Things to ask for in a report: Name, age, diagnosis, MD (the one you’re going to call, not the one who hasn’t seen him in a week), activity level, diet. Presenting complaint. Tests done and tests pending. Meds given in ED (if recently arrived) and meds that need to be given before the end of the shift. Orders. Admitting/discharge paperwork done. Vital signs throughout the shift, and important changes (improvements or decompensation) and what’s been done about it.
Designed for students in health professions (medical, nursing, allied health) learning to record and interpret medical lab values from Complete Blood Chemistry (CBC), Complete Metabolic Panel (CMP) and Arterial Blood Gas (ABG).