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Judgment & ambiguity · When to act

You're the charge nurse overnight and a floor patient's early-warning score has crept up two points over three hours — vitals still technically in range, but the trend is wrong. The covering resident is tied up in another admission. When do you act, and what's the trigger?

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I act on the trajectory, not the absolute number — a rising early-warning trend is the signal, and 'still in range' is exactly how deteriorating patients look right before they aren't.

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