The Importance Of Triage In The Emergency Department

Decent Essays
The Emergency Department (ED) is where we can find a channel of activities surrounding patients who present with differing needs, urgency, and levels of care. Triage is a word defined as, “to sort, allocate treatment.” (Webster, 2016) With this in perspective, St. Joseph Regional Medical Center (SJRMC, 2014) Emergency Department was compelled to review their existing triage processes in an aim to address an issue in their turnaround times.
This article was published at the Journal of Emergency Nursing, September 2016. (Christensen, 2016)
The aim of this presentation was to form a substitute to customary triage and to decrease ED length of stay and time of treatment to disposition. According to their existing data, a 7.2% increase in patient volume from 130,700 to 140,800 in 2012 prompted SJRMC ED to review prevailing triage methods to
…show more content…
The ED, has several areas of entry points. 1) lobby/waiting area, 2) Fire Rescue alerts and transport, 3) Air lifts and Air transfers. These entry points converge through the Triage process, not all patients who enter via the waiting lobby-WAIT, not all Fire Rescue Transfers are – EMERGENT, and most Air lifts are transfers either from a different neighboring country or a critical case in need of higher level of care. The ED is loaded with a myriad of patient presenting differing presentation of their illnesses. The integration of the pivot triage method ameliorates the utilization of significant resources. Patient throughput and navigation can be significantly improved. Recommendation for the use of this method and additional testing in other institutions of its use is highly conceivable. Training of staff and education are important for the method to be successful. Constant assessment is also imperative to guarantee that the method is

Related Documents

  • Improved Essays

    Emergency Care Setting

    • 1983 Words
    • 8 Pages

    Describe the setting: Legacy Salmon Creek Emergency Department (ED) check-in is on the first floor for both pediatric and adults. Once patients are checked in and then the patient is taken to the pediatric department is on the second floor where triage and emergency care occurs. The second floor is set up like an inpatient floor, where each patient gets their own room, and computer and vital machines are all in the room. The right side of the floor is used for adult emergency care if there is an overflow downstairs. Nurses and doctors are stationed right outside the door, and the pyxis machine is located right between the left and right wing.…

    • 1983 Words
    • 8 Pages
    Improved Essays
  • Decent Essays

    In this video Healthcare Triage discussed how there is no real link between video games and real world violence. He said how games may make us have different thoughts but these thoughts are short and people don’t act differently from them. It is important to know many studies are bias and do not account for other factors like family life. He also said how there is a rating system for a reason and we must follow it.…

    • 77 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    “UMCNO categorizes patients into one of the four categories ambulatory; wheelchair, bed bound, or seriously ill and specifies how they are to be transferred to a safe area by staff. Once patients are evacuated they will be triage by designated triage team made up of physicians and nurses who are responsible for the care of the patients”(University Medical Center of New Orleans 2015). In a hospital the size of UMCNO its staff well be outweighed by the number of patients creating is a recipe for pandemonium. In a perfect world a triage team will only be comprised of trained medical personnel, however, they may need assistance from nonmedical personnel such as unit clerks, transportation aides, and even cafeteria cashier if an evacuation is imminent.…

    • 892 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Therefore, the solution to improve the percentage of acute coronary syndrome patients that receive a 12-lead electrocardiogram within ten minutes of arrival to the emergency department is scheduling electrocardiogram technicians in the emergency department triage area. Allowing key stakeholders, such as the emergency department director and clinical manager to offer solutions to a problem, proved fruitful, as their proposed solution exceeded my…

    • 463 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Self-Reflection Journal Self-Reflection Week Five Based on the readings of this week, what are 3 major issues you are facing in your practice that are consistent with national issues? Emergency department (ED) overcrowding is an issue throughout the United States. Our ED has experienced significant increases in volume. Coupled with the issue of hospital throughput due to lack of inpatient beds, ED congestion is extremely concerning (McClelland, 2015).…

    • 716 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    In the case of The ER that Became the Emergency, we are introduced to Ralph, a CEO at Community Memorial Hospital (CMH), and his financial officer, Bill. Here are the key findings from the information we were provided: • CMH is a private not-for-profit hospital • City Hospital is responsible for providing care to indigent people and receives money from the government to do so • Patient traffic has dramatically increased in the last 2.5 months for CMH • Most new patients are indigent people who have been diverted from City Hospital • CMH will lose anywhere between $700,000-$800,000 this month by providing care to those patients • If things don’t change, CMH will have to shut their doors in 6 months • Ralph has yet to find any outside help…

    • 993 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In reviewing, Evidences Level V-VII, the interventions can assist the evidence-based practice (EBP) change in a positive. There is enough evidence listed in these levels that altering and coordinating the timing of these tasks can move the discharge time up by several hours and improve through-put for the rest of the hospital therefore decrease overcrowding in the emergency department (ED). Model for Change…

    • 573 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Interfacility Transfers

    • 1524 Words
    • 7 Pages

    This decentralization also leads to other challenges in the prehospital environment. One issue that needs to be addressed is interstate travel for interfacility transfers and EMS responders going out of state for disaster response. Many questions arise when prehospital providers travel out of the region, into another state’s jurisdictions. Who is responsible for medical oversight of state? If a different medical director is responsible, do they assume liability?…

    • 1524 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Regularly unscheduled security checks will be implemented for all employees to ensure the security procedures are adhered to in order to protect the patient’s personal health information. A prehospital care report shall be completed for each patient treated or transported when acting as part of this organized prehospital emergency medical service. Each ambulance crew will be responsible and required to leave a completed paper copy or transfer an electronic PCR to the receiving hospital ER staff, authorized agent for the department, or designated lockbox. This will be done prior to leaving the hospital, or prior to becoming available. Instructions for electronic submission will be detailed during your training session.…

    • 538 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    The following chapter is an account of the available literature on the transport of acutely unwell and critically ill patients. It will begin by outlining the search strategy used to obtain the literature in this review. The literature review will present the history of patient transport, with a focus on the adverse effects suffered by patients. It will then present the need for specialty trained staff to undertake critical care transportation. Finally it will present how the role of nursing can be expanded in order to develop nurse-led IHT services to meet the needs of patients without compromising patient safety.…

    • 1551 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Case Study: Urgent Care

    • 1162 Words
    • 5 Pages

    Urgent care began in the late 1970s and was created to meet a need in a community. The growth from the 1970s – 1980s was slow and steady in comparative to the concept “doc in a box” that one could see without appointment gained popularity. The industry, subsequently gained its respect and vast expansion over the past twenty (20) years as a viable place to receive healthcare when one could not get into one’s “regular” physician (Urgent Care Association of America). The last five (5) years, the industry has seen tremendous growth which seemed to be fueled by a convergence of events and awareness to meet the growing needs of medically underserved, lower income neighborhoods. This is obtain through better access to health services; improved quality…

    • 1162 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Acuity Assignment

    • 505 Words
    • 3 Pages

    The Emergency Nurses Association (ENA) supports the use of a five-level scale that has been deemed reliable and valid, such as the Emergency Severity Index (ESI), when assigning acuity levels for patients presenting to the emergency department (ED). Nurses who are competent in acuity assignment can help prevent delays and promote good patient outcomes. The clinical practice guideline regarding acuity assignment states ED nurses should receive initial and on-going, evidenced-based triage education (Stone & Wolf, 2017). Significance…

    • 505 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Sepsis Research Paper

    • 1018 Words
    • 5 Pages

    Today, sepsis effects more than 200,000 people per year and it accounts for the leading cause of morbidity and mortality in the ER and hospital stay. The main reason behind such a high mortality rate is because there are no defined recognition protocols for paramedics and EMT to use. Paramedics and EMTs have protocols and guidelines to care for and treat myocardial infarctions and strokes, but do not have a protocol or guideline for sepsis. “Very few, if any, EMS systems are capable of delivering the entire initial resuscitation bundle advocated by the Surviving Sepsis Campaign guidelines. Most EMS systems lack the capability to draw blood and analyze the required parameters.…

    • 1018 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    “Every single day you learn something new,” Nurse Medina says, “ and if you look at everything there is usually never a double moment.” Medina works in the Emergency Room (ER) at Lenox Hill Hospital where she experiences different situations that occur in the department. Nursing isn’t as simple as it sounds. Working twelve-hour shifts with different scenarios every day is arduous for the nurse practitioner that manages the ER. Working in the ER to save a life may sound a bit cliche, “But when you can really save a life that is worth saving what I mean of worth saving is that the person will have a good outcome.…

    • 1670 Words
    • 7 Pages
    Superior Essays
  • Great Essays

    Ambulance Service Midland Healthcare offers fully-equipped ambulances staffed with trained paramedics, nurses and drivers to manage all the day-to-day fleet operations as well as those midnight emergencies. The ambulances are equipped with required medicines, emergency kits, and patient transport equipment and additionally carry life-saving equipment to take care of all kind of critical emergencies including accidents, heart attacks, and paralysis attacks. Call our toll-free number to 1860-333-333-3 now! EBUS Endobronchial ultrasound (EBUS) is a minimally invasive but highly effective procedure used to diagnose lung cancer, pulmonary infections (including TB), haemoptysis (coughing blood), sarcoid, interstitial lung diseases (ILD) and…

    • 954 Words
    • 4 Pages
    Great Essays

Related Topics