I always use Sir and Ma'am, Miss, etc. This is especially important when dealing with older folks, who were brought up in a different era.
When I am working at the hospital, I refer to patients as Mr. Jones, or Mrs. Smith even though I know their first names. If they insist on me using a first name I will, but not without being asked to first.
When I am working at the hospital, I refer to patients as Mr. Jones, or Mrs. Smith even though I know their first names. If they insist on me using a first name I will, but not without being asked to first.
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