I made a decision at work this week that the decision making process would have assisted in my choice as a resident had been having many falls in which he always seems fine and denies head injury and often times in was not during service care. The staff who reported it to me was unable to stay and conduct hourly checks as the lived in a retirement home that we service. I did end up calling their wellness centre and advised the The resident needed to be check on hour. Much like the story above the patient ended up vomiting later in the day during one of the checks. The decision making process would have been helpful to decide how to best proceed.