Safe patient handling

War-game a lift-team SLA before soft clocks govern every assisted move

War-game a lift-team SLA by proving each assisted-move lane has a named owner, a measured age-out, and a reverse path before draft clocks start governing every assisted move.

Lift-team SLAs fail when "ready for transfer" means a status without a decision artifact, when teams dual-count a draft clock as both aspirational and live, and when bariatric move families still pin to one thin transport desk because the lane inventory is incomplete. The review needs one written inventory of assisted-move lanes, one owner who can deny a risky shortcut, and a documented consequence when a failed clock ages past the deadline.

Assisted laneOwnerAge-outReverse path
Standard lift assistNamed lift chargeMeasured minutesDocumented hold
Bariatric dual pathTransport opsMeasured minutesDocumented restore
OR transfer bridgePerioperative leadMeasured minutesDocumented re-route

Fill the table from stored exports, not from memory. Empty cells are blockers, not notes for later.

Freeze the assisted-move inventory

State which lift classes the SLA covers, the effective date, which clock lanes change, how versions are stored, and what happens to requests already in flight. Name the units that feel it first and the safety promises that depend on coherent lift-team handling. If the memo mixes a lift-team SLA with a porter dispatch rule and a stretchers shortage, split them.

Write the decision you will make if the war game finds nothing new. Also write the reverse criteria: the missed lane, equipment gap, or bed deadline that would force a lift-team SLA rollback within a stated window.

Lift-team break points

  • A bariatric move class stays soft while the aggregate transport dashboard stays green.
  • Two teams claim the same lane ownership and neither can force a freeze at week end.
  • A restore has already left a request without a trusted clock state.
  • The primary lift-team export lags beyond the planned observation window.
  • An operator skips a clock gate because a case cutoff is near.
  • Lift claims lack a stored exhibit at release time.

For each break point, require detection time, unit impact, containment, and the authority to force a lift-team SLA rollback. Commands and export links belong in the runbook.

Hostile seats on the lift clocks

Feed Pingpong the SLA memo, the lane exhibits, and seating briefs for transport, nursing, perioperative, and quality. First pass steelmans the SLA. Later passes attack from those seats. Final pass turns surviving objections into phased lane rules, mitigations, or a changed recommendation. Agreement across passes is not proof. Keep the objections that still have evidence gaps.

Pair with the transport ops lead seat, a porter dispatch rule, a stretchers shortage stress test, and the perioperative lead seat. More operating decisions live in the war-game decisions hub.

Ship the SLA only when approved and blocked clock labels can be reproduced from stored lift-team exports without a verbal override.