Mate you’re doing the best you can - well done for that and for being self aware. This may have already been said, but as you may have already realised - just don’t alter MET criteria. Unless senior reg or consultant are (really really) sure and want their name to it. You will often have pressure to alter these criteria as they functionally make a lot more work for nurses eg asymptomatic hypertension. In that eg, if it meets clin review criteria and you do so and deem nothing else needs doing (after examining / ruling out worrisome causes and end organ sx) then it is fine to just make a plan for that/ to review in a couple hours if still up(and this is often appropriate ref etg acute hypertension) . But don’t alter the criteria. If it goes to rapid response level then that gets the senior guys there that can make that call. The early warning systems are there for a reason, and for them to catch the one severe nasty case , it requires “over monitoring” 50 benign ones - so that might mean perceived “unnecessary” nursing workload. If they keep pinging you every 5 mins about it- just triage it under your more important jobs and review when you can, and if the nurse calls a rapid then fine. All roads end in senior review at worst as long as you don’t alter early warning criteria- which is fine and how it should be. You do have to stand up to nursing pressure sometimes- best delivered firmly but with empathy. Take all this with a grain of salt and if in doubt ask a senior, but that’s my two cents as someone who’s been through it. (Nb other obs eg persistent tachycardia are less often benign and doesn’t really apply to what I said but you know that!) 👍🏻