| On-call queue list | Open handoff offers, urgency window, current responsible owner, and time remaining before escalation. | Opening an item to read the context never triggers an implicit “accepted” receipt. | Inspect the offer details before deciding whether you have capacity to take it. | Modifying the underlying medication order or surgical retrieval schedule. |
|---|
| Handoff offer detail (Elena Rivera trigger check) | Signed v3 order (20:00 PDT) side by side with Elena's verbatim report (8:20 PM PDT) and daylight-saving note. | Superseded v2 (20:30 PDT) is marked historical and cannot be used as the target reference. | Accept scoped nursing follow-up, or Decline with a required reason so Nora Ruiz, RN keeps ownership. | Physician clinical disposition on whether the 20-minute delay alters retrieval timing. |
|---|
| In-room visit capture (Maya Chen consult) | Patient identity header, verbal consent toggle, live audio waveform, and one-tap exam pause button. | Microphone button is disabled until the clinician confirms the patient and consent step. | Record consented room audio, pause during physical exam, and queue draft for the desk. | Placing the reviewed note into the EMR encounter and clicking Save. |
|---|
| Offline / poor-signal hallway state | Local retention badge (“Saved on iPhone · waiting for desk sync”) with exact capture timestamp. | Never claims the draft is visible to the care team until sync completes. | Continue reviewing transcript locally; sync resumes automatically when back on clinic Wi-Fi. | Chart publication and team queue closure. |
|---|
| Paired Apple Watch recovery view | Transferred wrist voice note with any interrupted audio segment bracketed as an explicit gap. | Does not auto-fill or guess words across a dropped Bluetooth or microphone gap. | Listen to the segment, repair the target patient/workspace destination, and send to desk. | Final clinician edit and EMR sign-off at the workstation. |
|---|