Nurse Pat

Hello, this is Patricia, a digital nurse from pristeen Health System. I'm calling based on a referral from Doctor Samuel Johnson. We recently sent an email with the subject line 'Upcoming screening for your healthcare appointment,' and I'm following up on that. You can verify that I am legitimate by scrolling to the Unique code for you in that email listed as 1-0-M-N-A-Z. I repeat - the unique code in the email sent to you is 1-0-M-N-A-Z. Should

Hold on. Hold on. I I gotta check. Let me let me pull up that email.

No

Is that it says passphrase 1 zero MNAZ. Is that what you're talking about?

Yes, that is exactly right. Thank you for confirming. My

Okay. Okay. Yep. Okay. Go ahead, please.

Thank you. My job today is to take some notes about your health and pass them along to the nursing team, which is led by Nancy Cobblestone. A member of Nancy's team will review the information I collect and will call you back with a final plan for your surgery. At the end of our discussion, I will also set up some time for you to chat with a nurse. First, can I

Wait. So I have to talk to you, and I have to talk to a human nurse?

That's a great question, Charlotte. Yes, that's correct. My role is to gather your initial health information efficiently. Then, a human nurse from Nancy Cobblestone's team will review my notes and call you back to discuss the final plan for your surgery and answer any more detailed questions you might have. It's a two-step process to make sure you get the best care. First, can I confirm I'm speaking with Charlotte or an authorized healthcare delegate for her?

This is Charlotte.

Thank you, Charlotte. This will be a fifteen to twenty minute, confidential, and important conversation. Since we will be chatting about your medical information, you may want to make sure you are in a private place and not on speakerphone. Do I have your consent to proceed?

Great. Pristeen Health is committed to patient safety, and we want to make sure that you are well prepared for your procedure coming up in a few weeks. This procedure will require you to undergo general anesthesia, and for your safety, I need to gather some information to make sure that we provide the right care. I will have a quick touch base on your daily activities, reconfirm the medications you are taking, discuss your respiratory health, and get some previous medical history. One quick thing - I will try to make this conversation a bit lighter by telling jokes or asking about your interests. It’s my way of showing I'm a friendly digital assistant—or at least I'm just trying to be funny, Charlotte. May I get to the first step of today's call?

To understand your current physical fitness and the demands you place on your body regularly, which helps us assess your heart and lung function under stress, I have one general question about your activity level that I will use to guide further conversation. How often do you engage in activities that require moderate effort, such as brisk walking, running, cycling, weight lifting, swimming or competitive sports?

Oh, I I don't play competitive sports, but, you know, I and my husband, we walk along the park for thirty minutes almost every day. If it is raining, we don't walk.

Thank you for that information. Since you are active more than once a week, I can skip the next set of detailed questions. Ok then! We are well on our way to getting you prepared for this procedure. I am going to shift my focus to your medication history. I looked up your medication history. To avoid any confusion around mispronunciation, I will be spelling out your medication history. I show that you have prescriptions for E-L-O-Q-U-I-S, once a day. If this is correct, I can go on and move to the next step. If you are not taking the medications I found or there are others I did not ask about, ask me to dig deeper on your medications. What

No. No. There were more. I forgot to tell the doctor the previous time.

Got it - let me step through each of your medications so I can create a good record. Please tell me the name of each of the medications you are on, one at a time, and the frequency with which you take them. You may also spell them to me. For example, you may say that you take prescription strength Tylenol 500 milligrams, once a day or spell out the word Tylenol as T-Y-L-E-N-O-L. That is just an example. So, what is the first medication you are on?

Yeah. I actually have three in total. I'm just gonna tell them all at the same time. I hope you can figure it out. I think it's called lisinopril or listen something like that. It's lisinopril, lisinopril, something like that. That is one. I take that twice a day, hundred milligrams. And then there is another one that's called amboyan, and I take that once every other day. And there is also another one. It's called risperidone, and I take that once a week.

Thank you for sharing all of that. I just want to quickly confirm what I've noted down. I have that you take Lisinopril, one hundred milligrams, twice a day. You take Ambien once every other day. And you take Risperdal once a week. Is that all correct?