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Calling the doctor


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Calling the doctor

  1. 1. Calling the DoctorBefore calling the doctor the nurse should think… Have I seen this patient myself before I call? Are there standing orders I could use? Do I have on hand:  The chart  List of current meds & IV fluids  Most recent vital signs  If reporting lab work, date and time this test was done and results of previous tests for comparisons  Code statusIf it is between 7 pm and 7 am, have I discussed this call with the RNon my unit or the Nursing Supervisor?
  2. 2. Calling the Doctor (continued)  Have I read the most recent MD progress notes and notes from the nurse who worked the shift ahead of me?  If calling for a consult, why is the physician being consulted?? This information needs to be communicated. When ready to call, remember to: • Have chart at hand • Identify self, unit, patient, room # • Know the admitting diagnosis and date of admission • Briefly state the problem, what it is, when it happened or how it started, and how severe it is • What have I done to resolve the problem? • What do I expect to happen as a result of this call?
  3. 3. Calling the Doctor (continued) Make sure you are calling the most appropriate physician. If in doubt, always call the attending physician Check to see if others need the same physician, cluster calls if possible Call the doctor only after answering all of these questions
  4. 4. Calling the Doctor (SBAR)(S) Situation: What is the situation you are calling about? • Identify self, unit, patient, room number • Briefly state the problem(B) Background: Pertinent background information related to thesituation could include the following: • The admitting diagnosis and date of admission • List of current medications, allergies, IV fluids, labs • Code Status(A) Assessment: What is the nurse’s assessment of the situation?(R) Recommendation: What is the nurse’s recommendation; whatdoes he/she want? SBAR is a communication tool