For Nurse Managers and DONs in Texas
Stop Losing Nurses to Scheduling Stress: Nurse Scheduling for Critical Access Hospitals
A managed scheduling service. You send a roster, you get back a finished, compliant schedule. Not software to run. No more Sunday evenings rebuilding the roster. No more hunting for a replacement when someone calls out. You get a compliant, post-ready schedule every cycle, callout coverage already handled.
Built after interviewing 30+ nurse managers before writing a single line of code.
AI Scheduling Engine
From blank grid to full schedule in seconds.
The engine checks 13 safety rules and 8 fairness rules as it fills every slot, then ranks callout replacements the same way. Automatically.
The difference
This isn't "another scheduling tool"
Other tools still require you to build every draft, apply every rule, and find every callout replacement yourself. You get all of that done for you. You approve.
Software
(You do the work, the tool just hosts it)
- You build drafts + train staff on the tool
- You configure and maintain 21 scheduling rules
- You manually find replacements when someone calls out
- You track weekend/holiday fairness in spreadsheets
Our Service
(You get post-ready schedules, you approve)
- Upload your data via Excel → we handle the rest
- 13 safety rules and 8 fairness goals checked automatically on every draft
- Call-out or leave? Top 3 replacements with reasons, one-click approve
- Fairness tracked automatically: weekends, holidays, overtime
Who we serve
Built for Critical Access Hospitals in Texas
Lean Staffing Reality
Where a single call-out can break coverage for the entire unit.
24/7 Emergency Coverage
Maintaining the ED "ready-state" while balancing small bed counts.
Rural Constraints
Distance makes "just add staff" unrealistic. We optimize what you have.
Common CAH Scenarios We Handle
- 7 PM call-out → System auto-finds top 3 replacements with reasons
- Leave approved → Affected shifts get replacement candidates automatically
- Weekend fairness complaints → No nurse should work more than 3 weekends per 6-week period
- Junior-heavy shift → Competency pairing rules require a Level 4+ nurse on the shift
- PRN scheduling chaos → Only scheduled on days they marked available
- Holiday assignment disputes → Fair rotation tracked annually across the team
- Who approved what? → Full audit trail of every change
The schedule posts itself. You just approve.
We don't just fill slots. We manage the integrity of the unit.
On Time, Every Time
Schedule posted by Thursday 3pm, before the weekend team needs to know.
Zero Coverage Gaps
Gaps caught before staff see the board, not after.
Call-Outs Handled
Replacements surface automatically. Call-outs stop coming to your phone.
OT Flagged Early
Overtime risk surfaced before it hits payroll.
Audit-Ready
Staffing committee packet ready in one click, always current.
Your Schedule Package
Delivered every Thursday 3pm (or your chosen cadence). No more spreadsheet chaos. Just post and hand off.
Schedule PDF
Post-ready, cleanly formatted for the unit board.
Excel Workbook
Final schedule + exceptions log + risk flags. Export → Edit → Re-import anytime.
Schedule Options
Multiple drafts scored by coverage, fairness, and cost. You pick the best fit.
Manager Summary
What changed, pending approvals, and budget impact.
Audit Trail
Complete history of every change: who, what, when. For compliance.
CAH Medical-Surgical Unit
Week of Jun 2–8, 2025
| Date | Day 07–19 | Night 19–07 |
|---|---|---|
| Mon Jun 2 | Maria G. Charge Emily D. · Lisa A. | James W. Charge Michael B. |
| Tue Jun 3 | Maria G. Charge Ashley J. · Amanda W. | James W. Charge Christopher A. |
| Thu Jun 5 | Maria G. Charge Ashley J. · Elizabeth M. OT | James W. Charge Jessica R. · Daniel H. |
What we check every cycle
rules checked on every schedule
Every schedule is compliant before it posts.
13 rules protect safe staffing on every schedule. 8 more track fairness for your team. All checked automatically. Nothing slips through.
- Carol A. RN
- Dan B. RN
✓ Fully staffed
- Carol A. RN
- Dan B. RN OT
⚠ Dan already at 36h this week — overtime cost if assigned
- Emma C. RN
✕ Charge nurse required — must fix before publishing
A scheduling cadence that fits a CAH
Lock the rules once
Minimum coverage, charge requirements, and skill mix expectations. We hardcode your weekend/holiday rotations and overtime boundaries into our workflow.
Weekly inputs (10–15m)
Send us PTO, known constraints, or ED spikes. We take the "messy" data and process it into a clean, logical draft.
Your draft posts ready
The validation pass runs and the post-ready draft publishes. You approve exceptions only when your thresholds are crossed. No back-and-forth on the core schedule.
Call-outs become a workflow, not a fire drill
A nurse cancels at 9 PM. You're off the clock. The system logs the callout, finds charge-qualified replacements, flags overtime risks, and has a name ready for your approval before your shift starts.
- Eligible staff are checked first: skills, role, charge
- Your escalation order ranks candidates: float staff first, then voluntary overtime, then fill any remaining gaps if needed
- Every change lands in the Exceptions and Decisions Log for later review
Exceptions Log Entry Example
EVENT: 9PM CALL-OUT (MS UNIT) - Emma C.
ELIGIBILITY CHECK: 2 CHARGE-QUALIFIED
ESCALATION: STEP 1 (FLOAT POOL)
DECISION: CAROL A. ASSIGNED (FLOAT POOL)
REASON: PROTECT CHARGE MIX ON NEXT SHIFT
Defendable in a huddle, ready for staffing committee.
Step 1 of 4 — Shift covered
Current schedule
- Emma C. RN Charge Nurse
- Grace E. RN
The team
Built by listening to people in the room
We interviewed 30+ nurse managers before writing a single line of code. Not surveys. Real conversations about real scheduling problems.
Pradeep Pandey
Co-founder
Deputy General Manager of Operations, Apollo Hospitals. 7 years inside hospital ops managing 2,000+ beds across 19 hospitals. Building the scheduling fix he watched them need every week.
Gautham
Co-founder
3x founder, 15 years in tech. Built a system your nurses never have to log into. You upload, the schedule comes back ready.
"I spend my Sunday evenings rebuilding the schedule because someone called out on Friday. Every week. I just want to hand it off and know it is right."
Common questions
Frequently Asked Questions
How long does it take to get started?
Under two weeks. You send us your staff list and shift structure via Excel. We configure the rules, run a test cycle, and hand you a draft schedule for review. No IT involvement required.
Do my nurses need to create accounts or download anything?
No. Your staff never touches the software. You get a PDF and Excel file by Thursday. That's it.
What if we already have a scheduling system?
Most of our pilots come from teams using spreadsheets or a basic tool that doesn't enforce rules. We don't replace your EMR. We deliver the schedule so you don't have to build it.
How do you handle our unit-specific rules?
We configure them before your first cycle. Charge nurse requirements, skill mix ratios, on-call limits: all mapped to your unit. Changes take effect the next cycle.
Who do we contact when there's a call-out at 2AM?
The system auto-generates replacement candidates as soon as a call-out is logged. You get the top 3 with reasons. One click to approve. You don't have to call us, but we're reachable if something unusual comes up.
Limited availability
A compliant, post-ready schedule every cycle.
Free for 60 days.
3 pilot spots open. No IT setup. No strings attached.