فهرست مطالب :
Cover......Page 1
Title......Page 8
Copyright......Page 9
Contents......Page 12
Reviewers......Page 16
Foreword......Page 18
Preface......Page 20
Acknowledgments......Page 22
Share Fast Facts for the Triage Nurse: An Orientation and Care Guide in a Nutshell......Page 24
Part I: Setting the Stage for Success at Triage......Page 25
What is Triage?......Page 27
Recommended Qualifications of a Triage Nurse......Page 28
Courses and Certifications......Page 29
Purpose of Triage Orientation......Page 30
Triage Orientation......Page 31
Completion of Triage Orientation......Page 33
Reference......Page 34
Adult Teaching and Learning Principles......Page 35
The Generational Divide......Page 37
Benefits of Precepting......Page 39
Ideas for the Orientation......Page 40
Completion of Triage Orientation......Page 41
Reference......Page 43
Triage Tips and Rationale......Page 45
Reflection......Page 50
Compassion Fatigue......Page 53
Lateral Violence......Page 55
Empathy Burnout......Page 56
Part II: Point-of-Entry Processes in Triage Nursing......Page 59
Roles of a Triage Nurse......Page 61
Rapid Triage Assessment......Page 62
Immediate Bedding......Page 63
Comprehensive Triage Assessment......Page 65
Critical Thinking Skills......Page 67
Reference......Page 68
Providing Effective Customer Service......Page 69
Scripting......Page 72
Communication......Page 74
Reassessments......Page 75
Service Recovery......Page 76
Evaluating Service Excellence Efforts......Page 77
Emergency Medical Treatment and Active Labor Act (EMTALA)......Page 79
Consent to Treatment......Page 81
LWT, LWBS, LPMSE, LBTC, AMA......Page 82
Health Insurance Portability and Accountability Act (HIPAA)......Page 83
Reportable Conditions and Events......Page 84
References......Page 85
Part III: Nursing Essentials for Effective Triage......Page 87
Triage Acuity: Overview......Page 89
Specific Triage Acuity Scales......Page 91
References......Page 94
Essential Components of Good Documentation......Page 95
Mnemonics to Guide Documentation......Page 98
References......Page 100
Core Measures......Page 101
Acute Myocardial Infarction (AMI)......Page 102
Stroke......Page 104
Pneumonia......Page 106
Other Measures and Potential Up-and-Coming Core Measures......Page 107
Sepsis, Severe Sepsis, and Septic Shock......Page 108
References......Page 110
Part IV: Current Trends Impacting Triage Nursing......Page 111
Background......Page 113
Regulations......Page 114
Triage......Page 115
References......Page 116
Benefits of the Electronic Medical Record......Page 117
Pitfalls of the Electronic Medical Record......Page 119
Purpose of Placing a Provider in Triage......Page 121
Communication......Page 122
Key Tips for the Provider......Page 125
Discharges from the WR......Page 127
Implementing a Provider in Triage Program......Page 128
What Advanced Triage Protocols are and Why they are Used......Page 131
Common Considerations and Concerns......Page 132
Review of Common Triage Protocols......Page 134
Part V: “Red Flag” Patient Presentations......Page 137
The Triage Process......Page 139
Essential Triage Questions, Assessment, and Interventions......Page 142
Specific Conditions......Page 143
Reference......Page 144
Essential Triage Questions, Assessment, and Interventions......Page 145
Specific Conditions......Page 147
Reference......Page 151
Essential Triage Questions, Assessment, and Interventions......Page 153
Specific Conditions......Page 155
Red Flag Findings......Page 157
Essential Triage Questions, Assessment, and Interventions......Page 159
Specific Conditions......Page 160
Red Flag Findings......Page 162
Essential Triage Questions, Assessment, and Interventions......Page 163
Specific Conditions......Page 166
Reference......Page 169
Essential Triage Questions, Assessment, and Interventions......Page 171
Specific Conditions......Page 173
Red Flag Findings......Page 177
Essential Triage Questions, Assessment, and Interventions......Page 179
Specific Conditions......Page 181
References......Page 183
Essential Triage Questions, Assessment, and Interventions......Page 185
Specific Conditions......Page 186
Reference......Page 189
Essential Triage Questions, Assessment, and Interventions......Page 191
Specific Conditions......Page 192
Red Flag Findings......Page 194
Essential Triage Questions, Assessment, and Interventions......Page 195
Specific Conditions......Page 196
Reference......Page 198
Essential Triage Questions, Assessment, and Interventions......Page 199
Conditions Requiring Isolation......Page 202
References......Page 204
Essential Triage Questions, Assessment, and Interventions......Page 205
Condition-Specific Questions Related to Trauma......Page 207
Red Flag Findings......Page 210
Part VI: Special Considerations in Triage Nursing......Page 211
Hearing Impaired Patient......Page 213
Patient with a Language Barrier......Page 214
Illiterate Patient......Page 215
Military Personnel......Page 216
Patient with a Left Ventricular Assist Device......Page 217
Intimate Partner Violence......Page 218
Sex Trafficking......Page 219
References......Page 221
Pediatric Triage: Overview......Page 223
Developmental Stages......Page 224
Initial Assessment......Page 225
Pediatric Presentations: Triage Perils......Page 228
References......Page 230
Geriatric Assessment......Page 231
Communicating with a Geriatric Patient......Page 233
Polypharmacy......Page 234
Elder Abuse......Page 235
Cultural Competence......Page 236
References......Page 237
Types of Violence......Page 239
Potential for Violence......Page 240
Psychiatric Patients......Page 242
Security......Page 243
Keeping the Triage Nurse and Others Safe......Page 244
Case Studies......Page 247
Abbreviations......Page 251
Websites......Page 253
Additional Reading......Page 255
Index......Page 263