Chelsea’s Mail: Calling your first physician



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Q: What went through your mind the first time you had to call a physician at home regarding a patient?

A: It can be pretty intimidating to approach doctors on the floor or on the phone. But we have to place calls out to them pretty much all day. Patients have multiple doctors collaborating on their care so when weenvelope need to address an issue, we have to be sure to contact the right doctor.

Talking to doctors isn’t as bad as you think it’s going to be. If you have a valid reason to call them, then it shouldn’t be a problem. You have to be aware of the questions that they may ask you. For example, if it’s a medication question, you should have the patient’s medication record available.

The first time I called a doctor I had to psych myself up, and I actually made a list of the things I needed ask for and backed it up with the reasons it was necessary. I just didn’t want to sound stupid. I didn’t want him to think I didn’t know what I was talking about. Doctors want your recommendations on the situation so you need to be prepared to ask for a certain drug or lab to be ordered.

It definitely takes some getting used to, but I have become much more comfortable calling doctors (some more than others). Now, most of the times, I don’t even think about it. I just do it.

What are you thoughts on the topic? We’d love to hear them.

Have an inquiry for Chelsea? Leave it … and she’ll answer it.

Editor’s Note: Chelsea is a first-year RN in the Boston area. Read other posts from her mailbag here.

About the Author
Hi, I’m Chelsea, a 22-year-old nurse from Boston, MA. I wish I could list all these credentials to show what an amazing nurse I am, but give me time. I’m just starting! I have my BSN and I am currently working my first job in a community hospital on a telemetry or progressive care unit.

Chelsea Bancroft

One Response to “Chelsea’s Mail: Calling your first physician”

  1. Mary K Parker Says:

    Chelsea,
    I would strongly recommend drafting an SBAR form to use on your unit. SBAR is an acronym for Situation-Background-Assessment-Request/Recommendation.

    This link provides a checklist to review and help the nurse organize his or her thoughts before calling the physician:
    http://www.cdha.nshealth.ca/default.aspx?page=DocumentRender&doc.Id=975

    this link provides an in-depth and expanded review of the SBAR form:
    http://www.colorado5millionlives.org/repository/Pdfs/INTERVENTION/SBAR/SampleSBARCommunicationToolCHI.doc

    This site has several versions for use in the perinatal specialty:
    http://www.ihi.org/IHI/Topics/PerinatalCare/PerinatalCareGeneral/EmergingContent/PerinatalSBARTools.htm

    Having all your ducks in a row before you page the provider will allow your provider to “see” the patient as you see him/her and to make appropriate and safe decisions. This becomes especially important when you are calling in the wee hours of the night and having to wake someone from a sound sleep. Studies have shown it takes a few minutes to adjust and actually understand what is being said.

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