Exam Pass Notes

Safe Telephone Basics
- Check your phone system, scripts and escalation routes before handling complex calls.
- Start calls clearly and confirm the caller's identity following local procedures.
- Verify caller authority before sharing information with relatives, carers or advocates.
- Speak at a calm, steady pace and read back important details to confirm accuracy.
Communication Skills
- Explain briefly why you need particular information.
- Ask only the information required for the agreed process; do not give clinical advice.
- Tell the caller when you are checking records so short silences are not misunderstood.
- Use holds, transfers and call-backs with a named owner for the next action.
- Give clear timeframes rather than saying "someone will get back to you".
Confidentiality and Safe Contact
- Consider who may hear the call at both ends when assessing telephone privacy.
- Follow local policy for voicemail, texts, shared phones and speakerphone calls.
- Record safe-contact preferences and restrictions when appropriate.
- Escalate immediately if the patient cannot speak freely or discloses risk.
Records and Escalation
- Record the patient's words, caller authority, contact details and agreed next action.
- Do not rely on memory after busy shifts; document promptly.
- Only escalate when the next person or workflow accepts responsibility for the action.
- Report repeated call-handling problems so systems can be improved.

