Suppose you are in charge of Mrs Rita, a 74-year-old woman. You work in a small suburban clinic in South England. She has been under care for the last three weeks. She has no known relatives. She has had a good history since admission but an hour ago Mrs Rita’s condition suddenly worsened. Her GP (the duty doctor at the clinic) is on leave today. Since you are not very sure about the next move, you decided to talk to the GP over phone.
First let’s complete this telephonic conversation:
You: Doctor, I am Nikia, on duty at the clinic now. I am sorry to disturb you at this time but is kind of emergency, Doctor. This is regarding Ms Rita, your patient. I hope you know her records.
Doctor: Yes, Nikita. Please go on!
You: Her conditions were remarkably good till this evening, but, Doctor, there is a situation I have no idea how to deal with. You know, she was found semi unconscious at 8.00 and I thought that it was a case of overdose. I found two empty ampules of a medicine that has labels in Spanish. I have no idea what that was and who injected the medicine. Yes, Ms Rita is herself a nurse, I mean, she was and she had discussed euthanasia a day ago. Now she is heard breathing faintly and I cannot rush her to another facility because I am in charge of three other patients. What should I do?
Doctor: Nikita, there is nothing to worry. Just take a photo of the ampules and send them to me on telegram. I will do all arrangements for her emergency transfer to Hilston Hospital. Is that okay?
You: Thank you, Doctor!
Doctor: Listen, Nikita. One thing! Please prepare a transfer letter to the hospital with all the relevant details about Ms Rita’s past, present condition. Okay? Do not write anything that the emergency doctor there, Dr Mona, my colleague, doesn’t need to know. You got me?
You: Yes, Doctor. I will do the best I can.
Now, as Nurse Nikita, convert the conversation into a letter.