Mr. Granger is a 67-year-old with a history of COPD who visits his primary care office today for increased shortness of breath the past 3 days. He states that he has a cold that just won’t go away. His wife reports that he has felt feverish, but she has not checked his temperature. Mr. Granger has crackles throughout his lower lung fields. Vital signs: BP 140/86, Temp. 101.8°F (38.8°C), P 102, R 32, O2 saturation 86% on room air. Per the HCP’s order, you apply oxygen at 2 L per nasal cannula and his 02 sat increases to 92%. The HCP decides to send Mr. Granger to the emergency room (ER) and calls an ambulance. You are preparing to give a hand-off report to the HCP. Think about the information you should include in the hand-off report. Now turn to your neighbor and communicate a hand-off report using ISBARR