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Whereas the “negotiated order approach” emphasizes the importance of communicative events in the constitution of organizational settings, there has been little attempt to formally describe the properties of talk that occur in these settings. This article demonstrates that detailed examination of the temporal unfolding of negotiative processes contributes to our understanding of the bundle of tasks which comprise organizational settings. Through close analysis of the negotiation of directives in paramedic calls for emergency field orders, I demonstrate that negotiation is more than a metaphor for describing organizational order; real-world negotiations are complex interactional processes which can be described in their rich detail.