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SUBJECT:EMERGENCY DEPARTMENT POLICIES NO. 39.3 Nursing Triage AssessmentGuidelinesPAGE NO. 1 of 4Original Date of Issue: 7/08 Patient PopulationReviewed: Revised:Neonate Pediatric Adolescent Adult Geriatric v v v the

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How to fill out nursing triage assessment:

1. Begin by gathering the necessary information from the patient, including their chief complaint, medical history, and current symptoms.
2. Assess the patient's vital signs, including their temperature, blood pressure, heart rate, and respiratory rate. Document these measurements accurately.
3. Perform a thorough physical examination, focusing on the areas related to the patient's chief complaint. Document any abnormal findings or observations.
4. Use a standardized nursing triage assessment tool, such as the Emergency Severity Index (ESI), to categorize the patient's level of acuity. This helps prioritize their care and determines the appropriate level of intervention.
5. Document the patient's subjective and objective findings in a clear and concise manner. Use proper medical terminology and avoid ambiguous language.
6. Communicate with the healthcare team, including the physician, to provide a comprehensive picture of the patient's condition and facilitate appropriate decision-making.
7. Continuously reassess the patient's condition and update the triage assessment as needed. This ensures that the patient's changing needs are addressed promptly.
8. Use critical thinking skills to analyze the gathered information and make sound clinical judgments. This includes identifying potential emergencies or conditions that require immediate intervention.
9. Ensure proper documentation of the nursing triage assessment in the patient's medical record, adhering to legal and ethical standards.
10. Finally, provide appropriate interventions based on the nursing triage assessment and the patient's acuity level.

Who needs nursing triage assessment?

1. Patients in emergency departments or urgent care settings often require nursing triage assessments to determine the severity of their condition and prioritize their care.
2. Individuals seeking healthcare services at outpatient clinics or primary care facilities may also undergo nursing triage assessments to determine the urgency of their needs.
3. In disaster or mass casualty situations, nursing triage assessments are crucial to quickly and efficiently categorize patients based on their needs and available resources.
4. Patients in home health or hospice care may receive nursing triage assessments to assess changes in their condition and determine the appropriate level of intervention.
5. Individuals with chronic diseases or complex medical conditions may undergo nursing triage assessments during routine check-ups or when experiencing exacerbations of their condition.

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What is nursing triage assessment?

Nursing triage assessment is a process of evaluating and prioritizing patients based on the severity of their condition.

Who is required to file nursing triage assessment?

Nurses or healthcare professionals responsible for assessing and prioritizing patient care must file nursing triage assessment.

How to fill out nursing triage assessment?

Nursing triage assessment can be filled out by documenting patients' vital signs, symptoms, and medical history to determine the urgency of care needed.

What is the purpose of nursing triage assessment?

The purpose of nursing triage assessment is to quickly and efficiently identify and prioritize patients based on the severity of their condition.

What information must be reported on nursing triage assessment?

Nursing triage assessment must include patients' vital signs, symptoms, medical history, and level of urgency for care.