A history is completed by the healthcare provider (HCP) with a rapid assessment, and vital signs completed by the nurse Click to highlight the findings that require follow up. Neurological: Alert and oriented person, place, time, and situation. Agitated. Denies headaches. Cardiovascular: Reported chest pain described as pressure and tightness that is unrelieved with rest. Rapid regular rhythm. Normal heart tones. Radial and pedal pulses 2+. Capillary refill 2 seconds. Respiratory: Rapid and shallow breaths. Clear breath sounds throughout bilateral lungs. Gastrointestinal: Within normal limits (WNL). Genitourinary: WNL Musculoskeletal: WNL Pain: Reported 7 on a 0 to 10 scale, tightness and pressure in chest. Started approximately 2 hours ago and got progressively worse, unrelieved by rest.