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. 2017 Oct 24;1(2):218–230. doi: 10.1007/s41666-017-0008-3

Table 1.

Sample excerpts from field notes and resultant content themes

Excerpt Content theme

Nurse initiates communication at physician workstation

Nurse: “Plan for patient?”

Physician: “Wait two hours and verify with poison control”

Plan and disposition

Nurse initiates communication with physician while at nurse workstation

Nurse: “What did they call about?” Regarding phone call physician just completed.

Physician: “Labs back now. Albumen back?” Asking while nurse viewing labs in electronic medical record.

Nurse: “Probably just haven’t posted.”

Task status

Physician: “Add ionized calcium.”

Nurse: “I’ll generate order, trying to add on, I’ll put it [the order] in.”

Orders/medications/tests

Nurse initiates communication at physician workstation

Nurse: “Can walk…”

Patient health status
“…got Tylenol, wound clean.” Task status
Physician: “Can you go back in with translator phone?” Other

Contextual information captured in the notes is shown in italics