Abnormal findings are charted as a chain — finding, severity, comparison to baseline, the risk it creates, and the skilled action taken.
Anaphylaxis — rapid onset of urticaria with airway or respiratory compromise, hypotension, gastrointestinal symptoms, or a sense of impending doom — an immediate emergency requiring epinephrine first.
Angioedema with airway involvement — swelling of the lips, tongue, or throat threatening the airway (route to Mouth/Oral for the airway).
A single fever at or above 100.4°F (38°C) or another serious infection sign in an immunosuppressed or neutropenic patient — an emergency (route to Hematologic for neutropenia).
A serious or rapidly progressing infection in an immunocompromised patient — urgent.
A new allergic reaction to a medication or exposure — requiring the reaction to be stopped and evaluated.
Signs of immunosuppressant toxicity or a serious adverse effect — requiring provider review.
An expired or absent auto-injector in an at-risk patient, or an inability to use it — a critical readiness gap.
Opportunistic-infection signs in an immunosuppressed patient — warranting evaluation.
