01
Baseline at hookup
The assessment is captured in the hookup dialog, one confirmation when every site is clear. Without a baseline, breakdown found later cannot be separated from breakdown present on admission.
Prove what your electrodes did to the skin, and when.
Axiom OrderFlow records EEG skin assessments by head region, keeps the baseline taken at hookup, and reports the pattern: which sites fail, how long they take, and how it differs by technique.
Direct answer
What this capability is designed to do
Device related pressure injury from EEG electrodes is documented by assessing the skin before application and again during and after wear. Axiom OrderFlow captures that assessment inside the technologist's hookup and disconnect workflow, records it per site rather than as one overall score, and reports findings against recorded electrode wear time so a department can separate breakdown that appeared during a study from breakdown a patient arrived with.
The operating problem
Why EEG departments look beyond spreadsheets.
Skin findings live in free-text notes that cannot be counted or compared.
No assessment exists from before application, so nothing can be attributed.
A prolonged recording passes 48 hours with no documented skin check.
A finding is noted but there is no record that the electrode was moved.
Nobody can answer which sites fail most, or after how many hours.
An accreditation reviewer asks for the tracking system and there is no report to hand over.
Core capabilities
Built for EEG operations, not generic task management.
02
Assessment by head region
Frontopolar, frontal, temporal, ear and mastoid, central, parietal, occipital, and ground or reference are recorded separately, so a pattern is visible rather than averaged away.
03
Checking interval you set
Your facility sets the interval. Separately, a study recording past 48 hours with no skin check is flagged, which is the point ASET names explicitly.
04
Relocation follow through
A finding prompts recording that the electrode was moved off the site, and the report states how often that follow through happened.
05
Findings per 1,000 electrode days
Reported against recorded wear time, with the studies that could not be counted listed by reason. A window without enough studies or exposure reports its counts and withholds the rate.
06
Technique comparison, honestly framed
Application method, head wrap, offloading, electrode type, and the unit's own Braden band are compared side by side, each group showing its median study length so an exposure difference is visible rather than read as a product difference.
Workflow
A governed path from arrival to accountable work.
Human-reviewed. Built specifically for EEG. Designed to complement your EHR and EEG acquisition system.
- The technologist confirms the baseline in the hookup dialog, or records that it could not be assessed and why.
- Rounding checks record each site, and any finding prompts moving the electrode.
- A study running past the checking interval is flagged, and past 48 hours it is flagged separately.
- The disconnect assessment closes the record for that study.
- The department reads the pattern: affected sites, time to onset, and comparison by technique.
- The accreditation evidence pack reports the same record, mapped to the ASET position statement.
For buyers
Where it fits
This is built for EEG departments running ambulatory and prolonged monitoring, where electrodes stay against skin for days and skin findings currently live in notes nobody can count. It suits labs preparing for accreditation review, and departments that have been asked for a number they cannot currently produce.
Product boundary
What it does not replace
OrderFlow records and reports what clinicians assess. It does not diagnose, stage on its own, verify the skin independently, or replace nursing or wound care judgement. Staging remains a nursing or wound care competency; the technologist records a field assessment. Association reported by technique is not evidence of cause, and the reporting says so on the page.
FAQ
Questions EEG and IT leaders ask.
What standard does this follow?
The ASET position statement on skin safety during EEG procedures, which asks laboratories to establish a tracking system, to assess before application, and to move an electrode away from any site showing skin change. The evidence pack maps each measure to the part of the statement it answers. OrderFlow organizes evidence; it does not certify compliance.
Does the technologist have to fill in eight fields at every hookup?
No. The common case is one confirmation that every site was checked and is clear, which records all eight sites explicitly. A technologist only opens a site to say something is wrong with it.
What happens when the skin cannot be assessed?
The assessment can be skipped with a stated reason, which is recorded. Clinical work is never blocked, and no assessment is ever invented on a patient's behalf.
Can it tell us whether collodion is worse than paste?
No, and it says so. ASET is explicit that research has not established whether collodion or other adhesives reduce or increase skin breakdown, and leaves the choice to each facility. The comparison shows each group's own median study length beside its rate, because the likeliest explanation for a difference is how long those studies ran.
What if we have only run a handful of monitored studies?
The rate is withheld and the reason is stated. A rate per 1,000 electrode days computed over a few days of exposure is one finding multiplied, not a measurement, so the counts stand on their own until there is enough to report.
Does a department with no assessments look clean?
No. A study nobody assessed has an unknown outcome and is excluded by name, with the count shown beside the rate. Measuring how often anyone looked is not the same as measuring how often skin broke down.
See how this fits your EEG workflow.
A tailored walkthrough uses synthetic data and focuses on your department's current intake, scheduling, operations, and reporting process.
Do not include patient information in demo requests. Demo environments use synthetic data only.