Daily-note bank — change-of-condition / at-risk days
Scenario
Model daily note (edit to the shift)
New focal deficit
New right-arm drift with slurred speech (negative last exam) — BE-FAST positive; stroke/transfer pathway activated, provider/representative notified 11:05, last-known-well documented, vitals/glucose obtained, NPO; reassess on return; MDS/CAA updated.
Post-stroke dysphagia decline
New coughing and wet voice with meals and reduced alertness — oral intake held, provider/SLP notified, swallow re-eval and altered diet ordered, precautions reinforced, respiratory monitoring; supports Section K/GG. (Nutrition reference.)
Acute mental-status change
New disorientation and lethargy from an oriented baseline, no focal deficit — delirium workup initiated (vitals, glucose, O₂, infection/medication screen), SBAR, orders received, representative notified, safety measures; reassess; evaluate SCSA.
Linked disease-specific scenarios
Stroke-rehabilitation progression and secondary-prevention teaching route to the CVA overlay; anticoagulation after cardioembolic stroke routes to the Anticoagulation overlay; dysphagia and aspiration-precaution detail route to the Nutrition reference; cognition/delirium detail routes to the Cognitive reference.
