Peds Command
AMBIENT ACTIVE
—
🚨
Critical Pending
3
awaiting bed
⏳
Queue Total
6
2 can reroute
🏥
PICU Occupancy
88%
14 / 16 beds
📤
Predicted Discharges
5
within 24h
🔄
Rerouted Today
4
to community
⚠️
Safety Flags
2
require follow-up
🎙 Listening · Transfer line
Critical3
TXR-0841
🚑 Transfer
Critical
RSV Bronchiolitis + Resp Failure
👶 4 mo · 3.8 kg ⏱ 22 min boarding
Vent requiredABX pending
Stanford at Valley Care→LPCH PICU PICU CCT
TXR-0839
🚑 Transfer
Critical
DKA + AMS
🧒 11 yr · 38 kg ⏱ 45 min boarding
Insulin drip
El Camino Hospital→LPCH PICU CCT
TXR-0844
🚑 Transfer
Critical
Severe Sepsis
🧒 3 yr · 15 kg ⏱ 10 min boarding
PressorsContact iso
Good Samaritan SJ→LPCH PICU PICU CCT
High Acuity2
TXR-0836
🚑 Transfer
High
Asthma exacerbation, 7yr
⏱ 1h 15m boarding
✓ Reroutable
Good Samaritan Hospital→Valley Care ALS
TXR-0837
🚑 Transfer
High
Febrile seizure + AOM, 18mo
⏱ 55 min boarding
✓ Reroutable
O'Connor Hospital→John Muir ALS
Routine1
TXR-0832
🚑 Transfer
Routine
Cellulitis, IV abx, 6yr
⏱ 2h 10m boarding
Regional Medical Ctr SJ→John Muir BLS
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Select a patient from the queue
Click any transfer card to load full details
🧒 Patient
Age / Weight—
Diagnosis—
Referring facility—
Receiving unit—
Transport level—
💉 Vitals
SpO₂—
Resp Rate—
HR—
BP—
Support—
📍 Placement & Access
Home ZIP—
Payer—
Language—
Flags—
🗺 Routing Note
—
🛡 Safety Checklist — Boarding Period —
Bay Area Pediatric Network 7 facilities
Quaternary Hubs
Lucile Packard Children's Hospital
Palo Alto · Stanford Children's Health · All subspecialties · Level I Peds Trauma · CICU · BMT
HUB
Community+ · PICU Capable
John Muir Medical Center
Walnut Creek · East Bay · PICU 10 beds · Peds Surgery
PICU
PICU
2
Gen Peds
7
Surgical
3
Santa Clara Valley Medical Center
San Jose · PICU 14 beds · Level I Trauma · Safety-net
PICU
PICU
4
NICU L3
7
Gen Peds
9
Community · Floor-Level Peds
Stanford Medicine at Valley Care
Pleasanton · Tri-Valley · Stanford-affiliated
Floor
Gen Peds
5
El Camino Hospital
Mountain View · Level II NICU · 10 min from LPCH
Floor
NICU L2
5
Gen Peds
6
CPMC
San Francisco · Peds floor · Sutter-affiliated
Floor
Gen Peds
4
Surgical
2
📋 Planned Admits Today · Tomorrow
Today
🔪 Post-op Nissen fundoplication, 2yr
OR → LPCH Surgical · ETA 14:30
Pending
🏛 ALL chemotherapy day 1, 7yr
Heme/Onc Clinic → LPCH Heme/Onc · ETA 10:00
Confirmed
🏠 Sickle cell VOC, 14yr
Direct from home · LPCH Heme/Onc · ETA 16:00
Pending
🏥 Asthma exacerbation, 9yr
LPCH ED → Gen Peds · Boarding 45 min
Urgent bed
Tomorrow
🔪 Spinal fusion, 14yr
OR → LPCH Surgical · 07:30 case start
Confirmed
🏛 New onset T1DM, 10yr
Endo Clinic → LPCH Gen Peds · 09:00
Confirmed
🏠 BMT day +1 fever, 9yr
Direct from home → LPCH Heme/Onc · TBD
Pending
Huddle Feed 🎙 ambient
PICU Charge · 13:00 huddle
Rm 3A (RSV, 8mo) likely step-down tomorrow AM. Rm 5C (trauma) expected discharge by 17:00.
Floor Charge · 12:45 rounds
3 patients on list for discharge. Rm 9 needs isolation room.
Transfer Center · Call flag
El Camino Hospital: TXR-0841 SpO₂ not improving on HFNC. Consider vent-capable crew before departure.
LPCH — Lucile Packard Children's Hospital
Incoming: TXR-0836 · Asthma · 7yr · ~45 min — assign nurse
14
Patients
4
Nurses
3
DC Today
2
Beds Open
🎙 Ambient listening active — picking up family notes, language needs, and high-demand patients from rounds. Last: 13:00 huddle
Sarah Kim, RN 3:1
Charge · 8yr expLoad: 9
Rm 2A
4
RSV Bronchiolitis, 8mo
Post-intubation · Day 3
🗣 Mandarin onlyHigh needs
DC: Tomorrow AM
Rm 3B
3
Status Epilepticus, 4yr
EEG monitoring · Day 1
😰 Anxious family
DC: Today ~17:00
Rm 4A
2
Asthma, step-down, 7yr
Wean Mg drip · Day 2
DC: Today ~15:30
Tap a patient to see discharge checklist →
James Park, RN 4:1
PICU · 5yr expLoad: 13 ⚠
Rm 5C
5
Severe Sepsis, 3yr
Pressors · Vent day 2
⚠ Safety concernFamily conflict
DC: 3–5 days
Rm 6A
3
DKA, 11yr
Insulin drip · Glucose q1h
Non-adherent teen
DC: Tomorrow ~10:00
Aisha Osei, RN 3:1
General · 3yr expLoad: 8
Rm 11A
2
Cellulitis, IV abx, 6yr
BID dosing · Day 1
DC: Today ~14:30
Tap a patient →
Marco Reyes, RN 3:1
Float · 6yr expLoad: 8
Rm 13B
2
Dehydration, IV fluids, 3yr
Tolerating PO · Wean IV
DC: Today ~13:30
Tap a patient →
New Patient Incoming
Arriving in ~45 min
Asthma, 7yr old
TXR-0836 · ALS ground · Acuity 3
Who should take this patient?
✦ Best fit
Aisha Osei
3 patients · Load 8
Lowest load. Good match for asthma.
4:1
new ratio
James Park
Already at 4:1 with acuity-5 patient
⚠ Not recommended.
5:1
unsafe
Discharge Checklist 🎙 ambient
👆
Tap any patient card
to see their discharge checklist
11 incoming admits next 24h
Ambient: CM rounds 13:00
4
DC Today
3
Auth Pending
2
LOS Over
Discharging Today
4 patients
Rm 11A Gen Peds
Sarah Nguyen, 6yr F
Cellulitis, IV abx — switching to oral
2
days LOS
On target
Commercial✓ Auth approved
14:30
Today
R. Torres, CM
✓ DC order ✓ Meds counseled Rx printing ✓ Follow-up booked
Rm 13B Gen Peds
Tyler James, 3yr M
Dehydration, tolerating PO
1
days LOS
On target
Medicaid✓ No auth req'd
13:30
Today — imminent
R. Torres, CM
✓ DC order ✓ Family at bedside ✓ Car seat confirmed ✓ Follow-up booked
Active Barriers — Blocked
3 patients
Rm 6A PICU
Alex Kim, 11yr M
DKA, insulin drip weaning
4
days LOS
+2 over target
Commercial⚠ Day 4 auth denied
Tomorrow ~10:00
Blocked
J. Okafor, CM
⚠ Payer auth denied — appealing ⚠ Endocrine follow-up same day req'd Insulin pen teach-back incomplete
Rm 7B Cardiology
Sofia Diaz, 2yr F
Post-op cardiac repair, q2h monitoring
6
days LOS
+2 over target
Medicaid⚠ SNF placement pending
TBD
Blocked — placement
J. Okafor, CM
⚠ SNF — no peds beds ⚠ Home health not confirmed
Patient Detail ● ambient
Select a patient →
Click any row to load detail
LOS
—
Target
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DC Target
—
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Open Tasks
Incoming Admits
next 24h · 11 total
Own ED3 pending
Own EDNOW · Bay 4
Asthma + hypoxia, 5yr
No bed assignedO2 3L
Step-Down or PICU
No bed
Own ED~1h · Bay 9
Febrile infant r/o sepsis, 6wk
NICU consult pending
PICU or NICU
Bed pending
Clinic / Planned2
Clinic~4h · Pulm clinic
CF exacerbation, IV tune-up, 12yr
Pulm/CF: 3 open beds
Pulm / CF ward
Confirmed
Transfer Center
Transfer calls · ED admits · OR post-ops · Clinic/Home
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🤖 BedBoard AI — Transfer Center
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