Knowledge on Triaging among Pediatric Nurses in Pediatric Emergency Services ( PES ) (original) (raw)
Related papers
2018
Paediatric emergency service plays a prime important role in saving paediatric lives. In India, around 1.7 million children died before reaching the age of 5 years in 2010. Appropriate and timely management of children in paediatric triages can significantly reduce the mortality and morbidity. The knowledge on triaging helps in designing protocols. A descriptive study was undertaken to assess the morbidity pattern and the management outcome of triaging children attending paediatric Emergency Services (PES) of a tertiary care Hospital, South India. Systematic sampling technique was undertaken and a sample size of 600 triage assessments were included. Instruments such as demographic profile, clinical profile and management outcome of the triaging were used. Demographic variables indicated that among the children brought to casualty 10% of children were newborns, 22% were infants, and 38% of the total visits were less than three years of age. Also 10% of the study subjects were adolesc...
Pediatric Emergency Care, 2002
Background: Pediatric presentations to the emergency department (ED) account for approximately one third of ED presentations. Triage is the process employed by the ED to prioritize presenting patients, including children, on the basis of clinical urgency. This role is undertaken by emergency nurses, and a range of recommendations are available regarding the level of experience and education required by the nurse responsible for pediatric triage decisions. However, little is known about the actual education and experience of nurses undertaking pediatric triage. Objectives: To describe the level of experiential and educational preparation of emergency nurses responsible for pedi-atric triage decisions in pediatric and adult and pediatric population EDs. Methods: An anonymous survey of emergency nurses responsible for pediatric triage decisions in a number of specialist and mixed EDs was conducted. Results: Education and experience varies widely among nurses responsible for pediatric triage decisions. Many nurses practicing pediatric triage do not meet recognized guidelines for the levels of education and experience required to undertake pediatric triage. Nurses practicing in mixed population EDs were less likely to meet the recommended educational requirements than pediatric emergency nurses and yet reported no difference in their level of confidence in undertaking pediatric triage. Conclusions: Educationalists and managers must make a commitment to pediatric triage preparation for nurses in EDs providing pediatric services. In particular, emphasis must be placed on providing pediatric continuing education for nurses practicing in mixed population EDs. However, it is also essential that the impact of education and experience on patient outcomes be investigated before an attempt is made to influence the preparation of nurses for triage.
Evaluation of guidelines for emergency triage assessment and treatment in developing countries
Archives of Disease in Childhood, 1999
Aim-To evaluate performance of a simplified algorithm and treatment instructions for emergency triage assessment and treatment (ETAT) of children presenting to hospital in developing countries. Methods-All infants aged 7 days to 5 years presenting to an accident and emergency department were simultaneously triaged and assessed by a nurse and a senior paediatrician. Nurse ETAT assessment was compared to standard emergency advanced paediatric life support (APLS) assessment by the paediatrician. Sensitivity, specificity, and predictive values were calculated and appropriateness of nurse treatments was evaluated. Results-The ETAT algorithm as used by nurses identified 731/3837 patients (19.05%); 98 patients (2.6%) were classified as needing emergency treatment and 633 (16.5%) as needing priority assessment. Sensitivity was 96.7% with respect to APLS assessment, 91.7% with respect to all patients given priority by the paediatrician, and 85.7% with respect to patients ultimately admitted. Specificity was 90.6%, 91.0%, and 85.2%, respectively. Nurse administered treatment was appropriate in 94/102 (92.2%) emergency conditions. Conclusions-The ETAT algorithm and treatment instructions, when carried out by nurses after a short specific training period, performed well as a screening tool to identify priority cases and as a treatment guide for emergency conditions.
Global Pediatric Health
Background. In low-income countries, pediatric emergency care is largely underdeveloped although child mortality in emergency care is more than twice that of adults, and mortality after discharge is high. Aim. We aimed at describing characteristics, triage categories, and post-discharge mortality in a pediatric emergency population in Nepal. Methods. We prospectively assessed characteristics and triage categories of pediatric patients who entered the emergency department (ED) in a local hospital. Patient households were followed-up by telephone interviews at 90 days. Results. The majority of pediatric emergency patients presented with injuries and infections (~40% each). Girls attended ED less frequent than boys. High triage priority categories (orange and red) were strong indicators for intensive care need and for mortality after discharge. Conclusion. The study supports the use and development of a pediatric triage systems in a low-resource general ED setting. We identify a need f...
KESANS : International Journal of Health and Science
Introduction: In the globalized world, it is important to be used triage system in emergency department so that you can classify the patient with triage categories according to the value of trauma or illness to start service quickly. Objective: This research was carried out to identify the level of knowledge of nursing about triage, the application of triage also to know the relationship between the level of knowledge of nurse about triage and application of triage in the emergency department of Hospital Nacional Guido Valadares Dili Timor-Leste. Method: the research of methodology the researcher uses the quantitative type with a cross sectional approach and a correlational study. Result and Discussion: through the research to identify 40 nurses in emergency department of Hospital Nacional Guido Valadares Dili Timor-Leste. The research identifies that the existing sample of 40 for variable level of knowledge, show that many had good knowledge with respondent 30 (75.0%) and responden...
Academic Emergency Medicine, 2002
To compare triage level assignments, using simulated written case scenarios, in a pediatric emergency department (ED) among registered nurses (RNs) and pediatric emergency physicians (PEPs) and to compare the triage level assignments among RNs and PEPs with a consensus criterion standard. Methods: This was a cross-sectional mailed questionnaire survey. The study was conducted at a pediatric tertiary care center with more than 65,000 annual patient visits. Participants were PEPs and RNs working in the ED. Dillman's Total Design Method, with three mailouts, was used for questionnaire construction and implementation. The survey included 55 case scenarios of patients presenting to the ED. Participants were instructed to assign triage level on each case, using the following four-level triage scale: 1 = resuscitation/emergent, 2 = urgent, 3 = less-urgent, and 4 = non-urgent. A priori, all cases were assigned a triage level by consensus agreement of three PEPs, using estab-lished triage guidelines from the RNs' teaching manual. Kappa statistics (95% CI) and the mean percentage of correct responses (Ϯ1 SD) were calculated. Results: There was a 100% response rate (39 RNs, 24 PEPs). The kappa level of agreement (95% CI) was 0.453 (0.447 to 0.459) among the RNs and was 0.419 (0.409 to 0.429) among the PEPs. The mean percentage of correct responses (Ϯ1 SD) for the RNs was 64.2% (Ϯ8.0%) and for the PEPs was 53.5% (Ϯ8.1%, p < 0.01). There was no significant difference within groups by experience level (<10 vs. Ն10 years) or by the type of work schedule (day vs. evening vs. overnight) or full-time vs. part-time status. Conclusions: The level of agreement and accuracy of triage assignment was only moderate for both RNs and PEPs. Triage, a crucial step in emergency care, requires improved measurement.
African Journal of Emergency Medicine, 2014
Introduction: The triage nurse in the emergency centre (EC) is the first person that a patient encounters and the triage nurses' knowledge has been cited as an influential factor in triage decision-making. The purpose was to assess the triaging knowledge and skills of nurses working in the ECs in Dar es Salaam, Tanzania. Methods: Both descriptive cross-sectional and observational study designs were used and data was collected using a structured questionnaire, an observation checklist and a triage equipment audit record. The study population was all nurses (enrolled and registered) working within the EC of the national hospital and three municipal district hospitals in Dar es Salaam. Descriptive statistical data analysis was carried out using SPSS 13.0. Results: Thirty three percent (20/60) of the respondents were not knowledgeable about triage. Thirteen percent of the respondents reported that although they had attended workshops, there had been a lack of information on how to triage patients. More than half (52%) of the respondents were not able to allocate the patient to the appropriate triage category. Fifty eight percent (35/60) of the respondents had no knowledge on waiting time limits for the triaged categories. Among the four hospitals observed, only one had nurses specifically allocated for patients' triage. The respiratory rate of patients was not assessed by 84% of the triage nurses observed. No pain assessment was done by any of the triage nurses observed. Only one out of four ECs assessed had triage guidelines and triage assessment forms. Discussion: Nurses who participated in this study demonstrated significant deficits in knowledge and skills regarding patients' triaging in the EC. To correct these deficits, immediate in-service training/education workshops should be carried out, followed by continuous professional development on a regular basis, including refresher training, supportive supervision and clinical skills sessions.
Triage System and Emergency Pediatric Medical Care
2020
Triage system is a process that is critical to the effective management of modern emergency departments. The triage systems aim not only to provide a fair clinical evaluation for the sick, injured and poisoned children, but also to provide a good effective approach to the organization, monitoring and evaluation of emergency medical care in the pediatric emergency departments over the past 20 years in the world and in Europe, triage systems have been standardized in a number of countries and are making efforts to ensure sustainability of compulsory implementation. In addition, differences at international levels in triad systems, but limits capacities to benchmark standards. The purpose of this paper is to enable pediatric emergency pediatric healthcare professionals to quickly evaluate, monitor, treat, and transport medical care, and to understand, learn, and apply the newest guidelines of the triage system with priorities. The research of the paper aims to make pediatric emergent m...
Rwanda Journal of Medicine and Health Sciences, 2021
BackgroundUnpredictable numbers of patients attending emergency departments highlight the need for Triage. Triage which is the prioritization of patient care based on severity of illness or injury, prognosis, and availability of resources is effective when clinicians are knowledgeable and skilled to perform it.ObjectiveTo assess knowledge and skills on triage among nurses working in emergency departments of Rwandan referral hospitals.MethodsCross-sectional analytical design was adopted. ninety-six (96) nurses working in emergency departments were selected using proportionate stratified sampling method. Each hospital was considered as a stratum. A self-administered questionnaire and observation checklist were use as instruments. Inferential and descriptive statistics were used in analysis.ResultsThe majority of participants (63.6%) demonstrated low level of triage knowledge and almost a half (47.9%) of participants had low level of triage skills. Nurses experience in emergency depart...
Archives of Disease in Childhood, 1999
Simplified guidelines for the emergency care of children have been developed to improve the triage and rapid initiation of appropriate emergency treatments for children presenting to hospitals in developing countries. The guidelines are part of the eVort to improve referral level paediatric care within the World Health Organisation/Unicef strategy integrated management of childhood illness (IMCI), based on evidence of significant deficiencies in triage and emergency care. Existing emergency guidelines have been modified according to resource limitations and significant diVerences in the epidemiology of severe paediatric illness and preventable death in developing countries with raised infant and child mortality rates. In these settings, it is important to address the emergency management of diarrhoea with severe dehydration, severe malaria, severe malnutrition, and severe bacterial pneumonia, and to focus attention on sick infants younger than 2 months of age. The triage assessment relies on a few clinical signs, which can be readily taught so that it can be used by health workers with limited clinical background. The assessment has been designed so that it can be carried out quickly if negative, making it functional for triaging children in queues. (Arch Dis Child 1999;81:473-477)