Staffing — Sick-Call Backfill

Auto-detected coverage gaps run a cost-and-fit-ranked, fatigue-aware open-shift cascade before agency is ever called — with live acuity-weighted ratio compliance.

Open Gaps

unfilled

Ratio Compliance

83%

Units in Breach

of 6 units

Cascades In-Flight

Agency Shifts Avoided

closed-loop

Open Coverage Gaps

2 open

Emergency Dept · RNsurge

starts10m·open·Tier 1/4

Top: Yuki Castillo · Tier 1

86% fit

Telemetry · RNsick call

starts50m·cascading·Tier 1/4

Top: Grace Castillo · Tier 1

79% fit

Acuity-Weighted Ratio Compliance

per inpatient unit

2.4

tgt 2.0

ICU

16 pts · 10 RN

2.2

tgt 4.0

Flex / Overflow

7 pts · 3 RN

2.7

tgt 5.0

Med-Surg A

27 pts · 8 RN

2.7

tgt 5.0

Med-Surg B

27 pts · 8 RN

2.4

tgt 3.0

Step-Down

18 pts · 9 RN

3.2

tgt 4.0

Telemetry

29 pts · 9 RN

Roster

Role	Name	Unit	Status	Hrs/wk	Fatigue	Credentials	Accept
EVS	Isaac Mbeki	—	on shift	17h	69	valid	50%
EVS	John Larsson	—	on shift	40h	69	valid	50%
transport	Patricia Flores	—	on shift	37h	69	valid	50%
RN	Linda Mbeki	Emergency Dept	on shift	33h	68	valid	50%
RN	Yuki Mercer	Step-Down	on shift	16h	68	valid	50%
RN	Priya Larsson	Step-Down	on shift	32h	68	valid	50%
transport	Mateo Adeyemi	—	on shift	40h	67	valid	50%
MD	Carlos Adeyemi	Emergency Dept	on shift	15h	66	valid	50%
RN	Jamal Flores	Med-Surg B	on shift	35h	66	ACLS expiring	50%
RN	Grace Castillo	Emergency Dept	on shift	31h	65	valid	50%
RN	Mateo Khan	Med-Surg A	on shift	30h	65	valid	50%
RN	James Adeyemi	PACU	on shift	23h	64	valid	50%
RN	Wei Ito	Med-Surg A	on shift	46h	62	valid	50%
RN	Ruth Bauer	Med-Surg B	on shift	22h	61	valid	50%
RN	Mia Patel	Step-Down	on shift	31h	60	valid	50%
EVS	Theo Petrov	—	on shift	38h	60	valid	50%
EVS	Ethan Ortiz	—	on shift	46h	60	valid	50%
RN	John Haddad	Emergency Dept	on shift	17h	59	valid	50%
RN	John Fischer	Telemetry	on shift	43h	59	valid	50%
tech	Imani Abara	Med-Surg B	on shift	21h	59	valid	50%
RN	Wei Mbeki	Med-Surg A	on shift	45h	58	valid	50%
MD	Diego Sato	Emergency Dept	on shift	40h	53	valid	50%
RN	Maria Castillo	Telemetry	on shift	41h	53	valid	50%
tech	Sofia Patel	Telemetry	on shift	25h	53	valid	50%
charge	Carlos Adeyemi	PACU	on shift	19h	53	valid	50%
tech	Omar Abara	Flex / Overflow	on shift	41h	53	valid	50%
RN	Ethan Romano	Emergency Dept	on shift	35h	52	ACLS expiring	50%
RN	Priya Reyes	PACU	on shift	16h	52	valid	50%
charge	Carlos Larsson	Flex / Overflow	on shift	34h	52	valid	50%
transport	Sofia Walsh	—	on shift	41h	51	valid	50%
RN	Isaac Haddad	Step-Down	on shift	17h	50	valid	50%
RN	Omar Walsh	ICU	on shift	32h	48	valid	50%
tech	Aisha Adeyemi	ICU	on shift	37h	47	valid	50%
EVS	Chloe Novak	—	on shift	27h	47	valid	50%
RN	Theo Flores	ICU	on shift	16h	45	valid	50%
RN	Liam Okafor	Med-Surg B	on shift	34h	45	valid	50%
RN	Samuel Novak	—	float	39h	45	valid	50%
RN	Fatima Dubois	Emergency Dept	on shift	30h	44	valid	50%
RN	Marcus Novak	Med-Surg A	on shift	32h	44	valid	50%
charge	Zara Mbeki	Med-Surg B	on shift	42h	43	valid	50%
MD	John Adeyemi	Emergency Dept	on shift	40h	42	valid	50%
charge	Yuki Sato	Med-Surg A	on shift	27h	42	ACLS expiring	50%
RN	Aisha Abara	Emergency Dept	on shift	46h	40	valid	50%
RN	Yuki Castillo	Emergency Dept	off	15h	40	valid	50%
tech	Noor Walsh	Step-Down	on shift	28h	40	valid	50%
tech	Imani Mbeki	Emergency Dept	on shift	35h	39	valid	50%
charge	John Castillo	ICU	on shift	32h	39	valid	50%
RN	Ethan Romano	ICU	on shift	24h	39	valid	50%
RN	Robert Ito	PACU	on shift	26h	38	ACLS expiring	50%
RN	Henry Walsh	—	float	12h	38	valid	50%
RN	Jamal Sato	Telemetry	on shift	34h	37	valid	50%
RN	Grace Nguyen	Telemetry	on shift	35h	36	valid	50%
RN	Noor Ortiz	Emergency Dept	off	43h	35	ACLS expiring	50%
RN	Pavel Dubois	PACU	on shift	15h	35	valid	50%
transport	Lucia Ortiz	—	on shift	15h	35	valid	50%
RN	Wei Bauer	Med-Surg A	on shift	16h	34	valid	50%
RN	John Ortiz	PACU	on shift	29h	34	ACLS expiring	50%
RN	David Kim	Med-Surg B	on shift	36h	32	valid	50%
RN	Pavel Santos	ICU	on shift	15h	31	valid	50%
RN	Hiro Castillo	Med-Surg B	on shift	19h	31	valid	50%
transport	Lucia Petrov	—	on shift	16h	31	valid	50%
RN	Grace Castillo	Telemetry	off	34h	30	valid	50%
RN	Mateo Khan	PACU	off	41h	30	valid	50%
RN	Elena Ortiz	Telemetry	on shift	17h	29	valid	50%
RN	Grace Santos	Telemetry	off	35h	29	valid	50%
RN	James Walsh	Med-Surg A	on shift	15h	29	valid	50%
EVS	Noor Fischer	—	on shift	28h	29	valid	50%
RN	Linda Sato	Telemetry	on shift	42h	28	valid	50%
RN	Robert Castillo	Med-Surg A	off	36h	28	valid	50%
RN	Yuki Walsh	—	float	35h	28	valid	50%
RN	Ethan Ito	Emergency Dept	on shift	46h	27	valid	50%
RN	Anya Patel	Med-Surg B	on shift	46h	27	valid	50%
RN	Jamal Haddad	Emergency Dept	on shift	41h	26	valid	50%
charge	Jamal Flores	Step-Down	on shift	33h	26	ACLS expiring	50%
RN	Carlos Adeyemi	Step-Down	off	29h	26	valid	50%
charge	Samuel Romano	Emergency Dept	on shift	45h	25	valid	50%
RN	Carlos Bauer	ICU	on shift	46h	25	ACLS expiring	50%
charge	Sofia Nguyen	Telemetry	on shift	44h	25	valid	50%
RN	David Mbeki	Step-Down	off	13h	24	valid	50%
RN	Theo Salas	Flex / Overflow	off	21h	24	valid	50%
RN	Henry Castillo	ICU	off	37h	23	valid	50%
RN	Omar Mbeki	Step-Down	on shift	26h	23	valid	50%
RN	David Haddad	Telemetry	on shift	33h	23	valid	50%
EVS	Linda Bauer	—	on shift	18h	23	valid	50%
RN	Linda Bauer	Emergency Dept	on shift	27h	22	ACLS expiring	50%
RN	James Novak	ICU	on shift	34h	22	valid	50%
RN	Imani Khan	ICU	off	25h	22	valid	50%
RN	Ruth Larsson	Med-Surg B	on shift	43h	22	valid	50%
MD	Imani Castillo	Emergency Dept	on shift	18h	21	valid	50%
RN	Hiro Mbeki	ICU	on shift	32h	21	valid	50%
RN	Diego Kim	ICU	on shift	26h	20	valid	50%
tech	Lucia Boyd	Med-Surg A	on shift	38h	20	ACLS expiring	50%
RN	Priya Castillo	Med-Surg B	off	33h	20	valid	50%
RN	Maria Abara	—	float	23h	20	valid	50%
RN	Linda Yamamoto	Flex / Overflow	on shift	23h	19	ACLS expiring	50%
RN	John Castillo	Flex / Overflow	off	24h	19	valid	50%
RN	Patricia Abara	Emergency Dept	on shift	21h	18	valid	50%
RN	Fatima Yamamoto	Step-Down	on shift	15h	18	valid	50%
EVS	Elena Larsson	—	on shift	41h	17	valid	50%
RN	Liam Yamamoto	Flex / Overflow	on shift	21h	16	valid	50%
RN	Jamal Bauer	ICU	on shift	43h	15	valid	50%
RN	Mateo Nguyen	Step-Down	on shift	34h	15	valid	50%
RN	Nadia Castillo	PACU	on shift	29h	13	valid	50%
RN	Maria Santos	—	float	42h	13	valid	50%
transport	Samuel Walsh	—	on shift	40h	13	valid	50%
RN	Imani Larsson	Step-Down	on shift	27h	12	valid	50%
tech	Isaac Cohen	PACU	on shift	28h	12	valid	50%
RN	Noor Boyd	Telemetry	on shift	14h	11	valid	50%
RN	Mia Walsh	Med-Surg A	on shift	21h	10	valid	50%
RN	Ava Abara	Med-Surg A	off	27h	10	valid	50%
RN	Noor Abara	Med-Surg B	off	14h	10	valid	50%
RN	Elena Ito	PACU	off	12h	9	valid	50%

Compliance Log

immutable · survey-ready

Active ratio breaches

ICU2.4 / tgt 2 · 10 RN

Event ledger

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