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PREP ROOM ASSESSMENT OF THE Patient• Decreased level of consciousness• Fitting• Aggressive, confused or agitated• Recent sudden weakness• Chest painRecognise the patient needing urgent attention:• Difficulty breathing, breathless while talking• Unable to walk unaided• If checked, BP ≥ 180/110 or < 90/60 or if pregnant diastolic ≥ 90• Headache with vomiting• Overdose of drugs/medicationAssess the patient not needing urgent attention in the prep roomHas the patient been coughing ≥ 2 weeks?• Assign the patient with cough to the fast track/coughing queue.• Collect first sputum for TB 55.Does the patient know his/her HIV status?• If no, urge patient to test for HIV.• If yes and patient negative, encourage patient to test once a year. Record year last tested in patient notes.If the patient is a woman:• Exclude pregnancy. If late menstrual period do a pregnancy test.• Check if patient needs a Pap smear: if HIV negative, 3 Pap smears in a lifetime, 1 every 10 years from age 30; if HIV positive Pap smear at diagnosis and then if normal yearly. If abnormalsmear 27 for next date.Avoid unnecessary urine and BP checks. Do prep room tests according to condition:Is patient pregnant or known to have diabetes, hypertension, stroke, ischaemic heart disease or peripheral vascular disease?Patient has hypertension, stroke,ischaemic heart disease and/orperipheral vascular disease.Check at every visit:• BP• Weight• At first visit also check height tocalculate BMI.Check once a year:• Fingerprick glucose• Urine dipstick• Waist circumferencePatient has diabetes.Check at every visit:• BP• Finger prick glucose• Weight• Urine dipstick only if glucose ≥ 15Check once a year:• Urine dipstick• Waist circumferenceCheck at every visit:• Weight• BP• Urine dipstickPatient is pregnant.Also check at booking visit:• MUAC• Hb if pale• Rapid rhesus• Rapid syphilisNone of the aboveThe patient over 40 years needs acardiovascular disease risk calculatedevery 5 years 68:• Weight• Height• BP• Finger prick glucose• Waist circumference99