PaigeFlow for emergency departments
Your on-call orthopedic surgeons receive consults by text and phone the way they already do. PaigeFlow captures each one completely, routes it, and keeps a timestamped record of who was notified and when. Nothing changes for your physicians.
What gets recorded, on every consult
Each consult produces a timestamped chain from the moment your physician reaches the line to the moment the operating room is notified. The record belongs to the practice and is exportable.
| Event | Recorded | Notes |
|---|---|---|
| Requesting physician reaches the line | timestamp, caller, unit | Text or voice; transcript retained with the consult |
| Consult complete | timestamp | All required fields captured, including both imaging views |
| Surgeon notified | timestamp, delivery status | Carrier-confirmed delivery, not just send |
| Surgeon decision | timestamp, actor | Records whether the surgeon or an authorized PA/NP decided |
| Requesting physician confirmed | timestamp | Plan and NPO instruction acknowledged by the ED |
| OR desk or house supervisor notified | timestamp, recipient | Escalates to the alternate contact if unanswered |
| Escalations and urgent transfers | timestamp, each leg | Includes backup coverage attempts |
What the system does and does not do
PaigeFlow is administrative software. It captures, confirms, routes and notifies. It performs no clinical function of any kind, and this boundary is enforced in the software rather than left to judgment.
What it does
- Collects consult details from the requesting clinician
- Requires complete imaging before the consult is closed
- Delivers the consult to the on-call surgeon
- Records the surgeon’s decision as the surgeon states it
- Notifies the ED, scheduling, and implant representatives
- Connects urgent callers directly to the surgeon
- Assembles a draft consult note for the surgeon to edit and sign
What it never does
- Give medical advice to any person
- Interpret imaging or laboratory results
- Suggest, recommend or select a procedure
- Make any triage or acuity determination
- Contact a patient without documented consent
- State that a clinician was notified unless the system verified it
- Supply any detail that was not provided by a clinician
On the assistant’s identity
The assistant identifies itself as an AI assistant at the start of every call and in its first message on every text thread. Any caller who asks to speak with the surgeon is connected without qualification or delay.
What adoption involves for your department
There is nothing to install, no interface for your staff to learn, and no integration with your systems.
For the emergency physician
They text or call the same number they use for the on-call surgeon today, and send imaging the way they already do. The assistant asks only for the details that were not already provided.
For the unit secretary
The step of calling the surgeon and connecting the two physicians is no longer required for routine consults. Urgent cases still connect immediately.
For the OR desk and house supervisor
Add-on requests arrive as text messages in the format your scheduling staff already receive from the surgeon, with the procedure, patient identifiers and requested timing. Replies are relayed back to the surgeon.
For hospital administration
Response-time and volume reporting is available per hospital and exportable. The practice controls its own data and can share these reports with the department at its discretion.
Talk to us about your department
We can walk through the consult record, the retention and access model, and what a trial with one on-call surgeon would involve. Nothing goes live in a department without your knowledge.