Therefore all nursing staff caring for patients in acute hospital settings must be competent in monitoring measurement interpretation and prompt response to the acutely ill patient appropriate to the level of care they are providing as supported by their code of conduct nmc 2015. Prevention of deterioration in acutely ill patients in hospital colin steen lecturer in critical care and acute care pathway leader effective education and appropriate knowledge and skills are required to aid identification of the deteriorating patient and provide prompt timely and appropriate intervention to prevent further . The majority of acute patient deterioration apd events occur on medical surgical units nurses spend more time in direct patient contact than any other healthcare team member therefore nurses in all settings must be able to recognize when a patient is becoming critically ill and respond appropriately. Physiological track and trigger warning systems are widely used within acute hospitals in the nhs they are used to identify patients on general wards outside critical care areas at risk of clinical deterioration their main function is to ensure recognition of all patients with potential or established critical illness so that timely attendance from appropriately skilled staff can be . Deterioration background paper june 2008 1 introduction the characteristics of patients in australia and internationally are changing acute care hospitals now have an increasing proportion of patients with complex problems who are more likely to be or become seriously ill during their hospital stay 2 3 warning signs often
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