RNI Clinical Console

Patient Alerts (2)

Marcus Johnson — HRV Critical

Room 204A • MDD • Day 12

3:42

P Dr. Peterson detected HRV dropped below 40ms threshold

HRV declined 34% in last 2 hours, matching pre-crisis baseline. Vitals: HR 92, BP 138/88, SpO2 97%.

Rachel Davis — Missed Check-ins

Room 203B • SUD • Day 8

12:18

O Dr. Olivia flagged behavioral shift — engagement down 50%

Missed 2 scheduled check-ins. Sleep disrupted (3.2 hrs vs 7.1 baseline). Room check recommended.

Scheduled Care (4)

James Wilson — 2pm Vitals

Room 201A • Anxiety • Day 5

45:00

Routine vitals check. Patient stable, medication adherence 100%.

Sarah Chen — Med Administration

Room 205B • Step-Down • Day 3

1:15:00

Scheduled medication: Sertraline 50mg. Verify patient ID and allergies before administration.

David Park — Wound Care

Room 208A • Post-Op • Day 2

2:30:00

Dressing change for surgical site. Document wound appearance and drainage.

Emily Torres — Ambulation

Room 202B • Recovery • Day 4

3:00:00

Assisted ambulation in hallway. PT cleared for 50ft walk with assist x1.

Completed This Shift (3)

Morning Vitals Round

8 patients • Completed 7:45am

Done

Shift Handoff Received

From: Night Shift RN M. Garcia

Done

Shift Handoffs Required (2)

Unit 2-East Handoff Pending

3pm-11pm Shift • 6 patients

8:42

W Dr. Williams — 2 high-acuity patients flagged for detailed handoff

Incoming RN J. Martinez arriving at 2:45pm. Marcus Johnson (204A) and Rachel Davis (203B) require SBAR briefing.

Sarah Chen — Step-Down Transfer

Room 205B → Room 112 (Gen Med)

45:00

Patient cleared for step-down. Coordinate bed assignment with Gen Med charge nurse. Transport scheduled.

Staffing & Resources (3)

Evening Shift Coverage Gap

3pm-11pm • 1 RN short

1:30:00

T Dr. Taylor — Predicted patient load: 9 (current staffing ratio 1:5)

RN K. Thompson called out. Float pool has 2 available. Recommend adjusting assignments or calling in PRN.

Bed Board Update

Unit Capacity: 12/16 (75%)

2:00:00

2 discharges expected today. 1 admission pending from ED. Update bed board status.

Supply Restock Request

IV supplies, wound care kits

4:00:00

Floor stock below par level. Submit supply request to materials management.

Completed This Shift (2)

Morning Huddle

0730 • 8 attendees

Done

Assignment Sheet Posted

Day Shift Coverage Confirmed

Done

Clinical Decisions Required (2)

Marcus Johnson — Crisis Protocol?

Room 204A • MDD • Day 12

3:42

C Dr. Chen — VETO flag: Confirm clinical necessity before protocol activation

HRV critical (34% decline). Dr. Peterson recommends crisis protocol. Review biometrics and confirm or modify intervention plan.

Rachel Davis — Med Adjustment?

Room 203B • SUD • Day 8

45m

O Dr. Olivia suggests PRN anxiolytic given behavioral patterns

Engagement down 50%, sleep disrupted. Consider PRN order or therapy session increase. Current meds: Naltrexone 50mg daily.

Notes & Orders (3)

James Wilson — Progress Note

Room 201A • Day 5 Summary

2h

W Dr. Williams auto-drafted S.O.A.P. note ready for review

AI-generated note synthesizes: stable vitals, 100% med adherence, PHQ-9 improved 4 pts. Review and sign.

Emily Torres — Discharge Orders

Room 202B • Ready for D/C

3h

T Dr. Taylor — All discharge criteria met. 30-day readmission risk: 8%

Patient stable 48 hrs. Discharge summary drafted. Sign orders and prescriptions.

Lab Results — 3 Pending Review

Wilson, Park, Torres

4:00:00

Morning labs resulted. All within normal limits. Acknowledge to clear inbox.

Completed Today (2)

Morning Rounds

8 patients seen • 2 hrs 15 min

Done

Sarah Chen — D/C Summary Signed

Transfer to Gen Med approved

Done

Discharge Planning (2)

Emily Torres — Family Meeting

Room 202B • Discharge Today

1:30:00

W Dr. Williams — Family arriving 2pm for discharge education

Coordinate discharge: Med reconciliation complete. Home health referral pending. Family needs aftercare instructions.

Sarah Chen — Insurance Auth

Room 205B • Transfer Pending

2:00:00

Transfer to Gen Med requires prior auth update. Current auth expires today. Contact payer for extension.

Care Coordination (3)

Marcus Johnson — Outpatient Setup

Room 204A • Anticipated D/C Day 14

48:00:00

Begin discharge planning. Schedule outpatient psych follow-up and arrange transportation to appointments.

James Wilson — Social Work Consult

Room 201A • Housing Needs

24:00:00

Patient reports unstable housing. Initiate social work referral for community resources.

Weekly Utilization Review

8 patients • Due Friday

72:00:00

Prepare utilization data for insurance review. Document continued stay justification for 3 patients.

Completed This Week (2)

David Park — Insurance Approved

5-day extension authorized

Done

Rachel Davis — Family Call

Treatment update provided

Done

Escalations & Compliance (2)

Marcus Johnson — Protocol Override

Room 204A • Requires Authorization

3:42

C Dr. Chen — VETO ACTIVE: Crisis protocol requires supervisor authorization

The Council recommends crisis intervention. Dr. Chen flagged for supervisor review due to high-risk patient history. Authorize or modify.

Staffing Critical — Unit 2-East

Evening Shift • 1 RN Short

1h 30m

T Dr. Taylor — Patient acuity high. Unsafe staffing ratio predicted if unfilled.

Charge Nurse escalated staffing gap. Float pool exhausted. Approve overtime or initiate agency call.

Unit Oversight (3)

Daily Compliance Report

All Units • Due EOD

4h

C Dr. Chen — Auto-generated compliance summary ready for review

HIPAA incidents: 0 | Documentation gaps: 2 | Fall risks addressed: 100% | Restraint reviews: current

Quality Metrics Dashboard

Weekly Review

24h

Readmission rate: 4.2% (target <5%). Patient satisfaction: 4.6/5. Length of stay: 6.2 days (target 7).

The Council Performance

Monthly Audit

1 week

Recommendation accuracy: 94%. False positive rate: 3.2%. Interventions triggered: 127. Time to alert: avg 48 hrs pre-crisis.

Completed This Week (2)

Incident Report — Resolved

Near-miss medication event

Done

Budget Variance Approved

Q4 overtime allocation

Done

🔴 Patient Alerts (2)

🟡 Scheduled Care (4)

✅ Completed (3)

🔴 Handoffs (2)

🟡 Staffing (3)

✅ Completed (2)

🔴 Decisions (2)

🟡 Notes & Orders (3)

✅ Completed (2)

🔴 Discharge (2)

🟡 Coordination (3)

✅ Completed (2)

🔴 Escalations (2)

🟡 Oversight (3)

✅ Completed (2)

Clinical Console