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Table 1 Classification of call reasons with definitions and examples

From: Patient severity matters for night-shift workload for internal medicine residents in Taiwan

Call reason category Definition Example
Abnormal vital signs Abnormal blood pressure, heart rate, respiratory rate, body temperature, oxygen saturation, or consciousness Hypotension
Fever or hypothermia
Original symptom/problem An existing symptom or problem which has been handed over from the previous shift Cancer pain breakthrough
Ileus with refractory vomiting
New-onset symptom/problem A new symptom or problem that was not noticed in the previous shift Chest pain
Shortness of breath
Need for physician’s evaluation, prescription, or procedure Events that nurses think the physician should evaluate, prescribing orders, or performing medical procedures Hyperglycemia
Difficulty in sleeping
Foley obstruction
Need for explanation or communication Situations in which the nurses think the physician should answer questions or say something to the patients or relatives Refusing protective constraints
Refusing treatment advice
Angry patient or relative
Others The physician should be informed but no need for direct evaluation Falling without obvious injury