Chest Pain

An episode of chest pain and/or left arm, shoulder or jaw pain unrelieved by anginine or prescribed GTN spray and oxygen at 6 litres per minute by mask or 2 litres per minute by nasal prongs or chest pain with syncope or heart failure.

Including any of the following:

• Heart rate is greater than 120 or less than 40 beats per minute

• Systolic blood pressure is less than 90 or more than 180 mm/Hg

• Sweaty or clammy

• Respiratory rate is greater than 26 breaths per minute

• Change in skin colour or turgor

• Increasing agitation

• Increasing anxiety

• Signs of indigestion, belching, nausea, vomiting or regurgitation

• Check Advance Care Directive or plan

• Notify Consumer Representative/ Legal Substitute Decision maker

• Call ambulance for hospital transfer per Advance Care Directives

• Prepare transfer documents

• Notify the GP

• Monitor closely, check observations (TPR, BP and Oxygen saturation levels) initially then pulse and BP every 10 minutes

• Ensure appropriate staff member with the consumer at all times