No hematoma/airway/voice/calcium surveillance — misses the post-thyroidectomy emergencies.
The post-thyroidectomy model note in §3: the neck/hematoma, airway/voice, and hypocalcemia surveillance and the reason skilled monitoring was required.
“Neck a little swollen.”
For a post-thyroid resident, this may be an airway emergency — no escalation.
The neck-hematoma model note in §4: the expanding swelling with airway/voice change, the emergency activation, and the airway support.
“Numb lips.”
Post-thyroid, this is hypocalcemia — no recognition.
“New perioral/digital numbness with twitching post-thyroidectomy — hypocalcemia; provider notified; calcium/labs and replacement per order; laryngospasm watch.”
