When should you report a change in a client's condition?

• A. At the end of the shift
• B. Immediately when something is new or worsened, or if it deviates from the care plan or clinical orders
• C. Only during annual reviews
• D. When you have time to document later

Answer: (B)

Prompt reporting of changes in a client’s condition is essential for safety and timely care. If something is new or has worsened, or if you notice a deviation from the care plan or clinical orders, you should report it immediately so the care team can reassess and adjust treatment without delay. This quick communication prompts the right clinician to evaluate the situation, may trigger changes in interventions or medications, and helps prevent deterioration.

Delaying reporting until the end of a shift or only during annual reviews risks missing important changes and delaying needed care. When you report, be clear about what you observed, when it started, and the current status, so the team can take appropriate action.