You are the RN on 4 West and it is 1500. First, sort nine things the shift has handed you into routine and red flag, and see the first nursing action for each. Then build the escalation call line by line — including deciding which sentences should never leave your mouth. Concern that is not communicated clearly is concern that gets deferred.
Part 1 · Walk the shift
0 of 9 sorted
Part 2 · Build the call
Mr. Ellis has just disclosed a plan, and you are about to page Dr. Nolan. Place each line in Situation, Background, Assessment or Recommendation — or leave it out of the call entirely.
The call, as you have built it
The Recommendation is the line students omit and the line that produces action: say what you want, and when you want it.
Feedback
Act first, then callIn the worked example the nurse started continuous observation and secured the tablets before picking up the phone. Making the person safe is not something you request — it is something you do, and then report.