Physician Notification: What Nurses Should Document

When a patient’s condition changes, simply charting “MD notified” may not tell the full story. In this video, I explain what nurses should document when notifying a physician or healthcare provider about a change in a patient’s condition. You’ll learn how to clearly document: • What changed in the patient’s condition • Your assessment findings and vital signs • Who you notified and when • What information you reported • Orders or instructions received • The patient’s response and follow-up assessment • When further escalation or chain of command may be necessary Clear, objective, timely, and specific documentation helps communicate the patient’s clinical story and supports continuity of care. I am Faith Akhionbare, RN (Retired), creator of Care Before Crisis. Care Before Crisis helps nurses document clearly, protect their practice, recognize patient deterioration, and communicate effectively before a crisis. Subscribe for practical nursing documentation tips and charting examples. #NursingDocumentation #Nursing #NurseEducation #Charting #Nurses • Who you notified and when • What information you reported • Orders or instructions received • The patient’s response and follow-up assessment • When further escalation or chain of command may be necessary Clear, objective, timely, and specific documentation helps communicate the patient’s clinical story and supports continuity of care. I am Faith Akhionbare, RN (Retired), creator of Care Before Crisis. Care Before Crisis helps nurses document clearly, protect their practice, recognize patient deterioration, and communicate effectively before a crisis. Subscribe for practical nursing documentation tips and charting examples. #NursingDocumentation #Nursing #NurseEducation #Charting #Nurses