Man, you all have it together!! I believe the official protocol here is to find a scrap of paper, draw a frowny face frown (with or without tears indicating severity of malfunction), tape it to the device and hide the device in a closet. I should say that some of our nurse do excellent jobs of properly completing work orders which may be faxed to us, emailed, or delivered in person. As mentioned by Pete, any form of communication is acceptable, telegraph, smoke signals, whatever. Most important is that they need to include what device, what the malfunction is, where it is, and who they are so we can ask questions if we need to.