Fast Facts for the Triage Nurse : an Orientation and Care Guide

Cover
Title
Copyright
Contents
Reviewers
	Second Edition
	First Edition
Foreword
Preface
~A Heartfelt Thank You~
Acknowledgments
Share Fast Facts for the Triage Nurse: An Orientation and Care Guide, Second Edition
Part I: Setting the Stage for Success at Triage
	Chapter 1: Orienting to Triage
		What is Triage?
		Recommended Qualifications of a Triage Nurse
		Courses and Certifications
		Purpose of Triage Orientation
		Triage Orientation
		Completion of Triage Orientation
		Resources
	Chapter 2: Precepting at Triage
		Adult Teaching and Learning Principles
		The Generational Divide
		Recommended Qualifications for a Triage Preceptor
		Benefits of Precepting
		Ideas for the Orientation
		Completion of Triage Orientation
		Tips for Nursing Leadership and Nursing Educators
	Chapter 3: Tips for Success at Triage
		Triage Tips and Rationale
		Reflection
	Chapter 4: Personal Awareness for the Triage Nurse
		Compassion Fatigue
		Lateral Violence
		Empathy Burnout
	Chapter 5: Triage Competency
		Education Versus Competency
		Methods of Evaluating Triage Competency
		Components of Triage Competency
		Retrospective Chart Review
Part II: Point-of-Entry Processes in Triage Nursing
	Chapter 6: The Patient Arrival
		Roles of a Triage Nurse
		Rapid Triage Assessment
		Immediate Bedding
		Comprehensive Triage Assessment
		Critical Thinking Skills
	Chapter 7: The Patient Experience in Triage Nursing
		Providing a Positive Patient Experience
		Scripting
		Communication
		Rounding
		Reassessments
		Service Recovery
		Evaluating Service Excellence Efforts
	Chapter 8: Legal Concerns in Triage Nursing
		Emergency Medical Treatment and Active Labor Act
		Consent to Treatment
		Acronyms for Patients Who Leave Prior to Discharge
		Health Insurance Portability and Accountability Act
		Reportable Conditions and Events
Part III: Nursing Essentials for Effective Triage
	Chapter 9: Triage Acuity Scales
		Triage Acuity: Overview
		Mistriage
		Specific Triage Acuity Scales
	Chapter 10: Triage Documentation
		Essential Components of Good Documentation
		Documentation of Against Medical Advice, Left Prior to Treatment, Left Without Being Seen, Left Without Treatment, Left Prior to Medical Screening Exam
		Mnemonics to Guide Documentation
		Key Line of Questioning for Motor Vehicle Crash
	Chapter 11: Time-Sensitive Medical Conditions
		Core Measures
		Acute Myocardial Infarction
		Stroke
		Pneumonia
		Other Measures and Potential Up-and-Coming Core Measures
		Sepsis, Severe Sepsis, and Septic Shock
Part IV: Current Trends Impacting Triage Nursing
	Chapter 12: Urgent Care Triage
		Background
		Staffing
		Regulations
		Service and Scope
		Triage
	Chapter 13: Electronic Medical Record Considerations
		Benefits of the EMR
		Pitfalls of the EMR
	Chapter 14: Provider in Triage
		Purpose of Placing a Provider in Triage
		Roles of Staff at Triage
		Communication
		Key Tips for the Provider
		Discharges from the Waiting Room
		Implementing a Provider in Triage Program
	Chapter 15: Advanced Triage Protocols
		What are ATPs, and Why are They Used?
		Common Considerations and Concerns
		Review of Common Triage Protocols
Part V: “Red Flag” Patient Presentations
	Chapter 16: Introduction to “Red Flag” Presentations
		The Triage Process
		Red Flag Findings
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
		Specific Conditions
	Chapter 17: Respiratory Emergencies
		Red Flag Findings
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
		Specific Conditions
	Chapter 18: Cardiac Emergencies
		Red Flag Findings
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
	Chapter 19: Neurological Emergencies
		Red Flag Findings
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
		Specific Conditions
	Chapter 20: Abdominal Emergencies
		Red Flag Findings
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
		Specific Conditions
	Chapter 21: Obstetric and Gynecological Emergencies
		Red Flag Findings
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
		Specific Conditions—Obstetric Related
		Specific Conditions—Gynecological Related
	Chapter 22: Behavioral Health Emergencies
		Red Flag Findings
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
		Specific Conditions
	Chapter 23: Ocular Emergencies
		Red Flag Findings
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
		Specific Conditions
	Chapter 24: Musculoskeletal Emergencies
		Red Flag Findings
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
		Specific Conditions
	Chapter 25: Endocrine Emergencies
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
		Specific Conditions
	Chapter 26: Environmental Emergencies
		Red Flag Findings
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
		Specific Conditions
	Chapter 27: Trauma Emergencies
		Red Flag Findings
		Worst-Case Scenarios
		Essential Triage Questions, Assessment, and Interventions
		Condition-Specific Questions Related to Trauma
	Chapter 28: Infectious Presentations
		Red Flag Findings
		Infectious Presentations
		Essential Triage Questions, Assessment, and Interventions
		Conditions Requiring Isolation
Part VI: Special Considerations in Triage Nursing
	Chapter 29: Special Populations in Triage
		Human Trafficking
		Intimate Partner Violence
		Military Personnel
		Lesbian, Gay, Bisexual, Transgender, Questioning/Queer (LGBTQ) Patients
		Left Ventricular Assist Device Patients
		Hearing-Impaired Patients
		Visually Impaired Patients
		Illiterate Patients
		Language Barrier Patients
		Developmentally Delayed, Autistic, or the Like Patients
	Chapter 30: Pediatric Triage
		Pediatric Triage: Overview
		Developmental Stages
		Initial Assessment
		Pediatric Presentations: Triage Perils
	Chapter 31: Older Adult Triage
		Older Adult Assessment
		Communicating with an Older Adult Patient
		Examination Tips
		Polypharmacy
		Atypical Presentation
		Elder Abuse
		Cultural Competence
	Chapter 32: Pain Management at Triage
		Acute and Chronic Pain
		Managing Pain at Triage
		Red Flag Findings that May Indicate Risk for Drug Overdose
	Chapter 33: Patient and Staff Safety
		Types of Violence
		Potential for Violence
		Behavioral Health Patients
		Alcohol and Substance Abuse
		Security
		Increasing Safety in the Triage Area
	Chapter 34: Case Studies in Triage Nursing
		Case Studies
Part VII: Disaster Situations in Triage Nursing
	Chapter 35: Emergency Management: A Triage Nurse’s Guide for When Disaster Strikes
		Phases of Emergency Management
	Chapter 36: Active Shooter or Active Violence
		Preparing the Facility and Yourself
		Situational Awareness—Warning Signs
		Situational Awareness—Weapon Concealment
		Incident Response
		Stop the Bleed
		Critical Incident Stress Management
Abbreviations
Appendix A: Resources
	Other Books by the Authors
	Formalized Triage Education
	Websites
Appendix B: Triage Competency Validation Form
Appendix C: Sample Triage Education and Competency Plan
Appendix D: Sample Triage Retrospective Chart Review Audit Form
	Adult Chest Pain
Appendix E: Disaster Triage Tag
Additional Reading
Index