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Triage systems vary dramatically based on a variety of factors, and can follow specific, measurable metrics, like trauma scoring systems, or can be based on the medical opinion of the provider. [6] Triage is an imperfect practice, and can be largely subjective, especially when based on general opinion rather than a score.
Simple triage and rapid treatment (START) is a triage method used by first responders to quickly classify victims during a mass casualty incident (MCI) based on the severity of their injury. The method was developed in 1983 by the staff members of Hoag Hospital and Newport Beach Fire Department located in California , and is currently widely ...
During each encounter, the ambulatory care registered nurse focuses on patient safety and the quality of nursing care by applying appropriate nursing interventions, such as identifying and clarifying patient needs, performing procedures, conducting health education, promoting patient advocacy, coordinating nursing and other health services ...
RPM-30-2-Can Do is a mnemonic device for the criteria used in the START triage system, which is used to sort patients into categories at a mass casualty incident. [ 1 ] [ 2 ] [ 3 ] The mnemonic is pronounced "R, P, M, thirty, two, can do."
Mental health triage is a clinical function conducted at the point of entry to health services that aims to assess and classify the urgency and priority of action of mental health related problems. Mental health triage services may be located in the Emergency Department , community or outpatient facilities, on a telephone support line, or in a ...
He designed a set of standardized protocols to triage patients via the telephone and thus improve the emergency response system. Protocols were first alphabetized by chief complaint that included key questions to ask the caller, pre-arrival instructions, and dispatch priorities. After many revisions, these simple cards have evolved into MPDS.
[10] [11] [12] These studies led to a national consensus conference that resulted in publication of the first ACS field triage protocols, known as the Triage Decision Scheme, in 1986. Since 1986, this Decision Scheme has served as the basis for the field triage of trauma patients in the majority of EMS systems in the United States. [2]
[3] [2] According to the Fast Facts for the Triage Nurse handbook, the ESI algorithm is primarily used in the United States. [2] As of 2019, 94% of United States EDs use the ESI algorithm in triage. [1] The concept of a "resource" in ESI means types of interventions or diagnostic tools, above and beyond physical examination.