Not something I would ask the nurse (if it is a nurse) to do on an initial vital check for someone with strep symptoms. Maybe they would check if there were increased fainting or dizziness. I would hold off and discuss my concerns with the doctor so he/she could decide what vitals he needs. That's the person who's making the diagnosis and decides what data they need. I guess though it would depend on if you're confident the doctor your seeing will do a complete and thorough exam. A doctor has checked my sitting/standing vitals, never a nurse/tech when checking in. That's just what I would do. I've been sick before and it does definitely exacerbate the POTS so I would expect a faster HR. The treatment for strep is the same though whether my POTS is exacerbated or not. Oh, and as others have said a lot of times it is a tech/cna. Have they even been trained in orthostatic vitals. If you wait til you get to see the doctor the doctor may check or at least maybe a RN. Anyway. Hope all is better and she's on the road to recover. Brye