Step 6 Signing

“Signing” Section

The Signing Section of the letter has one paragraph, contact person, Yours sincerely and writer’s designation:

• The Final Paragraph.
• Whom to contact?
• Yours sincerely, / faithfully,
• Designation (Charge Nurse).

What is in the Plan?

The Plan section has two types of data: Information and instructions. Usually, information are for doctors while instructions are for nurses. 

• Information (For doctors).
• Instructions + Information (For nurses).

Note

• Tense: Present, Future (will, may, can).
• Start with: “Based on…”
• Please note, / Please note that / Most importantly / It is worth noting that …
• Name → sincerely, 
• Doctor / Nurse / Sir / Madam → faithfully,

Request Styles

• Please +++ (Formal).
• It is important to +++ (Informal).
• Kindly +++ (Formal).
• Make sure +++ (Informal).
• She needs ++++ (Informal)

Sample Notes

Patient: Mr Fred Henrik,
Recipient: Post-Surgical Care Nurse

Plan

• Follow-up in one week to check wound healing.
• Prescribe paracetamol for pain relief.
• Keep the wound clean and dry.
• No heavy lifting for two weeks.
• Monitor for signs of infection.
• Encourage mobility to prevent clot formation.
• No driving until advised.
• Remove sutures in 10 days.

Sample Answer

Based on Mr Henrik’s current condition, kindly keep the wound clean and dry, and monitor for signs of infection. Encourage mobility to prevent clot formation during which he should not lift heavy objects or drive until advised. Please note, he has his next follow-up in one week to check wound healing, thereafter, his sutures will be removed. Please prescribe paracetamol for pain relief. 

For any further information about Mr Henrik, kindly contact me. 

Yours sincerely,

Charge Nurse.