Post-operative vaginal hemorrhage or cuff dehiscence: new heavy vaginal bleeding with clots (or a sudden gush of fluid/increased bleeding, especially after straining) following a hysterectomy — concerning for hemorrhage or vaginal-cuff dehiscence. The bleeding assessed and quantified, the resident kept at rest, vital signs monitored, the surgeon/provider notified urgently, orders received (evaluation, and — for a suspected dehiscence/evisceration — emergency measures), any anticoagulation reviewed, and the responsible party notified. Will reassess bleeding and vitals; supports the Section I update. Skilled recognition required, as cuff dehiscence with evisceration is a surgical emergency. (Anticoagulation routes to its overlay.)

Post-gynecologic-surgery infection or VTE: new fever with purulent vaginal/incisional drainage and pelvic pain (concerning for a post-operative infection), or new unilateral calf swelling and pain (concerning for a DVT after pelvic surgery). The finding assessed, the provider notified, cultures/labs or a Doppler ordered per order, the incision/limb monitored, and the care plan updated; the responsible party notified. Will reassess; supports the Section I update. Skilled recognition and management required.