ASSESSMENT WITH TRIAGE

1
ASSESSMENT WITH TRIAGE

• Pat Glass, R.N.
• Jessamine County Schools
• District School Nurse
• Health Coordinator

2
TRIAGE

• Triage sorting
• Triage Categories
• Emergent
• Urgent
• Non-urgent
• (Pages 495-497 NASN book)

3
TRIAGE

• Process
• Assessment
• Intervention
• Evaluation
• Disposition

4
TRIAGE

• Documentation must include
• Assessment
• Triage Category
• Intervention
• Response to intervention
• Disposition (make sure that info is
  communicated to private physician /or
  ER staff)

5
TRIAGE

• Follow-up
• Communicate with family, private doctor, EMS
  staff, /or ER staff in order to document the
  outcome for the students records.

6
Types of Emergencies

• Pages 498 515 is an excellent review of
  numerous types of emergencies along with the
  assessment and interventions recommended for
  those types of emergencies.

7
TRIAGE

• Chapter 23 25 in NASN book covers a wide
  variety of urgent and non-urgent health problems
  and conditions that you will encounter on a
  frequent basis in the school nurses office.

8
MASS CASUALTY/DISASTERS

• Have a PLAN!!!!!!
• 1. Who in the building is trained in CPR
  First Aid?
• 2. How quickly can you access help from the
  other schools?
• 3. Do your nurses have ER to-go kits?
• 4. Where are you going to put bodies?
• 5. Do you have an area designated for parents to
  pick up their children?
• Classroom lists, ER cards, Sign out process

9
DISASTER/MASS CASUALTY PLANNING

• Sign out process how to insure that student has
  been assessed before leaving
• HOLD IN PLACE situation
• Students that have medical needs, such as
  medication, tube feedings, O2 therapy, dietary
  needs, catheterizations, etc.
• Is the teacher or IA in the classroom trained
  well enough to handle the medical needs if no
  medical person can get to that classroom for
  several hours?

10
RESOURCES

• Disaster Preparedness Guidelines for School
  Nurses, (NASN publication)
• Pages 209-233 School Nursing A Comprehensive
  Text
• CDC website