| Course | PA 614 Clinical Clerkship - Emergency Medicine |
|---|---|
| Week | 6 |
| Paper type | Callback documentation |
| Length | About 510 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | Master of Physician Assistant Studies (MPAS) |
| Updated | October 2026 |
Free sample paper for PA 614 Week 6
Patient Callback Note for J.L.'s Wound Culture: Two Attempts Logged Before the Answer, Who Was on the Line, What Was Said in Both Directions, the Discharge Line Quoted and What Is Still Owed
Student Name
Chamberlain University
PA 614: Clinical Clerkship - Emergency Medicine
Instructor Name
Month Day, Year
Patient Callback Note for J.L.'s Wound Culture: Two Attempts Logged Before the Answer, Who Was on the Line, What Was Said in Both Directions, the Discharge Line Quoted and What Is Still Owed
Attempts, Before Answers
April 21, 2026. Result triggering the call: wound culture from J.L.'s left forearm abscess, drained in the emergency department on April 18, grew Streptococcus pyogenes, no Staphylococcus aureus.
Attempt 1: 10:05, mobile number on file, no answer; voicemail left: "This is the Ridgeview emergency department calling for J.L. about a test result. Please call 555-0142 and ask for the callback nurse." No details of the result left in the message.
Attempt 2: 13:30, same number, no answer; second voicemail, same wording.
Attempt 3: 16:10, same number, answered.
Who Was on the Line
The person answering confirmed name and date of birth as J.L. No one else was on the call.
Both Directions of the Call
Told: the culture grew a streptococcus, a bacterium that the antibiotic prescribed, trimethoprim-sulfamethoxazole, may not treat reliably. A new prescription for cephalexin 500 mg four times a day for five days has been sent to the pharmacy on file; stop the trimethoprim-sulfamethoxazole when starting cephalexin. Practice guidelines note that trimethoprim-sulfamethoxazole has limited activity against streptococci, and that beta-lactams such as cephalexin are appropriate for streptococcal skin infection (Stevens et al., 2014).
Asked by J.L.: whether the wound is worse because of the wrong antibiotic. J.L. reports less pain and redness than at discharge, no fever, packing removed at home on April 20 as instructed.
Asked by me: allergies, confirmed none; whether the pharmacy is still the one on file, yes.
J.L. also asked whether anyone else at home needed treatment. Answer given: no, unless someone develops new sores or redness, in which case they should be seen; household members do not need antibiotics as a precaution. J.L. asked whether to keep the dressing on; yes, until the wound stops draining.
The Earlier Line, Quoted
The discharge instructions of April 18 read: "We sent a culture. If it shows a different antibiotic is needed, we will call you." This call fulfills that line.
Quoting the earlier line matters because a reader can then see that the department kept a specific promise, not just that it made a call.
Still Owed
Wound check: J.L. was advised to return or see primary care on April 23 if redness spreads past the pen line drawn at discharge. The callback nurse will call on April 23 to confirm improvement. Prescription confirmed sent at 16:20.
If the April 23 call goes unanswered twice, the callback nurse will send a portal message and, failing that, a letter, so the record shows the follow-up was attempted by more than one route.
References
Stevens, D. L., Bisno, A. L., Chambers, H. F., Dellinger, E. P., Goldstein, E. J. C., Gorbach, S. L., Hirschmann, J. V., Kaplan, S. L., Montoya, J. G., & Wade, J. C. (2014). Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clinical Infectious Diseases, 59(2), e10-e52. https://doi.org/10.1093/cid/ciu296
What the PA 614 Week 6 assignment asks for
The sixth week asks for a callback note that records the contact before the news. Open with the attempts: when each was made, to which number and what happened, including the exact wording of any voicemail, which should not contain clinical details. Say who was on the line and how identity was confirmed. Record what was said in both directions, including what the patient reported and asked. Quote the earlier line, usually from the discharge instructions, that promised the call. End with what is still owed, such as a recheck or a follow-up call. If someone other than the patient answers, record their role and consent. Cite the guidance behind any change in treatment.
How this PA 614 Week 6 example is built
The note opens with the triggering result: a culture from an abscess drained April 18 that grew Streptococcus pyogenes without Staphylococcus aureus. Three attempts are logged at 10:05, 13:30 and 16:10, with identical voicemails that name the department and a callback number only. Identity is confirmed by name and date of birth. The conversation records the explanation that trimethoprim-sulfamethoxazole may not treat streptococcus reliably, the switch to cephalexin 500 mg four times a day for five days, citing Stevens et al. (2014), J.L.'s report of improving redness and the questions asked on both sides. The discharge line promising a call is quoted. The still-owed section sets a recheck by April 23 and a nurse call that day.
Reading the PA 614 Week 6 grading rubric
Callback notes lose the most when they open with the result and omit the attempts, so unanswered calls look like no effort. Next comes a voicemail that disclosed clinical details, which is a privacy failure. Graders deduct when identity confirmation is missing. Faculty reward both directions of the conversation recorded, including the patient's report, and the earlier promise quoted. Still-owed items with dates and owners earn credit. Accuracy of any treatment change, with its source cited, is checked. Concision and APA form complete the rubric. A note that also records when the next contact will happen, and who will make it, earns the remaining marks.
Common PA 614 Week 6 mistakes, and how to avoid them
Callback notes most often go wrong by recording only "patient informed of result." Another frequent problem is leaving a detailed voicemail with the result. Some notes also skip what the patient said about how they were doing. If your callback concerned a different result, such as an X-ray overread, a urine culture or a pregnancy test, send the result and what happened on each attempt; a note written for you would log every attempt with its wording, confirm identity, record both directions of the call, quote the earlier instruction and list what is still owed. If someone other than the patient answered, the note would record their role and permission.
Get a PA-614 Week 6 example written to your instructions
Send the rubric and the assignment, with anything the week fixes about the original visit and the time that has passed since, and a custom PA-614 Week 6 note is written to them and returned inside 24-48h. The first one is free, and it is built to sit next to your own attempt.
More PA 614 papers and MPAS samples
- PA 614 Week 1: Emergency Note Reader Post
- PA 614 Week 2: Shift Sign-Out Brief
- PA 614 Week 3: Pending Results Note
- PA 614 Week 4: Medical Decision Making Paragraph
- PA 614 Week 5: Interrupted Encounter Write-Up
- PA 614 Week 7: Shift Documentation Audit
- PA 614 Week 8: End of Shift Summary
- PA 612 Week 6: Goals of Care Summary
- PA 610 Week 6: Encounter Log Gap Review
- PA 608 Week 6: Timing and Pacing Analysis
- PA 604 Week 6: New Job Onboarding Plan
PA 614 Week 6 questions, answered
How many attempts does a complete note show?
Whatever the assignment sets, and where it sets nothing the example shows more than one, because a single unanswered call rarely satisfies a rubric row about persistence. More important than the number is that each attempt carries an hour and a result. Send your assignment's wording if it specifies a number, and the sample is built to it.
Can somebody other than the patient give the account?
Often, and the note has to say so. Sections mark whether the source is identified, because a relative reporting that someone is better carries different weight from the person saying it themselves. The example names the speaker, gives the relationship, and keeps the account in reported form so a later reader is never guessing which of the two they are reading.
Does the note belong to the original chart or stand alone?
Sections split on it and both versions get set. As an addition to the first record it needs a marker showing when it was written, so nothing reads as though it was known at the visit. As a standalone document it needs enough of the original to be understood by itself. Say which your week wants and the sample is produced in that form.
Where can I find a free PA 614 Week 6 sample paper?
The full PA 614 Week 6 patient callback note, with three logged attempts and a switch from trimethoprim-sulfamethoxazole to cephalexin, is on this page.
Why does the antibiotic change in the PA 614 Week 6 sample?
The culture grew Streptococcus pyogenes, which trimethoprim-sulfamethoxazole may not treat reliably, so cephalexin is prescribed instead.