Our Story

Built by the people
who lived it.

praXama didn't come from a whiteboard exercise. It came from two ED nurses who spent decades watching the same coordination failures happen — and finally decided to build the tool they always wished they'd had.

Where We Come From

Forty years in emergency departments. One platform.

Emergency departments run on coordination. When patient flow, staff communication, and operational data are fragmented — decisions slow down, errors happen, and the people doing the hardest work are left without the situational awareness they need.

praXama's founders didn't study that problem from the outside. They worked every shift inside it — from the transporter's cart to the charge nurse's board — and built the solution they always wished existed.

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Built by nurses with over 40 years of cumulative ED experience who've lived the same operational chaos — from every role on the floor. They didn't study ED workflow from the outside. They lived it, from the transporter's cart to the charge nurse's board, and built the tool they always wished they'd had.

The praXama Founding Principle

The Founders

Meet the team behind praXama

Two clinicians with deep roots in emergency care, united by a shared frustration — and a shared vision.

DM

Dr. David Malarkey, DNP, RN

Co-Founder & Clinical Lead

With over 20 years in emergency nursing, David has worked every role on the floor — from ED tech to Clinical Nurse IV and Relief Charge Nurse at a large Northern California emergency department.

He leads emergency department committees, teaches the next generation of nurses as a university lecturer, and completed his Doctor of Nursing Practice — earning the Outstanding Dissertation Project Award for research comparing fall risk tools across 1,189 ED patient encounters.

DNP RN Charge Nurse
JR

Jay Ramos, RN

Co-Founder & Technology Lead

Jay spent two decades as an ED bedside nurse — but he came up through the support roles praXama coordinates. He worked as a CNA, an ED tech, and an ICU tech before becoming an RN, giving him an unusually complete view of how information flows (and breaks down) across every layer of the emergency department.

That deep clinical perspective is what drives praXama's product decisions. Jay translates floor-level insight into technology that actually fits how EDs work — leveraging the latest AI-powered development tools to build fast, intuitive, healthcare-grade software without losing sight of what staff need in the moment.

RN — 20+ Years Healthcare ED · ICU · CNA Background AI-Powered Product Development Technology Lead
Why It Matters

Operational intelligence built for the people running the floor.

Most ED technology is designed for administrators looking at dashboards from the outside. praXama is designed for the charge nurse trying to move eight patients at once, the team lead coordinating across three simultaneous traumas, and the staff who need real-time situational awareness — not a report from yesterday.

Because David and Jay have held those roles, praXama reflects how the floor actually works — not how it looks on a flowchart. The result is a tool that earns trust by being genuinely useful, starting on day one.

🏥
40+
Years of combined ED clinical experience — across bedside nursing, charge, and support roles
🔒
No PHI
Operational coordination without touching patient health information — designed for compliance from day one
Real-time
Live visibility across the department — not historical reports. Built for decisions that happen in seconds

Ready to see praXama in action?

Schedule a demo with the founders — the people who built it, know it best.