Clinical Assessments

Ward includes standardized clinical assessments with automatic scoring.

Available Assessments

Assessment	Purpose	Questions
C-SSRS	Suicide risk screening	6
CIWA-Ar	Alcohol withdrawal severity	10
COWS	Opioid withdrawal severity	11
PHQ-9	Depression screening	9
Morse Fall Scale	Fall risk assessment	6
Braden Scale	Pressure injury risk	6

Starting an Assessment

1. Open patient details
2. Tap Assessments tab
3. Select an assessment type
4. Complete questions one at a time
5. Review results and save

Assessment Flow

Each assessment presents one question per screen:

1. Read the question/item
2. Select the appropriate response
3. Tap Next to proceed
4. Progress bar shows completion status

Scoring

Ward automatically calculates:

• Total score based on response values
• Severity level based on score thresholds
• Clinical interpretation for context

Severity Levels

C-SSRS (Suicide Risk)

• Negative screen
• Low risk
• Moderate risk
• High risk

CIWA-Ar (Alcohol Withdrawal)

Score	Severity
0-8	Absent or minimal
9-15	Moderate
16-20	Severe
21+	Very severe

COWS (Opioid Withdrawal)

Score	Severity
0-4	None
5-12	Mild
13-24	Moderate
25-36	Moderately severe
37+	Severe

PHQ-9 (Depression)

Score	Severity
0-4	Minimal
5-9	Mild
10-14	Moderate
15-19	Moderately severe
20-27	Severe

Morse Fall Scale

Score	Risk Level
0-24	Low
25-50	Moderate
51+	High

Braden Scale

Score	Risk Level
19-23	Low
15-18	Moderate
13-14	High
12 or less	Very high

Results

After completing an assessment, you see:

1. Total score
2. Severity level with color coding
3. Clinical interpretation
4. Option to add notes

Tap Save Assessment to record.

Assessment Scheduling

Assessments can be scheduled to repeat:

• Hourly - For acute monitoring (CIWA, COWS)
• Every shift - For ongoing risk assessment
• Daily - For routine screening
• Weekly - For periodic evaluation

Scheduled assessments appear as due items in the patient's assessment tab.

Assessment History

View completed assessments:

1. Open patient details
2. Tap Assessments tab
3. See completed assessments with:
   • Date and time
   • Score and severity
   • Staff who completed

Tap an assessment to view full responses.

EMR Sync

Assessment scores sync to the EMR as discrete data:

• Score appears in appropriate EMR location
• Severity level included
• Individual responses available for review