Post-prostatectomy/TURP hemorrhage or clot retention: the irrigation outflow turning bright red with clots and then slowing/stopping with new bladder distension and pain — concerning for active bleeding and clot retention/obstruction. The catheter/irrigation assessed and hand-irrigated per protocol to clear clots, the irrigation rate increased per order, vital signs and outflow monitored, the provider and (given the bleeding) any anticoagulation reviewed, SBAR completed, and orders received; the responsible party notified. Will reassess outflow, patency, and vitals; supports the Section H update. Skilled recognition and management required, as post-prostatectomy hemorrhage can be significant. (Anticoagulation routes to its overlay.)

Acute scrotal emergency / post-operative complication: new severe scrotal/testicular pain with swelling (in a non-post-operative resident, concerning for testicular torsion — a surgical emergency), or post-operative signs of a spreading perineal/scrotal infection with systemic signs (concerning for Fournier gangrene). The finding assessed, the provider notified urgently, the appropriate emergency pathway activated, and the resident monitored/transferred per severity; the responsible party notified. Skilled recognition required, as both are surgical emergencies.