Code Blue RelayMidnight clinical intelligence

Active cases, structured for the incoming shift.

Every card keeps the incoming team focused on what changed, what stayed unresolved, and what was carried forward from the previous shift.

Continuity rail live
ElevenLabs armed
Backboard adapter live
Compose New Relay

Active relays

4

relays live in the shared store

Watch or escalate

4

require active continuity

Voice ready

4/4

relay summaries ready for playback

Shift confidence

Guarded

driven from the current relay states

Live caseboard

Open any relay and continue care with the full story intact.

Dashboard counters, card states, new relay insertion, and escalation transitions all read from the same client-side source of truth.

Neuro Stepdown

Mrs. Elina Moreau

Dementia, possible infection, low intake | Room 412B | Neuro Stepdown

Watch

4 unresolved items remain under active watch.

Voice signal

Wet cough after medications and confusion above baseline were captured from the spoken relay.

Memory continuity

Possible infection workup and callback concern are carried forward from the prior shift.

Escalation logic

If breathing worsens or fever rises again tonight, escalate immediately.

What changed since last shift

4:46 AM

  • Confusion increased above baseline during the evening shift.
  • New wet cough emerged immediately after medication administration.
Carried forward from previous shift

Possible infection workup remains unresolved from the prior shift.

Unresolved

4

items still need overnight closure

Open RelayPlay Summary

Post-op Surgical

Mateo Ruiz

Post-op colectomy, pain control | Room 305A | Post-op Surgical

Watch

1 unresolved item remain under active watch.

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.

What changed since last shift

3:38 AM

  • Transition to oral pain control was successful.
  • Mobility improved to two assisted hallway walks.
Carried forward from previous shift

Continue discharge teaching readiness assessment from day shift.

Unresolved

1

items still need overnight closure

Open RelayPlay Summary

Oncology Stepdown

Harper Singh

Neutropenic fever, hypotension trend | Room 518C | Oncology Stepdown

Escalate

Escalate immediately for further MAP decline.

Voice signal

Soft blood pressure trend was pulled directly from the current handoff.

Memory continuity

Active sepsis bundle is carried forward from the prior shift.

Escalation logic

Escalate immediately for further MAP decline or fever spike after antibiotics.

What changed since last shift

4:28 AM

  • MAP trend softened over the last hour.
  • Culture timing now risks falling outside the preferred window.
Carried forward from previous shift

Continue active sepsis bundle launched on prior shift.

Unresolved

3

items still need overnight closure

Open RelayPlay Summary

Cardiopulmonary

Irene Keller

CHF, COPD flare recovery | Room 221D | Cardiopulmonary

Watch

2 unresolved items remain under active watch.

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.

What changed since last shift

2:33 AM

  • Oxygen weaned to 2 liters.
  • Edema slightly improved after evening diuresis.
Carried forward from previous shift

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

Unresolved

2

items still need overnight closure

Open RelayPlay Summary