Setting Up A Triage
- September 8, 2017
- Posted by: marlenedubois
- Category: Nursing Assistant Classes
If tragedy strikes in a big way along with you are overwhelmed by a medical emergency you may need to set up a Triage. Triage is usually the sorting of patients according to the urgency of their need for care. This kind of system is usually used when the item is usually not feasible to treat all patients at one time due to limitations. For instance a mass casualty situation, crowded emergency rooms or even battlefield scenarios. How effectively your triage works will depend on your organization along with availability of resources. You should also remember in which Triage is usually not treatment. You are sorting patients for those who will treat them along with if you do not have those medical professionals available, the item could be a very long wait.
If you have a group along with the item is usually your intention to be able to set up a Triage the first thing you will need to do is usually to establish a plan on how you will set up your triage. Make sure in which you have a written plan along with in which the item is usually actionable. the item’s important to have a written plan to ensure in which things don’t get forgotten or slip through the cracks. Make sure in which your plan is usually realistic along with achievable based on your knowledge, capabilities along with resources. Once you have your plan you should practice or at the bare minimum review in which plan with all those in which will be involved to ensure in which everyone is usually comfortable along with familiar with their role. You will need to review your plan periodically because things or people may change along with you will want to make sure in which nothing has seeped out of in which steel trap in everyone’s head. You will also want to keep in which written plan nearby along with accessible.
Of course the best case scenario is usually to possess the availability of healthcare professionals such as doctors, nurses or EMT’s. If you don’t have This kind of as an option, get training. There is usually a saying inside the preparedness community, “two is usually one along with one is usually none.” This kind of holds true in This kind of instance as well. If your one along with only person with medical knowledge goes down, you have a problem. Everyone within you group should have at least a rudimentary understanding of first aid. There are many places to get in which training by, the Red Cross, online courses, private courses or even community colleges in which offer first responder or EMT courses.
When deciding on a location for your Triage area you need to keep your surroundings in mind. For instance, is usually the area safe? If there is usually a possibility of further injury or exposure to harsh elements such as snow, rain, or exposure to a lot of direct sunlight you will need to find a better location with some sort of protection. is usually the area reasonably clean? You don’t want to setup inside the city dump or up against the port-a-potty. The last thing your patient needs is usually a greater chance of infection.
In formal Triage settings, Triage tags are used to indicate a patients priority. This kind of is usually to ensure in which a patients priority is usually easily visible by those treating the patient along with to ensure in which someone with life threatening injuries isn’t waiting for treatment because of someone using a cold. Triage tags use a colour system to determine a patients priority, blue for deceased, black for expectant or deceased, red for immediate, yellow for delayed along with green for minor. The person doing the initial start writes down the time along with then initials the item yet does not fill out the tag. The tag is usually then torn to indicate the patients priority along with attached to the patient. You should only spend about 30 or 40 seconds per patient along with then move on to the next. When you Triage along with tag your patient you will probably not be perfect, even the pros make mistakes, just do your best in in which 30 – 40 seconds in which you have. inside the second stage of the process the tag would certainly be filled out. This kind of could be done by ambulance personnel, treatment personnel or those specifically assigned to the task.
When tagging patients the things to look out for are PM’s:
Respiratory Effort- Whenever approaching a patient in an emergency situation you need to check for responsiveness. Gently shake the patients shoulders along with loudly ask if they are okay. Gasping or inadequate breathing should be considered unresponsiveness along with requires immediate action. Normal respiration rate for adults at rest is usually between 12 – 16 breaths per minute anything over 30 likely means your patient is usually in shock along with should be tagged red or Immediate. If the patient is usually vomiting roll them on to their side.
Pulses- Check the patients radial pulse by firmly placing two fingers on the arteries located at the wrist, the inside of the elbow or at the side of the neck. Count the number of beats per minute. If the patient has no pulse tag red or immediate. You can also do a blanch test by pressing on an area of the skin until the colour is usually gone along with then time how long the item takes for the colour to return once you have removed your fingers. If the item takes longer than two seconds for the colour to return, treat for shock by elevating the feet 12 inches along with tag red or immediate. Do not elevate the feet if the patient is usually suffering by back, neck or head injury or possible broken hip or leg bones. If patient is usually suffering by severe bleeding take immediate steps to control bleeding.
Mental status- If the patient in conscious yet unable to respond treat for shock along with tag red or immediate.
Walking Wounded are generally tagged green along with asked to move to a specified area. Someone should be with these patients to comfort them along with keep them informed. If they are capable they can be utilized to help direct patients where they need to go. Those in which may be deceased should be moved out of sight of the patients yet kept nearby.
There are some important things to remember if you are in This kind of situation. The first is usually to stay calm. You are going to be of little help if you are panicked. Second is usually no matter who you tagging do not get emotional even if you know them. Everyone deserves the same care along with you must stay calm along with focused. Third, remember in which you are sorting patients not treating them along with last, whatever your level of expertise, just do your best.