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Cindera

Reimagining the Nurse Call Experience with Mobile-First Patient Request Routing.

Cindera is a BYOD patient communication platform that lets hospitalized patients submit categorized requests from their own phones, routes each request to the right staff role, and gives patients real-time visibility from "sent" to "resolved."

Visit live website
40–50%

Non-RN Call Volume

Typical call-light requests suited for support roles

13+ min

Avg. Response Time

Common U.S. hospital call-light delay

6

Request Categories

Nurse, pain, bathroom, housekeeping, food/water, urgent

4-stage

Live Tracking

Sent → Seen → On the Way → Resolved

Industry

Healthcare

U.S. hospitals · inpatient care

Services

Product Design

BYOD patient communication · mobile app + staff dashboards

Timeline

16 Weeks

UX Research · Design · Build · QA & Deployment

Team

6 Specialists

1 Strategist · 1 UX Designer · 1 Mobile Dev · 1 Backend Dev · 1 Frontend Dev · 1 QA

Technology

React Native · Node.js

PostgreSQL · WebSockets · Firebase · AWS

What we were hired to solve.

Traditional nurse call systems treat every patient need the same. A patient presses a button, a light turns on, and a nurse or unit staff member often has to physically respond just to learn whether the patient needs clinical help, bathroom assistance, water, housekeeping, or something urgent.

The result is an undifferentiated workflow bottleneck. Nurses become the default routers for many requests that could be handled by CNAs, housekeeping, dietary, or other support roles. Patients wait without visibility, staff lose time, and hospital leaders lack clear operational data on response times and request patterns.

The core problem: The problem is not that patients cannot ask for help. The problem is that the request is not categorized, routed, tracked, or escalated intelligently before staff are interrupted.

What we built.

A purpose-built system designed around the specific constraint — not a generic tool configured to fit.

Patient Request Submission

Patients use their own smartphone or a hospital loaner device to submit one of six categorized requests: Nurse Help, Pain/Medication, Bathroom Help, Housekeeping, Food/Water, or Urgent Alert. Optional text or voice notes add context without slowing down the primary action.

Intelligent Role-Based Routing

Each request is routed to the correct operational role based on category and assignment: clinical and pain requests to the RN, bathroom and mobility support to the CNA/PCT, cleaning to housekeeping, and food or water to dietary staff.

Real-Time Status Tracking

After submitting a request, patients see a live request banner and a four-stage progress tracker: Sent, Seen, On the Way, and Resolved. This gives patients reassurance that their request has been received and is moving through the care workflow.

Escalation and Charge Nurse Oversight

If a request is not accepted within the configured SLA threshold, Cindera escalates it to backup staff and the charge nurse. The charge nurse sees active and breached requests across roles, enabling faster triage and reassignment.

Caregiver Proxy Access

Family members or caregivers can be invited with a secure access code and submit requests on behalf of the patient. Staff see that the request was submitted by a caregiver while the patient and caregiver both receive real-time status updates.

Analytics for Hospital Leadership

Administrators can review aggregate response times, SLA compliance, request volume by department, patient satisfaction signals, and operational trends that support HCAHPS and patient experience improvement efforts.

Built with production-grade tools.

No bolt-on integrations. Every tool chosen for the specific constraints of this project.

React Native
Node.js
PostgreSQL
WebSockets
Firebase
AWS
HL7 FHIR API

What changed.

Cindera transforms the nurse call experience from a single undifferentiated alert into a categorized, routed, trackable workflow — faster response, clearer ownership, and better patient reassurance.

The platform gives patients a simple way to say what they need, gives staff role-specific queues instead of noise, and gives charge nurses visibility into bottlenecks before they become patient experience failures.

The outcome is not just a better app. It is a more intelligent operating layer for inpatient communication — designed to reduce avoidable nurse interruptions, improve responsiveness, and surface the operational data hospital leaders need.

Before

  • Every request looks the same
  • Nurses act as routers
  • Patients wait without visibility
  • Non-clinical requests interrupt clinical staff
  • Escalation and analytics are limited

After

  • Requests are categorized upfront, routed to the right role, tracked in real time, escalated by SLA rules, and visible to patients, staff, charge nurses, and administrators

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