A process, not a place
The process by which we select the correct acuity on patients to determine who gets the next available ED bed.
What is TRIAGE?
Requires a 5-minute screening EKG
Who is any patient over the age of 30 with complaints of chest pain, shortness of breath, jaw or arm pain, dizziness, weakness, syncope, or history of previous MI?
Should be obtained on ALL pediatric patients, regardless of age.
23 y/o actively vomiting with right flank pain, LMP 6 weeks prior to today's visit
44 y/o male with penile discharge and temp of 99.9
Who is the 23-year old to rule out an ectopic
Any person with an emergency medical condition is entitled by law to have an appropriate ___________.
What is a medical screening exam (MSE)?
Part of triage is determining how many ___________
the patient will utilize before the ED MD makes a disposition.
What are resources?
You should ask last time the patient was last known well, when symptoms began, and what they are specifically in addition to asking if the patient is anticoagulated.
What is a Stroke Activation?
What is the Pediatric Assessment Triangle (PAT)?
87 y/o F tripped and fell with positive shortening and rotation to the LLE
85 y/o with altered mental status x 2 days and lethargy with stable vitals at triage
Who is the 87-year old with obvious deformity
A mom brings in her infant for crying. The registration clerk tells her that Children's is down the street. This clerk has committed _______________.
What is an EMTALA violation?
Percentage of patients assigned the wrong acuity in triage.
What is 40%?
You should have a high index of suspicion with increased HR, temperature, and AMS
What is sepsis?
20 y/o M chest pain; no congenital or family history, no shortness of breath, syncope, or dizziness. Reproducible pain on palpation
65 y/o BMT patient with 100.2 temp and general malaise
Who is the 65-year old BMT patient?
All patients are entitled not only to a medical screening exam, but also to ___________ prior to a determination being made about transfer to higher level, or more appropriate level of care.
What is stabilizing treatment?
A five-level system that not only determines who should be seen first but also asks you to consider what resources are needed to get the patient to their disposition.
What is the Emergency Severity Index (ESI)?
A mom walks in at 36 weeks gestation, states that she feels like she has to push and her contractions are 3 minutes apart. Your next action to be to activate a _________.
What is a Code Stork?
A LATE marker for a child who is septic
What is hypotension?
Slurred speech and left sided facial droop 30 minutes ago.
38-week G4P3 with contractions 2-3 minutes apart and a feeling of wanting to push.
Who is the 38-year old mom to be?
A patient family member is being verbally abusive towards staff and charge nurse and security have been made aware. The family member continues to escalate. The next appropriate step is to
What is have the patient family member escorted out of the ED when de-escalation fails. This should be done by security.
In order to be considered competent to work in triage, you must complete three requirements.
What is take the triage class, take the triage test, and complete 36 hours of in-person shadowing with an experienced triage nurse.
Two little words you might hear paged overhead that require you to RUN if the location is the first floor.
What is a Code Blue?
The most likely cause of distress in an infant
What is respiratory distress?
56 y/o female with epigastric pain and mild shortness of breath on exertion
32 y/o M brought in by JPSO for visual and auditory hallucinations secondary to noncompliance with meds
Who is the 56-year old female?
Payment must be collected upon arrival to the ED by registration. True or False?
FALSE. The patient cannot be asked for payment before their medical screening exam