Call Transcript
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 I wait for you to open the email and verify the code, or are you okay for me to proceed?
Okay to proceed.
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 confirm I'm speaking with Charlotte or an authorized healthcare delegate for her?
Yes. That's correct.
Thank you. 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?
Yes.
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?
Yes.
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?
Not too often.
To help your anesthesia team understand your current fitness level and predict your heart's ability to handle the stress of surgery, we use the Duke Activity Status Index, or D-A-S-I. It is a series of simple questions. Are you ready?
Can you take care of yourself, such as eating, dressing, or washing, without help?
Yes.
Okay, I've noted that you can take care of yourself without help. Can you walk indoors, such as around your house or apartment?
Yeah. I don't have any problem with that.
Okay, I've noted that you can walk indoors without any problem. Can you walk a block or two on level ground?
Okay, I've noted that you can walk a block or two on level ground. Can you do light work around the house, like dusting or washing dishes?
Yes.
Okay, I've noted that you can do light work around the house. Can you climb a flight of stairs, which is about 10 to 12 steps, without stopping?
Γεια σας.
Okay, I've noted that you can climb a flight of stairs without stopping. Can you walk up a steep hill?
Yes. I can.
Okay, I've noted that you can walk up a steep hill. Can you run a short distance?
Yes. I can run.
Okay, I've
Several miles.
Okay, I've noted that you can run a short distance. Can you do moderate recreational activities, such as golf, bowling, dancing, or cycling on level ground?
Yes.
Okay, I've noted that you can do moderate recreational activities. Can you do heavy work around the house, like scrubbing floors or lifting heavy items?
I can't. I need it.
Okay, I've noted that you cannot do heavy work around the house. Can you participate in strenuous sports, such as swimming, singles tennis, football, or basketball?
Okay, I've noted that you can participate in strenuous sports. Can you do yard work, such as raking or pushing a power lawn mower?
Yap bakayım.
Okay, I've noted that you can do yard work. Can you have sexual relations?
Sure.
Okay, I've noted that you can have sexual relations. Charlotte, I have another question in the same area, and I appreciate your patience as I gather all this information about your daily functions. On a scale from one to ten, where one is not motivated at all and ten is extremely motivated, how motivated are you to do any physical activity?
Moderately motivated.
Okay, I've noted that you are moderately motivated. 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 would you like for me to do?
I've gotta go now. Can I call back later?
Of course, please take your time. It's no problem at all. I can wait on the line for you, or I can schedule a call back to pick up right where we left off. What would you prefer?
I can certainly do that. To make sure I call back at a good time, approximately how many minutes from now should I try again? Or would a specific day and time work better?
Great. I have noted that down. I will call you back tomorrow morning at seven thirty a.m. Goodbye for now.