Emergency nursing : 5-tier triage protocols

Cover
Title
Copyright
Contents
Preface
	The Need for 5-Level Triage Protocols
Acknowledgments
Share: Emergency Nursing: 5-Tier Triage Protocols, Second Edition
1. Abdominal Pain, Adult
2. Abdominal Pain, Pediatric
3. Alcohol and Drug Use, Abuse, Overdose, and Dependence
4. Allergic Reaction
5. Altered Mental Status
6. Ankle Pain and Swelling (nontraumatic; for injury, see Extremity Injury)
7. Anxiety (If chest pain is present, see Chest Pain)
8. Asthma
9. Back Pain
10. Bee Sting
11. Bites, Animal and Human
12. Bites, Insect and Tick
13. Bites, Marine Animal
14. Bites, Snake
15. Body Art Complications
16. Breast Problems
17. Breathing Problems
18. Burns
19. Chest Pain
20. Cold Exposure, Hypothermia/Frostbite
21. Cold Symptoms
22. Confusion
23. Contusion
24. Cough
25. Crying Baby
26. Depression
27. Diabetic Problems
28. Diarrhea, Adult
29. Diarrhea, Pediatric
30. Ear Problems
31. Electric Shock/Lightning Injury
32. Extremity Injury
33. Eye Injury or Problems
34. Feeding Tube Problems
35. Fever
36. Finger and Toe Problems
37. Foreign Body, Ear
38. Foreign Body, Ingested
39. Foreign Body, Inhaled
40. Foreign Body, Rectum or Vagina
41. Foreign Body, Skin
42. Genital Problems, Female
43. Genital Problems, Male
44. Headache
45. Head Injury
46. Heart Rate, Rapid
47. Heart Rate, Slow
48. Heat Exposure
49. Hip Pain/Injury
50. Hives
51. Hypertension
52. Itching Without a Rash
53. Jaundice
54. Jaundice, Newborn
55. Knee Pain and/or Swelling
56. Laceration
57. Lightheadedness/Fainting
58. Menstrual Problems
59. Mouth Problems
60. Neck Pain
61. Nosebleed
62. Poisoning, Exposure or Ingestion
63. Pregnancy, Abdominal Pain
64. Pregnancy, Back Pain
65. Pregnancy, Vaginal Bleeding
66. Pregnancy, Vaginal Discharge
67. Pregnancy, Vomiting
68. Puncture Wound
69. Rash, Adult and Pediatric
70. Rectal Problems (see Foreign Body, Rectum or Vagina,for foreign body problem)
71. Seizure
72. Seizure, Pediatric Febrile
73. Sexual Assault
74. Shoulder Pain
75. Sinus Pain and Congestion
76. Sore Throat
77. Stroke
78. Suicidal Behavior
79. Sunburn
80. Toothache/Tooth Injury
81. Traumatic Injury (Skateboard, Ski, Snowboard, Bike, Car, etc.)
82. Urinary Catheter Problems
83. Urination Problems
84. Vaginal Bleeding, Abnormal
85. Vomiting
86. Weakness
87. Wound Infection
88. Wrist Pain and Swelling
Appendix A: Triage Program Development
	Introduction
	The Triage Area/Station
	Patient Flow
	Safety at Triage
	Triage Supplies and Equipment
	Rural and Remote Triage
	Legal Considerations
	Maintaining Quality
	Training
	Managing Mass Casualties and Active Shooter Incidents
	Start Method Triage: Simple Triage and Rapid Treatment
	Prepare for and Manage Active Shooter Incidents
Appendix B: Key Questions to Ask Triage Nurses
	Demographics
	History
	Symptoms
	Signs
	Others
Appendix C: Triage Pearls
	All Ages
	Mental Health
	Pediatric
	Geriatric
	Obstetric Patients
Appendix D: Triage Training Outline
Appendix E: Triage Training Exercises
	Identifying Appropriate Nursing Intervention at Triage
	Identifying How Age and Chronic Illness Impact the Assignment of an Acuity Level and Risk for Waiting to Be Seen
	Scenario Practice
Appendix F: Triage Assessment Skills Checklist
Appendix G: Chart Audit Tool
Appendix H: Triage Log
Appendix I: Differential Assessment of Abdominal Pain
Appendix J: Differential Assessment of Chest Pain
Appendix K: Headache: Common Characteristics
Appendix L: MVA Triage Questions
Appendix M: Mechanisms of Injury: Adult
Appendix N: Mechanisms of Injury: School Age and Adolescent (7–17 years old)
	Emergency Nursing Triage for Mechanisms of Injury: School Age and Adolescent Children
Appendix O: Mechanisms of Injury: Toddler and Preschooler (1–6 years old)
	Emergency Nursing Triage for Mechanisms of Injury: Toddler and Preschooler
Appendix P: Mechanisms of Injury: Infant (birth to 1 year old)
Appendix Q: Drugs of Abuse
Appendix R: Poisonings
	American Association of Poison Control Centers: (800) 222-1222
Appendix S: Biological Agents/Chemical Agents
Appendix T: Communicable Diseases, Colds Versus Flu, and Sexually Transmitted Diseases
Bibliography
Index