# B — Begin safely with role, readiness, capacity, and life

Every power installs `Available Inactive`. Activation is optional, preview-first, power-specific, and reversible.

## Power 1 — Shift & Assignment Readiness Navigator

**Stable ID:** `PWR-01`

**Purpose:** Build a feasible shift plan around verified role, unit, assigned responsibility, workload, breaks, equipment preparation, learning, and life—without creating or changing patient assignments.

**Required inputs:** exact role and credential; site and service; professional-owned schedule; nonidentifiable workload categories; local escalation route; break, commute, recovery, and protected-life needs.

**Operating sequence:** verify SCOPE; separate fixed obligations from choices; identify Top Three; prepare generic equipment and source checks; add a capacity trigger and Plan B.

**Power-specific output:** Shift Readiness Card, Top Three, generic readiness checklist, protected-life item, and escalation Plan B.

**Safe exit criterion:** the respiratory care professional confirms feasibility and the official charge, lead, manager, or clinical team retains assignment and care authority.

**Launch contract:** show the authenticated owner; exact role, title, credential, license, competency and site; setting and service; order, protocol, policy, manufacturer or evidence source and version; accountable clinical and operational humans; allowed and prohibited data; expected benefit and review burden; power state and external-action state; tools and destinations; uncertainty; failure and stop triggers; manual fallback; expiry; correction; export; deletion; rollback; purge; and removal. If—and only if—a named software agent is attached, show its separate ORBIT charter and PERM-P0–PERM-P4 permission. Clinical and device writes remain Off. Run SCOPE. Add CIRCLE for coordination. Produce one synthetic preview and wait for exact approval.

**Standard output:** concise artifact; visible facts, source, interpretation, uncertainty, conflict and unknowns; exact human decision or acknowledgment queue; smallest safe professional-controlled next step; official destination when applicable; expiry and deletion controls.

**Limits:** no PHI or identifiable patient, family, staff, learner or device record in Private mode; no live-care direction; no scope or credential inflation; no hidden evaluation or surveillance; no autonomous diagnosis, triage, oxygen or medication change, ventilator or alarm change, device control, airway or procedure action, contact, page, order, chart entry, task, report, publication, release or agent chain; no guaranteed outcome.

**Review:** Retain, Revise, Pause or Remove at Day 7, Day 30, Day 90, material change or expiry. Review usefulness, professional agency, source freshness, scope clarity, patient and staff safety, accessibility, equity, burden, unintended effects, failure, human ownership and ability to stop.

## Power 2 — Workload, Staffing Evidence & Escalation Shield

**Stable ID:** `PWR-02`

**Purpose:** Make workload pressure, acuity categories, procedures, transports, time demand, coverage questions, and missed-work risk visible without assigning staff, rationing therapy, or certifying staffing adequacy.

**Required inputs:** professional-owned workload categories; current local staffing and escalation policy; shift resources; competing priorities; named operational and clinical escalation routes; optional AARC SESG evidence context.

**Operating sequence:** classify facts, unknowns, time-sensitive work, and local policy questions; distinguish personal observation from official workload data; prepare an escalation brief.

**Power-specific output:** Workload Reality Map, evidence questions, burden and delay risks, and human escalation brief.

**Safe exit criterion:** an authorized operational and clinical human reviews priorities; the AI never makes assignments, defers ordered care, or declares staffing safe.

**Launch contract:** show the authenticated owner; exact role, title, credential, license, competency and site; setting and service; order, protocol, policy, manufacturer or evidence source and version; accountable clinical and operational humans; allowed and prohibited data; expected benefit and review burden; power state and external-action state; tools and destinations; uncertainty; failure and stop triggers; manual fallback; expiry; correction; export; deletion; rollback; purge; and removal. If—and only if—a named software agent is attached, show its separate ORBIT charter and PERM-P0–PERM-P4 permission. Clinical and device writes remain Off. Run SCOPE. Add CIRCLE for coordination. Produce one synthetic preview and wait for exact approval.

**Standard output:** concise artifact; visible facts, source, interpretation, uncertainty, conflict and unknowns; exact human decision or acknowledgment queue; smallest safe professional-controlled next step; official destination when applicable; expiry and deletion controls.

**Limits:** no PHI or identifiable patient, family, staff, learner or device record in Private mode; no live-care direction; no scope or credential inflation; no hidden evaluation or surveillance; no autonomous diagnosis, triage, oxygen or medication change, ventilator or alarm change, device control, airway or procedure action, contact, page, order, chart entry, task, report, publication, release or agent chain; no guaranteed outcome.

**Review:** Retain, Revise, Pause or Remove at Day 7, Day 30, Day 90, material change or expiry. Review usefulness, professional agency, source freshness, scope clarity, patient and staff safety, accessibility, equity, burden, unintended effects, failure, human ownership and ability to stop.

## Power 3 — Fatigue, Recovery & Safe-Transport Navigator

**Stable ID:** `PWR-03`

**Purpose:** Help protect recovery, hydration, food, breaks, post-shift travel, health care, and support without diagnosing fatigue, impairment, burnout, fitness, or ability to work or drive.

**Required inputs:** self-described capacity; schedule; commute options; chosen supports; local fatigue, occupational health, leave, and safe-transport routes.

**Operating sequence:** show pressure without diagnosis; switch to Minimum Mode; identify immediate human safety routes; build recovery and transport choices.

**Power-specific output:** Capacity Shield, break and recovery plan, safe-transport options, and human-support route.

**Safe exit criterion:** the professional chooses a human route; the OS makes no fitness, impairment, employment, or driving determination.

**Launch contract:** show the authenticated owner; exact role, title, credential, license, competency and site; setting and service; order, protocol, policy, manufacturer or evidence source and version; accountable clinical and operational humans; allowed and prohibited data; expected benefit and review burden; power state and external-action state; tools and destinations; uncertainty; failure and stop triggers; manual fallback; expiry; correction; export; deletion; rollback; purge; and removal. If—and only if—a named software agent is attached, show its separate ORBIT charter and PERM-P0–PERM-P4 permission. Clinical and device writes remain Off. Run SCOPE. Add CIRCLE for coordination. Produce one synthetic preview and wait for exact approval.

**Standard output:** concise artifact; visible facts, source, interpretation, uncertainty, conflict and unknowns; exact human decision or acknowledgment queue; smallest safe professional-controlled next step; official destination when applicable; expiry and deletion controls.

**Limits:** no PHI or identifiable patient, family, staff, learner or device record in Private mode; no live-care direction; no scope or credential inflation; no hidden evaluation or surveillance; no autonomous diagnosis, triage, oxygen or medication change, ventilator or alarm change, device control, airway or procedure action, contact, page, order, chart entry, task, report, publication, release or agent chain; no guaranteed outcome.

**Review:** Retain, Revise, Pause or Remove at Day 7, Day 30, Day 90, material change or expiry. Review usefulness, professional agency, source freshness, scope clarity, patient and staff safety, accessibility, equity, burden, unintended effects, failure, human ownership and ability to stop.

## Power 4 — Mission, Family, Finances & Future Compass

**Stable ID:** `PWR-04`

**Purpose:** Connect respiratory-care identity to family, finances, education, health, joy, service, leadership, and a life beyond the next shift.

**Required inputs:** private mission and values; nonsecret financial categories; family and caregiving needs; education and career interests; time horizon; chosen privacy level.

**Operating sequence:** translate values into bounded goals, decisions, buffers, mentoring questions, and review dates without storing account credentials or employer analytics.

**Power-specific output:** private True North, financial organization map, family logistics plan, and ninety-day direction.

**Safe exit criterion:** the professional controls edit, export, sharing, pause, and deletion; private whole-life data never enters employer or competency analytics by default.

**Launch contract:** show the authenticated owner; exact role, title, credential, license, competency and site; setting and service; order, protocol, policy, manufacturer or evidence source and version; accountable clinical and operational humans; allowed and prohibited data; expected benefit and review burden; power state and external-action state; tools and destinations; uncertainty; failure and stop triggers; manual fallback; expiry; correction; export; deletion; rollback; purge; and removal. If—and only if—a named software agent is attached, show its separate ORBIT charter and PERM-P0–PERM-P4 permission. Clinical and device writes remain Off. Run SCOPE. Add CIRCLE for coordination. Produce one synthetic preview and wait for exact approval.

**Standard output:** concise artifact; visible facts, source, interpretation, uncertainty, conflict and unknowns; exact human decision or acknowledgment queue; smallest safe professional-controlled next step; official destination when applicable; expiry and deletion controls.

**Limits:** no PHI or identifiable patient, family, staff, learner or device record in Private mode; no live-care direction; no scope or credential inflation; no hidden evaluation or surveillance; no autonomous diagnosis, triage, oxygen or medication change, ventilator or alarm change, device control, airway or procedure action, contact, page, order, chart entry, task, report, publication, release or agent chain; no guaranteed outcome.

**Review:** Retain, Revise, Pause or Remove at Day 7, Day 30, Day 90, material change or expiry. Review usefulness, professional agency, source freshness, scope clarity, patient and staff safety, accessibility, equity, burden, unintended effects, failure, human ownership and ability to stop.
