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This would depend if it was a good change, a bad one or a life threatening one.

If it was a good change, such as regaining consciousness, you would examine the patient general responses and appearance and you would update the patient's records accordingly.

If it is a change for the worse, you need to take observations and evaluate the patient's condition and record it in the notes, and inform the doctor. Keep taking observations and keep recording them, with notes on what you have done about anything.

If it is a life threatening change such as respiratory arrest, take appropriate emergency measures and tell a junior member of staff to get a doctor while you carry on attempts at resuscitation.

In all cases, you have to write notes in the appropriate records and be very accurate and specific in them, because they are legal documents and will be stored for many years and may be used in legal actions several decades in the future. Never try to take shortcuts in record keeping.

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15y ago

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