Table 4.

Examples of Text Exchanges between APRN and Patients

APRN Primary Care Action	Examples of Patient Text Responses
Screening	“I'm not feeling good since 2:45 am and my back started hurting and I have cramps and it's very painful but I don't know what to do because I don't have pain medicine.”
Referring	“I went to the ER. I had puss on my throat I was going to get a big symptom of strep throat if I didn’t go. They have me take a medicine…. … Thanks for the advice.”
	“Yea I'm in the hospital … I had initially came in for my leg pain and then I got a fever and chest pain so they are treating it with antibiotics and motrin around the clock… also a PCA with dilaudid for the pain. I'm still getting fevers on and off and they treat it with motrin to break the fever. They just switched me from inhalers to breathing treatments every four hours with breakthrough treatment if necessary. I'm doing ok other than everything that's been going on. Still in some pain but the meds are helping.”
Informing	I have been reading a lot about sickle cell and when I go into a crisis I talk to some of the participants of the study. I want to continue the study. Every time someone at school ask me about why my eyes are yellow? I tell them why and they get more interested into it.
Supporting	Thank you for checking on me. I have been here for 3 weeks and 4 days. Had 3 surgeries, 2 in one day. Almost died after my second surgery, left lung collapsed and a lot of fluid was around it, also 1 of the vessels in my heart bursted and they couldn’t stop the leaking so 15 minutes later I was rushed into third surgery for a chest tube. My blood hasn’t been staying up. I’ve already had 7 units of blood. I have 4 breathing treatments. I’m doing them now: 1. vest therapy to massage my lungs, 2. steroid inhaler, 3. breathing treatments, 4. incentive spirometor. Yeah I’m doing pretty bad, but thank you for checking on me. It means a lot.