Goals of Triage
Triage is a French word that means what?
To sort
Name the three parts of the Pediatric Assessment Triangle?
Appearance, Work of Breathing and Circulation
Mrs. Smith has been to the ED, determined there was not an emergency and discharge back to her nursing home. What disposition code would be utilized?
Home
The ED triage area will be staffed by how many triage trained nurses?
At least 1 triage trained nurse at all times
For any medical condition, individuals will receive _______________, regardless of the fact that the reason for examination clearly does not indicate an emergency?
Medical Screening Exam
How often are reassessments performed in triage?
1 hour
If a psychiatric patient comes in with paranoia, hallucinations and suicidal ideations, what ESI level are they given?
ESI Level 2
It has been a busy day and triage and 10 people checked in within 10 minutes. You have called Mr. Jones to the desk to be triaged and he does not answer? What disposition code would be utilized?
Left Without Being Seen
Obstetrical patients greater than 20 weeks with water broken should be taken down to birthing center by which triage staff?
Registered Nurse
What does EMTALA stand for?
Emergency Department Transport and Active Labor Act
What is the time frame for EKG to be completed on a patient complaining of chest pain?
10 minutes
What does the Mnemonics CIAMPEDS mean when obtaining pertinent history on pediatric patients?
Chief complaint, immunizations, allergies, medications, past health history, events preceding the problem, diet/elimination, symptoms associated
Mr. Compton has been medically cleared and will be transferred to Stephens Unit. What disposition code would be utilized?
Admit In
All OB patients presenting to the Emergency Department with medical complaints unrelated to their pregnancy are evaluated where?
In the Emergency Department
What form must be filled out PRIOR to all patient transfers from Freeman Health System and who is responsible to review it?
Interfacility Transfer Form / Reviewed by charge nurse
What is the time frame for patients to receive an initial triage?
5 minutes
Name the two types of pain scales that can be utilized when triaging pediatric patients?
FLACC scale, Wong Baker Faces
5 year old trauma patient is being transferred to Children’s Mercy. What disposition code would be utilized?
Transfer to Specialized Care Facitility
If the patient’s clinical status changes while in triage and determined to be less than optimal for the comfort or safety of the patient, who needs to be notified?
Charge Nurse
How many yards away from the buildings, sidewalks and driveways are we responsible for?
250 yards
Name two things that can also happen and are responsible for in triage?
Name 2 considerations when triaging the geriatric patient?
May not be able to tell the triage nurse why someone called the ambulance
Older adults often present with atypical signs and symptoms of common medical problems
Pt was sent to the ED from Stephen’s Unit. They were medically cleared and sent back to Stephen’s Unit. What disposition code would be utilized?
Still an Inpatient
What is the difference between Left Without Being Seen and Against Medical Advice?
LWBS – patient leaves before seeing the Emergency Physician or qualified personnel
AMA – patient checks out of the emergency department against the advice of the doctor, prior to the completion of tests, diagnosis, treatment and/or discharge instructions
What are the 5 things needed for an appropriate transfer to take place?
Transferring hospital provides the medical treatment necessary within its capacity
Receiving hospital has space and personnel to take care of patient
Receiving hospital has accepted the transfer
Transferring hospital sends copies of any medical records related to emergency medical condition
Transfer is effected through qualified personnel