Domain 5: Provide surveillance, vigilant of patient risks, and are ready to intervene:
This domain includes the purposeful ongoing monitoring and synthesis of complex patient data from multiple sources, including technology, nurse assessment, and patient communication. This dynamic, iterative process throughout a patient’s course of illness enables nurses to detect subtle changes in a patient’s condition and intervene promptly to prevent or mitigate clinical deterioration. Nursing surveillance is demonstrated through the nurse’s vigilance, pattern recognition, effective communication, anticipation of potential problems, decision making, and timely interventions.