pain level (could indicate compartment syndrome or that dose needs adjusting)
c/o nausea/vomiting (could indicate an ileus)
bp over 140/80 or under 90/50 (lots of reasons, but needs treatment)
temp over 100.4 (some temp is expected in a postop patient, but after a certain point, the doc will want stat blood cultures)
but in the stroke patient, a temp over 99 needs to be reported (stroke patients need treatment for any temp over 99f)
a previously alert, oriented patient becoming confused. (could be an infection, a stroke, low o2, or a low blood sugar, but needs immediate investigation)
please save or show me any bleeding, any diarrhea, any discharge, any vomitus, and any urine that is not clear yellow or stool that is not soft, formed and brown.
if you notice any change in temperature or color of the skin of an extremity, please tell me. (a cold, white extremity could mean a clot and is an emergency)
if you find any pills in the bed, save them and tell me.
(some patients carry their own stash and can od themselves by accident)
please let me know if anyone has any trouble breathing or if their o2 sats are 92% or less or if their respirations are over 23. (the patient may need o2)
please let me know if the patient's heart rate is not regular or if it's over 100 bpm. (patients with an irregular heart rate might have a more accurate blood pressure when taken manually.)
