stroke

After morning handover of your four (4) patients, you have reviewed the charts and have entered the room to greet your patients. It is 0730 and breakfast is usually delivered at 0740. Before you can introduce yourself, the following demands on your time occur concurrently:

Patient 1 Mrs Peterson is asking for help to the ensuite to use her bowels. You know Mrs Peterson had a stroke 2 weeks ago and has a moderate left hemiplegia and needs assistance to move. She is classified as a high falls risk.

Patient 2 Mrs Walters is going to theatre at 0800 and is not yet ready

Patient 3 Mr Young is nil by mouth and has IV therapy running at 167mls per hour. The infusion pump alarm is sounding and the IV flask appears to be close to empty, Mr Young is also complaining of pain.

Patient 4 Mr Stavropoulous has been admitted for acute asthma. He is due for ventolin and prednisolone at 0800. His BGL at 0700 was 4.6 mmol/l.

The ANUM is searching for Mrs Walters pre-operative checklist and wants to know if you have seen it.

In what order would you address these requests? Describe your rationale for each decision.