# Hospital Operations Command Center

<Card title="Date Selection" subtitle="Select operational day">
<Columns>
<Date label="Operational Date" name="op-date" value="2025-01-15" />
<Select label="View Mode" name="view-mode" options="Real-time | Historical | Forecast" value="Real-time" />
<Button variant="secondary" icon="refresh-cw">Refresh Data</Button>
</Columns>
</Card>

<Columns>
<Card title="Bed Occupancy" subtitle="400 total beds">
<Progress value="342" max="400" label="342 / 400 occupied (85.5%)" tone="warning" />
<Stat label="Available" value="58" change="12 ICU | 23 Med-Surg | 15 Step-down | 8 Pediatrics" tone="info" icon="bed" />
<Stat label="Admissions Pending" value="14" tone="warning" icon="user-plus" />
</Card>

<Card title="Current ER Wait Time">
<Stat label="Avg Wait" value="47 min" change="Target: < 30 min" tone="danger" icon="clock" />
<Stat label="Patients in Waiting" value="23" tone="warning" icon="users" />
<Stat label="LWBS Today" value="3" change="Left Without Being Seen" tone="danger" icon="user-x" />
<Progress value="47" max="60" label="Wait time vs 60-min threshold" tone="danger" />
</Card>

<Card title="Critical Patients" subtitle="Requiring immediate attention">
<Callout tone="danger" title="🔴 CODE SEPSIS - Room 304">
Patient M. Rodriguez (MRN: 88291) - Lactate 5.2, MAP 58, on norepinephrine. ICU bed held.
</Callout>
<Callout tone="danger" title="🔴 STEMI - Cath Lab Activated">
Patient J. Chen (MRN: 77103) - Door-to-balloon: 42 min. Cardiologist en route.
</Callout>
<Callout tone="warning" title="🟡 CRITICAL - Room 218">
Patient R. Thompson (MRN: 99045) - TBI, GCS 7. Neurosurgery consulted. Awaiting ICU transfer.
</Callout>
<Callout tone="warning" title="🟡 CRITICAL - Room 112">
Patient A. Williams (MRN: 66412) - DKA, pH 7.08, K+ 6.2. Insulin drip running. ICU consult placed.
</Callout>
</Card>
</Columns>

<Columns>
<Card title="Admissions — Past 14 Days">
<Chart type="bar" x="Day" y="Admissions" title="Daily Admissions">
| Day | Admissions |
|---|---|
| Jan 1 | 42 |
| Jan 2 | 38 |
| Jan 3 | 45 |
| Jan 4 | 51 |
| Jan 5 | 48 |
| Jan 6 | 44 |
| Jan 7 | 39 |
| Jan 8 | 46 |
| Jan 9 | 53 |
| Jan 10 | 47 |
| Jan 11 | 41 |
| Jan 12 | 36 |
| Jan 13 | 49 |
| Jan 14 | 52 |
</Chart>
</Card>

<Card title="Patients per Department">
<Chart type="horizontal" x="Count" y="Department" title="Current Census by Department">
| Department | Count |
|---|---|
| Med-Surg | 98 |
| ICU | 28 |
| Step-down | 42 |
| Pediatrics | 31 |
| OB/GYN | 24 |
| Psychiatry | 18 |
| Oncology | 22 |
| Cardiology | 35 |
| Orthopedics | 27 |
| Emergency | 23 |
</Chart>
</Card>
</Columns>

<Card title="Staff On Shift" subtitle="Current shift: 07:00–19:30 | 247 total staff">
<Columns>
<Card title="Physicians (34)">
| Role | Count | On Call |
|---|---|---|
| Attending | 18 | 4 |
| Fellow | 6 | 2 |
| Resident | 10 | 3 |
</Card>
<Card title="Nursing (156)">
| Role | Count | Ratio |
|---|---|---|
| RN | 112 | 1:4 |
| LPN | 24 | 1:6 |
| CNA | 20 | 1:8 |
</Card>
<Card title="Allied Health (38)">
| Role | Count |
|---|---|
| Respiratory Therapy | 12 |
| Physical Therapy | 8 |
| Pharmacy | 6 |
| Lab | 7 |
| Radiology | 5 |
</Card>
<Card title="Support (19)">
| Role | Count |
|---|---|
| Transport | 6 |
| Environmental | 5 |
| Security | 4 |
| Admin/Clerical | 4 |
</Card>
</Columns>
</Card>

<Columns>
<Card title="Patients Ready for Discharge" subtitle="18 patients | Estimated bed recovery: 18">
<Details title="Med-Surg (7)" open="true">
| Patient | MRN | LOS | Barrier | Target Time |
|---|---|---|---|---|
| M. Anderson | 88102 | 4d | Transport pending | 10:00 |
| K. Brooks | 88215 | 3d | Pharmacy clearance | 11:30 |
| L. Carter | 88341 | 5d | Home health arranged | 09:45 |
| D. Davis | 88409 | 2d | Awaiting ride | 10:30 |
| P. Evans | 88567 | 6d | DME delivery | 12:00 |
| R. Foster | 88623 | 3d | Family en route | 11:00 |
| S. Garcia | 88711 | 4d | PT clearance | 10:15 |
</Details>
<Details title="Step-down (5)" open="true">
| Patient | MRN | LOS | Barrier | Target Time |
|---|---|---|---|---|
| J. Harris | 88805 | 2d | Cardiology sign-off | 10:30 |
| A. Jackson | 88912 | 3d | Anticoag teaching | 11:00 |
| T. King | 89044 | 4d | Wound care supplies | 10:45 |
| C. Lee | 89133 | 2d | Discharge meds ready | 09:30 |
| M. Martinez | 89220 | 5d | Social work complete | 11:30 |
</Details>
<Details title="ICU (3)" open="false">
| Patient | MRN | LOS | Barrier | Target Time |
|---|---|---|---|---|
| N. Nelson | 89308 | 7d | Step-down bed wait | 14:00 |
| O. Owens | 89417 | 6d | Trach/vent weaning | 16:00 |
| Q. Parker | 89529 | 8d | LTAC placement | TBD |
</Details>
<Details title="Pediatrics (3)" open="false">
| Patient | MRN | LOS | Barrier | Target Time |
|---|---|---|---|---|
| R. Quinn | 89601 | 2d | Parent education | 10:00 |
| S. Rivera | 89714 | 3d | Outpatient follow-up | 11:00 |
| V. Stevens | 89822 | 1d | Car seat check | 09:30 |
</Details>
</Card>

<Card title="Today's Operating Room Bookings" subtitle="12 ORs | 34 cases scheduled">
<Details title="OR 1 — General Surgery" open="true">
| Time | Procedure | Surgeon | Anesthesia | Status |
|---|---|---|---|---|
| 07:30–10:30 | Lap Cholecystectomy | Dr. Patel | Dr. Kim | In Progress |
| 11:00–13:30 | Hernia Repair | Dr. Patel | Dr. Kim | Scheduled |
| 14:00–17:00 | Colectomy | Dr. Chen | Dr. Wong | Scheduled |
</Details>
<Details title="OR 2 — Orthopedics" open="true">
| Time | Procedure | Surgeon | Anesthesia | Status |
|---|---|---|---|---|
| 07:30–11:00 | THA Left | Dr. Rodriguez | Dr. Park | In Progress |
| 11:30–14:30 | TKA Right | Dr. Rodriguez | Dr. Park | Scheduled |
| 15:00–17:30 | ORIF Ankle | Dr. Thompson | Dr. Lee | Scheduled |
</Details>
<Details title="OR 3 — Neurosurgery" open="false">
| Time | Procedure | Surgeon | Anesthesia | Status |
|---|---|---|---|---|
| 08:00–13:00 | Craniotomy Tumor | Dr. Ahmed | Dr. Singh | Scheduled |
| 13:30–16:00 | Laminectomy | Dr. Ahmed | Dr. Singh | Scheduled |
</Details>
<Details title="OR 4 — Cardiothoracic" open="false">
| Time | Procedure | Surgeon | Anesthesia | Status |
|---|---|---|---|---|
| 07:00–12:00 | CABG x3 | Dr. Okafor | Dr. Nguyen | In Progress |
| 12:30–16:30 | AVR | Dr. Okafor | Dr. Nguyen | Scheduled |
</Details>
<Details title="OR 5–12 — Other Services" open="false">
| OR | Service | Cases | First Start |
|---|---|---|---|
| OR 5 | Urology | 3 | 07:30 |
| OR 6 | ENT | 2 | 08:00 |
| OR 7 | GYN | 3 | 07:30 |
| OR 8 | Vascular | 2 | 08:30 |
| OR 9 | Plastics | 2 | 09:00 |
| OR 10 | Ophthalmology | 4 | 07:30 |
| OR 11 | Trauma (Open) | — | — |
| OR 12 | Trauma (Open) | — | — |
</Details>
</Card>
</Columns>

<Card title="Supplies Running Low" subtitle="Items below par level — 14 critical, 22 warning">
<Columns>
<Card title="Critical (≤ 2 days supply)">
| Item | Current | Par | Days Left | Vendor | Order Status |
|---|---|---|---|---|---|
| Norepinephrine 4mg/4ml | 12 | 50 | 1 | McKesson | **STAT ordered** |
| Vasopressin 20u/ml | 8 | 30 | 1 | Cardinal | **STAT ordered** |
| Propofol 1% 100ml | 15 | 60 | 2 | McKesson | **STAT ordered** |
| Rocuronium 100mg | 22 | 80 | 2 | Cardinal | **STAT ordered** |
| Heparin 25000u/5ml | 18 | 75 | 2 | McKesson | **STAT ordered** |
| Insulin Regular 100u/ml | 30 | 100 | 2 | Novo Nordisk | **STAT ordered** |
| Albumin 5% 250ml | 10 | 40 | 2 | CSL Behring | **STAT ordered** |
| Platelets (apheresis) | 4 | 12 | 1 | Blood Center | **Emergency release** |
| Type O Neg RBC | 6 | 20 | 1 | Blood Center | **Emergency release** |
| CRRT Filter Sets | 3 | 15 | 1 | Baxter | **STAT ordered** |
</Card>
<Card title="Warning (3–5 days supply)">
| Item | Current | Par | Days Left | Vendor | Order Status |
|---|---|---|---|---|---|
| Normal Saline 1L | 240 | 500 | 3 | Baxter | Ordered |
| D5W 1L | 180 | 400 | 3 | Baxter | Ordered |
| Lactated Ringers 1L | 210 | 450 | 4 | Baxter | Ordered |
| Fentanyl 100mcg/2ml | 85 | 200 | 4 | McKesson | Ordered |
| Midazolam 5mg/ml | 60 | 150 | 4 | Cardinal | Ordered |
| Ketamine 500mg/10ml | 45 | 120 | 5 | McKesson | Ordered |
| Epinephrine 1mg/10ml | 90 | 250 | 5 | Cardinal | Ordered |
| Atropine 1mg/10ml | 75 | 200 | 5 | McKesson | Ordered |
| Calcium Chloride 1g | 55 | 150 | 5 | Cardinal | Ordered |
| Sodium Bicarb 8.4% | 40 | 120 | 5 | McKesson | Ordered |
| Central Line Kits (Triple) | 28 | 80 | 4 | Teleflex | Ordered |
| Arterial Line Kits | 35 | 100 | 4 | Edwards | Ordered |
| Chest Tube Trays | 22 | 60 | 5 | Cardinal | Ordered |
| Surgical Staplers (GIA) | 18 | 50 | 5 | Medtronic | Ordered |
</Card>
</Columns>
</Card>

<Columns>
<Card title="File an Incident Report">
<Form name="incident-report">
<Input label="Reporter Name" name="reporter" placeholder="Your name" required="true" />
<Select label="Incident Type" name="incident-type" options="Patient Safety | Medication Error | Fall | Equipment Failure | Security | Near Miss | Other" placeholder="Select type" required="true" />
<Select label="Severity" name="severity" options="Level 1 - No Harm | Level 2 - Minor Harm | Level 3 - Moderate Harm | Level 4 - Severe Harm | Level 5 - Death" placeholder="Select severity" required="true" />
<Input label="Location" name="location" placeholder="Unit / Room / Area" required="true" />
<Date label="Date & Time of Incident" name="incident-datetime" required="true" />
<TextArea label="Description" name="description" placeholder="Describe what happened, contributing factors, immediate actions taken..." rows="4" required="true" />
<TextArea label="Witnesses" name="witnesses" placeholder="Names and roles of witnesses" rows="2" />
<Checkboxes label="Notifications Required" name="notifications" options="Risk Management | Quality & Safety | Department Director | Compliance | Legal" value="Risk Management | Quality & Safety" />
<Button variant="primary" icon="file-text">Submit Incident Report</Button>
<Button variant="secondary">Save as Draft</Button>
</Form>
</Card>

<Card title="Request Patient Transfer">
<Form name="transfer-request">
<Input label="Patient Name" name="pt-name" placeholder="Last, First" required="true" />
<Input label="MRN" name="mrn" placeholder="Medical Record Number" required="true" />
<Select label="Current Location" name="current-loc" options="ER | ICU | Step-down | Med-Surg 3 | Med-Surg 4 | Pediatrics | OB/GYN | Psychiatry | Other" placeholder="Select current unit" required="true" />
<Select label="Requested Destination" name="dest-loc" options="ICU | Step-down | Med-Surg | Telemetry | Pediatrics | Psychiatry | Outside Facility (LTAC/SNF) | Home with Services" placeholder="Select destination" required="true" />
<Select label="Transfer Urgency" name="urgency" options="Emergent (Immediate) | Urgent (< 2 hrs) | Semi-Urgent (< 6 hrs) | Routine (< 24 hrs)" placeholder="Select urgency" required="true" />
<Radio label="Transfer Type" name="transfer-type" options="Internal | External (EMS) | External (Air)" value="Internal" />
<TextArea label="Clinical Reason for Transfer" name="reason" placeholder="Clinical justification, stability concerns, required resources..." rows="3" required="true" />
<TextArea label="Lines / Tubes / Devices" name="devices" placeholder="List all: IV access, drains, vents, monitors, etc." rows="2" />
<Input label="Receiving Physician" name="receiving-md" placeholder="Accepting provider name" />
<Input label="Receiving Unit Contact" name="receiving-contact" placeholder="Charge nurse / unit phone" />
<Button variant="primary" icon="arrow-right-left">Submit Transfer Request</Button>
<Button variant="secondary">Cancel</Button>
</Form>
</Card>
</Columns>

<FollowUps>
- View detailed bed management board
- Check blood bank inventory levels
- Review staffing matrix for next shift
- Generate daily operations summary report
- Escalate supply chain issues to materials management
</FollowUps>