Triage
Assessing and prioritizing patients based on the urgency of their medical needs.
What is triage?
This scale, developed by researchers at Columbia University, is commonly used to assess the severity of suicidal thoughts and behaviors in both clinical and research settings.
What is the Columbia-Suicide Severity Rating Scale (C-SSRS)?
What is Warm Hand Off?
This material activates in about three minutes and hardens when no longer warm, and is typically used for splinting fractures.
What is fiberglass?
This item is required to monitor the temperature inside the cooler during transport.
What is a data logger?
These patients may receive care for certain conditions without a parent or guardian present.
Who are minors?
Scores from the C-SSRS may fall in these categories.
What are Low, Moderate, and High?
This is what staff should never do when managing a crisis call.
What is putting the caller on hold or cold transferring them to another staff member?
This is a common precaution to take after splinting to help reduce swelling and discomfort.
What is elevating and icing the injured extremity?
You must wait for this condition to be met before placing vaccines in the cooler.
What is a stable temperature between 2-8°C?
A visual assessment tool for evaluating the severity of illness in children. It includes 3 parts: Appearance, Work of Breathing, and Circulation to Skin.
What is the Pediatric Assessment Triangle?
Examples include: collecting pills, obtaining a gun, giving away valued possessions, writing a suicide note.
What are suicidal behaviors?
This is the national helpline that provides voice, chat, and text support for people in crisis.
What is the Suicide and Crisis Lifeline, 988?
This step involves checking for issues like pain, swelling, color changes, or numbness in the extremity before and after splinting, which is vital to ensure no neurovascular compromise occurs.
What is assessing distal neurovascular status before and after splint application?
The cooler and data logger should not be placed in this area of a vehicle during transport.
What is a trunk or back seat?
This team member may perform an initial patient screening, gathering information about symptoms, vital signs, and medical history. This helps prioritize patients but may require another licensed health care clinician's further evaluation for more complex cases.
What is an LVN?
A person who scores in this category needs immediate behavioral health consultation and safety precautions.
What is High?
If a patient hangs up and is at risk of harming themselves, this is the next step for staff.
What is contacting law enforcement or 911 for a welfare check?
These areas should be properly padded to avoid skin damage and/or complications when applying the splint.
What are bony prominences and the ends of the splint?
You should completely cover the cold packs with this to ensure insulation.
What is a 2-inch layer of bubble wrap?
An initial visual assessment of a patient, including their appearance, demeanor, skin color, gait, level of alertness, that helps in identifying "sick" vs "not sick".
What is the "across the room" assessment?
This term refers to thoughts of suicide that are more frequent, more intense, and include specific plans or means.
What is "active suicidal ideation"
This is how the nurse can contact a BH provider if there is no BHC available in the clinic.
What is utilize the BH WHO Teams chat?
Riverside Region: RiversideRegionWhos (RiversideRegionWhos@nhcare.org) Temecula Enterprise, Temecula Parkway, Menifee, Murrieta, Hemet, Mead Valley, Riverside FQ, Arlanza, Eastside A & B, Corona and Beaumont
ii. Central Region: CentralRegionWhos (CentralRegionWhos@nhcare.org) All Escondido Sites and Valley Center
iii. South Region: SouthRegionWhos (SouthRegionWho@nhcare.org) El Cajon: Madison and Mollison, Lakeside, Poway, Interfaith and San Marcos
This is an important consideration when applying a plaster or fiberglass splint to prevent circulatory compromise while allowing for postinjury swelling.
What is ensuring the splint does not completely encircle the extremity?
What item(s) should not be placed directly onto ice packs?
What are vaccines and the buffered probe?