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Question
Thomas, a new nurse graduate, is assigned to practice on a unit where practices are physician centered. He is working on the night shift and knows that eventually he will have to call a physician for advice about a patient. He dreads this experience because he has heard so many tales about how much physicians dislike being awakened in the middle of their sleep. He asks a more experienced nurse how to present information, how to convey the importance of needing an answer, how to remain calm if the physician is disturbed with him, how to document his oral interchange with the physician, and what the nurse's first experience was like.
1. How would you contact a physician who dislikes being awakened at night?
2. Is asking a more experienced nurse about how to present information a good strategy? Explain why/why not.
3. How could Thomas use the IOM competencies to practice his communication in advance before calling a physician?
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