Checklist: Early detection of deterioration (TOBS)
Observation and escalation when something changes
Use the list when you notice that a citizen seems different from normal – it helps you observe systematically and pass on what is important.
§Observe systematically
- 01Consciousness level — is the citizen awake alert and oriented as normal?
- 02Breathing – frequency, and whether it seems strained.
- 03Pulse.
- 04Temperature.
- 05Blood pressure, if included in your local instructions.
- 06Skin color and moisture.
§Compare with the resident's normal level
- 01What is different today compared to yesterday?
- 02Is there sudden loss of function – can she do what she could yesterday?
- 03Does the citizen seem more sluggish restless or confused than normal?
§Escalate and document.
- 01Pass the observation on to the nurse or person in charge according to local instructions.
- 02Document both the observation and the action you took.
- 03Follow up whether the condition changes after your effort.