ClearTriage
This is the most appropriate Protocol for the patient's symptoms.
What is Clear Triage Protocol: Weakness ( Generalized) and Fatigue?
When reviewing the chart, these sections should be checked for recent changes.
What is PCP Notes, Medications, ER Visits/Admissions, and Labs?
This is a crucial initial assessment question to help determine symptom severity of the weakness and shakiness.
What is Onset of the Symptoms ?
Patient reports symptoms are chronic with no recent changes or worsening symptoms.
What is PCP Appointment?
The best protocol when the patient reports sudden onset unilateral weakness.
What is Clear Triage Protocol: Neurologic Deficit?
This is where the RN should review medication information when a patient states they received an injection during their Friday visit to the center.
What is Past Orders and/or PCP Notes?
When assessing unilateral weakness, you should evaluate for these additional neurological symptoms.
What is facial drooping, speech changes, vision changes, and altered mental status (stroke symptoms)?
Patient reports chronic weakness >4 weeks but worsening weakness and drinking very little fluid for the day.
What is APP Escalation/Collaboration?
The ClearTriage Disposition is Call EMS 911 Now, but the family refuses the plan of care. What should the RN complete in ClearTriage to reflect the refusal?
What is Override the Disposition and select "Caller Refused Suggested Disposition"?
The daughter calls requesting to discuss her mother's symptoms, but the patient cannot give verbal consent and there's no communication consent on file.
What is proceed with triage without giving pertinent information from the patient's chart?
When a diabetic patient reports weakness and shaking, these questions helps determine urgency.
What is checking last meal/medication timing, assessing for diaphoresis and confusion, requesting for patient to check blood sugar?
Family reports new onset confusion, slurred speech, unable to walk, and labored breathing.
What is EMS Activation?