Notifying Provider

Question 1

Include

Answer 1

the full name of the provider*

Question 2

note

Answer 2

the exact time you notified the provider

Question 3

state

Answer 3

the specific laboratory result, symptom or other assessment data that you reported

Question 4

record

Answer 4

the providers response, using the exact words if possible*

Question 5

Include

Answer 5

any orders which the provider gives. If the provider gives no orders, note this - especially if you anticipated an order. For example, “Dr. Sara Jones informed of oral temperature of 104 F. No orders received.”* ​

Question 6

Include cont.

Answer 6

In your complete note of the event, include the patient’s other vital signs, relevant observations and any nursing interventions you performed. *

Question 7

Include cont.

Answer 7

the commitment for necessary follow-up by provider, such as, “Will visit patient at 0600.”

Question 8

Include cont.

Answer 8

symptoms and parameters such as changes in vital signs, level of consciousness, or pain that the provider defines as indicators for nurses to use in deciding to call the provider again.​

Question 9

Note

Answer 9

it is essential that you note your own actions to assist the patient in addition to documenting your contacts with the provider

Question 10

Pursue

Answer 10

if a provider fails to respond to a page, a telephone message, or fails to order an intervention and thereby creates a risk for the patient, pursue the chain-of-command and notify your direct supervisor

Question 11

Record

Answer 11

all actions