Your software expects a tidy 30-minute appointment. ER works in 30-second decisions. Most software was designed for general practice and bolted-on for ER. You can feel it.
RosaVet for Emergency & Critical Care
Built by people who knowwhat 2 AM looks like.
We built it for the nights when a critical patient comes in and the charting is the bottleneck.
Urgency-color queue board · voice SOAP drafts · DEA append-only log · 5-layer drug safety.
2 AM, You Know This Story
Three crashes, one tech, no charge nurse,and the patient chart still isn't open.
SOAP notes happen at 4 AM. You spent 90 minutes on a GDV. You charted at the end. Now you're looking at three more cases and a backlog of notes that will spill into next shift.
DEA log is on a paper clipboard. Or in three different spreadsheets. Or in a drawer somewhere. You hope it's legible. You hope nobody audits this month.
Triage is a sticky note system. The dog with the heart rate of 240 is somewhere between the cat with the urinary obstruction and the rabbit who ate string. Whose chart was it again? Where's the front desk?
ER nights are long enough. The documentation system shouldn't make them longer.
How RosaVet handles ER
Built for the speedat which medicine actually happens.
Urgency-color queue board
Red / orange / yellow / green at a glance. Urgency is set at check-in, and the board sorts by urgency, then by time since check-in. The dog with HR 240 is at the top — visually, unmissably, on every board in the building (each one refreshes every 30 seconds).
Voice → SOAP drafts
Talk through the assessment while you're still gloved up. Deepgram Nova-2-Medical transcribes, Gemini Flash structures the SOAP, you approve before it touches the chart.
DEA append-only log built in
Controlled-substance entries with time, DVM, patient and dose. Append-only by database rule — no edits, no deletes. Exports a CSV with the record fields 21 CFR 1304.04 asks for. Drugs given to hospitalized patients are logged today; dispensing through the pharmacy is not live yet.
Patient search
Find a patient from the patients list by pet name, species, breed or microchip number.
5-layer drug safety
Species contraindication. Allergy match. Drug interaction (AI-checked). Dose range. Concurrent medication conflict. Catches mistakes the third tech of the night would otherwise miss.
No invoice in the euthanasia room.
When the chart switches to euthanasia status, every timer disappears, every metric goes silent, every billing screen is hidden. Compassionate discharge. Memorial record. Billing afterward — never in the moment.
Watch it run
Three films.All three are the real product.
Recorded from the running software. Nothing storyboarded, nothing redrawn.
A tour of RosaVet
6:23A walk through the floor, the exam room, the chart, checkout, the follow-up call, the business and the rules, and why each part helps. The highlights, not every feature.
A visit, arrival to callback
4:36The queue board, check-in, vitals, the exam, results and imaging, checkout, and the follow-up call that evening, with why each step helps the doctor and the client.
The AI in RosaVet, area by area
5:46How the AI helps the clinic and the doctor, one area at a time, and what stays with people: a doctor approves each suggestion, and the AI never writes into the record on its own. The main areas, not every feature.
Narration in English. Nothing loads from YouTube until you press play.
Apples to Apples
For ER specifically.
| Cornerstone | ezyVet | AVImark | RosaVet | |
|---|---|---|---|---|
| Urgency-color queue board | Status colors (whiteboard) | Vet Radar (separate product) | Whiteboard | ✓ |
| Voice → SOAP draft (DVM approves) | CoVet add-on (IDEXX-owned) | AI-Assisted Notes (US rollout) | × | ✓ |
| Controlled-substance (DEA) log | Auto report + state export | Auto report + PMP export | Auto report | Append-only ledger (controlled dispensing not live) |
| 5-layer drug safety | — | — | — | ✓ |
| Euthanasia-room billing hide | — | — | — | ✓ |
✓ has it · × doesn't have it · — we couldn't confirm it either way from the vendor's public documentation, so ask them. Competitor cells checked 2026-10-11 against each vendor's own documentation. Sources are listed on the full comparison page.
Want the full head-to-head? See the 80-row comparison →
An example Tuesday-night shift
2:14 AM. Three patients in.Here's how the shift goes.
2:14 AM — A 45-lb mixed breed crashes through the door
Owner says the dog ate "a whole bag of something brown" — "Hershey's milk chocolate, maybe two pounds." Front desk checks him in as Critical. Card appears red, at the top of the board. Triage starts.
2:18 AM — While you're inducing emesis, a cat with urinary obstruction comes in
Tech checks the cat in as Critical — a second red card. The cat's record is one search away on the patients list — last urinary panel, prior cystocentesis, the owner's preferred language (Spanish). All before you've finished gowning.
2:32 AM — A senior dog presents with respiratory distress
Third red card. Queue board now shows three reds. You don't have to remember the order — RosaVet sorts by triage severity and time-presented. Senior dog is most acute. You shift focus, stabilize.
2:51 AM — You administer butorphanol IV to the senior dog
Record it in the controlled-substance log: time, dose, patient, you. Append-only — nobody can edit or delete it later. Old way: a paper clipboard and a smudged pen.
3:07 AM — You finish stabilizing all three. SOAP time.
You walk to the workstation. Voice-record the chocolate-toxicity dog's SOAP, then the cat's UO note, then the senior dog's respiratory case. Each one is drafted for you to review and sign.
3:09 AM — You sit down. Drink water. Eat half a protein bar.
RosaVet emails the senior dog's family their discharge instructions, with the greeting and sign-off in Spanish, their preferred language. Your instructions go out as you wrote them. None of this needed your attention.
3:42 AM — The notes are done.
No charting backlog. No pile of unfinished SOAPs waiting at the end of the shift. That is the part of the night RosaVet is built to take off your plate.
Real questions we've heard.
How fast is voice SOAP?
We don't publish a speed figure until we've measured it end to end (transcription via Deepgram Nova-2-Medical, then the SOAP draft via Gemini Flash). The DVM still has to approve every suggestion before it commits to the chart — never auto-accepted.
What happens to controlled-substance logs if a tech makes a mistake?
The log is append-only by design. You can't UPDATE or DELETE entries. To correct an error, you append a correction entry with the original entry referenced — full audit trail intact.
What about HIPAA / PHI on cloud servers?
Vet records aren't covered by HIPAA, but we treat them with HIPAA-adjacent privacy practices anyway. Data is hosted in the cloud on Vercel, Railway and Cloudflare. Sentry error monitoring scrubs PHI before it leaves the machine.
What if I lose internet at 3 AM?
Today: RosaVet needs a connection. Everything already saved stays safe on the server, but new entries can't be saved until you reconnect. On the roadmap: full offline mode — queue board, voice SOAP and patient lookup all keep working with no connection, storing to the device. When you reconnect, everything syncs. Conflict resolution on clinical text fields surfaces both versions to the DVM — never silent last-writer-wins.
Can I migrate my ER's existing data?
Yes. Free self-serve migration from AviMark, Cornerstone, or any system that exports a spreadsheet — patients, clients, visits, vaccines, prescriptions and appointments. White-glove migration is $499 if you want us to run it.
Founding clinics
Get home earlier.Every shift.
Book a 30-minute demo and we'll walk through your workflow, or start a 30-day free trial on your own.
ER clinics · founding program