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“The authors not only encourage data gathering, they emphasize the qualities of personal interactions, courtesy and sensitivity, and consideration to upgrade triage category when history is hampered by youth, age, impairment of faculties, or language ability that might otherwise conceal potential problems. Appropriate treatments to initiate at triage are indicated where needed. This book puts forward a practical way of coming back to basics and helps categorize priority for patients. As an educator or manager, I would feel confident that, with it, my nurses are being prepared to make safe decisions with an accurate program that reflects current thinking in triage strategy.” -Tom Trimble, RN, CEN, BA, ASN, AA Editor and Publisher Emergency Nursing World This critical-thinking blueprint for the triage nurse delivers essential knowledge for accurate decision-making in emergency triage situations. Formatted to provide easily accessible and retrievable information, the manual facilitates rapid recognition and understanding of acuity levels and their application to patient care. The newly updated second edition reflects current health conditions and scenarios in EDs, urgent care centers, offices, and first aid centers, both domestic and international. It contains important new information on program development, training, and quality management along with useful tips and tools. Completely new protocols, additional case studies, and quality management guidelines and tools further add to the merit of the second edition. The resource addresses a wide range of both adult and pediatric conditions that are system-based and listed in alphabetical order. Each protocol has been developed to ensure accuracy and consistency, regardless of which 5-tier triage system is in use. Abundant case studies and multiple appendices provide additional information to support the protocols, broadening the nurse’s scope of knowledge and prompting in-depth examination of potentially lethal conditions. Additionally, appendices contain valuable training materials for program development, training, and quality management tips and tools. New to the Second Edition: Updated protocols reflecting current health conditions/situations in EDs, urgent care centers, offices, and first aid centers Important new information on program development, training, and quality management tips and tools Additional material including mass casualty, exposure (biological, chemical, disease), military care, infections (isolation concerns), behavioral issues (violence), and narcotic overdose New case studies Developing a triage program Quality management guidelines and tools Key Features: Facilitates consistency in triage decisions among different nurses Uses health care resources appropriately and efficiently Sets minimum expectations for triage decisions Guides nurses in asking the right questions, determining how soon the patient must be seen, and interventions to consider Serves as a valuable reference for both new and experienced nurses Serves as a training tool in orientation
"The process of triage occurs in a variety of settings around the world, from the battlefield to the private medical office. Each venue may have different goals and practices are dependent upon the location of the incident or place of service, patient care needs and available medical resources., A triage process is essential to assist the care provider in prioritizing the needs of those seeking care, working to minimize or prevent a delay in care to the patient with the highest acuity risk. Triage methods and sources have evolved over many decades, and now address the needs of different practice settings"--
From the award-winning authors of Fast Facts for the Triage Nurse! The vital information you need to quickly identify acutely ill or injured patients. Rapid Access Guide for Triage and Emergency Nurses: Chief Complaints With High-Risk Presentations is the first pocket-sized clinical manual focusing on patient-driven chief complaints. Designed to assist in rapidly recognizing potential life-threatening or life-altering conditions, this guide can be used in a variety of healthcare settings. Content covers each body system and its most common chief complaints along with first-line questions, assessments, and interventions to prompt the user. Red flag findings, easily identified by the flag icon, denote critical signs and symptoms, while a light bulb icon helps the user locate key tips. The guide includes evidence-based practice guidelines, reference tables, and checklists for at-a-glance retrieval of information. Most chapters contain space for taking notes, inscribing important phone numbers, or pasting facility specific policies and procedures. Key Features: Common chief complaints with essential tips Unique patient presentations Triage processes, clinical red flags, screening tools Pediatric and older adult considerations Disaster response Active shooter or violent situation action steps
Performing telephone triage requires the ability to make quick and effective decisions based on limited information.This rapid-access resource delivers over 200 triage protocols for evaluating patients' symptoms over the telephone. Each symptom entry lists questions, grouped by urgency level, to determine whether the caller should seek emergency care immediately, seek medical care the same day, call back for appointment, or follow home care instructions. Detailed home care instructions are then provided. Simple, direct, and useful, this is the most comprehensive and user-friendly telephone triage book available. This new edition features several new protocols--swine flu (H1N1 virus), bedbug problems, tattoo problems, and emergency contraception--as well as new information in the introductory chapter about program development, management issues, and staff development, including training. Other features include a new reminder about documentation in each protocol, a new anatomic Table of Contents, and expanded home care instructions.
Emergency Nurses Association Media Award Media Award: Fast Facts for the Triage Nurse: An Orientation and Care Guide, 2nd Edition – Lynn Sayre Visser, MSN, RN, PHN, CEN, CPEN and Anna Montejano, DNP, RN, PHN, CEN, of California https://www.ena.org/press-room/2019/06/13/former-ena-president-receives-emergency-nurses-association-s-most-prestigious-award 1st Edition Winner of the AJN Book of the Year Award for Emergency/Critical Care Nursing This authoritative orientation guide for new and seasoned nurses, preceptors, educators, management teams, urgent care staff, pre-hospital personnel, and anyone working in the triage arena presents essential information to access quickly and repeatedly. Patients rarely present to triage with a diagnosis, but rather convey a multitude of complaints, signs, and symptoms. It is the job of the triage nurse to identify serious “red flag” presentations hidden among all this information while delivering individualized care and juggling wait times in often overcrowded emergency departments. Fast Facts for the Triage Nurse, Second Edition, retains its key focus on numerous aspects of triage for emergency department and urgent care settings, from orientation, to front-end processes, to clinical practice and nursing essentials. With real-life examples, the chapters detail a multitude of clinical presentations and include procedures and protocols that the triage nurse implements in daily practice. This newly revised and updated edition covers how to build confidence in the triage role, accurately assess patient presentations, reduce personnel and hospital liability, increase patient and staff satisfaction, and, ultimately, deliver quality patient care that supports best outcomes. 5 New Chapters in the Second Edition: Active Shooter/Active Violence Emergency Management for When Disaster Strikes Triage Competency Pain Management Endocrine Emergencies Key Features: Covers essential clinical information in an easy-to-read format Focuses on processes, patient and staff safety, legalities, documentation, and critical thinking at triage Addresses specific patient populations including pediatric, older adult, human trafficking, military personnel, and more Offers guidance from seasoned emergency department nurses and triage educators
The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
Written for a global audience, by an international team, the book provides practical, case-based emergency department leadership skills.
The Manchester Triage System (MTS) is the most widely used triagesystem in the UK, Europe and Australia, with tens of millions ofpatients being processed through hospital emergencydepartments. Emergency Triage is the core text for the MTS which utilises arisk averse system of prioritisation for patients in allunscheduled care settings, and as such it is an essential text forall emergency department staff using the MTS, in particular triagenurses themselves. The second edition has been revised throughout and takes in thechanges in practice introduced into MTS since the book was firstpublished. These include: Redesigned and expanded flow charts Additional charts for allergy and palpitations New practices - such as the possibility of revascularisation forpatients with stroke New discriminators, for example acute neurological deficit andsignificant respiratory history Redefinition of existing discriminators Also new to this edition is the incorporation of sections on theuse of the risk averse system in telephone triage, in settingswhere ‘streaming’ takes place and as an early warningscore for patients in all unscheduled care settings. The tone ofthis edition reflects the more up to date, modified approach totriage while retaining the principles of clinical prioritisation,which in the authors’ words “remains a central plank ofclinical risk management in emergency care”. Emergency Triage is an essential handbook for all cliniciansinvolved in unscheduled care settings such as emergency care, walkin centres, minor injury units, primary care out of hoursservices.
Performing telephone triage requires the ability to make quick and effective decisions based on limited information. This rapid-access resource delivers more than 200 triage protocols for evaluating patients' symptoms over the telephone. Each symptom entry lists questions, grouped by urgency level, to determine whether the caller should seek emergency care immediately, seek medical care the same day, call back for appointment, or follow home care instructions. Detailed home care instructions are then provided. Simple, direct, and useful, this is the most comprehensive and user-friendly telephone triage book available.
- Highlighted skills - cross references to the Clinical Skills chapter throughout text - Over 30 new case studies - Patient journey from pre-hospital and emergency-specific case studies - Critical thinking questions at the end of chapters - Chapter 35 Obstetric emergencies now includes 'Supporting a normal birth'.