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"Triage" AND "Nurse"

Katherine M Steffen, Corina Noje, Philomena M Costabile, Eric Henderson, Elizabeth A Hunt, Bruce L Klein, Kristen Nelson McMillan
OBJECTIVES: We developed a Pediatric Transport Triage Tool (PT3) to objectively guide selection of team composition and transport mode, thereby standardizing transport planning. Previously, modified Pediatric Early Warning Score for transport has been used to assess illness severity but not to guide transport decision making. METHODS: The PT3 was created for pediatric transport by combining objective evaluations of neurologic, cardiovascular, and respiratory systems with a systems-based medical condition list to identify diagnoses requiring expedited transport and/or advanced team composition not captured by neurologic, cardiovascular, and respiratory systems alone...
November 19, 2018: Pediatric Emergency Care
Yong Deok Lim, Dong Hun Lee, Byung Kook Lee, Yong Soo Cho, Goeun Choi
PURPOSE: Since January 2016, emergency medical centers in South Korea have used the Korean Triage and Acuity Scale (KTAS) as the initial triage tool for all patients, including trauma patients, who visited the emergency department (ED). This present study aimed to assess the validity of the KTAS for predicting 30-day mortality due to severe trauma. METHODS: This retrospective study included patients with severe trauma (injury severity score ≥ 16) from January 2016 to December 2017...
November 19, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Rehab Abdelwahab, Hannah Yang, Hareya Gebremedhin Teka
Introduction: An effective emergency triage system should prioritize both trauma and non-trauma patients according to level of acuity, while also addressing local disease burden and resource availability. In March 2012, an adapted version of the South African Triage Scale was introduced in the emergency centre (EC) of Ayder Comprehensive Specialized Hospital in northern Ethiopia. Methods: This quality improvement study was conducted to evaluate the implementation of nurse-led emergency triage in a large Ethiopian teaching hospital using the Donabedian model...
December 2017: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
Emma Wallace, Sinead Cronin, Norah Murphy, Sudeh Cheraghi-Sohi, Kate MacSweeney, Mel Bates, Tom Fahey
BACKGROUND: Patient complaints can provide valuable insights into the quality and safety of clinical care. Studies examining the epidemiology of complaints in out-of-hours general practice internationally are limited. AIM: To characterise patient complaints in an out-of-hours general practice setting. DESIGN AND SETTING: Retrospective cohort study of patient complaints to an out-of-hours service provider in Dublin, Ireland, over a 5-year period (2011-2016)...
December 2018: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Julia Jacobson, Jacqueline Nasso, J Christopher Glantz
INTRODUCTION: Many health care providers believe that women who initiate long-acting reversible contraceptives (LARC) discontinue the method because of side effects too soon for the method to be economical. The purpose of this quality improvement project was to implement and evaluate an evidence-based telephone triage nursing guideline for management of side effects of LARC with an ultimate goal of reducing the number of early discontinuations. PROCESS: A telephone triage guideline was adapted from the Contraceptive Choice Project's Clinician Call Back System, supplemented with evidence-based resources, and approved by clinicians at 2 community women's health and midwifery offices...
November 16, 2018: Journal of Midwifery & Women's Health
Magnolia Cardona, Michael O'Sullivan, Ebony T Lewis, Robin M Turner, Frances Garden, Hatem Alkhouri, Stephen Asha, John Mackenzie, Margaret Perkins, Sam Suri, Anna Holdgate, Luis Winoto, David C W Chang, Blanca Gallego-Luxan, Sally Mccarthy, Ken Hillman, Dorothy Breen
BACKGROUND: Emergency departments are pressured environment where patients with supportive and palliative care needs may not be identified. We aimed to test the predictive ability of the CriSTAL (Criteria for Screening and Triaging to Appropriate aLternative care) checklist to flag patients at risk of death within 3 months who may benefit from timely end-of-life discussions. METHODS: Prospective cohorts of >65 year-old patients admitted for at least one night via emergency departments in five Australian hospitals and one Irish hospital...
November 14, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Amber Hardy, Pauline Calleja
BACKGROUND: Triage is a complex nursing task to prioritise patient care, based on acuity. Triage decisions can affect patient safety and must employ critical thinking. Graduate registered nurses are expected to triage in rural facilities, which is in contrast to current guidelines. The purpose of this review was; to discover how effective education support programs were in developing clinical decision-making skills for graduates at triage; and to determine what is known about triage education support programs for graduate or novice registered nurses undertaking triage in rural and remote settings...
November 10, 2018: International Emergency Nursing
Melissa Irwin, Andi L Foley
No abstract text is available yet for this article.
November 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Mette Engan, Asle Hirth, Håvard Trønnes
Objective: Triage is a tool developed to identify patients who need immediate care and those who can safely wait. The aim of this study was to assess the validity and interrater reliability of a modified version of the pediatric South African triage scale (pSATS) in a single-center tertiary pediatric emergency department in Norway. Methods: This prospective, observational study included all patients with medical conditions, referred to the pediatric emergency department of a tertiary hospital in Norway from September 1, 2015, to November 17, 2015...
2018: International Journal of Pediatrics
Stephen Inns, Jeffrey Wong, Dena McPhedran, Gladys De Guzman, Katherine Broome, Dalice Sim, Rosemarie Sandford
Introduction: Efficient and accurate triage of endoscopy referrals is essential. Many of the decisions made are based on national and local triage criteria. Standardizing this approach for nurse use could maintain quality, address clinical risk and significantly improve resource utilization. Aims: This study aimed to compare gastroenterologist and nurse triage of unselected gastroenterology referrals in order to evaluate the proportion of referrals felt able to be triaged to endoscopy and the inter-rater agreement between a triage gastroenterologist and endoscopy nurses for clinical triage decisions regarding the urgency of gastroscopy and colonoscopy...
2018: Clinical and Experimental Gastroenterology
Mehrnaz Ghafarypour-Jahrom, Mehrdad Taghizadeh, Kamran Heidari, Hojat Derakhshanfar
Objective: To evaluate the validity, reliability, sensitivity, and specificity of the Emergency Severity Index (ESI) and Australasian Triage System (ATS) for children visiting admitted to the emergency department (ED). Methods: This was a prospective study occurred in the Mofid children's Hospital in Iran from August 2017 to November 2018 and children had aged ≤14 years and presented at the ED with a medical symptom were considered eligible for participation...
October 2018: Bulletin of Emergency and Trauma
Seong-Soo Huh, Hee-Young Kang
OBJECTIVE: The purpose of this study was to examine the effects of an educational program on disaster nursing competency among Korean nursing students. DESIGN AND SAMPLE: A quasi-experimental design with a nonequivalent control group was used. We randomly assigned 60 junior nursing students from two nursing colleges in Korea to an experimental group (n = 30) and a control group (n = 30). MEASURES: A disaster educational program for nursing students was developed based on the International Council of Nurses framework of disaster nursing competencies...
November 5, 2018: Public Health Nursing
Patrick Glass, Eric Dietz, Pamela Aaltenon
OBJECTIVE: The objective of this research was to develop a computer simulation model that will provide the most optimal allocation of resources for a point of distribution (POD) site. DESIGN: A baseline assessment was conducted by participants establishing POD sections with no guidance from the investigator. A computer model was built with four stations: triage, registration, screening, and dispensing. The information from the computer simulation was used to design the allocation of volunteers for the experimental group...
September 2018: Journal of Emergency Management: JEM
Wei-Ping Goh, Hui Fen Han, Uma Chandra Segara, Geraldine Baird, Aisha Lateef
Singapore's healthcare system is under strain from the rising demands of an increasing and ageing population, resulting in delayed specialist care for patients presenting to the emergency department and requiring admission. Acute assessment units have been developed elsewhere but are not well established in local healthcare. Our institution extended our acute medical team to form an acute medical unit (AMU), in which focused internist-led teams are stationed on site to rapidly assess and re-triage patients...
October 2018: Singapore Medical Journal
Kelli Innes, Debra Jackson, Virginia Plummer, Doug Elliott
BACKGROUND: In response to increasing waiting times, adverse patient outcomes and patient dissatisfaction, some emergency departments introduced a Waiting Room Nurse role. Despite implementation into routine practice, there remains limited formal evaluation of the role. AIM: To explore the implementation of a Waiting Room Nurse role in Australian emergency departments and emergency nurses' perceptions. METHODS: Survey design. A 40-item survey was developed, piloted and then distributed to members of a professional College for online completion...
October 29, 2018: International Emergency Nursing
Robin Hohsfield, Christine Archer-Chicko, Traci Housten, Stephanie Harris Nolley
Pulmonary hypertension (PH) complicates common diseases and can lead to worsening symptoms and increased mortality. A specific group of PH, pulmonary arterial hypertension (PAH), World Health Organization Group 1, may present to the emergency department (ED). We review common ED presentations of patients with PAH such as cardiac arrest/sudden death, right ventricular failure, syncope, hypoxemic respiratory failure, arrhythmias, hemoptysis, pulmonary embolism, chest pain/left main compression syndrome, infection, and considerations for PAH medication administration...
October 2018: Advanced Emergency Nursing Journal
Samuele Caruggi, Martina Rossi, Costantino De Giacomo, Chiara Luini, Nicola Ruggiero, Alessandro Salvatoni, Silvia Salvatore
Purpose: Dehydration is a paediatric medical emergency but there is no single standard parameter to evaluate it at the emergency department. Our aim was to evaluate the reliability and validity of capillary refilling time as a triage parameter to assess dehydration in children. Methods: This was a prospective pilot cohort study of children who presented to two paediatric emergency departments in Italy, with symptoms of dehydration. Reliability was assessed by comparing the triage nurse's measurements with those obtained by the physician...
October 2018: Pediatric Gastroenterology, Hepatology & Nutrition
Carl Magnusson, Johan Herlitz, Thomas Karlsson, Christer Axelsson
BACKGROUND: The assessment of children in the Emergency Medical Service (EMS) is infrequent representing 5.4% of the patients in an urban area in the western part of Sweden. In Sweden, patients are assessed on scene by an EMS nurse whom independently decides on interventions and level of care. To aid the EMS nurse in the assessment a triage instrument, Rapid Emergency Triage and Treatment System-paediatrics (RETTS-p) developed for Emergency Department (ED) purpose has been in use the last 5 years...
October 19, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Bishwa B Adhikari, Lisa M Koonin, Melissa L Mugambi, Kellye D Sliger, Michael L Washington, Emily B Kahn, Martin I Meltzer
Telephone nurse triage lines, such as the Centers for Disease Control and Prevention's (CDC) Flu on Call® , a national nurse triage line, may help reduce the surge in demand for health care during an influenza pandemic by triaging callers, providing advice about clinical care and information about the pandemic, and providing access to prescription antiviral medication. We developed a Call Volume Projection Tool to estimate national call volume to Flu on Call® during an influenza pandemic. The tool incorporates 2 influenza clinical attack rates (20% and 30%), 4 different levels of pandemic severity, and different initial "seed numbers" of cases (10 or 100), and it allows variation in which week the nurse triage line opens...
September 2018: Health Security
Kaynan Doctor, Kristen Breslin, James M Chamberlain, Deena Berkowitz
OBJECTIVES: Rising costs in healthcare have focused attention on interventions to optimize efficiency of patient care, including decreasing unnecessary diagnostic testing. The primary objective of this study was to determine the variability of laboratory and radiology testing among licensed independent providers (LIPs) with different training backgrounds treating low-acuity patients in a pediatric emergency department (PED). METHODS: We performed a retrospective review of the electronic health records of all encounters with patients 21 years or younger, triaged as low-acuity, visiting 2 urban, academic PEDs from January 2012 to December 2013...
October 17, 2018: Pediatric Emergency Care
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