Development and Implementation of Tiered-Triage Criteria for Level 1 Trauma Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/162882
Type:
Presentation
Title:
Development and Implementation of Tiered-Triage Criteria for Level 1 Trauma Patients
Abstract:
Development and Implementation of Tiered-Triage Criteria for Level 1 Trauma Patients
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:Rodriguez, Darlene, RN
P.I. Institution Name:Maricipa Integrated Health Systems
Contact Address:2601 E. Roosevelt, Phoenix, AZ, 85008, USA
Contact Telephone:602/344-5670
Co-Authors:Daniel Caruso, MD; Norberto Adame, MD; and Leslie Claesson, PhD, BSN
Clinical Topic: Emergency departments face resource depletion issues daily. Trauma patients pose added challenges to triage and resource utilization. The intent of this performance improvement project was to develop and implement a Tiered-Triage System to effectively triage Level I Trauma Patients into three categories based on the initial patch received by Emergency Department Physicians from EMS to allow for optimal resource utilization. Implementation: The criteria for the three tiers of Level 1 trauma patients was identified and selected by a core group of emergency department Physicians, Trauma Surgeons, and the Trauma Department personnel. The group categorized the trauma patients into three categories: RED/critical, YELLOW/potentially critical, and Green/guarded. Education of all Trauma providers and staff, continuous monitoring, and troubleshooting of this process contributed to our goal of assessing the viability of this project. Our criteria were based on the American College of Surgeons recommendations for Trauma Programs, physiological and anatomical indicators, mechanism of injury, and analysis of preexisting tiered triage processes. Outcomes: An audit was performed 5 months post-implementation of this project. Eighty-one trauma patients were randomly selected within a two-week timeframe. Fourteen percent were RED (critical), 36 % were YELLOW (potentially critical), and 47 % were GREEN (non-critical). Sixty-three percent of the REDs were admitted to an ICU with 57 % of these patients requiring immediate interventional care. Seventeen percent of the YELLOWs and 8 % of the GREENs were admitted to an ICU. Seventy-four percent of the GREENS were discharged home from the emergency department. Forty-five percent of the YELLOWs and 9 % of the REDS were discharged home. Eighteen percent of the REDS, 24 % of the YELLOWs, and 8 % of the GREENs were admitted as floor status. Recommendations: Tiered-triage criteria may be used to effectively triage a trauma patient into three categories prior to arrival in the Trauma Bay. Based upon the patient classification within the Tiered Triage system, trauma resources may be delegated according to acuity and projected need. The criteria is not hospital specific and can be easily modified to meet the needs of Trauma Centers of all levels. The Tiered-Triage Criteria System may be considered a valuable tool for performance improvement and effective utilization of the limited resources found within Trauma and Emergency Departments. [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 Tiered-Triage Criteria for Level 1 Trauma Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162882-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Implementation of Tiered-Triage Criteria for Level 1 Trauma Patients</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">Rodriguez, Darlene, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Maricipa Integrated Health Systems</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2601 E. Roosevelt, Phoenix, AZ, 85008, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">602/344-5670</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">darlene.rodriguez@hcs.maricopa.gov</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Daniel Caruso, MD; Norberto Adame, MD; and Leslie Claesson, PhD, BSN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Emergency departments face resource depletion issues daily. Trauma patients pose added challenges to triage and resource utilization. The intent of this performance improvement project was to develop and implement a Tiered-Triage System to effectively triage Level I Trauma Patients into three categories based on the initial patch received by Emergency Department Physicians from EMS to allow for optimal resource utilization. Implementation: The criteria for the three tiers of Level 1 trauma patients was identified and selected by a core group of emergency department Physicians, Trauma Surgeons, and the Trauma Department personnel. The group categorized the trauma patients into three categories: RED/critical, YELLOW/potentially critical, and Green/guarded. Education of all Trauma providers and staff, continuous monitoring, and troubleshooting of this process contributed to our goal of assessing the viability of this project. Our criteria were based on the American College of Surgeons recommendations for Trauma Programs, physiological and anatomical indicators, mechanism of injury, and analysis of preexisting tiered triage processes. Outcomes: An audit was performed 5 months post-implementation of this project. Eighty-one trauma patients were randomly selected within a two-week timeframe. Fourteen percent were RED (critical), 36 % were YELLOW (potentially critical), and 47 % were GREEN (non-critical). Sixty-three percent of the REDs were admitted to an ICU with 57 % of these patients requiring immediate interventional care. Seventeen percent of the YELLOWs and 8 % of the GREENs were admitted to an ICU. Seventy-four percent of the GREENS were discharged home from the emergency department. Forty-five percent of the YELLOWs and 9 % of the REDS were discharged home. Eighteen percent of the REDS, 24 % of the YELLOWs, and 8 % of the GREENs were admitted as floor status. Recommendations: Tiered-triage criteria may be used to effectively triage a trauma patient into three categories prior to arrival in the Trauma Bay. Based upon the patient classification within the Tiered Triage system, trauma resources may be delegated according to acuity and projected need. The criteria is not hospital specific and can be easily modified to meet the needs of Trauma Centers of all levels. The Tiered-Triage Criteria System may be considered a valuable tool for performance improvement and effective utilization of the limited resources found within Trauma and Emergency Departments. [Clinical Poster]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:45Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:45Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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