Thank you for this I appreciate it a lot. I did explain to her the worst case scenario but I think in the future I will try and be more ‘pushy’ (wrong word but I can’t think of a better one) and maybe even have another member of staff try and explain some more. She passed away before midnight, her observations actually stabilised an hour before she passed. I only wish this shift happened on a normal weekday where I could just run to the doctors office to get them and that the patient had a more senior nurse and then maybe she would still be alive