Looking at the ADDS chart from admission to 0100 and relating the information to interventions provides valuable information. Using the five rights of clinical reasoning could the RN predict the outcome for Mr Jones? Identifying the right patient for “at risk” through clues picked up in the initial assessments is a valuable skill that improves patient’s outcomes (Levett-Jones, et al., 2009). Mr Jones was at risk upon presentation at the hospital as he had already experienced an hour of chest pain that was unrelieved by GTN tablets and rest. This ongoing pain and the ECG indicate a MI at time of admission. Despite receiving oxygen, morphine and GTN spray on admission the observations indicated a minimal response to these interventions. Mr jones
