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Nursing Manual
Telephone Communications
When working in the community setting, your job responsibilities may require
you to provide staff guidance over the phone. It is important that you, the
program that you are working with, and the home's staff understand the parameters
around these calls.
The agency's policy on contacting
the nurse, and/or your job description, should clearly state the hours that
you, as the nurse, can be called. This can range from only during working
hours, to being available twenty-four hours a day, seven days a week.
Several things can direct circumstances under which the program's staff might
contact you. This would include circumstances identified in agency/program
policy, ISP Health Care Plan/Nursing Care Plan, interventions, nursing orders,
protocols, and/or when a person in your care has an acute illness or injury.
In the event you provide staff guidance
over the phone concerning a person, you need to ensure that the following
are documented.
- The contacting person's name
and title, the name of the person they are calling about, the date and
time of the call.
- The reason for the call.
- Additional information you might
request from the person calling.
- Instructions given to staff for
how to intervene with the situation.
- Instructions given to staff regarding
when and who to call if intervention fails.
- The expected time that you will
follow up on the situation.
- Your legal signature.
The second page of this section
contains a sample telephone communication documentation form. Similar forms
may also be purchased at an office supply store. The completed form can be
affixed to the individual's progress notes with the date.
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