3. Process of Triage’s Assessment 1.Across the room assessment 2. Triage physical assessment 3.Triage history 4.Triage decision
4. Across the room assessment A – Airway status B – Breathing status C – Circulatory status D - Disability
5. Triage Physical Assessment เป้าหมาย : ประเมินได้ครอบคลุม + ซักประวัติอย่างย่อๆ หัวข้อในการซักประวัติ : O L D C A R T O : Onset of symptom L : Location Of Problem C : Characteristics the patient uses to describe the symptom D : Duration of symptom A : Aggravating factors R : Relieving factors T : Treatment administered before arrival
6. Triage History C I A M P E D S C : Chief complaint I : Immunization A : Allergies M : Medication P : Past medical history E : Events surrounding D : Diet S : Symptom
7. Triage Decision 1. Immediately life-threatening : 1A or 1B 1A : multiple trauma + life threatening 1B : life threatening 2. Imminently life threatening 3. Potential life-threatening 5. Least urgent 4. Potential serious Australasian Triage Scale : ATS
8.
9. Process of Triage Nurse 1. Assessment 2. Priority of care ( Triage category ) 3. First aid 5. Public relations 6. Diagnostic , therapeutic intervention 4. Referral 7. Documentation
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