3.00
Hdl Handle:
http://hdl.handle.net/10755/162872
Type:
Presentation
Title:
Development and Implementation of an Emergency Department Triage Competency
Abstract:
Development and Implementation of an Emergency Department Triage Competency
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:Kosits, Lisa, RN, MSN, CCRN, CEN
Contact Telephone:718/920-5241
Co-Authors:Fran McBride, RN, BSN
Clinical Topic: Montefiore Medical Center is continually striving to provide quality patient care. In the Emergency Department, when looking at redesign of throughput, one area we identified for quality improvement was the education and continued development of competent staff in patient triage in order to improve triage wait time. Triage was also identified as a priority because of the recent hiring of new graduate RNs and RNs with 1-2 years of medical surgical experience. Implementation: A comprehensive triage training and evaluation process was developed and consists of the following: (a) A five-hour didactic course on triage (topics include: triage process, triage categories, role of the triage nurse, legal considerations, triage assessment, specialty assessments, triage protocols, documentation, and case reviews); (b) a preceptorship of 22.5 hours, and (c) an ongoing review of cases to validate competency. Each emergency department RN goes through the training process after 6 months of employment. Incumbent staff attends the five-hour didactic course and competency is evaluated annually. Competency is validated during orientation, at six months post training, and annually. During orientation, the preceptor demonstrates the triage process, observes the orientee triage patients, and reviews the patients' medical records with the orientee for accuracy in assignment of triage acuity and documentation. Competency is based on the orientee's ability to demonstrate 16 performance criteria successfully through direct observation and review of 50 patients' presentations. These same criteria are used at the six months and annual competency validation, but the chart review process is decreased to 10 patient presentations and clinical observation. Outcomes: In the past year we have trained half of our staff. The majority of them have been staff hired within the past 2 years. As a result of implementing this triage competency, we have standardized triage education, increased staff satisfaction with regard to triage orientation and education (100% of program attendees stated their personal objectives were met), improved accuracy of triage presentations, and improved performance and efficiency. Through our quality management program, we have monitored several indicators related to accuracy of triage category selected; triage assessment documentation and triage wait times. Recommendations: We will continue to monitor these quality indicators and have set benchmarks to alert us to areas that need improvement. We are redesigning our didactic program to include a segment on customer service and physical safety. Our program can assist other emergency departments to develop comprehensive programs for triage training and ongoing evaluation of performance and efficiency. [Clinical Poster]
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 and Implementation of an Emergency Department Triage Competencyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162872-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Implementation of an Emergency Department Triage Competency</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">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kosits, Lisa, RN, MSN, CCRN, CEN</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">718/920-5241</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lkosits@montefiore.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Fran McBride, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Montefiore Medical Center is continually striving to provide quality patient care. In the Emergency Department, when looking at redesign of throughput, one area we identified for quality improvement was the education and continued development of competent staff in patient triage in order to improve triage wait time. Triage was also identified as a priority because of the recent hiring of new graduate RNs and RNs with 1-2 years of medical surgical experience. Implementation: A comprehensive triage training and evaluation process was developed and consists of the following: (a) A five-hour didactic course on triage (topics include: triage process, triage categories, role of the triage nurse, legal considerations, triage assessment, specialty assessments, triage protocols, documentation, and case reviews); (b) a preceptorship of 22.5 hours, and (c) an ongoing review of cases to validate competency. Each emergency department RN goes through the training process after 6 months of employment. Incumbent staff attends the five-hour didactic course and competency is evaluated annually. Competency is validated during orientation, at six months post training, and annually. During orientation, the preceptor demonstrates the triage process, observes the orientee triage patients, and reviews the patients' medical records with the orientee for accuracy in assignment of triage acuity and documentation. Competency is based on the orientee's ability to demonstrate 16 performance criteria successfully through direct observation and review of 50 patients' presentations. These same criteria are used at the six months and annual competency validation, but the chart review process is decreased to 10 patient presentations and clinical observation. Outcomes: In the past year we have trained half of our staff. The majority of them have been staff hired within the past 2 years. As a result of implementing this triage competency, we have standardized triage education, increased staff satisfaction with regard to triage orientation and education (100% of program attendees stated their personal objectives were met), improved accuracy of triage presentations, and improved performance and efficiency. Through our quality management program, we have monitored several indicators related to accuracy of triage category selected; triage assessment documentation and triage wait times. Recommendations: We will continue to monitor these quality indicators and have set benchmarks to alert us to areas that need improvement. We are redesigning our didactic program to include a segment on customer service and physical safety. Our program can assist other emergency departments to develop comprehensive programs for triage training and ongoing evaluation of performance and efficiency. [Clinical Poster]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:35Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:35Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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