Priority of Calls
GI BLEED, ETOPIC PREGNANCY, STEMI, SEXUAL ASSAULT ARE EXAMPLES Red Flag or No Flag
What is Red Flag
TRIAGE ASSESSMENT SHOULD TAKE ON AVERAGE 2-5 MINUTES?
What is FACT
"Tell me what you are calling about today."
What is Reason for Call
"I CAN'T GET INTO A DENTIST AND TOOTH IS KILLING ME" 35-YR HEALTHY MALE. PAIN FOR 24 HOURS. RATES PAIN 10/10, NO REDNESS OR SWELLING NOTED. T98.8, HR 76,R16, B/P 128/75
What is Tooth Pain.
MOTHER Calls AND ASKS "DO YOU TAKE Calls for CHILDREN? WHAT IS YOUR RESPONSE?
What is YES, WE TAKE calls for CHILDREN. Does your child have a primary care doctor?
Connect call to PCP office if appropriate.
SORE THROAT, UTI, MINOR LACERATIONS ARE EXAMPLES OF REd flag or No Flag
What is No flag
TRIAGE DECISION SHOULD BE BASED ON SUBJECTIVE DATA ONLY?
What is FALSE TRIAGE DECISION IS BASED ON BOTH OBJECTIVE & SUBJECTIVE DATA. TRIAGE RN ASSESSMENT AS WELL AS PATIENT STATEMENTS & C/O
YOU AND YOUR MOTHER HAVE WHAT PROBLEM AND REQUIRED SURGERY?
What is PATIENT PAST MEDICAL, SURGICAL, AND FAMILY HX
16YR WALKS INTO ED STATES HE HAD 4 WHEELER ACCIDENT. FLYING OVER THE HANDLE BARS. DENIES WEARING A HELMET AND YOU NOTICE AN ABRASION ON HIS FOREHEAD. COMPLAIN OF SOME TINGLING IN RIGHT ARM
What is Head Injury
There are 3 calls in primary queue that are not red flagged, 1 drug refill call, and 2 calls in the SHVI/LCI queue. What call should you take first?
What is the first SHVI/LCI call
TRAUMA,OVERDOSE, UNRESPONSIVE ARE EXAMPLES OF Red Flag or No flag
What is Red flag
Rx NURSING STANDING ORDERS MAY BE INITIATED BY TRIAGE NURSE TO Ensure appropriate medication treatment if they are part of the Client Reference Sheet
What is FACT STANDING ORDERS MAY INITIATED TO DECREASE PATIENT WAIT Times for care. Then the patient can still be seen for follow up care in the office.
Has there been any change to your allergies, medications or medical problems?
What is EMR review of Allergies, medications and medical problems required for every call?
19 Y/O FEMALE PATIENT PRESENTS WITH C/O DYSURIA, FREQUENCY X 3DAYS. DENIES ANY ABDOMINAL PAIN. SITTING IN TRIAGE EATING DORITOS AND DRINKING A MOUNTAIN DEW. VITAL SIGNS WNL PAIN 5/10
What is Urination Pain Female
PATIENT calls with symptoms OF AFIB WHAT questions SHOULD BE INcluded in YOUR TRIAGE NOTE
What is Chest Pain, Shortness of Breath, Heart palpitations, Dizziness or Lightheadedness, last medication dose if applicable, recent BP and HR
PATIENT calling for medication refill
What is Drug Refill queue
ACCURACY OF TRIAGE DECISIONS ARE A MAJOR INFLUENCE ON PATIENT OUTCOMES.
What is FACT TAKING TOO LONG TO TRIAGE AND DELAYING TREATMENT PRODUCE POOR OUTCOMES.
THIS HAS TO BE ENTERED BEFORE ANY MEDICATION ORDERS.
What is allergies, review of correct telephone or standing order, and preferred pharmacy for the patient.
60YR MALE FOUND ON BATHROOM FLOOR BY WIFE THIS MORNING. CPR IN PROGRESS UPON ARRIVAL TO ED PER ACLS PROTOCOL.
What is 911 Symptoms
SUICIDAL PATIENT Calls
What is Pick appropriate protocol, assess patient, dont end call if patient has a plan, offer patient to talk to behabioral health if appropriate
WHO CAN CHANGE flag levels or queue placement for calls?
ONCE THE TRIAGE RN IS COMPLETED WITH TRIAGE THEIR RESPONSIBILITY ENDS.
What is FICTION! THE TRIAGE NURSE RESPONSIBILITY IS ONGOING! The triage nurse is obligated to review reasons for call back, so there is always an opportunity to interact with patients again.
Has to be assessed with every triage call
What is Pain Level and Score
50YR FEMALE FELL DOWN BASEMENT STEPS. C/O PAIN LFT SHOULDER. NOTED DEFORMITY TO LFT SHOULDER. PAIN 10/10. CAPILLARY REFILL BRISK, RADIAL PULSE PALP. ABLE TO WIGGLE FINGERS
What is Shoulder Injury or Arm Injury
Act that protects the privacy of all patients
What is HIPAA