Table 1.
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