CallMeSmart is a context aware communication system for hospitals. The system is being used by nurses and the physicians at the Oncology department, University Hospital of North Norway. CallMeSmart has been designed to increase the efficiency of communication between the nurse-physician and physician-physician. In this study, we have looked at the communication pathways between nurse-nurse and patient-nurse: how nurses define a preference of calling somebody, how alarms and tasks are prioritized, and how this could be implemented into the CallMeSmart system to improve the system for the nurses. This paper discusses how the communication pathways of the patient alarm system can be improved for health care actors in hospitals by revealing the communication patterns according to an alarm between those actors. We address the communication pattern between nurses, other health care actors, patients and the devices used, and discuss possible improvements of this communication.