When I have a resident c/o chest pain, while taking his vitals I ask him, "what kind of pain is it and what number (?/10), does he have any tingling, numbness in his arms, nausea, dizziness" Observe his color, any diaphoresis, cold and clammy, observe respirations, dyspneic? are they even unlabored, moist sounding? is his pulse rate bounding, thready, or irregular, while observing his LOC, have someone stay with the pt, administer O2 @ 2L until further orders, give him Nitro if he has an order, if not, notify the doc on call, give him pt's name, age and Dx, explain the problem, give him the VS, POx. Our Docs will ask if he/she is DNR, DNI, DNH, any advance directives. I'll Have that info available for him also. I work nights, and have no unit clerk
...I wish! Then return to the resident. Have someone available to direct the doc to resident's room if I don't see him first. Oh, and do an EKG and have the crash cart outside the room.