Which initial action should be performed within the first 10 minutes of a patient's arrival?

The initial action that should be performed within the first 10 minutes of a patient's arrival is a neurologic screening assessment. This is crucial as it allows the healthcare provider to quickly assess the patient's neurological status, identify any immediate concerns, and establish a baseline for further evaluations. Early identification of neurological deficits, especially in cases such as stroke or head injuries, is essential for timely intervention and management.

A neurologic screening assessment typically involves checking the patient's level of consciousness, pupil reaction, limb movement, and speech. The results can guide urgent treatment decisions and care pathways, including whether to initiate protocols like fibrinolytic therapy for stroke, which is time-sensitive.

Other actions such as conducting a surgical consultation, ordering a complete blood count, or initiating fibrinolytic therapy may be important but generally follow after the initial assessment and stabilization of the patient's condition. Prioritizing immediate assessments ensures that appropriate and timely interventions can be implemented based on the patient's specific needs.