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{"wall_ms":10736,"sim_ms":300476,"k":"conf","mind":"CHARGE","conf":0.685618,"self":0.377434}, {"wall_ms":10736,"sim_ms":300476,"k":"dampened","mind":"CHARGE","sim":1.000000,"text":"He's on a non-rebreather with a GCS of 10; let's confirm the DNR status before we proceed.","floor_yielded":true}, {"wall_ms":10736,"sim_ms":300476,"k":"floor_yield","mind":"CHARGE","reason":"dampened","reround":true}, {"wall_ms":10757,"sim_ms":300476,"k":"decide","mind":"BEDSIDE","margin":-0.730694,"emit":false,"mid":false,"forced":false}, {"wall_ms":10777,"sim_ms":300476,"k":"decide","mind":"TECH","margin":-2.431633,"emit":false,"mid":false,"forced":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":1,"lane":"cabin","text":"[unit] the station phone rings twice and stops.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":2,"lane":"charge","text":"It's the coordinator - let's talk about bed 2.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":3,"lane":"visitor","text":"[visitor] This is the on-call coordinator with the OPO, returning the referral page for bed 2 - do I have the charge nurse?","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":4,"lane":"charge","text":"Yes, I'm the charge nurse - let's discuss the referral for bed 2.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":5,"lane":"cabin","text":"[unit] an IV pump beeps at bed_4.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":6,"lane":"charge","text":"Let's discuss the referral for bed 2 - the patient is stable but the family is anxious.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":7,"lane":"visitor","text":"[visitor] Thanks for taking it. Can you walk me through what happened and when he came in?","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":8,"lane":"charge","text":"He arrived at 22:45 with a GCS of 10 and was admitted to bed 2; let's confirm the DNR status before we proceed. Flagging it for the team now.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":9,"lane":"cabin","text":"[pa] Respiratory therapy to three west. Respiratory to three west.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":10,"lane":"charge","text":"He came in at 22:45 with a GCS of 10 and is stable, but let's confirm the DNR status before we proceed.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":11,"lane":"visitor","text":"[visitor] Okay. Is he on the ventilator now, and what's driving that?","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":12,"lane":"charge","text":"He's not on the vent yet — he's on a non-rebreather with a GCS of 10, and we're confirming the DNR status before we proceed. Flagging it for the team now.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":13,"lane":"cabin","text":"[unit] the unit doors open and a gurney comes through.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":14,"lane":"visitor","text":"[visitor] Has anyone from the team talked with the family yet, or is that still ahead?","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":15,"lane":"cabin","text":"[unit] a call light comes on at bed_6.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":16,"lane":"visitor","text":"[visitor] That helps. I'll hold off on anything family-facing until you tell me the timing is right.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":17,"lane":"cabin","text":"[unit] a monitor alarm sounds at bed_4.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":18,"lane":"visitor","text":"[visitor] Do you have tonight's labs in front of you, or should I call back once they post?","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":19,"lane":"cabin","text":"[unit] two visitors walk past the station toward bed_6.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":20,"lane":"visitor","text":"[visitor] One thing for your end - I need to reach the family around three, so I'd like the chart current by then.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":21,"lane":"cabin","text":"[unit] the patient in bed 2's chart updates on the board.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":22,"lane":"visitor","text":"[visitor] What are the pressors running at right now?","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":23,"lane":"charge","text":"He's on a non-rebreather with a GCS of 10; let's confirm the DNR status before we proceed.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":24,"lane":"cabin","text":"[unit] new numbers post for the patient in bed 2 - MAP 78.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":25,"lane":"visitor","text":"[visitor] Understood. Any change in the neuro exam this shift?","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":26,"lane":"cabin","text":"[unit] an IV pump beeps at bed_2.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":27,"lane":"visitor","text":"[visitor] Okay - remind me of the vent settings, FiO2 and PEEP?","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":28,"lane":"cabin","text":"[unit] new numbers post for the patient in bed 2 - MAP 54.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":29,"lane":"visitor","text":"[visitor] Last thing and I'll let you go - walk me through the sedation: what's running, at what rate, and when was it last changed?","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":30,"lane":"cabin","text":"[unit] a monitor alarm sounds at bed_2.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":31,"lane":"charge","text":"BRANCH_KILLED floor_taken","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":32,"lane":"bedside","text":"Bed 2 just beeped — let's confirm the DNR status before we proceed.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":33,"lane":"cabin","text":"[unit] 42 seconds pass.","abort":false}, {"wall_ms":10782,"sim_ms":300476,"k":"tape","rev":34,"lane":"visitor","text":"[visitor] That's everything I need. 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