Hi, we did a simulation lab on a post-op patient. All of his vital signs were normal, but he was repeatedly complaining of being tired. It wasn't until I was driving home from the clinicals that I thought of myself in the hospital after I hemorrhaged from childbirth. When I thought about the way the patient was acting I thought oh my gosh how didn't I catch that. That is exactly how I acted. That was the only thing I could remember was it was a profound fatigue. We have a simulation test this weekend and I want to come well prepared. I have studied all the signs and symptoms of post-op complications, but this one slipped through my fingers because I was looking at the vital signs which did not line up with the other symptoms. Can you ladies/gentlemen help me please with your best post-op assessment tips? I'm also trying to be very thorough in my assessment, but not wasting time with it either because for us it's supposed to be a focused assessment not a full head to toe. What things do you ALWAYS include in your post-op assessment - particularly things that a new nurse might forget to check? What are subtle signs of a post-op complication that might not line up with what you've memorized in a textbook? I feel good that I did recognize the symptoms once I got home and outside the lab, but wish I had caught it sooner.