January 13, 2020•99 words
Events: what has happened since we last saw each other/over night/over the weekend?
- Chief compliant(s)
- what is the current state of the patient?
- Vitals + weight
- comments / notes of other clinicians
- other data
Evaluate: past interventions
- one liner
- why have things happen the way they did?
- how do things fit into the broad scheme?
- Differential Diagnosis
- what is the concrete next step
- what are other important steps
- Labs, diet, referral, patient education,