Care Conversations 4 — Reporting to Nurses & Doctors BE

How to communicate observations and concerns clearly to the nursing team — the language that bridges care work and clinical care.

Effective upward reporting

Care workers are often the first to notice a change in a resident's condition — you see them every day, for hours at a time. But noticing something is only half the job; the other half is communicating it clearly to the nurse or doctor so that it can be acted on. This exercise practises the language of clinical handover and escalation.

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Choose the most natural-sounding response. LEVEL: Intermediate

1. I need to report a concern about Mrs. Allen.
2. She's been more confused than usual since this morning.
3. Her skin on the left heel looks red and feels warm.
4. I think Mr. Brown is in pain but he can't tell me where.
5. She refused all her medication this morning.
6. His oxygen levels have been dropping all morning.
7. I found her on the floor when I went in at 7am.
8. She's eaten almost nothing for three days.
9. I'm worried about him — something just doesn't seem right.
10. Should I complete an incident form for this?
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