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Triage system . Prepared by : Salwa Maghrabi Teacher assistant Nursing Department . Outline . Definition of triage . The personal abilities that are essential to be an effective triage nurse Daily triage in hospital setting . Hospital triage system : Emergent category .

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triage system

Triage system

Prepared by :

Salwa Maghrabi

Teacher assistant

Nursing Department

outline
Outline
  • Definition of triage .
  • The personal abilities that are essential to be an effective triage nurse
  • Daily triage in hospital setting .
  • Hospital triage system :
    • Emergent category .
    • Urgent category.
    • Nonurgent category
outline cont
Outline Cont’
  • Triage process :
    • The gathered information at point of triage .
    • The initial assessment at point of triage .
objective
Objective
  • Identify the triage .
  • Count the characteristics to be an effective triage nurse .
  • Mention the purpose of daily triage in hospital setting .
  • List and differentiate between the categories of hospital triage system.
  • Understand the triage process .
definition of triage
Definition of triage :
  • It is the process which places the right patient in the right place at the right time to receive the right level of care.
  • Accurate triage allow the nurse to do the greatest good for the greatest number of afflicted .
the personal abilities that are essential to be an effective triage nurse
The personal abilities that are essential to be an effective triage nurse
  • Clinically experience .
  • Good judgment and leadership .
  • Calm and cool under stress.
  • Decisive .
  • Knowledgeable of available

resource .

the personal abilities that are essential to be an effective triage nurse cont
The personal abilities that are essential to be an effective triage nurse cont’
  • Sense of humor .
  • Creative problem solver .
  • Availability .
  • Experienced and knowledgeable regarding anticipated casualties .
daily triage in hospital setting
Daily Triage in Hospital Setting:
  • Nurses perform daily triage on a routine bases every day in the emergency department .

The purpose :

  • Is to identify those patient who have the highest degree of compromise for the purpose of providing rapid care to the sickest patient first .
triage process
Triage Process

1- Gathering information at point of triage .

2- Perform initial assessment ( assessment sheet ) at point of triage .

  • The goal of triage process :

to gather sufficient data for

determining acuity, identify

immediate needs, and establish

a rapport with the patient and family.

  • Triage process should be completed within 5 minutes.
1 the gathered information at triage point
1- The gathered information at triage point
  • Name
  • Age
  • Gender
  • Chief complain
  • History of present illness
  • Mechanism of injury
  • Past medical or surgical history
  • Allergies to food or medications .
  • Current medications
1 the gathered information at point of triage cont
1- The gathered information at point of triage Cont’
  • Date of last tetanus immunization
  • Last menstrual period (for female from age of 11 to 60).
  • Vital signs : temperature , pulse ,blood pressure , respiratory rate.
  • Skin vital signs : temperature , color , moisture , level of consciousness.
1 the gathered information at point of triage cont16
1- The gathered information at point of triage Cont’
  • Visual inspection for deformities, laceration, bruising , rashes , etc .
  • Height and weight.
  • Mode of arrival.
  • Private medical provider .
2 the initial assessment assessment sheet at the point of triage
2- The initial assessment ( assessment sheet )at the Point of Triage