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    Triage

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    Danette Mae Roc
    This document defines emergency department triage and describes various triage systems and methods. It discusses the history and goals of triage, different triage category levels and assessment methods. The emergency severity index triage system is described in detail, including its five levels and criteria for assigning patients based on acuity of their condition. Key aspects of the triage process are outlined such as continuous reassessment, prioritizing patients, and using a scientific nursing process approach during triage assessments.

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    Triage

    Uploaded by

    Danette Mae Roc
    453 views27 pages
    This document defines emergency department triage and describes various triage systems and methods. It discusses the history and goals of triage, different triage category levels and assessment methods. The emergency severity index triage system is described in detail, including its five levels and criteria for assigning patients based on acuity of their condition. Key aspects of the triage process are outlined such as continuous reassessment, prioritizing patients, and using a scientific nursing process approach during triage assessments.

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    This document defines emergency department triage and describes various triage systems and methods. It discusses the history and goals of triage, different triage category levels and assessment methods. The emergency severity index triage system is described in detail, including its five levels and criteria for assigning patients based on acuity of their condition. Key aspects of the triage process are outlined such as continuous reassessment, prioritizing patients, and using a scientific nursing process approach during triage assessments.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    453 views27 pages

    Triage

    Uploaded by

    Danette Mae Roc
    This document defines emergency department triage and describes various triage systems and methods. It discusses the history and goals of triage, different triage category levels and assessment methods. The emergency severity index triage system is described in detail, including its five levels and criteria for assigning patients based on acuity of their condition. Key aspects of the triage process are outlined such as continuous reassessment, prioritizing patients, and using a scientific nursing process approach during triage assessments.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 27

    Emergency Department Triage System

    By Jamal Wahadneh Rn MPH and Ms Aida Salahat Rn Al-Makassaed Emergency department

    Objectives
    Define Triage Define Triage system Identify different systems Describe emergency severity index Function of triage system

    History of Triage
    Definition Origin

    Informal triage

    Goals of Triage
    Primary
    Secondary

    Category of triage
    In hospital triage
    Multi casualty disaster triage

    Types of triage methods


    Three level
    Four level Five level

    Function of triage
    Identify life-threatening conditions and determine acuity level of each patient

    Reassessment in triage
    Level Level Level Level Level 1 2 3 4 5 =Continuous = every 15 min = every 60 min = every 60 to 90 min = every 2 hours

    Five level system


    Origin of 5 level Identify different levels

    Emergency Severity Index


    Definition
    Advantages disadvantages

    ES I
    M E R G E N C Y

    EN VD EE RX I T Y

    Is patient dying ?

    Yes Level I

    No Level II, III, IV, V

    Can patient wait ?


    Yes Level III, IV, V No Level II

    How many resources ?


    TWO Level III ONE Level IV NON Level V

    What are resources ?


    Resources
    Labs ECG-X-rays C-T MRI IV Fluids /hydration IV /IM Medication Specialty consult

    Not resources
    HX and physical exam. Point of care testing Saline or Hep lock PO. Medication Simple wound care (dressing check /recheck) crutches ,splints,slings.

    Simple procedure Complex procedure

    Key concepts
    Acuity level change Choose higher acuity when in doubt

    Basic triage components


    Across the room assessment
    Triage history Physical assessment Triage decision

    Key concept
    Discontinue assessment and transport the patient immediately to the treatment area if immediate care is needed. Do not delay treatment to finish the assessment

    Triage process
    Establish priorities
    Scientific method Importance of time

    Nursing process in triage


    Assessment time
    Vital signs Pain scale Nursing diagnosis

    Key Concept
    Never assume the accident caused the presenting condition. The presenting condition may have caused the accident.

    Interview methods
    Open ended Close ended Communication style Use of five sense attitude

    How do I triage?
    Across the room General appearance Abcd Subjective and objective (AMPLE) Focused assessment Pains scale (Pqrst)

    Triage decision
    Step1- visual Step 2- chief complaints Step3- focused assessment Step 4- pose hypothesis Step 5- determine acuity Step 6- reassess the acuity

    Remember That:
    Effective triage gets the patient To the right place. At the right time. With the right care provider.

    Questions

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