IRPMSRASJT2-038

It is Saturday and you are an FY2 doctor on a busy ward cover day shift. There is only 15 minutes left until handover and you are in the middle of reviewing Mr Davis who is short of breath. A nurse bleeps you from the renal ward saying they have a patient with chest pain (Mr Smith) that is refusing to have an ECG. The nurse says that the patient has capacity but is refusing the ECG on the basis it may prevent his dialysis which is scheduled later today. She is worried this is cardiac chest pain and wants a doctor to review him urgently. You are aware the FY1 doctor was recently asked by your registrar to help out in Accident and Emergency resuscitation. Do you:

Rank the following actions in order from the most appropriate (1) to the least appropriate (5) in this situation.

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