Our client had a kidney stone and was discharged the day prior. Our client returned to the hospital and sat “zombie-like”, in pain, pale, sweating, confused, lethargic, and vomiting/dry heaving in the waiting room for over 2 ½ hours and was not physically assessed by anyone. When finally examined by a physician, she had shortness of breath, severe abdominal pain, critically low blood pressure (hypotension), dehydration, SIRS (systemic inflammatory response syndrome), acute kidney injury and was ultimately diagnosed with urosepsis and respiratory failure. In life-saving treatment for the shock, dehydration and hypotension, rapid administration of IV fluids and vasopressors were required and her legs and arms became necrotic requiring multiple amputations.