Improving the Prompt Identification of the Emergency Severity Index Level 2 Patient in Triage: Rapid Triage and the Registered Nurse Greeter

Howard, Alan; Brenner, Gerald D.; Drexler, Jessica; DaSilva, Patti Ann; Schaefer, Brigitte; Elischer, Joanne; Bogust, Scott

doi:10.1016/j.jen.2014.01.009

Cited by 5 publications

(2 citation statements)

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“…JEN is relaunching the Nurse Educator section in 2020, which provides an excellent venue to fuel the dissemination of relevant innovations and refine ideas. Furthermore, will the concept of triage continue to be a process of rapidly sorting patients to obtain the right resources at the right time, 22 or will the triage idea continue to evolve to represent a distinct physical area of the emergency department or broader interdisciplinary team's initial intake into the acute care hospital setting? 23 JEN's Triage Decisions section continues to relay evidence-based manuscripts to inform the ongoing evolution of triage.…”

Section: Evolution Of Ideas In Emergency Nursingmentioning

confidence: 99%

On Evolutions and Revolutions in Emergency Care: Commemorating the Emergency Nurses Association’s 50th Anniversary

Castner¹

2020

Journal of Emergency Nursing

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Section: Evolution Of Ideas In Emergency Nursingmentioning

confidence: 99%

On Evolutions and Revolutions in Emergency Care: Commemorating the Emergency Nurses Association’s 50th Anniversary

Castner¹

2020

Journal of Emergency Nursing

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“…Emergency departments (ED) have to consider new and effective methods to promptly identify and treat the critically ill or potentially critically ill patients because of dramatic increases in patient volumes. Rapid identification of critically ill patients could be imperative for the outcome [1]. Most of the current triage tools in use are based on a categorical measurement acuity scale [2,3].…”

Section: Introductionmentioning

confidence: 99%

Use of Tissue Oxygen Saturation Levels as a Vital Sign in the ED Triage

Yolcu

Kaya

2019

J Clin Exp Invest

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Objectives: The utilization of vital signs as triage tools remains a mainstay ofemergency patients. The evolution of monitoring technologies, including the noninvasive tissue oxygen saturation devices has improved our ability to monitor the critically ill patients. The aim of the present study was to determine the tissue oxygen saturation (StO2) levels of the patients as a vital sign during emergency triage. Methods: Approximately 30-35 patients present to our emergency department each day and the triage of these patients are performed by a nurse at admission time. A three level system (1: red, 2: yellow, 3: green) is used to determine the triage level of the patients presenting to our department. We examined 150 patients during five days. Age gender, triage levels and hospitalization status of the patients were noted. For the StO2 level measurement, an Inspectra device was placed to the right thenar muscle for 10 s and mean of the first, fifth and 10th second values were noted at the admission time. Results: In our study 73 females (48.6%), 77 males (51.4%) totally 150 patients were included. We determined a significant difference between green and yellow (p=0.00), green and red (p=0.00), yellow and red (p=0.001) according to StO2 levels. We couldn't find a significant difference between females and males in triage groups (p=0.13 for green, p=0.71 for yellow, p=0.86 for red). There was correlation between StO2-triage level (p=0.00, r=0.609) and StO2hospitalization status (p=0.00, r=0.449). Conclusion: StO2 level measurement may be helpful in determining the triage level of the patients presenting to the ED.

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