I picked that presentation from the internet and edited it, all rights reserved to the original owner. Anyhow this presentation might be helpful for med students doing their emergency rotation/elective and especially those who don't have an instructor or any kind of mentor in their emergency elective, like me.
Triage is the term derived from the French verb trier meaning to sort or to choose
It’s the process by which patients classified according to the type and urgency of their conditions to get the Right patient to the Right place at the
Right time with the
Right care provider
Hello ,
Disaster management is a vast topic which cant be cover in one ppt so i have taken one particular topic which is on Triage in disaster Management . I am trying to elaborate the topics by putting few pictures , if anyone have any problem with understand the ppt ,I have mentioned the reference guide . They can check it .
Thnks
KIRTTI
I picked that presentation from the internet and edited it, all rights reserved to the original owner. Anyhow this presentation might be helpful for med students doing their emergency rotation/elective and especially those who don't have an instructor or any kind of mentor in their emergency elective, like me.
Triage is the term derived from the French verb trier meaning to sort or to choose
It’s the process by which patients classified according to the type and urgency of their conditions to get the Right patient to the Right place at the
Right time with the
Right care provider
Hello ,
Disaster management is a vast topic which cant be cover in one ppt so i have taken one particular topic which is on Triage in disaster Management . I am trying to elaborate the topics by putting few pictures , if anyone have any problem with understand the ppt ,I have mentioned the reference guide . They can check it .
Thnks
KIRTTI
This presentation on Triage and transport deals with how we should we deal with the patients who are attending the emergency department and to provide best treatment for the needy patients at appropriate time.
I hope this will be helpful to nurses, paramedics, graduate and under graduate students and emergency doctors and team.
14. Pearls, pitfalls and myths
Always address life-threats first
An exact diagnosis is not always
possible in EM, and not always
necessary.
elderly patients: uncommon
presentations
Never rush a patient out of the ED
with a condition that may recur
15. Pearls, pitfalls and myths
Think about abuse or neglect in every
case.
Document appropriate findings in the
medical record clearly.
consultant’s name, service, time you spoke,
and brief summary of the conversation
Consider dangerous outcomes or the
worst-case scenario in every patient.
32. simplest term: the sorting or
prioritizing of items
1º operational objectives: time to see
physician
33. Assigning Triage
"usual presentation"
not totally dictated by the presenting
complaint
vital signs, PEFR, O2 saturation, pain
scales
34. Role of Triage Personnel
triage nurse
rapid access
be in view of the registration and waiting
areas at all times
Accurate: based on
Practical knowledge gained through
experience and training.
Correct identification of signs or symptoms.
Use of guidelines and triage protocols.
35. General Triage Guidelines
dynamic process
Triage Process: Primary survey vs
Primary Nursing Assessment
36. General Triage Guidelines
1. All patients should be assessed (at
least visually) within 10 minutes of
arrival.
2. Full patient assessments should not
be done in the triage area
37. General Triage Guidelines
3. primary survey
level IV and V patients that have been sent
to the waiting area
4. The priority for care may change
5. Level I, II, patients should be in a
treatment area
39. Reassessment
Objectives for time to Nursing
reassessment is related to triage level
exceeded the time objective: up
triaged
40. Documentation Standards
1. Date and time of triage assessment.
2. Nurse’s name.
3. Chief complaint or presenting concerns.
4. Limited subjective history: onset of
injury/symptoms
5. Objective observation.
6. Triage Level
7. Location in the department.
8. Report to treatment nurse.
9. Allergies
10.Medications
11.Diagnostic, first aid measures, therapeutic
interventions.
12.Reassessment(s).
45. Level I Resuscitation
Conditions that are threats to life or
limb (or imminent risk of
deterioration) requiring immediate
aggressive interventions.
46. Level II Emergent
Conditions that are a potential threat
to life limb or function, requiring
rapid medical intervention or
delegated acts.
48. Level III Urgent
Conditions that could potentially
progress to a serious problem
requiring emergency intervention.
49. Level IV Less Urgent
(Semi urgent)
Conditions that related to patient age,
distress, or potential for deterioration
or complications would benefit from
intervention or reassurance within 1-
2 hours.
50. Level V Non Urgent
Conditions that may be acute but non-urgent
as well as conditions which
may be part of a chronic problem with
or without evidence of deterioration.
62. Take home message
available and prepared at any time for
any patient with any complaint
Always address life-threats first
Emergency department: EMS + ER
Triage: sorting or prioritizing