Special Nursing Teams - Types of Triage

forensic nurse examiners

Nurses that are trained to obtain patient histories, collect forensic evidence, and offer counseling, and follow-up care for victims of rape, child abuse, and domestic violence. One example are SANE nurses

abcde approach

To distinguish if there is a life threatening condition, what systematic approach is used?

head tilt chin lift

This method is used to check for foreign bodies in the airway.

jaw thrust

This method is used to open the airway and is indicated for cervical injury.

oropharyngeal airway (opa)

This method is used to prevent the tongue from obstructing the throat.

auscultation, xray, etco2

What is used to confirm placement of an ET tube?

broken ribs

What is expected if there is presence of tenderness during palpation?

tracheal deviation

It indicates either a collapse of lungs or presence of blood, air, or mass on the lungs.

5-6 liters per minute

What is the normal rate of oxygen in a normal nasal cannula?

2-3 liters per minute

What is the normal rate of oxygen in a Venturi mask?

ventricular tachycardia and ventricular fibrillation

What is the most dangerous type of arrhythmias?

2-4 mm

In PERRLA, what is the normal constriction of the eye when exposed to light?

primary assessment

The goal of this assessment is to rapidly but systematically obtain essential subjective and objective information, interpret this information, identify potential life-threatening states, and immediately intervene when indicated.

secondary assessment

The goal of this assessment is to discover all other abnormalities or injuries that are not life-threatening.

arterial line

It is a line that is inserted in the radial artery and attached to a transducer to continuously monitor BP.

mean arterial pressure (map)

This indicator is more reliable than BP, according to doctors.

[(2 x diastolic) + systolic]/3

What is the formula for calculating the MAP?

70-100

What is the normal MAP range?

nature of illness (noi)

It refers to the specific type or character of a patient's medical problem or condition. It's about identifying what is wrong with the patient, rather than just how they present.

triage

An information-collecting and decision-making process. It is performed in order to sort injured and ill patients into categories of acuity and prioritization based on the urgency of their medical or psychological needs.

triage nurse

This nurse collects data and classifies the illnesses and injuries to ensure that the patients most in need of care do not needlessly wait.

emergent, urgent, nonurgent

What are the three categories of triage?

emergent

A triage category considered as the highest priority; clients who require immediate care in order to sustain life or limb.

urgent

A triage category dealing with serious health problems but not life-threatening; clients who require care within 1 to 2 hours to prevent worsening of their condition.

nonurgent

A triage category dealing with episodic illness, clients whose care can be delayed without the risk of permanent consequences.

daily triage

A type of triage that is done on a routine basis at the ER.

incident triage

A type of triage used if the ER has a large number of patients.

disaster triage

A type of triage employed when the local ER is overwhelmed.

tactical-military triage

A type of triage employed when military objectives are used.

special condition triage

A type of triage utilized during MCI (Mild Cognitive Impairment) and WMD (Weapons of Mass Destruction).