ASSESSMENT WITH TRIAGE. Pat Glass, R.N. Jessamine County Schools Director Nursing Services Health Services Coordinator. School Emergencies. Be prepared for all types of emergencies:
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Pat Glass, R.N.
Jessamine County Schools
Director Nursing Services
Health Services Coordinator
Injuries – playground, physical education, lab-related, shop classes (wood shop, Agriculture, mechanics, etc.)
Weather related emergencies – tornado, earthquake, frostbite, etc.
Triage – “sorting”
Disaster First Aid
Continuity of Care
Disposition of patients (whether released to parents or transported to hospital)
Remember – Additional resources and personnel will arrive. First Goal is to “create order out of chaos”. Providing care to as many as possible with the resources at hand.
Response to intervention
Disposition (make sure that info is communicated to private physician &/or ER staff)
Communicate with family, private doctor, EMS staff, &/or ER staff in order to document the outcome for the student’s records.
This can address many different scenarios. Students with chronic health conditions such as diabetes, asthma, epilepsy, and students who require a wheelchair, ventilator, oxygen therapy, suctioning, tube feedings, etc..
This also relates to a need for accessing emergency medications.
These students will need quick assessment and continuity of care. Employees that are currently assigned to these students during school hours will be excellent resources in during the disposition and follow-up phases of triage.
1. Who in the building is trained in CPR & First Aid?
2. How quickly can you access help from the other schools?
3. Do your nurses have “ER to-go kits”?
4. Where are you going to put bodies?
5. Do you have an area designated for parents to pick up their children?
Classroom lists, ER cards, Sign out process
Students that have medical needs, such as medication, tube feedings, O2 therapy, dietary needs, catheterizations, etc.
Is the teacher or IA in the classroom trained well enough to handle the medical needs if no medical person can get to that classroom for several hours?
Medical Supplies – Extra ER supplies at each location. Need enough to handle basic needs until able to release students or help arrives.
Emergency Management Coord.