I am so glad someone has said this. When my Trust introduced a similar scheme using red napkins I argued vehemently against it, saying that as a nurse in charge of those patients you should know which ones need help and ensure they get it,either from you or someone you have asked to help. A red napkin does not mean the patient gets the help they need- staff can still walk by and not do anything about it. I argued similarly against Early warning Scores- while I accept they are a good guide to how your patient is, they do not take away the need to assess your patient as a whole and use that special nurse'spidey sense' to see that something is wrong. I hate this tick box guided, non holistic path that nursing seems to be going down in order to answer its critics. Know your patients, know their needs and deal with them appropriately.