1. Provider Communication Portal Logged in as: John Doe Status: EmailCalendar eReferralSyncing Clinical Communication

2. Department: General Internal Medicine Logged in as: John Doe Status: Bed 1Tiger Woods ProblemDiabetes AllergiesPenicillin SBAR:0 Bed 2Rob Ford ProblemPneumonia AllergiesPeanuts SBAR:2 Bed 3Bill Gates ProblemFood Poisoning AllergiesBeta-blockers SBAR:1

3. Flowsheet PatientRob Ford AllergiesPeanuts Date:Hour SBAR** 0:001:002:003:004:005:006:007:008:009:0010:0011:0012:00 Weight (daily)140 Mental StatusStable Temperature38 4038 Pulse80 13080 Respiration/Depth15 6015 Blood Pressure120/80 130/100120/80 Serum Glucose (mg/dl)40 Serum Ketones25 Urine Ketones10 Electrolytes Serum Na + (mEg/L)13 Serum K + (mEg/L)33 Serum CL (mEg/L)53 Serum HCO 3- (mEg/L)100 Serum Bun (mg/dl)35 Anion Gap82 Insulin18 Units Past Hour11 Route0000000000000 Output Urine(ml)2935 Other #Dr. Phil, I’m Paul, an RN on 8East. #Mr. Ford in 810 is in respiratory distress. Situation He was admitted for #pneumonia this morning, has been stable on 3L nasal cannula, but is now acutely worse.#pneumonia Background VS 98/62, HR 108, RR40, O2 sat 74% with a nonrebreather at 10L. His breath sounds are decreased on the right side. Assessment I need your to come see him immediately. Can we get some ABGs and a STAT portable chest x-ray? Recommendation Time – 5:03 From: Dr. Phil - I’ll be there shortly, please proceed with the order Time – 5:03 From: Dr. Phil - I’ll be there shortly, please proceed with the order

4. Hash tag for #pneumonia UserMessageWhen Nurse 1……..3 minutes ago Physician 1……..10 minutes ago RT 3……..1 day ago Syncing Clinical Communication Department: General Internal Medicine Logged in as: John Doe Status: