10 subjects admitted overnight. Audit in pairs. Mr. Waugh • Bicentennial Junior High
AUDIT IN PROGRESS
The Deal & Audit Format
Ten Grade 9 students were audited for 24 hours: schedules, devices, intake, and field observations — nothing else. You and your partner are consulting clinical auditors.
Work in pairs to investigate the 10 subject stations posted around Room 8. You may visit the stations in any order, at your own pace.
At every station, complete one row of your Response Sheet (Deliverable 19). Leave no graffiti on the subject files — these are patients, not suspects.
At Every Station (5 steps)
① Sleep hours: onset → wake. Read it off the log — subtract carefully.
② Weekly debt: (9.0 − hrs) × 5 school nights.
③ Risk code: [STABLE] / [MODERATE] / [CRITICAL] using the scale.
④ Mechanism codes: tag every mechanism that is live, using the code bank on Side B of your sheet.
⑤ One-line order: the single change you would prescribe first.
Risk Scale (Greyscale B&W)
⚪ STABLE (GREEN)≥ 8.5 hrs AND clock stable (weekend shift < 1 hr) AND zero live mechanisms.
🔘 MODERATE (AMBER)7.0–8.4 hrs average, or hours fine but clock shifted > 2 hrs, or exactly one live mechanism.
⚫ CRITICAL (RED)< 7.0 hrs average, or multiple live mechanisms, or fragmented sleep.
⚠️ Not every subject is a disaster. At least one of these kids is fine. "Maintain and protect" is a legitimate order — if the file earns it.
Auditor's Rules of Evidence
Diagnose from the evidence — times, device logs, quotes — not from stereotypes.
Time in bed is not time asleep. Check for onset delays and night wakings.
Hours are not the only variable. A clock that shifts > 2 hrs on weekends is broken even with full hours.
If the hygiene is already clean, do not prescribe hygiene. Read again.
OPEN CLINIC PROTOCOL: Work with your partner at your own pace. You do not need to follow a rigid rotation chime. Visit the 10 stations in any order. Prioritize completing at least 6–8 triage audits (or all 10).
Once the clinic audit period concludes, your firm will select ONE subject to write a full clinical audit report using the Google Docs / Chromebook template before Quiz 1.
Phone handed to kitchen charger. "Bedtime" auto-routine confirmed 14/14 nights this audit window.
9:20 PM
Reads (paper) ~20 minutes. Lights out ~9:45 PM.
10:00 PM
Sleep onset (per wearable: consistent ±12 min all 14 nights).
7:00 AM
Wakes to alarm. One waking only, ~4 min, no phone contact.
2. Weekend Telemetry Log
Night
Pattern
Fri → Sat
Sleep onset 10:30 PM (movie night at home). Wakes 7:30 AM. 9.0 hrs.
Sat → Sun
Sleep onset 10:30 PM. Wakes 7:30 AM. 9.0 hrs.
Device & Intake Log (24-hr snapshot)
Screen time: 2 h 10 m
Notifications: 46 (0 after 9:15 PM)
Last phone lock: 9:12 PM
Caffeine: none • Naps: none
Field Observations
Orchestra director: "First chair, prepared every rehearsal. No attendance or focus flags."
Period 1 teacher: "Consistent contributor. No fog pattern on any logged morning."
"Sleep is my pre-game. I notice the difference when I don't get it — so I get it." — subject, intake interview
AUDIT TASKS: ① Sleep hrs/night ② Weekly debt ③ Risk: 🟢/🟡/🔴 ④ Mechanism codes — including which are working for this subject ⑤ One-line order (careful: "fix" may be the wrong verb)
In bed. Snapchat + calls until battery-low warning.
10:45 PM
Sleep onset. Solid night — no recorded wakings on weeknights.
6:45 AM
Wakes to alarm. Rises without snooze.
2. Weekend Telemetry Log
Night
Pattern
Fri → Sat
Out with friends; home 1:45 AM. Sleep onset ~2:30 AM. Wakes 11:30 AM. 9.0 hrs.
Sat → Sun
Sleep onset ~2:30 AM. Wakes 11:30 AM. 9.0 hrs.
Sunday
Crash nap 3:00–4:30 PM. Sunday-night onset pushed to ~12:30 AM; Monday alarm at 6:45 AM.
Device & Intake Log (24-hr snapshot)
Screen time: 5 h 05 m
Notifications: 233
Last phone lock: 2:24 AM (Saturday)
Caffeine: none
Field Observations
Period 2 teacher (Mondays): "Irritable, head down, needs three instructions repeated."
Tuesday–Friday teachers: no concerns logged. Pattern is strictly Monday.
"I still get my nine hours, just later. What's the problem?" — subject, intake interview
AUDIT TASKS: ① Sleep hrs/night ② Weekly debt ③ Weekend midpoint: weekday vs weekend sleep window — compute the shift ④ Mechanism codes ⑤ One-line order (address his quote directly in it)
Room 8 Sleep Clinic • Forensic Audit Unit
Subject File #04 — R., JENNA
Grade 9 • Visual arts program • Audit Ref R8-04
CONFIDENTIAL SLEEP CLINIC
Age14
HouseholdSingle parent (night shifts)
PhoneOwn; bedside overnight
CaffeineIced tea, PM
NapsNone
1. Weekday Telemetry Log (Mon–Fri)
Time
Logged Event
9:45 PM
In bed — lights off, phone in hand "to wind down." Wearable logs time-in-bed from here.
12:30 AM
Sleep onset (2 h 45 m after bed entry). Reels autoplay continuous.
~2 AM & ~4 AM
Two brief wakings (~15 min each). Phone checked at both; screen log confirms unlocks.
6:45 AM
Wakes to alarm.
2. Weekend Telemetry Log
Night
Pattern
Fri → Sun
Same pattern; wakes 8:30 AM. Time-in-bed higher, night wakings persist.
Device & Intake Log (24-hr snapshot)
Screen time: 7 h 22 m (highest in the clinic cohort)
Notifications: 507
"Bedtime mode": OFF — 14 consecutive days
Caffeine: iced tea most evenings
Field Observations
Period 5 teacher: "Fell asleep at her desk twice this week. Out of character — she's conscientious."
Nurse's office: 2 headache visits this week.
"I'm in bed by quarter to ten every night. I genuinely don't get why I'm exhausted." — subject, intake interview
AUDIT TASKS: ① Time-in-bed vs effective sleep hrs — compute both ② Weekly debt (use effective sleep) ③ Risk ④ Mechanism codes ⑤ One-line order — explain her quote using numbers
Caffeine: none • Coach logged two goals this week "beaten by shots he usually reaches"
Field Observations
Physio note: growth-spurt phase; two "niggling" muscle strains in 3 weeks, slow to resolve.
Strength coach: recovery markers trending down across the block.
"Extra reps beat extra sleep. I'll rest after the showcase." — subject, intake interview
AUDIT TASKS: ① Sleep hrs/night ② Weekly debt ③ Apply Formula 2 (The Sleep Debt Rule: 20%–25% reaction slowdown) to his 0.21 s baseline — what is his showcase-day reaction time (~0.25–0.26 s delay), and how does a 300% surge in attention lapses / microsleeps risk a conceded goal from 16 m? ④ Mechanism codes ⑤ One-line order
Room 8 Sleep Clinic • Forensic Audit Unit
Subject File #06 — N., LILY
Grade 9 • 6:15 AM rural bus route • Junior band (before school) • Audit Ref R8-06
CONFIDENTIAL SLEEP CLINIC
Age14
Household2-parent; farm chores AM
PhoneOwn; off at 9:50 PM
CaffeineNone
NapsBus nap (20 min, involuntary)
1. Weekday Telemetry Log (Mon–Fri)
Time
Logged Event
9:50 PM
Phone off, on dresser. Consistent 14/14 nights.
10:15 PM
In bed, lights out. Sleep onset 11:00 PM (wearable: ~45 min lie-awake every night, "not worried about anything, just awake").
5:30 AM
Alarm. Dark outside year-round. Bus 6:15 AM; band 7:00 AM.
2. Weekend Telemetry Log
Night
Pattern
Fri/Sat → AM
Sleep onset ~11:30 PM (chores still start the day). Wakes ~8:30 AM without alarm. 9.0 hrs.
Device & Intake Log (24-hr snapshot)
Screen time: 1 h 55 m (second-lowest in cohort)
Notifications: 31
Last phone lock: 9:50 PM
Caffeine: none
Field Observations
Band teacher: "Visible fog until ~9:15. Clears by Period 3. Every single day."
Parent: "She does nothing wrong at night. We've run out of things to take away."
"I do everything right. Why am I dead until second period?" — subject, intake interview
AUDIT TASKS: ① Sleep hrs/night ② Weekly debt ③ Weekend shift — is her clock actually shifting? Compute it. ④ Mechanism codes ⑤ One-line order — careful: her hygiene is already clean. What is actually controllable here, and by whom?
Energy drink #1 (lunch). "Non-negotiable — can't make it through afternoon classes without it."
7:00 PM
Energy drink #2 — "to finish homework." (Caffeine half-life ≈ 5–6 hrs: about half of can #2 is still active at ~1:00 AM.)
10:30 PM
In bed. Reports "body exhausted, brain wide awake." Tossing/turning logged.
1:15 AM
Sleep onset finally occurs.
7:15 AM
Alarm ×3. Hardest wake in the cohort per wearable.
2. Weekend Telemetry Log
Night
Pattern
Fri → Sat
Sleep onset ~2:00 AM (catch-up gaming). Wakes 10:00 AM. 8.0 hrs. No drinks after 4 PM weekends.
Device & Intake Log (24-hr snapshot)
Screen time: 4 h 15 m
Notifications: 180
Caffeine: 2 energy drinks daily (~160 mg total)
Homework avg: 2.5 hrs/night
Field Observations
Period 3 teacher (Thursday): "Dozed off during independent work. Polite, embarrassed about it."
Parent: "We didn't even know about the second can until this audit."
"I can't wake up without them, and I can't sleep with them. So I need more the next day." — subject, intake interview
AUDIT TASKS: ① Sleep hrs/night ② Weekly debt ③ Trace the loop in his quote: which clock times drive which symptoms? ④ Mechanism codes ⑤ One-line order — the loop must be broken at a specific hour of the day. Name it.
Guidance counsellor: assessment-cycle stress; stomachaches before major evaluations.
Parent: "She's her own strictest teacher."
"I do everything right. My brain just… won't stop." — subject, intake interview
AUDIT TASKS: ① Effective sleep hrs (not time-in-bed) ② Weekly debt ③ Risk — and be honest: the hygiene checklist is already perfect ④ Mechanism codes ⑤ One-line order — what actually addresses this file? (Check your code bank twice before answering "screens.")
Console off on school nights (parent rule, held). Phone 15 min, then down.
10:45 PM
Sleep onset. Clean, solid weeknight sleep — no wakings logged.
6:45 AM
Wakes to alarm.
2. Weekend Telemetry Log
Night
Pattern
Fri → Sat
Ranked queue until 3:30 AM. Wakes 1:00 PM. 9.5 hrs.
Sat → Sun
Same: onset ~3:30 AM, wakes 1:00 PM. 9.5 hrs.
Sun → Mon
Onset delayed to 1:15 AM ("body still on weekend time"). Monday alarm 6:45 AM → 5.5 hrs. Failed a surprise quiz Monday that "he normally aces" (teacher log).
Device & Intake Log (24-hr snapshot)
Screen time: 6 h 10 m (4+ hrs in two weekend evening blocks)
Last device lock: 3:26 AM (Saturday)
Caffeine: none — "adrenaline carries the clutch"
Weekend sleep window: 3:30 AM–1:00 PM
Field Observations
Monday teachers: two flags this term (incomplete homework, quiz fail).
Tuesday–Friday teachers: zero flags. Pattern is strictly Monday.
"Weekends are the only time I can actually grind. I'll sleep when I'm dead." — subject, intake interview
AUDIT TASKS: ① Sleep hrs/night (weekday) ② Weekly debt ③ Weekend midpoint vs weekday midpoint — compute the shift ④ Mechanism codes — including what the Sunday-night delay costs Monday ⑤ One-line order that keeps his weekend (he will not accept losing it — write accordingly)
Room 8 Sleep Clinic • Forensic Audit Unit
Subject File #10 — P., AMARA
Grade 9 • Family restaurant — close shifts Tue/Thu/Sun • Audit Ref R8-10
CONFIDENTIAL SLEEP CLINIC
Age14
HouseholdExtended family; family business
PhoneOwn; lowest use in cohort
CaffeineNone
NapsNone
1. Weekday Telemetry Log
Night
Pattern
Mon / Wed / Fri
Onset 10:45 PM → wake 6:45 AM. 8.0 hrs. Homework done before dinner.
Tue / Thu
Restaurant close 10:30 PM → helps until 11:15 PM → homework until 12:30 AM → onset 12:45 AM → wake 6:45 AM. 6.0 hrs.
2. Weekend Telemetry Log
Night
Pattern
Sat → Sun
Sleeps in to ~9:30 AM. Solid hours.
Sun → Mon
Sunday close shift: same as Tue/Thu pattern → onset 12:45 AM, wake 6:45 AM. 6.0 hrs. Monday teachers report incomplete homework and low output.
Device & Intake Log (24-hr snapshot)
Screen time: 2 h 30 m
Notifications: 95
Caffeine: none • Hygiene: clean
Compute her weeknight average: (8.0×3 + 6.0×2) ÷ 5
Field Observations
Grandmother/manager: "Family first. She is needed at close — that is not negotiable from my side."
Teacher: "Tue/Thu homework is consistently late or thin. Mon/Wed/Fri, she's a different student."
"You can't delete a family restaurant. Abuela needs me at close." — subject, intake interview
AUDIT TASKS: ① Weeknight average hrs + weekly debt (show the averaging) ② Which specific nights drop below the 6.0 hr threshold (triggering the 20%–25% reaction slowdown)? ③ Risk ④ Mechanism codes ⑤ One-line order — her screen time is already the lowest in the clinic. The order has to fit a family that will not change its schedule for a school assignment.