EDTCC#3 – ED Systematic Triage Assessment Process™: Steps 1-4

3.4 CNE CH

A course series that teaches the Systematic Triage Assessment Process™ Steps 1-4: the critical look, chief complaint, and considering the worst-case scenario, rapid and comprehensive triage assessments, and focused chief complaint specific assessments.

$51.00

How This Course Series Works

This series consists of the following courses:

TFED8 – Systematic Triage Assessment Step 1 – The Critical Look – 0.5 CNE
Establishing the across-the-room assessment and primary survey

Curriculum Description & Purpose:
There is a gap in professional practice related to a knowledge gap among ED nurses of all age ranges. Excellent assessment skills are the hallmark of the triage nurse who puts eyes and hands on the patient upon the initial presentation. It is imperative that patients receive what is known as “The Critical Look” upon arrival, which oftentimes prevents dangerous delays in care.

The Pediatric Assessment Triangle (PAT) algorithm has been validated as the first step in the triage process for a pediatric emergency patient. (Fernandez, 2017) The Pediatric Assessment Triangle is critical because infants and children are known to compensate for a long period of time and then decompensate (crash) rapidly.

The purpose of this activity is to:
1. Establish a systematic approach to the across-the-room assessment by incorporating both the primary survey and the Critical Look.
2. Practice using the Pediatric Assessment Triangle for pediatric patients.

Course Learner Outcomes:
Successful completion of this activity will enable the learner to detect life-, limb-, or organ-threatening presentations using the Critical Look and the Pediatric Assessment Triangle for very young pediatric patients.

TFED9 – Systematic Triage Assessment Process Step 2 – Chief Complaint & Considering WCS – 0.7 CNE
Establishing a proper line of questioning and documentation to prevent mistriage 

Course Description & Purpose:

There is an opportunity to improve the triage nurse’s practice of obtaining the chief complaint as a crucial part of the triage process. Obtaining a proper chief complaint and considering the worst-case scenario helps develop the line of questioning for the patient interview and drives both the subjective and focused objective components in both rapid and comprehensive triage assessments.

Why are triage nurses so concerned about the chief complaint? We are primarily concerned because the correct chief complaint is crucial to accurately prioritizing multiple patient presentations. Who will be more fully assessed first? An erroneous chief complaint could put a seriously ill patient behind a less acute patient. In addition, physicians look at the chief complaint as they prioritize the sequence of their physical assessments. An incorrect documentation of the chief complaint may mislead the entire treatment team. The chief complaint is a component of the subjective assessment, but because it is so critical, we discuss it separately.

The purpose of this activity is to:

  1. Demonstrate an understanding of best practices related to chief complaints;
  2. Relate the concept of worst-case scenario to the prevention of mistriage.

Course Learner Outcomes

Successful completion of this activity will enable the learner to demonstrate an understanding of the chief complaint material by sequencing triage patients according to acuity, with consideration of the worst-case scenario.

TFED10 – Systematic Triage Assessment Process Step 3 – Rapid Triage and Immediate Bedding – 0.6 CNE
Explains the definitions and boundaries of a quick triage assessment to enhance patient throughput and the prioritization of patients

Course Description and Purpose

There exists a practice gap surrounding the ED point-of-entry processes: the rapid triage assessment and the topic of immediate bedding. Emergency department triage nurses have an opportunity for improvement as they become educated regarding best practices. Because patients often arrive simultaneously, we must have a method for quickly prioritizing them. This is the true art of triage. If patients are assessed in the order that they arrive, a higher priority patient may be delayed treatment.

The purpose of this activity is to:

  1. Describe and define the rapid triage assessment;
  2. Incorporate immediate bedding strategies, when appropriate, using specific criteria.

Course Learner Outcomes

Successful completion of this activity will enable the learner to perform a rapid triage assessment and describe the best practices and use of immediate bedding based on strict criteria.

TFED11 – Systematic Triage Assessment Process Step 4 – Comprehensive Triage Assessment – 1.0 CNE
Establishing best practice line of questioning and documentation for a thorough triage interview

Course Description and Purpose

An opportunity for improvement exists in the triage nurse’s ability to systematically address patients during the comprehensive triage assessment and develop a roadmap for a comprehensive and systematic line of questioning.  

The purpose of this activity is to:

  1. Demonstrate a systematic and comprehensive triage assessment that addresses subjective and objective questioning and includes a pain assessment;
  2. Promote the consistent use of an evidence-based pain assessment tool, in conjunction with regulatory mandates, for the assessment and management of pain;
  3. Employ a systematic approach for collecting and recording necessary triage data in the patient medical record;
  4. Distinguish the elements required for meeting the best practices in triage documentation;
  5. Critique and identify necessary areas of improvement in the current triage documentation tool.

Course Learner Outcomes

Successful completion of this activity will enable the learner to demonstrate an improvement in nursing knowledge and skill by practicing a systematic and comprehensive triage assessment that addresses subjective and objective questioning and includes a pain assessment.

TFED12 – Systematic Triage Assessment Process Step 4 – Developing Focused Assessments – 0.6 CNE
Examines clinical specifics of the focused assessment from the comprehensive triage line of questioning

Course Description and Purpose

Many triage nurses have an opportunity to improve their focused assessments within the triage process due to a gap in knowledge. Few have had specialized training regarding the specifics of conducting focused subjective and objective assessments according to the body system of concern.

The purpose of this activity is to:

Systematically review the patient’s body system/part according to the focused assessment strategies taught.

Course Learner Outcomes

Successful completion of this activity will enable the learner to evaluate patients by utilizing a focused review, which will include (but is not restricted to) the chief complaint, mechanism of injury, pain measurement (PQRST), and other practice pearls. 

To receive continuing nurse education contact hours certificate, the learner must complete all lessons and components of each course, complete the attestation and evaluation forms, and pass the exam with an 75% minimum pass rate.

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