Triage

You both have excellent points concerning appropriately assessing patients over the telephone and how it can be challenging. I was a part of a telemonitoring program for congestive heart failure patients and what I learned from that experience is that history taking is CRITICAL. We developed a telephone assessment protocol that would assist the nurse in asking all the pertinent questions regarding heart failure exacerbation in addition other key points to address. However, as the supervisor…

differed in the way that triage was performed. ED 1 used a nurse, ED 2 used a nurse…

Data collected from January 2014 to October 2014 show average of 9% of patients left without being seen by a physician, and the door-to-provider time at 93 minutes. Add LOS data The aim of this paper is to provide a recommendation for a new triage process for the fast track patients that would affect the frequency and occurrence of patients who leave without being seen at Lenox Hill hospital emergency room. This is a concern for the department because the emergency department accounts…

assignment states ED nurses should receive initial and on-going, evidenced-based triage education (Stone & Wolf, 2017). Significance In departments not currently following the clinical practice guideline from the ENA regarding triage competency, there is little feedback given to caregivers regarding wrongful acuity assignment, or mistriage,…

Lecture topics included individual-versus population-based care, most common hazards in disaster scenarios, mass casualty triage, strategies to establish organizational and community surge capability. Core knowledge and skills include knowledge of occupational and environmental threats, including a broad range of chemical, biological, nuclear, radiological, and physical hazards were discussed. An occupational physician can incorporate detailed knowledge of the hazards specific to those…

The fact is heart disease remains the leading cause of death for men and women in the United States (Amsterdam et al., 2014). The Centers for Disease Control and Prevention (2015) estimate that 735,000 Americans suffer heart attacks each year. Although chest pain does not always signify a person is having a heart attack, the most reliable way to rule out this frightening possibility is a visit to the nearest emergency room for appropriate testing. Contrary to popular belief, the overwhelming…

are in before offering the needed help or rather solution. Greenstone and Leviton, and James recommend the following tools as the most effective in crises assessment respectively: the American Academy of Crisis Interveners Lethality Scale and the Triage Assessment Scale. These are two extremely helpful tools and ought to be used by all crises counselors to help them…

minimized the consumer from visiting the hospital. Some of these facilities include triage clinics, urgent care clinics and medi clinics. Triage clinics were created for non-life threatening conditions. They are located within the hospitals. An example of the services that triage unit provide would include mending a broken or fractured extremities. Urgent Care facilities were created out site in strip centers similar to the triage clinic. Media Centers are located drugstores and WalMart stores…

fluids. This deficit in care is profoundly dangerous for the patient if they are neutropenic. Misdiagnosis also occurs as sepsis can sometimes mimic other illnesses. If sepsis is not suspected at triage, the patient may end up waiting for hours in our emergency department. This is a challenge for the triage nurse, and a thorough history of the presenting complaint should be taken. A delayed diagnosis results in a delayed treatment. Timing is key for antibiotic therapy as outlined by Zilberberg…

before being seen by a nurse 2) at what point the triage room should be opened 3) what is the acceptable percentage of LWBS when compared to the national average (2.6% a year). The standards should be as follows 1) A person should wait no more than 5 minutes to be seen by a nurse, unless…