Code Blue RelayMidnight clinical intelligence

Mateo Ruiz detail

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

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WatchPost-op SurgicalRoom 305A

Mateo Ruiz

Ambulating with assistance, pain improving, bowel sounds returning, and family education is underway.

Voice signal|Pain control and mobility gains were carried directly from the current handoff.
Memory continuity|Discharge teaching readiness assessment is carried forward from day shift.
Escalation logic|Escalate for worsening abdominal distention or uncontrolled pain.

Live status

1 unresolved item remain under active watch.

Last update

Mar 8, 3:38 AM

Unresolved

1

Escalation logic armed

Escalation logic armed

Escalate for worsening abdominal distention or uncontrolled pain.

Action

Notify the surgical team and move the relay into active watch if symptoms worsen.

Voice summary
Generates on first play

Relay spoken summary

Mateo Ruiz is stable post-op. Pain control has improved, he is ambulating with assistance, and overnight follow-up is focused on nausea and return of bowel function.

Configured ElevenLabs voice0:10Updated 3:38 AM

Playback progress

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Evening to Night Relay

Spoken Handoff
Nurse S. Ahmed, RN
Typed relay

Mateo Ruiz is improving post-op. He tolerated oral pain meds, walked twice with assistance, and has bowel sounds returning. Keep an eye on nausea overnight, but overall he is much more comfortable than yesterday.

SBAR

Situation
  • Transition to oral pain control was successful.
  • Mobility improved to two assisted hallway walks.

SBAR

Background
  • Continue discharge teaching readiness assessment from day shift.

SBAR

Assessment
  • Routine recovery handoff with low overnight risk and one GI follow-up item.
  • Recovery milestones and the remaining GI follow-up item are kept in one relay.
  • Confirm first post-op bowel movement.

SBAR

Recommendation
  • Assess nausea after midnight snack.
  • Reinforce incentive spirometry coaching.
  • Escalate for worsening abdominal distention or uncontrolled pain.

Case timeline

Relay updates across the shift

Pain regimen stepped down

Switched to oral medications with good control and no breakthrough escalation.

Mar 8, 1:10 AM

Post-op team

Typed handoff saved

Recovery milestones were preserved for the incoming team.

Mar 8, 3:38 AM

Relay capture