On November 14, 2012, Erin was counseled regarding 3 missed clinical days during her level 2 rotation.  She has missed clinical on October 15 and October 31 due to a respiratory infection.  She arrived at clinical on November 5th with a loose, non-productive cough and was visibly short of breath at rest during pre-conference.  I assessed her lungs and ausculatated inspiratory and expiratory wheezes throughout both of her lungs.  I asked if she had a history of asthma and she reported that she did have a history of exercise-induced asthma.  Erin also had a rash on her neck and chest with pruritis.  I sent her to the ER and she was sent home thereafter with a prescription for steroids.  

Erin has been suffering with this infection and an underlying condition of asthma, for several weeks. All 3 absences have been excused due to medical necessity.  