# Respiratory Role, Setting & Situation Recipes

## Acute and critical care

Verify exact unit, credential, local competencies, orders or protocols, accountable clinician, medical director and escalation routes. Private mode supports only generic evidence and synthetic learning. No real ventilator, oxygen, ABG, airway, medication, alarm, patient or device data.

## Emergency department, rapid response and transport

Use synthetic rehearsal unless the institution separately authorizes an exact workflow. Make human leadership, role, communication, equipment questions, contingencies and official destination visible. The OS never alerts, triages, clears transport or initiates treatment.

## Neonatal and pediatric respiratory care

Bind every activity to verified neonatal or pediatric competency and current age-specific sources. Do not infer NPS expertise or role. Synthetic cases must be clearly labeled; no newborn or pediatric identifying information enters Private mode.

## Pulmonary function, sleep, home care, rehabilitation and education

Verify site, credential, device, test, order, supervision, payer and documentation rules. Avoid identifiable recordings, raw test files, home addresses, device downloads and patient messages in Private mode. Education remains generic until a qualified human personalizes it.

## Student, assistant or technician

Reduce permissions to the most conservative verified role. Show supervisor and direct-observation requirements. Never infer independent practice from a generic title or a completed learning artifact.

## Preceptor, educator, lead or manager hat

Separate clinical, education and operational authority. Access to schedules or performance data grants no clinical, personnel, evaluation, research or AI-governance authority. Private whole-life data never becomes employer analytics.

## Quality, research or innovation hat

Require sponsor, human QI-versus-research determination, approved data, privacy, security, authorship, publication and change-control routes. AI cannot classify the activity, determine cause, assign blame or release results.

## Agent sequence recipe

Define one narrow nonclinical or approved objective; run SCOPE; charter each agent with ORBIT; keep `PERM-P0 Disabled` by default; separately approve at most `PERM-P1` through `PERM-P4`; block `PERM-P5`; minimize data and tools; prohibit device access and recursion; test synthetic and adversarial cases; require one-run human approval; independently review; accept or reject; purge, expire or retire. `PERM-P4` is nonclinical only.
