Determine the nurse's core competencies in the emergency triage of the patient



Absence of Triage System


The research goals for this research give as follows:

·         Determine the nurse's core competencies in the emergency triage of the patient

·         Determine the position of the nurses in the patients triage in the emergency room

·         Discuss and identify the strengths or powers of new triage system

·         Include recommendations for enhancing the triage system

·         Explore and explain the shortcomings of the newly implemented triage system. system

Research Question

There are some research questions those design for this paper give as follows:

·         What is the main requirement of implementing the triage systems throughout the emergency departments?

·         Which kinds of skills do individuals need to use the triage system effectively?

·         What is the nurse's job in the emergency room triage of patients?

·         What are the powers and weaknesses of current Triage system?

·         Which measures could be put in place to strengthen the current triage system?

Literature Review

In order to deliver a comprehensive view of triage in emergency units, a review of the literature was undertaken. This section divides into various sub-sections. Each subjection presented some valuable information about the topic.

Triage description

The triage role in evaluating patient safety and flow across emergency departments (EDs) is crucial today. Historical and social trends in healthcare have greatly influenced the perceptions of the triage position. Oredsson, Jonsson, Rognes, & Lind (2011) stated that changes in health care had placed the nurse in the role of triage and determined the performance of the role. A standard definition observed throughout the literature is that of a process that "places the individual in the best place to receive the correct level of care at the right time."  Core components that should concentrate on all facets of the emergency unit system include accident detection, training and personnel and processes assessment (Oredsson, Jonsson, Rognes, & Lind, 2011). Elgammal (2014) found that two trauma care systems are highlighted, including acute care facilities capable of managing trauma in general, with specialty clinics offering specialized services, such as pediatric hospitals, burn centers and significant trauma centers. The last component of the patient's recovery is intensive trauma treatment (Elgammal, 2014).

Scope of triage

In a variety of incidents, triage is used. These include on the battlefield during disasters, in hospitals by nurses, in multiple incidents of casualties and communication media such as the telephone. According to Ebrahimi et al. (2016), at an accident scene, triage should be conducted in several rounds. The first triage round should be where people are found on the scene and then the triage officer will shift from one individual to the next to determine the victims require immediate help (Ebrahimi, et al., 2016). Similarly, Tam, Chung, and Lou (2018) define a much-used triage system in the UK that lies between basic and advanced triage, i.e., intermediate triage. Here the nurse not only assesses and prioritizes the patient upon arrival but also initiate such vital signs, ECG, blood test and pregnancy testing in some nursing interventions. There are also guidelines developed by some emergency departments that patients may undergo early analgesia or have immediate X-rays for inevitable accidents (Tam, Chung, & Lou, 2018). Its method of triage requires strict formal guidelines and procedures as well as comprehensive nursing preparation, accompanied by regular sessions of in-service teaching.

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