The most reliable and accurate source/method of obtaining HPI over the telephone.
What is directly from the patient?
100
A “trigger” to a problem or symptom
What is the assessing Precipitate using POSHPATE
100
If you identify this situation, you stop your interview assessment and move forward with patient disposition.
What is an Emergency?
100
Decision Support Tools available at Kaiser Permanente
What are KPPAS and Nursing Guidelines?
200
Rewording an assessment prompt that ensures caller understanding
What is avoid using medical jargon?
200
A series of categories that prompt potential etiologies that should be considered.
What is OSMOTIC?
200
Management of time sensitive symptom based calls in any setting that involve utilization of the nursing process.
What is telephone triage?
200
Area I document pertinent interview assessment of HPI or “OSHPATE”
What is the Background?
300
“Abdominal pain in the elderly is probably constipation”
What is jumping to a conclusion?
300
Relating current symptoms to a recent illness/ongoing problem/new disease process
What is assessing pertinent history using POSHPATE?
300
Area I document the chief complaint based off most pertinent positives
What is the Problem, Situation or Chief Complaint?
300
Kaiser Permanente’s standard tool for clinical communication, both verbally and written
What is SBAR?
400
As the RN, when a caller reports “I have pink eye” your concern would be this.
What is a possible self-diagnosis?
400
Inquiry related to a possible injury
What is assessing for trauma using OSMOTIC?
400
OSMOTIC mnemonic represent these categories that prompt potential etiologies
What is Organ, Stress, Musculoskeletal, "Other", Trauma, Infection, and Chemical?
400
The point during triage I refer to a Decision Support Tool, if applicable.
What is after I complete my independent interview assessment?
500
Initial interview strategy to gather the pertinent information before you begin asking questions.
What is allow the patient to talk, disclosing the information she/he feels is important?
500
Use caution when u identify this: Recognize that patients sometimes don’t understand the significance of their signs and symptoms when reporting the reason for calling.
What is the Problem or chief compliant?
500
POSHPATE mnemonic represent these assessment prompts
What is Problem, Onset, Associated Symptoms, Pertinent History, Alleviating/Aggravating, Timing and Etiology?
500
Area I document the importance of the symptoms in relationship to a medical condition?