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Triage system

Triage system . Prepared by : Salwa Maghrabi Teacher assistant Nursing Department . Outline . Definition of triage . The personal abilities that are essential to be an effective triage nurse Daily triage in hospital setting . Hospital triage system : Emergent category .

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Triage system

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  1. Triage system Prepared by : Salwa Maghrabi Teacher assistant Nursing Department

  2. Outline • Definition of triage . • The personal abilities that are essential to be an effective triage nurse • Daily triage in hospital setting . • Hospital triage system : • Emergent category . • Urgent category. • Nonurgent category

  3. Outline Cont’ • Triage process : • The gathered information at point of triage . • The initial assessment at point of triage .

  4. Objective • Identify the triage . • Count the characteristics to be an effective triage nurse . • Mention the purpose of daily triage in hospital setting . • List and differentiate between the categories of hospital triage system. • Understand the triage process .

  5. Definition of triage : • It is the process which places the right patient in the right place at the right time to receive the right level of care. • Accurate triage allow the nurse to do the greatest good for the greatest number of afflicted .

  6. The personal abilities that are essential to be an effective triage nurse • Clinically experience . • Good judgment and leadership . • Calm and cool under stress. • Decisive . • Knowledgeable of available resource .

  7. The personal abilities that are essential to be an effective triage nurse cont’ • Sense of humor . • Creative problem solver . • Availability . • Experienced and knowledgeable regarding anticipated casualties .

  8. Daily Triage in Hospital Setting: • Nurses perform daily triage on a routine bases every day in the emergency department . The purpose : • Is to identify those patient who have the highest degree of compromise for the purpose of providing rapid care to the sickest patient first .

  9. I) Emergent Categories

  10. II) Urgent Categories

  11. III) Nonurgent Categories

  12. Triage Process 1- Gathering information at point of triage . 2- Perform initial assessment ( assessment sheet ) at point of triage . • The goal of triage process : to gather sufficient data for determining acuity, identify immediate needs, and establish a rapport with the patient and family. • Triage process should be completed within 5 minutes.

  13. 1- The gathered information at triage point • Name • Age • Gender • Chief complain • History of present illness • Mechanism of injury • Past medical or surgical history • Allergies to food or medications . • Current medications

  14. 1- The gathered information at point of triage Cont’ • Date of last tetanus immunization • Last menstrual period (for female from age of 11 to 60). • Vital signs : temperature , pulse ,blood pressure , respiratory rate. • Skin vital signs : temperature , color , moisture , level of consciousness.

  15. 1- The gathered information at point of triage Cont’ • Visual inspection for deformities, laceration, bruising , rashes , etc . • Height and weight. • Mode of arrival. • Private medical provider .

  16. 2- The initial assessment ( assessment sheet )at the Point of Triage

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