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Reporting Acute Patient Deterioration

IntermediatePatient Assessment

Educational Use Only. This app is not intended to replace instructor guidance, institutional policies, clinical judgment, or professional medical training.

Clinical Scenario

You are caring for Mr. James, a 72-year-old male admitted 2 days ago for pneumonia. At 14:30 during your rounds, you notice he has become increasingly restless and confused. His respiratory rate has increased from 18 to 28, oxygen saturation dropped from 96% to 89% on 2L nasal cannula, and his blood pressure is 88/52 (was 118/72 this morning). The rapid response team needs to be called.

S

Situation

State who you are, where you are calling from, and the immediate concern in 1-2 sentences.

B

Background

Provide relevant admission diagnosis, history, and baseline status. Include key changes from baseline.

A

Assessment

Share your clinical findings — vital signs, mental status changes, and what you think might be happening.

R

Recommendation

State specifically what you need (rapid response, provider evaluation, specific orders) and the timeframe.

Educational Use Only — Not a substitute for professional training.