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Emergency Department Triage System

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

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Emergency Department Triage System

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  1. Emergency Department Triage System By Jamal Wahadneh Rn MPH and Ms Aida Salahat Rn Al-Makassaed Emergency department

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

  3. History of Triage • Definition • Origin • Informal triage

  4. Goals of Triage • Primary • Secondary

  5. Category of triage • In hospital triage • Multi casualty disaster triage

  6. Types of triage methods • Three level • Four level • Five level

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

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

  9. Five level system • Origin of 5 level • Identify different levels

  10. Emergency Severity Index • Definition • Advantages • disadvantages

  11. E M E R G E N C Y S E V E R I T Y I N D E X Is patient dying ? Yes No Level I Level II, III, IV, V Can patient wait ? Yes No Level III, IV, V Level II How many resources ? • TWO Level III ONE Level IV NON Level V

  12. What are resources ?

  13. Key concepts • Acuity level change • Choose higher acuity when in doubt

  14. Basic triage components • Across the room assessment • Triage history • Physical assessment • Triage decision

  15. 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

  16. Triage process • Establish priorities • Scientific method • Importance of time

  17. Nursing process in triage • Assessment time • Vital signs • Pain scale • Nursing diagnosis

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

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

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

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

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

  23. Questions

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