diff --git a/resources/views/care/partials/queue-board-card.blade.php b/resources/views/care/partials/queue-board-card.blade.php
index 6000033..0cfe04a 100644
--- a/resources/views/care/partials/queue-board-card.blade.php
+++ b/resources/views/care/partials/queue-board-card.blade.php
@@ -3,20 +3,34 @@
 
   Expected: $appointment, $stage (waiting|called|in_care|done),
   $canConsult, $queueIntegration, $startRouteName, $openInCareUrl (callable)
+
+  Open (view workspace / form) is available whenever a destination URL exists —
+  not gated by canConsult. Start / Call again remain consult-manage only.
 --}}
 @php
     $stage = $stage ?? 'waiting';
     $ticketStatus = $appointment->queue_ticket_status ?? null;
     $isCalled = in_array($ticketStatus, ['called', 'serving'], true);
     $openUrl = isset($openInCareUrl) ? $openInCareUrl($appointment) : null;
+    $canConsult = $canConsult ?? false;
 @endphp
-<article @class([
-    'group relative flex gap-3 rounded-xl border px-3 py-3 transition',
-    'border-indigo-200 bg-indigo-50/70 ring-1 ring-indigo-100' => $stage === 'called' || ($stage === 'waiting' && $isCalled),
-    'border-emerald-200 bg-emerald-50/60' => $stage === 'in_care',
-    'border-slate-100 bg-slate-50/80' => $stage === 'waiting' && ! $isCalled,
-    'border-slate-100 bg-white opacity-90' => $stage === 'done',
-])>
+<article
+    @if ($openUrl)
+        role="link"
+        tabindex="0"
+        data-href="{{ $openUrl }}"
+        onclick="if (! event.target.closest('a, button, form, input, select, textarea, label')) { window.location.href = this.dataset.href }"
+        onkeydown="if ((event.key === 'Enter' || event.key === ' ') && ! event.target.closest('a, button, form, input, select, textarea, label')) { event.preventDefault(); window.location.href = this.dataset.href }"
+    @endif
+    @class([
+        'group relative flex gap-3 rounded-xl border px-3 py-3 transition',
+        'cursor-pointer hover:shadow-sm' => (bool) $openUrl,
+        'border-indigo-200 bg-indigo-50/70 ring-1 ring-indigo-100' => $stage === 'called' || ($stage === 'waiting' && $isCalled),
+        'border-emerald-200 bg-emerald-50/60' => $stage === 'in_care',
+        'border-slate-100 bg-slate-50/80' => $stage === 'waiting' && ! $isCalled,
+        'border-slate-100 bg-white opacity-90' => $stage === 'done',
+    ])
+>
     <div class="min-w-0 flex-1 space-y-1.5">
         @if (! empty($queueIntegration['enabled']) && $appointment->queue_ticket_number)
             @include('care.partials.queue-ticket', [
@@ -51,7 +65,7 @@
         </div>
     </div>
 
-    <div class="flex shrink-0 flex-col items-end justify-center gap-1.5">
+    <div class="relative z-10 flex shrink-0 flex-col items-end justify-center gap-1.5" @click.stop>
         @if ($stage === 'waiting' || $stage === 'called')
             @if (! empty($queueIntegration['enabled']) && $appointment->queue_ticket_uuid && $isCalled && $canConsult)
                 <form method="POST" action="{{ route('care.queue.recall', $appointment) }}">
@@ -71,6 +85,13 @@
                     </button>
                 </form>
             @endif
+            @if ($openUrl)
+                <a href="{{ $openUrl }}" @class([
+                    'rounded-lg px-2.5 py-1.5 text-xs font-semibold',
+                    'bg-indigo-600 text-white hover:bg-indigo-700' => ! $canConsult,
+                    'border border-slate-200 bg-white text-slate-700 hover:bg-slate-50' => $canConsult,
+                ])>Open</a>
+            @endif
         @elseif ($stage === 'in_care')
             @if (! empty($queueIntegration['enabled']) && $appointment->queue_ticket_uuid && $isCalled && $canConsult)
                 <form method="POST" action="{{ route('care.queue.recall', $appointment) }}">
@@ -81,6 +102,8 @@
             @if ($openUrl)
                 <a href="{{ $openUrl }}" class="rounded-lg bg-emerald-600 px-2.5 py-1.5 text-xs font-semibold text-white hover:bg-emerald-700">Open</a>
             @endif
+        @elseif ($stage === 'done' && $openUrl)
+            <a href="{{ $openUrl }}" class="rounded-lg border border-slate-200 bg-white px-2.5 py-1.5 text-xs font-semibold text-slate-700 hover:bg-slate-50">Open</a>
         @endif
     </div>
 </article>
diff --git a/resources/views/care/partials/queue-board.blade.php b/resources/views/care/partials/queue-board.blade.php
index 8a9920b..376ccbc 100644
--- a/resources/views/care/partials/queue-board.blade.php
+++ b/resources/views/care/partials/queue-board.blade.php
@@ -8,7 +8,8 @@
   - $canConsult (bool)
   - $queueCallNextRoute, $queueCallNextParams (optional — if set, Call next renders above board)
   - $startRouteName (default care.queue.start) — route(name, $appointment)
-  - $openInCareUrl (callable Appointment $a): ?string — link for in-care Open
+  - $openInCareUrl (callable Appointment $a): ?string — workspace/form URL for Open
+    (waiting / called / in-care / done; not gated by canConsult)
   - $inCareLabel (default "In care")
   - $lockToPractitioner, $canSwitchBranch, $branches, $practitioners, $practitionerId (filter bar)
   - $showFilters (default true)
diff --git a/tests/Feature/CarePatientQueueAccessTest.php b/tests/Feature/CarePatientQueueAccessTest.php
index 330b252..492822c 100644
--- a/tests/Feature/CarePatientQueueAccessTest.php
+++ b/tests/Feature/CarePatientQueueAccessTest.php
@@ -212,20 +212,107 @@ class CarePatientQueueAccessTest extends TestCase
             'checked_in_at' => now(),
         ]);
 
-        $this->actingAs($nurseUser)
+        $workspaceUrl = route('care.specialty.workspace', [
+            'module' => 'blood_bank',
+            'visit' => $visit,
+        ], absolute: false);
+
+        $listHtml = $this->actingAs($nurseUser)
             ->get(route('care.specialty.show', 'blood_bank'))
             ->assertOk()
             ->assertSee('Blood Bank')
             ->assertSee('Patient flow')
             ->assertSee('Waiting')
             ->assertSee('Kwame Donor')
-            ->assertDontSee('No open visit selected');
+            ->assertSee('Open')
+            ->assertDontSee('No open visit selected')
+            ->getContent();
+
+        $this->assertStringContainsString($workspaceUrl, $listHtml);
+        $this->assertStringNotContainsString('>Start</button>', $listHtml);
+
+        $this->actingAs($nurseUser)
+            ->get(route('care.specialty.workspace', ['module' => 'blood_bank', 'visit' => $visit]))
+            ->assertOk();
 
         $this->actingAs($nurseUser)
             ->get(route('care.specialty.workspace', 'blood_bank'))
             ->assertRedirect(route('care.specialty.show', 'blood_bank'));
     }
 
+    public function test_nurse_can_open_emergency_visit_from_specialty_list(): void
+    {
+        [$nurseUser] = $this->makeStaff('nurse', 'nurse-er-open');
+
+        $modules = app(SpecialtyModuleService::class);
+        $modules->ensureDefaultModulesProvisioned($this->organization, $this->owner->public_id);
+        $modules->activate($this->organization->fresh(), $this->owner->public_id, 'emergency');
+
+        $department = Department::query()
+            ->where('branch_id', $this->branch->id)
+            ->where('type', 'emergency')
+            ->firstOrFail();
+
+        $patient = Patient::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_number' => 'P-ER-OPEN',
+            'first_name' => 'Akosua',
+            'last_name' => 'Owusu',
+            'gender' => 'female',
+            'date_of_birth' => '1990-03-15',
+        ]);
+
+        $visit = Visit::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_id' => $patient->id,
+            'status' => Visit::STATUS_OPEN,
+            'checked_in_at' => now(),
+            'specialty_stage' => 'arrival',
+        ]);
+
+        Appointment::create([
+            'owner_ref' => $this->owner->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_id' => $patient->id,
+            'department_id' => $department->id,
+            'visit_id' => $visit->id,
+            'type' => Appointment::TYPE_WALK_IN,
+            'status' => Appointment::STATUS_WAITING,
+            'scheduled_at' => now(),
+            'waiting_at' => now(),
+            'checked_in_at' => now(),
+            'queue_ticket_number' => 'ER002',
+            'queue_ticket_status' => 'waiting',
+        ]);
+
+        $workspaceUrl = route('care.specialty.workspace', [
+            'module' => 'emergency',
+            'visit' => $visit,
+        ], absolute: false);
+
+        $html = $this->actingAs($nurseUser)
+            ->get(route('care.specialty.show', 'emergency'))
+            ->assertOk()
+            ->assertSee('Akosua Owusu')
+            ->assertSee('ER002')
+            ->assertSee('Open')
+            ->assertDontSee('>Start</button>', false)
+            ->getContent();
+
+        $this->assertStringContainsString($workspaceUrl, $html);
+
+        $this->actingAs($nurseUser)
+            ->get(route('care.specialty.workspace', ['module' => 'emergency', 'visit' => $visit]))
+            ->assertOk()
+            ->assertSee('Akosua Owusu')
+            ->assertDontSee('No open visit selected');
+    }
+
     public function test_nurse_specialty_show_redirects_to_workspace_not_queue(): void
     {
         [$nurseUser] = $this->makeStaff('nurse', 'nurse-spec-er');