CMC Triage Foundations
Is the Patient Dying?
High Risk & Time-Sensitive
Resource Roulette
Danger Zone
100

According to CMC policy, triage is defined as a way to establish ________.

What is treatment priorities.

100

ESI level 1 patients are described in policy as ______.

What is Unstable/resuscitative/life-threatening.

100

CMC policy states level 2 patients should be evaluated in less than _____ minutes. 

What is 10 minutes. 

100

ESI Level 3 patients are predicted to need how many resources? 

What is two or more resources. 

100

Fever > 38oC (100.4F) in infants less than ______ months is high risk. 

What is 3 months. 

200

The CMC ED uses a _______level triage acuity system. 

What is Five-level system. 
200

Level 1 requires immediate ___________ intervention. 

What is Life-saving intervention (airway, emergency meds, hemodynamic support).

200

An infant less than 28 days old with a fever is assigned at least what ESI level? 

What is ESI level 2.

200

List two resources recognized by CMC policy.

What is Labs, ECG, imaging, IV Fluids, IV/IM/nebulized meds, specialty consult, procedures (any two). 

200

A temperature less than _____ oC in pediatric patients is considered abnormal. 

What is 36oC (96.8F). 

300

The ESI categorizes patients by both acuity and _____________.

What is resource needs.

300

True or False: Resource prediction is required for ESI Level 1? 

What is false: immediate life-saving care overrides resource prediction. 
300

Level 2 patients are considered _______ but stable. 

What is emergent/high-risk. 

300

A stable patient needing one x-ray only is which ESI level? 

What is ESI level 4.

300

A child over 3 years old with a fever > ______oC meets danger-zone criteria. 

What is 38.5o C (101.3o F). 
400

Under-triage places the patients at risk for what? 

What is deterioration while waiting to be seen.

400

Which policy question guides assignment of ESI level 1? 

What is "Is the patient dying?"

400

True or False: Severe pain alone may qualify a patient for level 2. 

What is True - severe pain/distress is a level 2 criterion. 

400

A patient requiring no resources beyond exam is which ESI level? 

What is ESI Level 5.
400

True or False: Worsening condition after reassessment may require ESI reassignment. 

What is true.

500

Over-triage impacts ED operations by doing what? 

What is using scarce resources and limiting bed availability.

500

A patient requiring airway intervention on arrival is automatically which ESI level? 

What is ESI level 1

500

True or False: Triage is a one-time event 

What is False - continuous reassessment is required. 

500

Before Assigning Level 3, the RN must reassess what key factor? 

What is vital signs and whether they fall within designated parameters.

500

Which ESI level is most likely to be upgraded due to danger zone vitals? 

What is ESI Level 3

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