An 80-year-old female was admitted to the medical unit from ER with a GI Bleed NYD. Past history of A. Fib., COPD, Rheumatoid Arthritis. The learner will receive a report over the phone from the ER nurse and will plan and prioritize care. When the participant completes the introduction, QPA, vital signs, the patient will request to use the commode (urgently) this happens prior to performing the abdominal assessment. The participants will complete a mobility assessment and safely transfer to the commode. The patient had large BRBPR with clots (cherry pie filling) with associated feelings of dizziness, lightheadedness, decreased BP, and increased heart rate. Learners will need to use SBAR to report this status change to the RN/Charge nurse and give a handover report to the RN.