- Weight ↑ > 2 lbs in 24 hrs
- HR > 110 or < 50
- BP > 180/110 or < 90/60 with symptoms
- O2 sat < 90% or RR>22
- Chest pain or acute SOB
- New confusion or lethargy
- Any rapid decline
- Missed diuretics or cardiac meds
- Vitals
- Recent meds
- Labs if available
- Quick SBAR (Situation, Background, Assessment, Recommendation)