Today I had a patient with a blood sugar of 600 and paged the doctor and did not get a reply so I texted the doctor And she texted me back stating to get stat labs give additional insulin etc then she proceeded to text orders for three other patients. We are also texting questions and lab information to the mds and nps. Most of the doctors and nurse practitioners are texting orders to the nurses. I work in a sub acute care facility and we don't always have a doctor in house.
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