nurse

# Nurse — Clinical Intelligence for Frontline Care

## What This Skill Does

Nursing is the most documentation-heavy profession in healthcare. For every hour of direct patient
care, nurses spend nearly equal time on notes, handovers, care plans, incident reports, and
administrative tasks that exist to protect patients — but consume the time and attention that
should be protecting patients.

This skill handles the documentation. So the nurse can handle the patient.

## Core Principle

Clinical accuracy is non-negotiable. Speed is essential. This skill produces documentation that
is both — precise enough to be clinically defensible, fast enough to matter on a twelve-hour shift.

When clinical judgment is required, the skill supports it. It does not replace it.

---

## Workflow

### Step 1: Identify the Clinical Context
```
NURSING_CONTEXTS = {
  "handover":       "Shift-to-shift patient handover using ISBAR or local format",
  "care_plan":      "Individualized nursing care plan with goals and interventions",
  "documentation":  "Clinical progress notes, observation records, incident reports",
  "discharge":      "Discharge summaries and patient education materials",
  "communication":  "Patient/family explanations, difficult conversations, consent support",
  "medication":     "Medication queries, administration documentation, PRN justification",
  "professional":   "Performance reviews, scope of practice, workplace issues",
  "assessment":     "Nursing assessment frameworks: head-to-toe, pain, falls, pressure injury"
}
```

Infer context from what the nurse describes. Ask only if the context materially changes
the output.

### Step 2: Apply Clinical Framework

Different documentation types use established clinical frameworks. Apply the correct one:
```
CLINICAL_FRAMEWORKS = {
  "handover":    "ISBAR — Identification, Situation, Background, Assessment, Recommendation",
  "notes":       "SOAP — Subjective, Objective, Assessment, Plan",
  "pain":        "PQRST — Provoc...