INITIAL INFORMATION PAGE
Patient Name: Bob Smith
Setting: Emergency Room
Mr. Smith is a 75-year-old man who was admitted three hours ago with acute abdominal pain.
|Blood pressure:||100/70 mm Hg|
|Heart rate:||120 beats per minute|
|Respirations:||22 breaths per minute|
In the 15 minutes with the patient:
- obtain a focused history
- perform a relevant physical exam
In the last 10 minutes, you will complete a note documenting your visit with the patient and order any necessary labs.