Emergency nursing : 5-tier triage protocols

Description

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