Stage 1

You are an FY1 doctor covering the paediatric wards and the emergency department (ED) in a district general hospital on a Friday evening shift.

Your registrar is currently in ED reviewing a critically unwell child.

You have been handed over three tasks from the day team.

Location	Name	Age	SBAR
Children’s Ward	Nathan	2 years	S: 2 day history of diarrhoea and vomiting B: Previously well child A: initially 5% dehydration, IV fluids for previous 24 hours, drip tissued R: Needs new cannula to continue IV fluids
Postnatal ward	Baby Potter	1 day	S: Poor feeding B: Term baby A: Grunting, RR 70 breaths/min R: Midwife requests doctor to review
ED	Orode	3 days	S: Referred by community midwife for review of jaundice B: Term baby, breastfeeding, mother’s blood group B+ve A: HR 150 bpm, sclerae yellow R: Nurse requests doctor to review

What is the appropriate next action?

Review your pathway