diff --git a/PROMS/VEPROMS.CSLA.Library/Extension/ItemInsertExt.cs b/PROMS/VEPROMS.CSLA.Library/Extension/ItemInsertExt.cs
index c05f7f8c..129dbecc 100644
--- a/PROMS/VEPROMS.CSLA.Library/Extension/ItemInsertExt.cs
+++ b/PROMS/VEPROMS.CSLA.Library/Extension/ItemInsertExt.cs
@@ -285,6 +285,9 @@ namespace VEPROMS.CSLA.Library
 			// Refresh ItemInfo to update PreviousID field
 			if (tmp.NextItem != null) using (Item item = tmp.NextItem.Get()) ItemInfo.Refresh(item);
 			RefreshNextItems();
+			// if inserting after a caution or note, refreshes tabs.  This will adjust bullets
+			// of any previous cautions or notes.
+			if (tmp.IsCaution || tmp.IsNote) ResetOrdinal();
 			// Update all of the content records that have transitions that point to the Siblings or Sibling Children of the new item 
 			tmp.UpdateTransitionText();
 			OnNewSiblingAfter(new ItemInfoInsertEventArgs(tmp, EAddpingPart.After));
@@ -657,7 +660,10 @@ namespace VEPROMS.CSLA.Library
 					nextItem.UpdateTransitionText();
 				}
 				else if (prevItem != null)
+				{
 					prevItem.RefreshNextItems();
+					if (prevItem.IsCaution || prevItem.IsNote) prevItem.ResetOrdinal();
+				}
 				ItemInfo.DeleteItemInfoAndChildren(item.ItemID); // Dispose ItemInfo and Children
 			}
 			catch (Exception ex)