Code Blue RelayMidnight clinical intelligence

Irene Keller detail

Open the full continuity layer: spoken handoff, structured memory, carried-forward concerns, escalation thresholds, and the voice-ready summary.

Continuity rail live
ElevenLabs armed
Backboard adapter live
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WatchCardiopulmonaryRoom 221D

Irene Keller

Breathing is improved from admission, but diuresis and morning weight trend still need continuity.

Voice signal|Improved oxygen requirement and softer edema were captured from this handoff.
Memory continuity|Fluid balance trend is carried forward from day shift.
Escalation logic|Escalate for increased work of breathing or rising oxygen demand.

Live status

2 unresolved items remain under active watch.

Last update

Mar 8, 2:33 AM

Unresolved

2

Escalation logic armed

Escalation logic armed

Escalate for increased work of breathing or rising oxygen demand.

Action

Alert the covering clinician and move the relay into higher-acuity respiratory watch.

Voice summary
Generates on first play

Relay spoken summary

Irene Keller remains on watch. Oxygen needs have improved, but overnight urine output and morning weight are critical to carry fluid balance forward safely.

Configured ElevenLabs voice0:10Updated 2:33 AM

Playback progress

0%

Evening to Night Relay

Spoken Handoff
Nurse J. Brooks, RN
Typed relay

Irene Keller looks better tonight. Oxygen is down to 2 liters and edema is a little softer after diuresis, but we still need a strict overnight output total and morning weight to keep the plan moving.

SBAR

Situation
  • Oxygen weaned to 2 liters.
  • Edema slightly improved after evening diuresis.

SBAR

Background
  • Fluid balance trend remains the key continuity item from day shift.

SBAR

Assessment
  • Improving cardiopulmonary case with fluid balance continuity needs still active.
  • The relay keeps improvement and overnight fluid-balance follow-up tied together.
  • Need strict overnight output total.
  • Morning weight must be captured before breakfast.

SBAR

Recommendation
  • Document diuresis response by 04:00.
  • Preserve oxygen wean plan in morning handoff.
  • Escalate for increased work of breathing or rising oxygen demand.

Case timeline

Relay updates across the shift

Oxygen weaned

Patient tolerated reduction from 3 liters to 2 liters nasal cannula.

Mar 8, 1:45 AM

Respiratory therapy

Continuity relay stored

Overnight output and morning weight were marked as carried-forward priorities.

Mar 8, 2:33 AM

Relay capture