Usually you receive a great report from the ER when getting new admissions but here are some things I have learned the hard way to ALWAYS GET THE ANSWER FOR. Besides the obvious (vitals, history).- Ask if there is an order for them to be on fluids. I have been yelled at by an MD because the patient did not come UP on fluids. Make sure they get it started in the ER. Especially if they have been sitting down there a while and the order was written some time before they come up.- What was the patient's O2 saturation? I've had someone come up with a sat of 86% on room air and a heart rate of 125 and I was told they were perfectly fine downstairs. (I know things can change fast, but come on. They were pneumonia pathway and I should have thought to ask this ANYWAYS).- Is the med recon form done????- What meds were given and why.What else can you think of to add that you have learned?