2.50
Hdl Handle:
http://hdl.handle.net/10755/162492
Type:
Presentation
Title:
Development of a Community Triage Tool for Pandemic Flu
Abstract:
Development of a Community Triage Tool for Pandemic Flu
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Vanhoy, Mary Alice, RN, MSN, CEN, NREMTP
P.I. Institution Name:Shore Health System
Title:Emergency Services Educator/ EMS Coordinator
Contact Address:609 Bay Drive, Stevensville, MD, 21666, USA
Contact Telephone:410-822-1000 ext. 5554
[Clinical Poster] Clinical Topic: As the health care profession develops a plan of response for a pandemic flu, it must be recognized that the health care delivery system will quickly become overwhelmed. In order to provide effective care, triage must be rapid and efficient. Traditional mass casualty Incident (MCI) triage, like START, is not applicable to this patient type but after a review of the literature, no triage tools were found. A triage tool was developed which could be used at community triage locations and health care facilities.

Implementation: A committee of local and regional health care resources was formed to address an all- hazard community plan of response. One component was the development of county based triage centers. While START triage is the standard for a MCI in Maryland, it is not applicable to a pandemic.
Utilizing treatment protocols from the Center for Disease Control and the Maryland Department of Health and Mental Hygiene, a triage tool was developed. This tool used the standard color - based acuity system with addition on another color of blue. The palliative or blue triage occurred during the secondary triage of the red and yellow population.
This triage tool was piloted during a state-wide PanFlu exercise where a rural hospital was selected to test surge capacity. Exercise tags were developed for each victim so that the triage classification could be compared to the exercise design.

Outcomes: During the exercise, 145 victims were triaged over a 2.5 hour period. After the exercise the triage tags were collected with a retrieval rate of 85%. Of the 85% of the tags received, the staff triage reflected the exercise coordinators outcomes 80% of the time. During the critique, it was discovered that emergency nursing staff found it difficult to triage victims to the palliative care areas. They chose to initiate treatment and allow the treatment areas to make the palliative care determination.

Recommendations: There is a need to develop a non-trauma based MCI triage system. While most health care systems exercise on trauma related scenarios, the threat of pandemic influenza must be addressed. Since nursing would be greatly impacted, nursing should take the lead to develop plans of response based on best practice and objective data. This could be accomplished by additional exercises to address the effectives of the tool and the surveying of staff on practice and ethical related issues.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment of a Community Triage Tool for Pandemic Fluen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162492-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of a Community Triage Tool for Pandemic Flu</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Vanhoy, Mary Alice, RN, MSN, CEN, NREMTP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Shore Health System</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Emergency Services Educator/ EMS Coordinator</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">609 Bay Drive, Stevensville, MD, 21666, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">410-822-1000 ext. 5554</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">vanhoy@dmv.com</td></tr><tr><td colspan="2" class="item-abstract">[Clinical Poster] Clinical Topic: As the health care profession develops a plan of response for a pandemic flu, it must be recognized that the health care delivery system will quickly become overwhelmed. In order to provide effective care, triage must be rapid and efficient. Traditional mass casualty Incident (MCI) triage, like START, is not applicable to this patient type but after a review of the literature, no triage tools were found. A triage tool was developed which could be used at community triage locations and health care facilities.<br/><br/>Implementation: A committee of local and regional health care resources was formed to address an all- hazard community plan of response. One component was the development of county based triage centers. While START triage is the standard for a MCI in Maryland, it is not applicable to a pandemic.<br/>Utilizing treatment protocols from the Center for Disease Control and the Maryland Department of Health and Mental Hygiene, a triage tool was developed. This tool used the standard color - based acuity system with addition on another color of blue. The palliative or blue triage occurred during the secondary triage of the red and yellow population. <br/>This triage tool was piloted during a state-wide PanFlu exercise where a rural hospital was selected to test surge capacity. Exercise tags were developed for each victim so that the triage classification could be compared to the exercise design. <br/><br/>Outcomes: During the exercise, 145 victims were triaged over a 2.5 hour period. After the exercise the triage tags were collected with a retrieval rate of 85%. Of the 85% of the tags received, the staff triage reflected the exercise coordinators outcomes 80% of the time. During the critique, it was discovered that emergency nursing staff found it difficult to triage victims to the palliative care areas. They chose to initiate treatment and allow the treatment areas to make the palliative care determination. <br/><br/>Recommendations: There is a need to develop a non-trauma based MCI triage system. While most health care systems exercise on trauma related scenarios, the threat of pandemic influenza must be addressed. Since nursing would be greatly impacted, nursing should take the lead to develop plans of response based on best practice and objective data. This could be accomplished by additional exercises to address the effectives of the tool and the surveying of staff on practice and ethical related issues.<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:29:07Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:29:07Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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