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1. Situation
2. Background
3. Assessment
4. Recommendation

Can we get an order for a CBC?

I need for you to evaluate my patient right away

Mr. Smith is having difficulty breathing

He was admitted for a GI bleed

Clearly and briefly describe the current issue

He is a 55 year old male who appears diaphoretic

List of current medications, labs, allergies

I would like to get an EKG

I think he has an active GI bleed

Your assessment on the current situation

I think my patient has pneumonia and there is not a chest xray done

My patient has a history of diabetes type 2

What is the nurse’s recommendation or what does he/she want

Hello Dr. ________, my name is _________

Most recent vital signs

Pertinent information related to the situation