The day-of-treatment monitor
for Spravato® clinics.
Lucido runs the FDA's two-hour monitoring window across every treatment room — vitals, dosing, and discharge captured as they happen — then fills the Spravato® REMS Patient Monitoring Form, ready to file. No clipboards, no kitchen timer, no PHI on a Post-it.
Treatment days are stressful enough. Software shouldn't add to it.
Spravato® REMS is among the strictest monitoring-and-filing requirements of any outpatient drug — vitals at every checkpoint, observations logged, a signed form filed within seven days of every session. Most clinics are doing it on a mix of EHR fields, Excel, and faith.
Pre-dose, midpoint, pre-discharge — three sets per patient, transcribed by hand, hoping nothing gets misread or lost.
Staff stays late to fill in what they already did. Forms slip past the 7-day window. Inspectors notice.
"Are they OK in room 2?" Real check requires getting up, walking over, opening the door, interrupting the session.
Who recorded those vitals? When? Who overrode the threshold? Nobody can tell six months later when it matters.
Lucido runs the two-hour window — and the form fills itself.
From check-in to discharge, Lucido prompts each vital, tracks the dosing and the clock, keeps the patient occupied, and turns every observation into the REMS form — as it happens. It replaces the clipboards, the kitchen timer, the after-hours filing, and the walk down the hall to check on room 2.
Every room, at a glance.
Who's dosing, who's monitoring, who's ready to discharge — live on one screen, with the minutes left on each room. The 'is everything OK in room 2?' question answers itself, without getting up or opening a door mid-session.
Vitals and dosing, logged as they happen.
The clinician's phone prompts each vital against your thresholds, walks the per-device dosing with lot capture, and records observations in the moment — so nothing is scribbled on a clipboard, transcribed later, misread, or lost.
Calm for them, one tap from help.
On the patient's own phone — no app, no login. A soft countdown, breathing exercises, and a press-to-notify / hold-for-emergency button that reaches the staff phone and the front desk instantly. They stay occupied and reassured; you're never out of reach.
The REMS form is done before they leave.
Every observation flows into the genuine Janssen Spravato® REMS Patient Monitoring Form — filled and ready at discharge, to download, fax, or bundle for the day. No staying late to reconstruct what already happened, no forms slipping past the 7-day deadline.
A session, end to end.
One treatment, from check-in to the auto-filed Patient Monitoring Form — across the reception desk, the clinician's phone, and the patient's phone, all in step.
Check-in
Patient arrivesThe front desk drags the patient onto an open room. The patient pairs by scanning the room's QR code and confirming a first name — no app to install, no login.
Pre-session
Vitals before the doseStaff record vitals against the clinic's thresholds. An out-of-range reading raises an alert on every screen and keeps dosing locked until a prescriber signs off.
Dosing
The two-hour clock startsPer-device dosing with lot capture and a mandated five-minute rest between devices. The moment the first device is given, the monitoring clock starts — on the reception desk, the staff phone, and the patient's own phone at once.
Monitoring
Two hours, watchedStaff step out and come back for the 40-minute and pre-discharge checks; observations are logged as they happen. The patient gets a soft countdown, breathing exercises, and a help button that reaches the floor instantly.
Discharge
Around the two-hour markAn adverse-event review, then the clinician attests with their typed name and PIN. The Spravato® REMS Patient Monitoring Form appears in the filing queue already filled — download, fax, or bundle the whole day.
Lucido is the cockpit, not the filing cabinet.
Lucido runs the session in real time and captures every field the REMS form needs as it happens. At discharge, the clinic has a complete, ready-to-file record. Then, by design, it lets go.
A configurable number of days after each session, the underlying record auto-deletes. The clinic's permanent copy is the export it has already taken — the signed PDF in the cabinet, the CSV in its reporting tool. Lucido is not the system of record. It makes producing the system of record effortless.
Your charts, diagnoses, and history stay where they already live. Lucido holds the minimum the REMS form asks for — nothing else.
We capture exactly what the FDA form asks. We don't interpret vitals, recommend dose changes, or flag interactions — that stays with the clinician.
Lucido runs the treatment day — today's queue and the schedule grid — but it doesn't touch insurance, claims, or billing. It runs alongside your existing tools.
Compliance isn't a feature. It's the foundation.
The day a clinic is asked to prove a session happened, the record has to be there and has to be trustworthy. Everything below is on by default — not a paid tier, not a roadmap item.
The whole system runs on AWS services covered by a signed Business Associate Agreement — the cloud foundation for handling real patient data.
Every connection is encrypted, and everything stored — the database, its backups, the audit log — is encrypted too. No unencrypted copy exists.
Once a session is discharged it's locked, and every action lands in an audit log that can't be edited or deleted — kept for seven years, and exportable by the clinic at any time.
Discharge won't process before the FDA's two-hour monitoring window is complete. It's a rule in the database, not a checkbox a busy afternoon can skip.
Lucido keeps only what the REMS form needs — no marketing fields, no analytics, no outside vendors touching patient data — and old session records auto-delete on the clinic's schedule.
Our platform tools see clinic-level numbers, not patient records. The one way into a clinic's detail needs a typed reason and shows up in that clinic's own audit log — so any access is visible to you.
Lucido is in active development and runs on synthetic demo data. No real patient information is in the system today. The production environment — with a customer-managed encryption key and seven-year immutable audit retention — is stood up when the first clinic signs. The full security posture, open items included, is documented and shared with every clinic that asks. We would rather show the punch list than pretend there isn't one.
Free during development.
Lucido is in active development, and free while it is — no per-session fees, no per-patient fees, and pricing we'll talk through openly when it comes. Ask for a live demo, set your clinic up yourself, or read the guides first.
Tell us about your practice and we'll set you up with demo access and a 20-minute live walkthrough — or just answer your questions.