Acuity	Type of Messages
High	Worrisome patient symptoms (bleeding, chest pain, shortness of breath, etc.). Heavy bleeding — ask nurse to meet you in the room so you can do an exam, including bimanual exam. Bring bedside US and gloves. Severe vital abnormalities (SBP >160 or <90; DBP >110 or <50).
Medium	Mild vital abnormalities, moderate pain. “Patient would like to talk to a doctor.”
Low	Random orders — Tylenol, miralax, etc. C-section dressings. Changing preferred pharmacy.