Need SBAR
Dx: Miscarriage (patient admitted for abdominal
pain)
admitted: abdominal pain.
first vital sign: BP: 130/89, HR: 125, RR: 16, O2: 97%
second vital sign: BP:76/50, Hr:59, RR:20, Ox: 83%
History: Patient presents with abdominal pain,
bleeding and lower back pain.
The patient woke up this morning with pain and menstrual
cramping and now bleeding.
Symptoms: Abdominal pain, bleeding/discharge, lower back
pain
assessment : sharp and constant, radiations: lower abdomen,
lower back
does: changed O2 NC to venti...