The nurse calls a physician to come to the unit to assess a patient. Which of the following is the most effective telephone communication by the nurse?
a. "This is the 4100 unit troublemaker again. You probably ought to come to the unit to see Mr. Samuels. His condition doesn't seem right.".
b. "This is Ann Allen on 4100 . I don't quite know what to think about Mr. Samuels. I think his condition is deteriorating, and I'd like to have you see him.".
c. "Sorry to bother you. This may not be important, but I'm not completely com-fortable with Mr. Samuel's response to care. His blood pressure has dropped, and his pulse is elevated.".
d. "This is Sheila Ryan on 4100 calling re-garding your patient, Mr. Samuels. His BP has dropped from 130/90 at 8 am to 100/70 at 10 am. His pulse has risen from 80 to 100, and he seems restless. He re-ceived his 8 am Cardizem.".
D
A detailed, objective response is effective when communicating not only in person but also by telephone. Try organizing your conversation in the I-SBAR-R communication format. The other responses are subjective in nature with no descriptive assessment data to provide to the physician.
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