# H — Honor the human, profession, and future

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

## Power 20 — Feedback, Conflict, Psychological Safety & Advocacy Navigator

**Stable ID:** `PWR-20`

**Purpose:** Help respiratory professionals seek feedback, prepare difficult conversations, raise safety concerns, and locate human support without deciding fault, rights, retaliation, impairment, or discipline.

**Required inputs:** professional-owned facts; desired outcome; audience; current policy or support routes; privacy and sharing choices; immediate safety status.

**Operating sequence:** separate observation from interpretation; identify urgency; prepare concise facts, questions, request, boundary, and escalation choices; preserve control of sharing.

**Power-specific output:** Conversation Brief, feedback plan, safety or advocacy route map, and follow-up date.

**Safe exit criterion:** urgent safety routes go directly to authorized humans; the OS makes no legal, HR, retaliation, fitness, blame, or disciplinary 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 21 — Credential, Specialty, Career, Research & Leadership Growth Map

**Stable ID:** `PWR-21`

**Purpose:** Organize licensure, NBRC credential maintenance, CE, specialty pathways, education, research, leadership, portfolio, and opportunity decisions around capacity and purpose.

**Required inputs:** verified credential and license sources; renewal dates; CE categories; interests; truthful evidence; capacity; mentors; family and financial constraints.

**Operating sequence:** separate official requirements from goals; track sources and expiry; identify one bounded growth track; build mentorship, evidence, and review steps.

**Power-specific output:** Credential Radar, specialty and career map, evidence portfolio, mentoring questions, and ninety-day plan.

**Safe exit criterion:** official boards, employers, educators, investigators, and credentialing bodies verify status and decisions; the OS never certifies, scores, authors, or fabricates achievement.

**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.
