Memory care and nursing facilities
Residents at risk of leaving a unit unsafely.
- Risk flag from the resident's care plan
- Tag assigned at admission and checked each shift
- Exit rules set per unit and door
Healthcare / Wander Management
Wander management and infant security software built around your alarms
A tag near an exit door means nothing until the right person gets the alert, the door does what the life safety plan allows and the event is on record. Agnotic Technologies builds the software layer of resident wander management and infant security systems, on the tags, readers and door hardware you have chosen.
Enroll
Tags tied to the ADT feed
Route
Alerts to people, with escalation
Record
Tests and incidents kept for review
Trusted by global innovators
Industry Overview
What is a wander management system?
A wander management system is the software that links resident or newborn tags, exit door controllers and staff devices, so an elopement or infant abduction attempt raises the right alarm. Agnotic Technologies builds that software layer: enrollment from the ADT feed, alarm routing and escalation, door actions within the life safety plan, and test and incident records.
Settings
Which care settings need wander or infant security software?
The hardware is similar across settings. The people at risk, the alarm rules and the records are not.
Maternity, nursery and NICU
Infant security from birth to discharge.
- Newborn enrolled from the birth registration
- Band tamper or tag removal raises an alarm
- Tag released only through an authorized discharge step
Pediatric and behavioral health units
Patients who must not leave without an escort.
- Escort bypass with a staff badge
- Elevator rules for the unit
- Alerts to the patient's assigned staff
Assisted living and senior living operators
Several communities with different rules.
- Rules per community and state licence
- One alarm and test history across sites
- Family contact steps the community defines
Industry Challenges
Why do wander and infant security alarms fail in practice?
Most failures we see are in the software and the process around the hardware, not in the tags.
Tags are enrolled by hand at the nurses' station, so a newly admitted resident or a newborn goes unprotected until someone remembers.
Every alarm sounds at the same panel, so staff learn to silence it, and the one real event gets the same response as a door held for a delivery.
Escort bypass codes are shared on sticky notes, and the log cannot show who walked a resident through the door.
Discharged residents keep active tags, and newborns moving between units trigger alarms at the right door for the wrong reason.
Monthly door and tag tests are written on paper, so the facility cannot show which doors were tested and what happened.
Low tag batteries and readers that stop reporting are found only when an alarm does not sound.
Our Approach
How do we build the software around your hardware?
Agnotic builds software only. These three decisions shape every wander management build.
Enrollment comes from the record
Admit, birth, transfer and discharge events from the ADT feed create, move and release tag assignments. Manual enrollment stays possible, with a reason recorded.
Alarms go to a person, not a panel
Alerts route by unit, event type and staff assignment to phones, badges or nurse call, with acknowledgement and escalation timers the facility sets.
Doors follow the life safety plan
The software sends only the door and elevator actions your life safety engineer and the authority having jurisdiction approved. Fire alarm release stays in the door hardware and always wins.
Capabilities
What do we build for wander management and infant security?
Modules we build on top of your tag and door vendor's interfaces. Choosing the location technology itself is covered on our RFID in hospitals page.
Tag enrollment service
ADT-driven assignment, transfer and release of tags, plus manual enrollment with a recorded reason.
Alarm router
Rules by unit, event type and staff assignment, delivered to phones, badges, nurse call or pagers.
Escalation and acknowledgement
Timers per event type, acknowledgement by a named person and handoff to the next level.
Escort bypass
Badge or PIN authorizes one passage for one resident, and every bypass is logged.
Door and elevator integration
Commands to the door controller or access control system through the vendor's supported interface.
Alarm test log
Scheduled door and tag tests, expected and actual results, failures and the fix for each.
Incident review
A timeline for each alarm from tag event to resolution, ready for the safety committee.
Device health monitoring
Tag batteries, check-in gaps and reader status, with alerts to biomedical engineering or IT.
Engineering Stack
Which interfaces and standards does wander software use?
The feeds and systems a wander management build connects, chosen with your clinical, security and facilities teams.
Clinical feeds
HL7 v2 ADT admit, transfer and discharge eventsFHIR Encounter where the EHR offers itBirth registration events
Alerting
Nurse call integrationSecure messaging appsStaff badges and pagers
Hardware interfaces
Tag and reader vendor APIsDoor controllers and access controlElevator controls through the building system
Platform
On-premises or private cloudHigh availability for the alarm pathAudit loggingRole-based access
Alarm path
What should happen for each wander or infant security event?
We agree this table with nursing, security and facilities before writing alarm rules. Escalation timers are the facility's choice; door actions are limited to what the life safety plan allows.
| Event | Who is alerted first | Escalation if not acknowledged | Door action allowed | Record kept |
|---|---|---|---|---|
| Tag near a monitored exit | Staff assigned to the resident's unit | Charge nurse, then the whole unit | Lock or hold only where the life safety plan permits; released by the fire alarm | Time, door, tag, responder and outcome |
| Door opened with a tag present | Unit staff and the nearest station | Supervisor and security | Alarm continues until staff reset it at the door | Who reset it and after what check |
| Door held open past the set time | Unit staff | Facilities | None beyond the local alarm | Door and duration |
| Band cut, tag removed or tag loose | Maternity charge nurse and security | The hospital's own code procedure | Unit exits and elevators move to the state the plan allows | Tamper time, last known location and staff actions |
| Tag stops checking in | Unit staff | Biomedical engineering or IT | None | Last seen time and replacement tag |
| Newborn registered with no tag enrolled | Nursery charge nurse | Unit manager | None | Time from birth registration to enrollment |
| Approved escort through an exit | No alarm | Not needed | Bypass for one passage | Staff badge, resident and time |
Measured Impact
What should a safety team see each week?
Views we build for nursing leaders, security and the safety committee.
Open
Unacknowledged alarms
Alarms that passed their escalation timer without a response.
Untagged
Unprotected patients
Admissions or births at risk with no tag enrolled yet.
Tested
Doors tested on schedule
Tests done, missed and failed, by door and unit.
Offline
Devices not reporting
Tags and readers that stopped checking in.
My Lauren Maternal Health Platform | Built by Agnotic
A HIPAA-ready maternal health platform enabling remote patient monitoring, care coordination, and personalized engagement from pre-pregnancy through postpartum.
Case Study
LERA Health: Women's Health App Platform
A women’s health product experience focused on guided care journeys, education, and compliance-aware workflows to support long-term engagement.
Case Study
Use Cases
Where do wander management projects usually start?
First releases we scope, each small enough to prove on one unit.
01
Digital alarm test log
Paper test sheets replaced with scheduled tests, results and fixes by door.
02
ADT-driven enrollment
Admissions and births create tag assignments in an existing tag system.
03
Alarm routing to staff phones
Alerts sent to assigned staff with escalation, instead of one panel.
04
Infant security for a maternity unit
Newborn enrollment, tamper alarms and an authorized discharge release.
05
Wander management system for startups
The software layer for a tag hardware company: enrollment, routing, test logs and reports.
06
Multi-site reporting
One alarm and test history across a senior living operator's communities.
Integrations
Which systems does wander management software connect to?
The systems around the alarm path. We integrate through each vendor's supported interface.
Enrollment events
EHR ADT feed
Alert delivery
Nurse call
Staff phones
Secure messaging
Door commands
Access control system
Monitored, never overridden
Fire alarm panel
Unit lockout
Elevator controls
Location events
Tag and reader platform
Event bookmarks
Video management
What we check
What should alarm test and incident records hold?
We build these fields into the test log and incident review, so a safety committee or surveyor can see what was tested, what failed and what was fixed.
Each test
- Door and tag tested
- Expected and actual result
- Who tested and when
- Fix and retest for any failure
Each alarm
- Event time and type
- Who was alerted and who acknowledged
- Door action taken
- Resolution and note
Each tag
- Assigned resident or newborn
- Battery and last check-in
- Release on discharge or transfer
For review meetings
- Report by door, unit and month
- Failed tests with fix dates
- Open incidents and their reviews
Compliance-First Development Services Backed by Global Standards
We build secure, scalable products designed for privacy, interoperability, and regulatory readiness from day one across every sector we serve.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.
Health Level Seven International
Supporting enterprise-grade interoperability for clinical messaging and record workflows.
Our Edge
Why Global Leaders Choose Us
We combine deep technical expertise with industry-specific knowledge to deliver solutions that aren't just functional, but transformational.
Enterprise-Grade Security
We implement rigorous security protocols and compliance standards (HIPAA, GDPR, SOC2) across all industrial solutions to protect sensitive data.
High-Performance Scaling
Our architectures are built to handle massive data loads and user bases, keeping performance steady whether you're serving ten or ten million.
Accelerated Time-to-Market
Using our suite of internal tools and proven frameworks, we cut setup work so your first release reaches users sooner.
Embedded AI Integration
Beyond simple wrappers, we build deep-learning integrations and predictive analytics directly into the core of your industry-specific workflows.
Engagement Model
How does a wander management engagement run?
We start with one unit and the hardware already on the walls. Timing depends on the vendor interfaces, and we agree a fixed first release on the scoping call.
01
Scoping call
Units, tag and door hardware, alert devices and the life safety plan.
02
Interface review
Vendor APIs, door controllers and the ADT feed tested with your teams.
03
Alarm path workshop
The event table agreed with nursing, security and facilities.
04
First unit live
Enrollment, routing and the test log working end to end on one unit.
05
Add units and sites
More units, then more sites, on the same rules engine.
06
Support
Rule changes and vendor updates under agreed change control.
Facts and sources
Which rules shape wander and infant security software?
Short facts we design around, each linked to its primary source.
A nursing facility must ensure that the resident environment remains as free of accident hazards as possible and that each resident receives adequate supervision and assistance devices to prevent accidents.
Source: 42 CFR 483.25(d) (eCFR)A long-term care facility must meet the applicable provisions of the Life Safety Code, NFPA 101, and its Tentative Interim Amendments TIA 12-1 to TIA 12-4.
Source: 42 CFR 483.90(a)(1)(i) (eCFR)A hospital must meet the applicable provisions of the Life Safety Code, and the regulation incorporates NFPA 101, Life Safety Code, 2012 edition, by reference.
Source: 42 CFR 482.41(b) and (e) (eCFR)The hospital patients' rights condition of participation gives every patient the right to receive care in a safe setting.
Source: 42 CFR 482.13(c)(2) (eCFR)
Voice of success
We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
“I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly.”
Aaron Phelan
Founder, Benchmark
“Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective.”
John Pasmore
Founder, Latimer
“Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together.”
Kim Smith
Founder, My Lauren
Related pages
Related tracking, messaging and senior care software
This page covers the alarm software. These pages cover the systems around it.
RFID and RTLS software for hospitals
Location technology choices and tracking for equipment, patients and staff.
Long-term care software development
MDS, eMAR and care plans for nursing and senior living.
Secure clinical messaging
The staff messaging that alarms can be delivered through.
IoMT and connected device development
Device connectivity and data pipelines for connected hardware.
More in Healthcare
More Healthcare Solutions
Explore other production-grade engineering platforms we deliver across healthcare.
Frequently Asked Questions
No. Agnotic Technologies is a software development services company. We build the software layer on the tag, reader and door hardware you choose, through each vendor's supported interface.
Only in the ways the hardware supports and your approved life safety plan allows. Your life safety engineer and the authority having jurisdiction decide door behaviour; we implement it, and fire alarm release stays in the door hardware.
The birth registration in the ADT feed creates the newborn's encounter. Staff scan the tag at the bedside, our service links it to that encounter, and any newborn without a tag after the time your unit sets is flagged to the nursery charge nurse.
RTLS tells you where things and people are. Wander management decides who must act when a protected resident or newborn reaches an exit, and keeps the record of that response. Location technology choices are on our RFID in hospitals page.
The number of units and monitored doors, the tag and door vendors and the quality of their interfaces, the alert devices, the ADT interface, the number of sites and whether the system runs on premises. We size these on the scoping call; there is no price list.
Yes, through your secure messaging app or nurse call system, with acknowledgement and escalation. We keep a local audible alarm at the door, because a phone can be missed.
Yes. Hardware companies often need the software layer around their tags: enrollment, alarm routing, test logs and facility reports. We build it so the startup owns and sells it as part of its product.
Industries