Neutropenic fever — oncologic emergency: a new fever in a resident with neutropenia (a low absolute neutrophil count) — concerning for a life-threatening infection with a blunted response. The provider notified urgently, blood cultures and evaluation obtained per order, empiric antibiotics initiated per order without delay, the resident monitored closely for sepsis, and the responsible party notified. Will reassess vital signs and the source; supports the Section O/I update. Skilled recognition required, as a neutropenic fever is a time-critical emergency. (Sepsis surveillance routes to the Sepsis overlay.)

Transfusion reaction: during a transfusion, a new fever with chills, dyspnea, back pain, or a rash — concerning for a transfusion reaction. The transfusion stopped immediately, the line kept open with saline, vital signs obtained, the provider and blood bank notified per protocol, the unit and tubing retained, and the resident monitored; the responsible party notified. Will reassess; supports the Section O update. Skilled recognition and immediate management required, as a reaction can be life-threatening. Alternatively: active bleeding on thrombocytopenia (bruising with mucosal bleeding and a falling platelet count) managed with bleeding precautions, notification, and coordination of platelet support per order.