ now
target 88–92%
87%shift low 93%shift high 2 LO₂ flow
Ambulation low 89% at 12:20 · improving after rest
Labs & diagnosticsOpen results →
TestResultFlag
CO₂31 mmol/LH
WBC12.4 ×10⁹/LH
Potassium4.1 mmol/LN
CXRHyperinflationFinal
Active medications & ordersOpen MAR →
Medication / orderStatus
Ipratropium–albuterol
3 mL neb · q4h
Due 14:00
Methylprednisolone
40 mg IV · q12h
20:00
Azithromycin
500 mg PO · daily
09:00
Oxygen therapy
Titrate to SpO₂ 88–92%
Active
Recent documentationView notes →
TimeDocumentation
13:00Respiratory assessment
Expiratory wheeze · RLL diminished
12:20Mobility note
SpO₂ 89% on ambulation
10:03Medication administration
DuoNeb given · response pending
07:00SBAR handoff
Night shift · N. Okafor, RN
Care-plan progressOpen plan →
Maintain oxygenation during activity
3 of 5 interventions completed · reassess after DuoNeb
Maintain O₂ at ordered target Position upright for ventilation Reassess after bronchodilator
NOSPRTSN
Head-to-toeComplete
RespiratoryDue now
Fall riskReassess
Skin integrity16:00
Intake & outputOpen flowsheet →
840mL intake 620mL output +220mL balance
13:15 · Oral240 mL 12:40 · Urine300 mL 08:10 · IV100 mL
Shift checkpointsView tasks →
Handoff reviewed07:08
Safety checksComplete
DuoNeb administrationDue
Post-med reassessmentNext

Chart Overview

Current snapshot · as of 13:42

Vitals & Flowsheet

FlowsheetTrendsOrthostatic
Newest first · 12 hourly sets
Inpatient · Day 2 07:00–19:00 Hourly observations · 12 hours + Add observation
Vital sign13:00
NOW
12:0011:0010:0009:0008:0007:0006:0005:0004:0003:0002:00
Heart rate bpm96981011041029997969910310198
Blood pressure mmHg142/84140/82138/80144/86139/81136/80134/78132/78135/80138/82136/80132/76
Respirations /min222426282624222224242222
SpO₂ %9389*92918887909192929392
O₂ flow L/min222222222222
Temperature °C37.837.737.837.937.837.737.637.637.537.437.437.3
Pain 0–10223322211100
Respiratory effortMildMildModerateModerateModerateMildMildUnlaboredUnlaboredUnlaboredUnlaboredUnlabored
Dyspnea 0–1035*4454332222
Level of consciousnessAlertAlertAlertAlertAlertAlertAlertAlertAlertAlertAlertAlert
MobilityStandbyAmbulated*RestRestChairStandbyBedrestBedrestBedrestBedrestBedrestBedrest
O₂ deviceNasal cannulaNasal cannulaNasal cannulaNasal cannulaNasal cannulaNasal cannulaNasal cannulaNasal cannulaNasal cannulaNasal cannulaNasal cannulaNasal cannula
Breath soundsExp wheezeExp wheezeDim. basesDim. basesDim. basesDim. basesDim. basesDim. basesDim. basesDim. basesDim. basesDim. bases
CoughProductiveProductiveProductiveProductiveDryDryDryDryDryDryDryDry
SputumScant whiteScant whiteScant whiteNoneNoneNoneNoneNoneNoneNoneNoneNone
PositionHigh FowlerChairHigh FowlerHigh FowlerHigh FowlerHigh FowlerSemi-FowlerSemi-FowlerSemi-FowlerSemi-FowlerSemi-FowlerSemi-Fowler
Activity toleranceFairPoor*FairFairFairFairFairFairFairFairFairFair
Outside targetCOPD target range* Ambulating · all other observations at rest

Medication Administration Record

24-hour view Due window ±30 min · now 14:00
Inpatient · Day 2 07:00–19:00 Active scheduled + PRN Review due medications
Medication order Last dose Future Now Recent administrations
20:0018:0016:0015:00 14:00 13:0012:0010:0009:0008:00
Ipratropium–albuterol 0.5/2.5 mg3 mL neb · inhaled · q4h scheduled10:03
N. Okafor
DueDue nowGiven
Methylprednisolone 40 mgIV push · q12h scheduled08:08
N. Okafor
DueGiven
Enoxaparin 40 mgSubcutaneous · daily09:01
N. Okafor
Given
Azithromycin 500 mgPO · daily · with food09:04
N. Okafor
Given
Salbutamol 100 mcg2 puffs inhaled · q2h PRN dyspnea12:24
N. Okafor
Given
Acetaminophen 650 mgPO · q6h PRN pain or feverPRN
Nicotine patch 14 mg/24 hTransdermal · daily09:10
N. Okafor
Given
Pantoprazole 40 mgPO · daily before breakfast08:02
N. Okafor
Given
Sennosides 17.2 mgPO · at bedtime · bowel protocol20:11
A. Singh
Due
Sodium chloride 0.9% flush10 mL IV · q8h and PRN12:06
N. Okafor
DueGiven
Budesonide–formoterol 160/4.5 mcg2 puffs inhaled · BID scheduled08:12
N. Okafor
DueGiven
Guaifenesin 200 mgPO · q4h PRN productive coughPRN
GivenDuePRN / heldAdministration details available from every cell
A guided EHR for nursing education

Introducing Aurora.

Practice a complete shift before a real patient is waiting.

Aurora combines a synthetic patient, a credible hospital chart, and a guided case so students can move from handoff to evidence-backed feedback in one continuous workflow.

Clinical judgment is taught. Charting should be too.

Anything you'd chart on a real shift,
you can chart here.

Vitals flowsheet MAR Assessments Intake & Output Orders Labs Progress notes SBAR handoff Care plan Allergies & alerts

Time columns, med passes, entry states, abnormal flags — the flowsheet behaves like the ones on the floor, so what you practice is what transfers.

Shift handoff · 07:00
From night shift — J. Park, RN
S68F, COPD exacerbation, day 2. Increased WOB overnight.
B40-pack-year history, home O₂ at night, on prednisone burst.
ASpO₂ drifting 88–91% on 2 L NC. Diminished bases.
RReassess this hour; call RT if SpO₂ < 88% sustained.

Take the handoff

Every case starts the way a shift does — an SBAR report from the off-going nurse, with the details you'll need buried in the details you won't.

Synthetic patient Margaret Chen seated upright in a hospital bed Case image · Margaret Chen
Auscultation · Left base ▶ 0:08

Expiratory wheeze · diminished air entry

Assess at the bedside

Look, listen, and press. The interactive patient reveals findings the chart never will — and what you find is what you chart.

Respiratory assessment 07:42 · Your entry
Criterion07:42 You06:0002:00
Breath soundsWheeze · L baseDim. basesDim. bases
Work of breathingModerate ↑IncreasedMild
CoughProductiveDry
SpO₂ / O₂91% · 2 L NC88% · 2 L92% · 2 L
SputumScant · white
✓ 5 criteria enteredDraft saved · 07:43

Chart your findings

Document independently in a real flowsheet — your entries in your column, in your own words, timestamped like the floor expects.

Scored against what the patient actually revealed.

Every case ships with expected findings. When you finish, Aurora compares your chart against them — by system, by finding, by timestamp. See how scoring works

Respiratory assessment 9 of 10 expected findings
92%
Vital signs complete, on time
100%
Safety checks missed: fall-risk reassessment
71%
Progress note 2 findings undocumented
78%

Guidance that knows where you are
in the case.

Aurora isn't a sandbox with a worksheet next to it. Each objective knows what you've reviewed, what the patient showed you, and what still needs to be charted.

From the handoff
"SpO₂ drifting 88–91% on 2 L NC…"
Vitals · last 8 hrs
SpO₂ 92 → 87 → 88
Objective 3 of 5

Assess Ms. Chen's breathing and chart what you find

You've seen the trend and heard her lungs. Document your own assessment before the 08:00 med pass.

Your bedside finding
Expiratory wheeze, left base 🔉
MAR · upcoming
08:00 · Albuterol neb 2.5 mg
Due in 18 min

Where mistakes cost nothing.

The whole point of a simulated chart is that you can get it wrong. Aurora is built so that getting it wrong is useful.

Chen, Margaret · synthetic

Every patient is fiction

Cases are authored, not imported. No real records, no real people — just clinically credible ones.

07:41  viewed  vitals trend
07:42  charted  RR 22
07:44  auscultated  L base

Every action becomes feedback

What you opened, what you charted, and when — captured so your debrief is about what you actually did.

attempt 1 · 74%  →  attempt 2 · 87%

Reset and run it again

Wipe the chart, keep the lesson. Repeat a case until the workflow is muscle memory, not luck.

Aurora Assessment Report

Evidence your instructor
can actually grade with.

Every completed case produces a scored report — findings documented, findings missed, and the timeline of how the student worked.

Scored against expected findings — authored into each case by nurse educators.
Per-attempt history — progress across retries, not just a single grade.
Aurora assessment report
Margaret Chen · COPD exacerbation

R. Lopez · NRS-302 · Attempt 2 · Jul 23

Case complete
5/5Objectives
completed
32mTime on case
Performance by domain18 of 21 items documented
Respiratory assessment
92%
Vital signs
100%
Safety checks
71%
Progress note
78%
Priority gapFall-risk reassessment was not documented after ambulation. Expected when mobility status changes.
Accuracy · Completeness · TimeGenerated 14:42 · Evidence trace available
AGuided by Aurora

The chart stays clinical.
The coaching gets personal.

Aurora scores each case with educator-authored rules, then uses AI to turn that evidence into clear feedback: what you did well, what to revisit, and what to try next.

01BoundedAI never writes in the chart or changes a score.
02TraceableEvery insight points back to the learner’s own actions.
03ReviewableFeedback is clearly labeled and can be reviewed with an instructor.
Aurora guidanceAI-generated · review with your instructor
Attempt 2 · complete
Evidence used 27 chart events · 5 objectives · educator rubric All sources linked

You recognized Margaret’s increased work of breathing and documented the change before administering the scheduled DuoNeb.

13:00 respiratory assessment14:03 MAR event

What finding would make you escalate to respiratory therapy rather than continue routine reassessment?

Score: deterministic · educator-authored rubricAI narrative: optional

Fiction, by design.

Aurora rehearses real clinical workflows without ever touching real clinical data.

100% synthetic

Synthetic records only. Every patient, lab value, and med order is authored for teaching. Nothing is derived from real charts.

PHI

No PHI, ever. There is nothing to breach — no real names, no real identifiers, no compliance surface for your program to carry.

your work → your account
your scores → you + instructor
everyone else → nothing

Your work stays yours. Attempts and scores are visible to you and the instructor you share them with. Nobody else.

Runs in the browser. No install, no VPN, no lab machines. A case is a link — it works in the library, the sim lab, or at home.

Practice like it's real.
Because soon it will be.

Coming Soon