rtNOW incoming call at 08:32PM from RN at small community hospital ED caring for ***** ***** DOB 01/01/1967 MRN ********. Patient came in for shortness of breath due to CHF and fluid retention. V60 BIPAP was started with the following settings on St mode 10 10/6 30% with improved respiratory rate from 40’s down to mid 20’s saturation at 99%. Patient respiratory rate on V60 after patient was given Dilaudid and Lasix was 18, VT 547, Minute ventilation 11.3 and alarms set appropriately. VBG as patient was getting placed on V60 was the following 7.38/39/76/22.6/-2.3. I suggested getting a repeat ABG/Vbg in the next hour and I will call back within that time. Nothing else was needed from RT and advised to call if something should arise. rtNOW call ended at 08:40PM.
rtNOW follow-up call at 09:54PM to talk to RN caring for ***** ***** DOB 01/01/1967 MRN ********. VBG/ABG is still pending and will call back for recommendation if it has abnormal results. RN is going to be drawing labs shortly, but was busy with other patient. Patient will be admitted to the Med/Surg floor and staying at small community hospital. Instructed RN to call when transfer to floor is complete or if anything else should change. rtNOW call ended at 09:55PM.
Patient and facility information obfuscated for privacy.