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Author (up) Vatnoy, T.K.; Fossum, M.; Smith, N.; Slettebo, S.
Title Triage assessment of registered nurses in the emergency department Type Journal Article
Year 2013 Publication International Emergency Nursing Abbreviated Journal Int Emerg Nurs
Volume 21 Issue 2 Pages 89-96
Keywords Algorithms; Clinical Competence; Decision Making; Emergency Nursing/*standards; Emergency Service, Hospital/*organization & administration; Humans; *Nursing Assessment; Surveys and Questionnaires; *Triage
Abstract UNLABELLED: Standardised triage systems have been implemented in emergency departments (EDs) to improve the efficacy of assessment strategies as performed by registered nurses (RNs). However, the exact effect the standardised triage systems have on the decision-making process remains unclear. AIM: To evaluate decision making in the triage setting before and after implementation of the Medical Emergency Triage and Treatment System Adult in one hospital's ED. METHODS: A descriptive intervention design with a quantitative approach. A total of 655 patients before and 413 patients after the intervention were included. A questionnaire was used to evaluate how the RNs assessed the patients before intervention while the emergency patient records were used for data collection after intervention. RESULTS: Before the intervention, a majority of the assessments were founded on signs and symptoms and medical diagnoses, whereas vital parameters were rarely used. After the intervention, nearly two thirds of the patients were assessed according to a triage system with vital parameters and standardised algorithm for symptoms and signs included in the assessment procedure. CONCLUSION: Implementing a standardised triage system, including vital parameters and standardised algorithms for signs and symptoms, increased the use of vital parameters and signs and symptoms for decision making and acuity assignment.
Address Department of Health and Nursing Science, University of Agder, Grimstad, Norway. torunn.vatnoy@uia.no
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 1878-013X ISBN Medium
Area Expedition Conference
Notes PMID:23615515 Approved no
Call Number ref @ user @ Serial 96564
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