What questions do triage nurses ask?

Questions aimed at identifying the patient with possible ACS:
  • Where is your pain? (location)
  • Does it go anywhere else? (radiation)
  • When did it start? (onset)
  • How long has it lasted? (duration)
  • How bad is it? (severity on pain scale)
  • Does anything make it better or worse?
  • Have you taken any medication to relieve it?
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What are the 3 categories of triage?

Triage
  • Immediate category. These casualties require immediate life-saving treatment.
  • Urgent category. These casualties require significant intervention as soon as possible.
  • Delayed category. These patients will require medical intervention, but not with any urgency.
  • Expectant category.
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What is a triage assessment?

1Triage and emergency assessment. Triage is the process of rapidly examining sick children when they first arrive in order to place them in one of the following categories: Those with EMERGENCY SIGNS who require immediate emergency treatment.
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What are the nurses triage protocols?

Most triage nurses use the Gold-Standard Schmitt-Thompson Protocols, which are the telephone triage version of a medical checklist. The protocols are broken down by symptoms for pediatric and adult patients. Based on the most prevalent or worrisome presenting symptom, the nurse selects the correct protocol.
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What assessment does a triage nurse do?

The rapid triage assessment in the emergency nursing environment is a quick assessment that helps the triage nurse identify those patients requiring immediate care from those who can safely wait.
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Triage Nurse interview questions



Which is the most important function of the triage nurse?

One of the most important roles of the triage nurse is to provide empathy and reassurance. In addition to a thorough evaluation, a caring nurse is one of the most essential qualities for any triage nurse.
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What are the 5 levels of triage?

In general, triage categories can be expressed as a Description (immediate; Urgent; Delayed; Expectant), Priority (1 to 4), or Color (Red, Yellow, Green, Blue), respectively, where Immediate category equals Priority 1 and Red color [1,2]. ...
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How do you triage a medical call?

A Quick Guide to Triaging Patient Phone Calls
  1. Gather the Right Information. ...
  2. Ask Relevant Questions. ...
  3. Confirm Understanding. ...
  4. Practice Telephone Triage Scenarios. ...
  5. Use Verbal Cues. ...
  6. When in Doubt, See the Patient. ...
  7. Give Instructions for Call-Backs. ...
  8. Use a Medical Call Center.
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How long does a triage call take?

The mean estimated duration of a GP face-to-face consultation that followed a GP triage call was longer than the duration of a GP face-to-face consultation in usual care (12.4 versus 9.8 minutes). For those that followed a nurse-led triage call, the estimated mean duration was 11.5 minutes.
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What is advanced triage protocols?

The process, Advance Triage, allows the triage nurse to initiate diagnostic protocols for frequently occurring medical problems based on physician-approved algorithms.
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What kind of information would a nurse like to obtain from a patient entering triage?

The term triage actually means "to sort." The triage nurse will get a short history from you about your symptoms, when the symptoms started, your drug allergies and current medications.
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What are the 4 types of nursing assessments?

4 types of nursing assessments:
  • Initial assessment. Also called a triage, the initial assessment's purpose is to determine the origin and nature of the problem and to use that information to prepare for the next assessment stages. ...
  • Focused assessment. ...
  • Time-lapsed assessment. ...
  • Emergency assessment.
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Who treats first in triage?

The Triage System in Action

White: No illness or injury detected. Green: Injury or illness detected but symptoms are less serious and not life-threatening. The patient will require help eventually but can wait for others with more serious needs to receive treatment first.
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What is the first step in triage?

The first step in triage is to clear out the minor injuries and those with low likelihood of death in the immediate future.
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What are the three criteria for assessing patients during triage?

The START triage system classifies patients as red/immediate if the patient fits one of the following three criteria: 1) A respiratory rate that's > 30 per minute; 2) Radial pulse is absent, or capillary refill is > 2 seconds; and 3) Patient is unable to follow simple commands.
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Why would a triage nurse call me?

Every telephone triage nurse will eventually have a caller that is experiencing severe chest pain or other symptoms that will require them to call 911. In emergencies, every second matters and the nurse must be ready to instantly know what steps need to be taken.
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How do you do phone triage nursing?

First, an individual calls their doctors office or a dedicated number, requiring triage assistance. The call gets forwarded to an operator who collects the individual's information, including name, age, and name of their physician. The operator then relays the information to a licensed registered triage nurse.
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What is involved in triage over the telephone?

Telephone triage is the process of managing a patient's call to the office to determine the urgency of the medical issue, the level of provider who should respond, the appropriate location for the patient to be seen (if necessary), and the timing of appointment scheduling.
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How do you prepare for a triage nurse interview?

Interview questions about nursing background and experience

Can you tell me about your experience as a nurse? What is your greatest strength as a telephone triage nurse? What are you looking for in this position? What methods or techniques do you use for positive communication?
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How do you triage shortness of breath?

Ask these questions at triage
  1. How long have you been short of breath? ...
  2. Do you have heart or lung problems? ...
  3. Have you been in the hospital before for this?
  4. What medications do you take?
  5. Does the shortness of breath get worse when you do any physical activity?
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How does hospital triage work?

In the emergency department “triage” refers to the methods used to assess patients' severity of injury or illness within a short time after their arrival, assign priorities, and transfer each patient to the appropriate place for treatment (5).
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What is the most commonly used triage system?

Emergency Department Triage in the United States (U.S.)

The most common triage system in the United States is the START (simple triage and rapid treatment) triage system. This algorithm is utilized for patients above the age of 8 years.
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Can a triage nurse prescribe antibiotics?

The Triage Nurse has appointments available for minor ailments and can issue a prescription which saves GP appointments for more complex urgent illnesses.
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