Epic‌‌tips‌‌for‌‌inpatient‌‌medicine‌ 

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Epic‌‌session‌‌topics‌‌   ‌
1. Getting‌‌oriented‌‌to‌‌Epic‌‌   ‌
a. What‌‌department?‌‌   ‌
b. Patient‌‌List‌‌vs‌‌Schedule?‌  ‌
c. Summary‌‌vs‌‌Chart‌‌Review?‌‌   ‌
d. Smart‌‌phrases?‌‌Copying‌‌someone’s‌‌smartphrases:‌  ‌
i. Open‌‌up‌‌the‌‌Epic‌‌menu‌‌in‌‌the‌‌top‌‌left‌‌corner.‌‌Go‌‌to‌‌Tools‌‌>‌‌SmartTool‌‌ 
Editors‌‌>‌‌SmartPhrase‌‌Manager‌  ‌
ii. In‌‌the‌‌User‌‌field,‌‌type‌‌the‌‌name‌‌of‌‌the‌‌person‌‌you‌‌want‌‌to‌‌copy‌‌ 
smartphrases‌‌from‌‌   ‌
iii. If‌‌interested,‌‌can‌‌copy‌‌all‌‌the‌‌smartphrases‌‌that‌‌start‌‌with‌‌“EBL”‌‌(Eric‌‌Bai‌‌ 
Lab)‌‌under‌‌“Eric‌‌Bai”‌‌for‌‌inserting‌‌lab‌‌values‌‌into‌‌notes‌‌   ‌
e. Navigating‌‌patient‌‌lists‌‌vs‌‌pinning‌‌pts‌‌you‌‌are‌‌following‌‌   ‌
2. How‌‌to‌‌pre-round‌  ‌
a. Seeing‌‌the‌‌pt‌‌first‌‌vs‌‌chart‌‌reviewing‌‌first‌‌   ‌
b. Progress‌‌note‌‌template‌‌   ‌
c. Figure‌‌out‌‌what’s‌‌going‌‌on‌‌   ‌
i. Synopsis‌‌tab‌‌vs‌‌Summary‌‌>‌‌Event‌‌Log‌‌   ‌
ii. View-only‌‌doc‌‌flowsheet‌‌   ‌
iii. Notes‌‌tab‌‌   ‌
1. How‌‌is‌‌this‌‌different‌‌from‌‌Chart‌‌Review‌‌>‌‌Notes?‌‌Answer:‌‌the‌‌ 
standalone‌‌Notes‌‌tab‌‌only‌‌shows‌‌notes‌‌from‌‌the‌‌current‌‌ 
encounter‌‌   ‌
d. Dive‌‌into‌‌more‌‌details‌‌   ‌
i. Results‌‌tab‌  ‌
1. How‌‌is‌‌this‌‌different‌‌from‌‌Summary‌‌>‌‌Results?‌‌Answer:‌‌it’s‌‌the‌‌ 
same‌  ‌
2. How‌‌to‌‌trend‌‌a‌‌certain‌‌lab‌‌value‌‌over‌‌time‌ 
a. Select‌‌row‌  ‌
b. Click‌‌“Flowsheet”‌‌   ‌
c. Useful‌‌for:‌‌estimating‌‌baseline‌‌Cr‌‌  
3. How‌‌to‌‌only‌‌see‌‌results‌‌of‌‌a‌‌certain‌‌type‌  ‌
a. Click‌‌on‌‌the‌‌section‌‌header‌‌   ‌
ii. Useful‌‌summary‌‌tabs‌‌   ‌
1. More‌‌useful‌‌for‌‌pre-rounding‌‌   ‌
a. Intake/Output‌‌   ‌
i. Use‌‌table‌‌view‌‌for‌‌cc/kg/hr‌‌   ‌
b. Med‌‌History‌‌   ‌
i. See‌‌when‌‌abx‌‌started‌‌to‌‌count‌‌day‌‌# ‌ ‌
ii. See‌‌PRN‌‌usage‌‌   ‌
 c. Current‌‌Meds‌  ‌
i. See‌‌what’s‌‌currently‌‌active‌‌   ‌
d. Micro‌‌   ‌
2. Good‌‌to‌‌know,‌‌may‌‌not‌‌use‌‌on‌‌daily‌‌basis‌‌during‌‌pre-rounding‌‌   ‌
a. Index‌‌>‌‌Patient‌‌Calendar‌‌  
b. Vitals‌‌   ‌
i. Table‌‌vs‌‌graph‌‌view‌‌   ‌
c. FS‌‌--‌‌less‌‌important‌  ‌
d. LDA‌‌--‌‌less‌‌important‌  ‌
e. Rad‌‌--‌‌prefer‌‌Chart‌‌Review‌‌>‌‌Imaging,‌‌Chart‌‌Review‌‌> ‌‌
Cardiology‌‌   ‌
f. Labs‌‌24h:‌‌see‌‌collecting‌‌but‌‌unresulted‌‌labs‌‌here‌‌   ‌
iii. Useful‌‌chart‌‌review‌‌tabs‌  ‌
1. Imaging‌  ‌
2. Procedures‌‌   ‌
3. Cardiology‌‌   ‌
4. Media‌   ‌
3. How‌‌to‌‌see‌‌an‌‌admission‌‌/‌‌consult‌‌   ‌
a. Admission‌‌note‌‌template‌‌   ‌
b. Check‌‌notes‌‌tab‌‌   ‌
c. For‌‌pts‌‌in‌‌the‌‌ED‌‌   ‌
i. Summary‌‌>‌‌ED‌‌Pt‌‌Care‌‌Timeline‌  ‌
d. For‌‌pts‌‌already‌‌admitted‌‌   ‌
i. Synopsis‌‌vs‌‌Summary‌‌>‌‌Event‌‌Log‌‌  
4. Other‌‌useful‌‌tips‌‌  
a. How‌‌to‌‌check‌‌pt’s‌‌weight‌‌(for‌‌weight-based‌‌calculations)‌‌   ‌
b. Use‌‌the‌‌Search‌‌function‌‌to‌‌find‌‌things!!‌  ‌
c. How‌‌to‌‌set‌‌up‌‌Haiku‌‌   ‌
i. Go‌‌to‌‌Haiku‌‌settings‌‌in‌‌your‌‌phone’s‌‌settings‌‌app‌  ‌
ii. Find‌‌“Connection‌‌Settings”‌‌and‌‌enter‌  ‌
1. Server:‌‌lsepprdsoap.lifespan.org‌‌   ‌
2. Path:‌‌Haiku_prd‌‌   ‌
iii. Open‌‌the‌‌Haiku‌‌app‌‌and‌‌click‌‌on‌‌the‌‌Configuration‌‌button‌‌at‌‌the‌‌top‌‌of‌‌the‌‌ 
screen‌‌and‌‌make‌‌sure‌‌“Custom‌‌Configuration”‌‌is‌‌selected‌‌   ‌
d. Secure‌‌chat‌‌   ‌
i. How‌‌to‌‌associate‌‌secure‌‌chat‌‌conversations‌‌with‌‌a‌‌specific‌‌patient‌‌   ‌
ii. How‌‌to‌‌add‌‌people‌‌to‌‌conversation‌‌   ‌
e. How‌‌to‌‌keep‌‌track‌‌of‌‌pts‌‌throughout‌‌the‌‌day‌‌   ‌
i. Time-marking‌‌results‌‌and‌‌notes‌‌   ‌
ii. Peeking‌‌into‌‌chart‌‌without‌‌opening‌‌it‌‌   ‌
f. Handoff‌‌   ‌
i. How‌‌to‌‌view‌‌without‌‌locking‌  ‌
 1. Peek‌‌into‌‌pt‌‌chart‌‌>‌‌View-only‌‌handoff‌‌   ‌
ii. How‌‌to‌‌update‌‌the‌‌right‌‌handoff‌‌   ‌
iii. For‌‌sample‌‌format‌‌for‌‌“Summary”‌‌section‌‌of‌‌the‌‌Handoff,‌‌see‌‌ 
“.EBNSIGNOUT”‌  ‌
g. How‌‌to‌‌do‌‌med-rec‌  ‌
i. Check‌‌which‌‌pharmacy/pharmacies‌‌to‌‌call‌‌   ‌
1. Admission‌‌>‌‌Outside‌‌Meds‌‌>‌‌Dispense‌‌Report‌‌   ‌
2. Chart‌‌Review‌‌>‌‌Snapshot‌‌then‌‌scroll‌‌to‌‌Preferred‌‌Pharmacies‌‌   ‌
ii. Call‌‌pharmacy‌‌by‌‌dialing‌‌“9”‌‌then‌‌the‌‌phone‌‌number‌‌to‌‌make‌‌external‌‌call‌‌   ‌
1. For‌‌example:‌‌to‌‌call‌‌401-123-4567,‌‌you‌‌would‌‌dial‌‌ 
“914011234567”‌  ‌
2. Ask‌‌to‌‌speak‌‌to‌‌the‌‌pharmacist‌‌then‌‌say‌‌“I’m‌‌calling‌‌from‌‌xxx‌‌ 
hospital‌‌to‌‌do‌‌a‌‌med‌‌rec‌‌on‌‌an‌‌admitted‌‌pt.‌‌Name‌‌is‌‌xxx.‌‌Birthday‌‌ 
is‌‌xxx.”‌‌   ‌
iii. Write‌‌down‌‌the‌‌meds‌‌that‌‌the‌‌pharmacist‌‌tells‌‌you‌‌and‌‌secure‌‌chat‌‌to‌‌the‌‌ 
resident‌‌   ‌
h. How‌‌to‌‌pend‌‌hospital‌‌course‌‌(meant‌‌for‌‌PCPs)‌‌   ‌
i. Med‌‌students‌‌not‌‌allowed‌‌to‌‌write‌‌actual‌‌hospital‌‌courses‌‌   ‌
ii. Instead,‌‌keep‌‌an‌‌ongoing‌‌hospital‌‌course‌‌in‌‌Discharge‌‌>‌‌General‌‌ 
Discharge‌‌Instructions‌  ‌
1. You‌‌can‌‌notify‌‌people‌‌that‌‌the‌‌hospital‌‌course‌‌is‌‌here‌‌by‌‌adding‌‌an‌‌ 
FYI‌‌in‌‌the‌‌“Notes/Other‌‌FYI”‌‌section‌‌of‌‌the‌‌Handoff.‌‌Write‌‌ 
something‌‌like‌‌“FYI‌‌hospital‌‌course‌‌in‌‌Discharge‌‌>‌‌General‌‌ 
Discharge‌‌Instructions”‌‌   ‌
i. How‌‌to‌‌ask‌‌for‌‌external‌‌records‌‌   ‌
i. Every‌‌unit‌‌has‌‌a‌‌unit‌‌secretary.‌‌Ask‌‌the‌‌unit‌‌secretary‌‌for‌‌the‌‌release‌‌form‌‌ 
and‌‌ask‌‌the‌‌pt‌‌to‌‌sign‌‌the‌‌release‌‌for‌‌the‌‌particular‌‌hospital‌‌or‌‌practice‌‌ 
you‌‌want‌‌to‌‌request‌‌records‌‌from.‌‌   ‌
1. Also‌‌ask‌‌the‌‌unit‌‌secretary‌‌for‌‌the‌‌fax‌‌number‌‌   ‌
ii. Call‌‌the‌‌hospital/practice‌‌to‌‌ask‌‌for‌‌fax‌‌number‌‌(or‌‌look‌‌up‌‌online)‌‌  
iii. Fax‌‌over‌‌the‌‌request‌‌(remember‌‌that‌‌you‌‌need‌‌to‌‌preface‌‌external‌‌ 
numbers‌‌with‌‌a‌‌“9”‌‌on‌‌the‌‌fax‌‌machine)‌‌   ‌
iv. Once‌‌the‌‌records‌‌are‌‌faxed‌‌back,‌‌ask‌‌the‌‌unit‌‌secretary‌‌to‌‌scan‌‌the‌‌ 
records‌‌into‌‌the‌‌pt’s‌‌chart‌‌   ‌
j. How‌‌to‌‌add‌‌media‌‌to‌‌media‌‌tab‌‌(e.g.,‌‌pt‌‌skin‌‌findings‌‌etc)‌‌   ‌
i. Open‌‌up‌‌Haiku‌‌(mobile‌‌Epic‌‌app)‌‌   ‌
ii. Click‌‌on‌‌a‌‌particular‌‌pt’s‌‌chart‌‌   ‌
iii. Find‌‌the‌‌pt’s‌‌picture‌‌in‌‌the‌‌upper‌‌left‌‌corner.‌‌You‌‌should‌‌see‌‌a‌‌small‌‌ 
camera‌‌icon‌‌here‌‌that‌‌will‌‌open‌‌up‌‌your‌‌phone’s‌‌camera‌‌to‌‌take‌‌pictures‌‌ 
that‌‌will‌‌be‌‌added‌‌to‌‌media‌‌tab.‌‌   ‌
iv. You‌‌can‌‌only‌‌add‌‌1‌‌picture‌‌per‌‌media‌‌tab‌‌entry‌‌so‌‌for‌‌multi-page‌‌ 
documents,‌‌better‌‌to‌‌ask‌‌secretary‌‌to‌‌scan‌‌in‌‌   ‌
 5. Useful‌‌tabs‌‌for‌‌specific‌‌diseases‌‌   ‌
a. DKA/HHS‌‌vs‌‌pt‌‌with‌‌diabetes‌  ‌
i. Summary‌‌>‌‌Glucose‌‌   ‌
b. More‌‌acute‌‌pt‌‌on‌‌supplemental‌‌oxygen‌  ‌
i. Index‌‌>‌‌Facesheet‌‌>‌‌Respiratory‌‌Report‌   ‌
c. Alcohol‌‌withdrawal‌  ‌
i. Floor‌‌CIWA‌‌protocol:‌‌Index‌‌>‌‌CIWA‌‌   ‌
ii. MICU‌‌CIWA‌‌protocol:‌‌View-only‌‌doc‌‌flowsheet‌‌>‌‌Vitals‌‌Signs‌‌>‌‌Sedation‌‌   ‌
d. Pt‌‌with‌‌infection‌‌or‌‌suspicion‌‌of‌‌infection‌  ‌
i. Summary‌‌>‌‌Fever‌‌   ‌
e. Agitated‌‌pt‌  ‌
i. Summary‌‌>‌‌Restraints‌‌(for‌‌physical/mechanical‌‌restraints)‌‌   ‌
ii. Summary‌‌>‌‌Med‌‌history‌‌(for‌‌medication/chemical‌‌restraints)‌‌   ‌
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General‌‌Epic‌‌tips‌‌   ‌
● Hospital‌‌stays,‌‌outpatient‌‌clinic‌‌visits,‌‌etc‌‌are‌‌all‌‌“encounters”‌‌with‌‌the‌‌healthcare‌‌ 
system‌  ‌
● When‌‌a‌‌patient‌‌is‌‌initially‌‌admitted,‌‌you‌‌will‌‌write‌‌an‌‌admission‌‌note.‌‌All‌‌subsequent‌‌ 
days‌‌will‌‌be‌‌progress‌‌notes.‌‌   ‌
○ Sometimes‌‌the‌‌admitting‌‌residents‌‌will‌‌save‌‌their‌‌admission‌‌notes‌‌after‌‌midnight‌‌ 
which‌‌may‌‌mean‌‌that‌‌you‌‌won’t‌‌have‌‌to‌‌write‌‌a‌‌progress‌‌note‌‌because‌‌one‌‌note‌‌ 
is‌‌required‌‌per‌‌day‌‌and‌‌the‌‌day‌‌technically‌‌starts‌‌after‌‌midnight.‌   ‌
○ Ask‌‌your‌‌resident‌‌which‌‌note‌‌type‌‌you‌‌should‌‌write‌‌on‌‌a‌‌particular‌‌patient‌‌if‌‌you‌‌ 
are‌‌not‌‌sure.‌‌   ‌
● If‌‌you‌‌are‌‌inpatient,‌‌then‌‌all‌‌patients‌‌will‌‌have‌‌an‌‌ongoing/currently-active‌‌inpatient‌‌ 
admission‌‌encounter‌  ‌
○ The‌‌information‌‌pertaining‌‌only‌‌the‌‌current‌‌admission‌‌is‌‌located‌‌in‌‌the‌‌ 
“Summary”‌‌tab‌‌   ‌
○ This‌‌is‌‌why‌‌patients‌‌that‌‌are‌‌not‌‌in‌‌the‌‌hospital‌‌will‌‌only‌‌have‌‌a‌‌“Chart‌‌Review”‌‌ 
tab‌‌and‌‌will‌‌be‌‌missing‌‌the‌‌“Summary”‌‌tab‌‌   ‌
● If‌‌you‌‌wanted‌‌to‌‌look‌‌through‌‌all‌‌the‌‌patient’s‌‌encounters‌‌including‌‌the‌‌current‌‌ 
admission,‌‌then‌‌you‌‌need‌‌to‌‌look‌‌through‌‌the‌‌“Chart‌‌Review”‌‌tab‌‌   ‌
○ If‌‌you‌‌are‌‌on‌‌the‌‌“Summary”‌‌tab‌‌and‌‌tried‌‌to‌‌look‌‌for‌‌information‌‌about‌‌a‌‌prior‌ 
outpatient‌‌clinic‌‌visit‌‌you‌‌will‌‌not‌‌find‌‌anything‌‌because‌‌the‌‌Summary‌‌tab‌‌is‌‌only‌‌ 
the‌‌current‌‌admission‌  ‌
● For‌‌new‌‌patients,‌‌make‌‌sure‌‌to‌‌look‌‌through‌‌the‌‌“Chart‌‌Review‌‌>‌‌Media”‌‌tab‌‌in‌‌order‌‌to‌‌ 
see‌‌if‌‌there‌‌any‌‌documents/notes/charts‌‌scanned‌‌in‌‌from‌‌other‌‌hospitals‌  ‌
○ Your‌‌attending‌‌may‌‌expect‌‌you‌‌to‌‌know‌‌the‌‌gist‌‌contained‌‌in‌‌the‌‌scanned‌‌in‌‌ 
documents‌‌   ‌
○ For‌‌example,‌‌if‌‌a‌‌patient‌‌is‌‌transferred‌‌to‌‌your‌‌hospital‌‌from‌‌another‌‌hospital,‌‌the‌‌ 
hospital‌‌discharge‌‌summary‌‌will‌‌be‌‌scanned‌‌in‌‌here‌‌   ‌
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On‌‌your‌‌first‌‌day‌‌   ‌
● Ask‌‌the‌‌resident‌‌what‌‌“Patient‌‌List”‌‌in‌‌the‌‌available‌‌lists‌‌you‌‌should‌‌“Add‌‌as‌‌a‌‌Favorite”‌‌   ‌
● Note‌‌that‌‌you‌‌can‌‌drag‌‌and‌‌drop‌‌specific‌‌patients‌‌to‌‌“My‌‌Patients”‌‌to‌‌quickly‌‌access‌‌ 
patients‌‌that‌‌you‌‌are‌‌following‌‌   ‌
● The‌‌template‌‌you‌‌will‌‌use‌‌to‌‌write‌‌your‌‌progress/admission‌‌notes‌‌should‌‌pre-populate‌‌ 
once‌‌you‌‌click‌‌on‌‌“New‌‌note”‌‌   ‌
○ Ask‌‌your‌‌resident‌‌what‌‌Note‌‌Type‌‌and‌‌Service‌‌to‌‌select‌‌when‌‌creating‌‌your‌‌note‌‌ 
as‌‌this‌‌will‌‌influence‌‌the‌‌template‌‌that‌‌shows‌‌up.‌‌   ‌
● Once‌‌you’re‌‌added‌‌to‌‌the‌‌patient‌‌list,‌‌skim‌‌one‌‌of‌‌the‌‌resident‌‌notes‌‌to‌‌see‌‌what‌‌type‌‌of‌‌ 
information‌‌they’re‌‌documenting‌‌   ‌
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After‌‌clicking‌‌into‌‌a‌‌particular‌‌patient’s‌‌chart‌‌to‌‌prechart‌‌for‌‌morning‌‌rounds...‌  ‌
● For‌‌precharting,‌‌your‌‌goals‌‌are‌  ‌
○ (1)‌‌Start‌‌to‌‌populate‌‌the‌‌24‌‌Hour‌‌Events‌‌section‌‌of‌‌your‌‌progress‌‌note‌‌   ‌
○ (2)‌‌Figure‌‌out‌‌what‌‌you’re‌‌going‌‌to‌‌be‌‌doing‌‌in‌‌the‌‌patient’s‌‌room.‌‌That‌‌is,‌‌what‌‌ 
questions‌‌are‌‌you‌‌asking?‌‌What‌‌physical‌‌exam‌‌maneuvers‌‌are‌‌you‌‌doing?‌‌   ‌
● Create‌‌and‌‌save‌‌a‌‌note‌‌as‌‌a‌‌draft‌‌(“pend‌‌the‌‌note”)‌‌   ‌
○ This‌‌will‌‌serve‌‌as‌‌a‌‌central‌‌place‌‌to‌‌store‌‌information‌‌as‌‌you‌‌collect‌‌information‌‌ 
about‌‌each‌‌patient‌   ‌
● Use‌‌the‌‌“Synopsis”‌‌tab‌‌to‌‌view‌‌all‌‌events‌‌by‌‌time‌‌versus‌‌by‌‌event‌‌type‌  ‌
○ If‌‌you‌‌don’t‌‌see‌‌this‌‌tab,‌‌check‌‌the‌‌overview‌‌menu‌‌(downward‌‌facing‌‌caret)‌‌   ‌

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○ Look‌‌at‌‌the‌‌vitals‌‌(is‌‌the‌‌fever‌‌trending‌‌up‌‌or‌‌down),‌‌which‌‌as-needed‌‌(“PRN”)‌‌ 
meds‌‌are‌‌administered,‌‌etc‌  ‌
■ For‌‌a‌‌more‌‌detailed‌‌medication‌‌information,‌‌can‌‌look‌‌at‌‌“Summary‌‌> ‌‌
Current‌‌Meds”‌‌or‌‌“Summary‌‌>‌‌Med‌‌History”‌‌   ‌
○ Keep‌‌this‌‌tab‌‌open‌‌during‌‌morning‌‌rounds‌‌to‌‌view‌‌the‌‌lab‌‌results‌‌live‌‌as‌‌they‌‌ 
trickle‌‌in‌‌so‌‌you‌‌won’t‌‌be‌‌caught‌‌off‌‌guard‌‌   ‌
● Skim‌‌all‌‌notes‌‌in‌‌the‌‌last‌‌24‌‌hours‌‌   ‌
○ Goal:‌‌to‌‌get‌‌a‌‌sense‌‌of‌‌who‌‌else‌‌has‌‌seen‌‌the‌‌patient‌‌and‌‌what‌‌they’re‌‌saying‌  ‌
● Go‌‌see‌‌the‌‌patient!‌‌   ‌
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What‌‌to‌‌include‌‌in‌‌the‌‌the‌‌24‌‌hour‌‌events‌‌section‌‌of‌‌the‌‌progress‌‌note‌:  ‌‌ ‌
● Any‌‌notable‌‌events‌‌later‌‌in‌‌the‌‌afternoon‌‌the‌‌day‌‌before‌‌   ‌
● Any‌‌“acute”‌‌or‌‌emergency‌‌events‌‌overnight‌‌(if‌‌none,‌‌can‌‌write‌‌NAEO‌‌=‌‌no‌‌acute‌‌events‌‌ 
overnight)‌‌   ‌
● How‌‌the‌‌patient‌‌is‌‌feeling‌‌this‌‌morning‌‌and‌‌how‌‌they‌‌slept‌‌overnight‌‌   ‌
● #‌‌urination‌‌+‌‌bowel‌‌movement‌‌episodes‌‌   ‌
 ● Whether‌‌the‌‌patient’s‌‌appetite‌‌intact‌‌(aka‌‌finishing‌‌meals?‌‌Feels‌‌like‌‌eating?)‌‌   ‌
● Asking‌‌them‌‌about‌‌their‌‌symptoms‌‌(pain‌‌scale‌‌rating‌‌for‌‌headache?‌‌How‌‌is‌‌their‌‌cough‌‌ 
doing‌‌today‌‌compared‌‌to‌‌yesterday?)‌‌   ‌
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Tips‌‌for‌‌deciding‌‌what‌‌you’re‌‌doing‌‌in‌‌the‌‌room‌:  ‌‌ ‌
● When‌‌you’re‌‌first‌‌starting‌‌out,‌‌you‌‌may‌‌want‌‌to‌‌peek‌‌at‌‌the‌‌resident‌‌note‌‌to‌‌look‌‌for:‌‌   ‌
○ What‌‌ROS‌‌to‌‌ask‌‌when‌‌you’re‌‌seeing‌‌the‌‌patient‌‌   ‌
○ What‌‌physical‌‌exam‌‌maneuvers‌‌to‌‌do‌‌when‌‌you’re‌‌seeing‌‌the‌‌patient‌‌   ‌
● Always‌‌ask‌‌the‌‌patient‌‌about‌‌how‌‌they’re‌‌feeling‌‌in‌‌their‌‌own‌‌words,‌‌urination‌‌+‌‌bowel‌‌ 
movements,‌‌appetite/meals,‌‌what‌‌they’re‌‌looking‌‌forward‌‌to‌‌today‌‌   ‌
○ Then‌‌ask‌‌targeted‌‌ROS‌‌based‌‌on‌‌their‌‌current‌‌illness,‌‌generally‌‌want‌‌to‌‌always‌‌ 
ask‌‌the‌‌Constitutional/General‌‌ROS‌‌questions‌‌   ‌
● Generally‌‌usually‌‌always‌‌want‌‌to‌‌do‌‌heart,‌‌lung,‌‌and‌‌abdominal‌‌exam‌‌   ‌
○ Also‌‌ask‌‌patient‌‌orientation‌‌questions:‌‌Where‌‌are‌‌you?‌‌What‌‌month‌‌is‌‌it?‌‌What‌‌is‌‌ 
your‌‌name?‌‌Etc‌‌   ‌