- All entries in the notes should be dated and timed and should end with a legible name, status and contact number (bleep or telephone).
- Each entry should clearly identify the name and grade of the most senior doctor involved in the patient episode.
- Resuscitation status should be documented in patients who are at risk of deterioration 40. Each trust should audit compliance with this recommendation by regular review of patients who suffered a cardiac arrest and assessment of whether a ‘do not attempt resuscitation’ order should have been made prior to this event.
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