What is the proper action when a resident's condition changes?

• A. Notify the nurse promptly and document the change according to facility policy.
• B. Delay reporting until the next routine check
• C. Document after shift ends
• D. Notify family before notifying the nurse

Answer: (A)

Timely reporting and accurate documentation are essential whenever a resident’s condition changes. As a CNA, you’re the one who observes day-to-day status and must escalate any noticeable changes to the licensed nurse right away so appropriate assessment and interventions can be initiated. Documenting what you observed, the time, any measurements or symptoms, and actions taken provides a clear, objective record that supports continuity of care and legal accountability. This also helps the care team track progression and respond quickly if the situation worsens.

Delays undermine safety because the nurse may need to alter care plans or notify the physician. Waiting to document until after the shift or delaying reporting to the next routine check can create gaps in the resident’s record and jeopardize their wellbeing. Notifying family before the nurse is generally not appropriate unless the facility policy explicitly directs it, and it can delay professional assessment. If the change is life-threatening, follow the facility’s emergency procedures.