.VS_NORMAL

Skilled VS: T {##.#}°F {route}; HR {##} reg; RR {##} unlabored; BP {###/##} {arm/position} within ordered range; SpO2 {##}% {RA/{#} L}; pain {#} at goal; weight {###} lb stable vs target; trend stable. RN judgment applied to interpret values vs parameters and trend given {dx}. Continued skilled monitoring indicated.

.VS_ABNORMAL

{Parameter} {value} {technique}; repeat {value}; ordered parameter {range}; symptoms {none/...}; cross-visit trend {stable/up/down}; interpretation {context}.

.VS_ORTHO

Supine BP {###/##} HR {##}; standing 1 min {###/##} HR {##}; 3 min {###/##} HR {##}; symptoms {reproduced/none}; drop {meets/does not meet} threshold; fall precautions {applied}.

.VS_SKILL

Re-measured {parameter} with corrected technique; orthostatics {pos/neg}; parameter-based action {PRN/MD notified}; pre/post {values}; reconciled value with {med}.

.VS_TEACH

Reviewed home {BP/weight/oximetry} technique, logging, and report thresholds with {pt/cg}; method {teach-back/return-demo}; mastery {##}%.

.VS_COORD

Provider notified at {time} re {parameter/value meeting threshold} and {trend}; reported {content}; order received {details}; reassessment {when}.

.VS_SAFETY

Call for {parameter} {threshold}; 911 for BP > 180/120 with symptoms, SpO2 < 90% with distress, or syncope.

.VS_NECESSITY

Skilled nursing required today to {action} for {RN-level reason} given {dx}, resulting in {measurable effect}.