Alerts and Escalation

Vigil creates alerts when situations require attention and escalates them until acknowledged.

Alert Creation

Alerts are created automatically when:

Trigger	Alert Type
Observation past due	Observation Overdue
Vital outside range	Vital Critical
1:1 observation gap	1:1 Gap
Fall detected by sensor	Fall Detected
Patient exits bed at night	Bed Exit
Patient leaves area	Elopement
Geofence crossed	Geofence Violation
Wearable tampered	Wearable Tamper

Viewing Alerts

Navigate to the Alerts tab to see:

• Active alerts requiring attention
• Alert priority (Critical, High, Medium, Low)
• Patient name and alert type
• Time since alert created
• Current escalation level

Tap an alert to view details and respond.

Alert Details

The alert detail screen shows:

• Patient information - Name, room, observation level
• Alert type - What triggered the alert
• Context - Relevant details (e.g., which vital, time since last observation)
• Escalation history - When it escalated and to whom
• Actions - Response options

Responding to Alerts

Acknowledge

Tap Acknowledge and select an action:

Action	Description
Responding now	You're addressing the situation
Delegate	Assign to another staff member
Already resolved	Situation was already handled

After acknowledging, the alert stops escalating but remains open until resolved.

Resolve

To close the alert, tap Resolve:

1. Select the action taken
2. Add required notes (for safety events)
3. Tap Confirm Resolution

Safety events (vital critical, 1:1 gap) require notes documenting what was done.

Delegate

If you can't respond, delegate to another staff member:

1. Tap Delegate
2. Select a staff member from the list
3. Add optional notes
4. Confirm

The delegated staff member receives a notification.

Escalation

Unacknowledged alerts escalate through levels:

Level	Delay	Recipients
1	Immediate	Assigned staff
2	+5 min	Charge nurse
3	+10 min	Unit manager
4	+15 min	Director/Admin

Each escalation:

• Sends new push notifications
• Updates the alert's escalation level
• Logs the escalation in history

Delays are configurable per unit.

Push Notifications

Alert notifications include:

• Alert type and priority
• Patient name and location
• Sound and vibration based on priority

Critical alerts:

• Override Do Not Disturb (if permitted by device settings)
• Use distinct notification sounds
• Persist until dismissed

Alert History

View resolved alerts:

1. From Alerts tab, tap History
2. Filter by:
   • Date range
   • Alert type
   • Patient
   • Priority
   • Resolution status

Alert history supports compliance audits and incident review.

Priority Levels

Priority	Behavior	Examples
Critical	Loud sound, vibration, persistent	Fall, vital critical
High	Sound, vibration	1:1 gap, elopement
Medium	Standard sound	Observation overdue
Low	Silent notification	Informational