About

I am a registered nurse and a builder. Most days I work the immunology and allergy floor at Royal Prince Alfred Hospital and Holdsworth House Medical Practice in Sydney — skin testing, drug challenges, desensitisation protocols, biologics, HIV clinic care, and clinical trials coordination. The rest of the time I build the software the practice actually uses.

The four systems documented on the work page — the anaesthetic allergy testing platform, the SCIg patient app, the drug allergy reference library and the procedure documentation tool — started as friction I could see on shift: results that needed re-keying into REDCap, protocols scattered across binders, documentation that took too long to write well. Each one was designed against that friction, built with the nurses and specialists who would use it, and deployed into the workflow it came from.

Before nursing I spent more than seventeen years in freelance web design and development — the same discipline, applied to a different floor. The clinical and the technical are not two careers; they are one way of working: observe the work, build the tool, verify it in use.

Focus

  • Clinical research informatics & REDCap
  • Offline-first patient applications
  • Point-of-care decision support
  • Standardised clinical documentation
  • Clinical trials coordination (GCP / HREC)
  • Applied AI in healthcare workflows

Beyond the build

I write about building health software from the clinical floor at blog.monch.ee, and the clinical record — the case studies and honours — lives on the clinical CV. Everything here is stated factually; the tools are documented as delivered, and nothing is invented.

4 documented systems, Sydney, New South Wales, Australia.

Contact

If the work resonates — an integration problem, a point-of-care idea, or a question about how these tools are built — the inbox is open.