The decision I made at work that the decision making process would have helped was a time when I had to send a resident to hospital due to a fall. After the fall the resident seemed fine. No issues from the fall, the resident denied hitting their head, although the fall was un-witnessed. The staff on duty did hourly checks on the resident and reported to me any change. The resident has frequent falls so this wasn’t out of the norm for this particular resident. The staff on duty called me saying the resident was complaining of headache. The resident was placed on head injury routine as a precaution. I went up to assess the resident, who was complaining of headache and while I was there started vomiting. The decision making process would have been helpful at the beginning of the incident in order to guide my decision. The resident was transferred to hospital, and did have a head injury but did recover.