obs patient monitoring patients vital signs Great clinical tweetchat observations Thoughts Interesting balance improve judgement news point waking thinking important factors evenings critical strike safety share monitored topic intuition set electronic hourly gut feel decision care nurse Nursing monitor minutes joining knowledge left level score stable final dilemma frequency taking support wake hours due explain evidence confidence consent based Agree sleeping role paper practice lot listen manual love information process reasoning student assess assessment assume break constantly Capacity experience data hospital hour harder HCA highly forget Starting talk thanks trust understand trend trends tweet track tasks thought tool teaching team tech view worked fluid focus Habitual finished frequent heard Head Hmm Depends discuss easier dome fab clinicians comments competency completely biggest blood barrier Associates bit blame answer admission staff routine play research scoring project person points policy pin placement interpretation line learn making medication mental palliative orientation number needed neuro