What circumstances require a nurse to notify a physician within 24 hours?

The requirement for a nurse to notify a physician within 24 hours is primarily based on the assessment of a resident's health status. When a resident is injured or experiences a significant change in their medical condition, it is crucial to bring this to the physician's attention promptly. Such changes could indicate a potentially serious issue that requires immediate medical intervention or adjustment of the treatment plan.

In the context of nursing care, a significant change in condition could include various scenarios, such as a deterioration in health, the onset of new symptoms, or complications arising from existing conditions. Timely communication with the physician ensures that the resident receives appropriate care and reduces the risk of further complications.

The other options do not carry the same urgency for communication. Incidents may require documentation and investigation but don't necessarily imply an immediate need for medical attention. A resident's request to see a doctor may indicate their desire for care, but it doesn't represent a clinical emergency that demands timely notification. Visitor complaints, while important for maintaining quality care and satisfaction, do not typically have the same priority for physician notification unless they directly affect the resident's health or safety.