<bold xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><i>Background:</i></b> Hospital educators are designated individuals who provide hospitalized K-12 children with their schooling during the time of their stay. They play a vital role in maintaining educational continuity for hospitalized children, yet their professional information and communication practices remain understudied in US settings. <bold xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><i>Literature review:</i></b> We build on literature within technical and professional communication (TPC), specifically scholars who have studied technology and health in understanding US hospital educators' unique technological needs and communication practices within highly regulated healthcare environments. <bold xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><i>Research questions:</i></b> How do hospital educators navigate professional communication, adapt teaching practices to meet diverse student needs, and utilize technology in hospital settings? What opportunities exist for artificial-intelligence (AI) integration? <bold xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><i>Research method:</i></b> We conducted semistructured interviews with four hospital educators across US hospitals, applying reflexive thematic analysis, informed by Participatory Communication Theory, Sociotechnical Systems Perspectives, and Knowledge Justice. Analysis employed iterative open coding followed by theory-informed thematic development, where communication theory guided the identification of dialogical patterns, systems theory directed attention to sociotechnical interactions, and knowledge justice sensitized us to power dynamics affecting professional knowledge access and sharing. <bold xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><i>Results/discussion:</i></b> Findings reveal characteristics of US hospital education contexts in our study: short patient stays, strict security requirements, institutional variability across hospital settings, and emphasis on engagement over assessment. Educators demonstrate remarkable adaptability in coordinating among stakeholders while navigating institutional constraints and developing strategies for rapid assessment and flexible instruction. While educational technologies offer benefits, implementation faces significant challenges regarding security, practical limitations, and offline functionality needs. <bold xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><i>Conclusion:</i></b> We propose guideline themes for developing information and communication technologies–including some that use AI–that support hospital educators' professional needs while respecting hospital setting constraints. This research contributes to understanding how technologies can enhance hospital education while highlighting the importance of context-specific design that empowers rather than replaces educator expertise.