These article is a very usefull piece of reminder and refresher form of information and advise to nurses like me who had been out of hospital setting for long time and just started my career in NHS. I presently work in a Stroke Unit which has been occassionally set as a medical ward; accept medical patient in able to meet admission targets. But my main concern as a nurse is the work load, it hinders the quality of your service and care due to defined and allocated task. Most of the time I can't able to do proper monitoring to acutely ill patient due to workload, though I am aware of prioritizing patient but all of what you ment to do are all priority. Most of the time nurses are focused on the task not to the patient, meeting all the expected workload at the end of the shift is the focus it does'nt matter if the patient is deteriorating what is important are you've accomplish your task before you give the handover. After reading this article it made me reflect and learn on what should I contribute for the safety of the patient in my ward. I am planning to point this out to my ward manager and to emphasize the importance of vital sign to patient survival in the hospital. I will also
print some information for my colleague relating to this article.