Podcast
Questions and Answers
What is a key characteristic of a patient categorized as Level 1 in the ESI triage system?
What is a key characteristic of a patient categorized as Level 1 in the ESI triage system?
Which of the following vital sign abnormalities would classify a patient as Level 2?
Which of the following vital sign abnormalities would classify a patient as Level 2?
Which statement accurately describes the AVPU scale in relation to Level 1 patients?
Which statement accurately describes the AVPU scale in relation to Level 1 patients?
In which scenario would a patient not be classified as Level 1 despite critical symptoms?
In which scenario would a patient not be classified as Level 1 despite critical symptoms?
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What should a triage nurse consider if a patient does not meet Level 1 criteria?
What should a triage nurse consider if a patient does not meet Level 1 criteria?
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Study Notes
Emergency Severity Index (ESI) Triage
- ESI triage algorithm used by nurses to determine patient need for immediate life-saving intervention.
- Nurses assess patient for patent airway, breathing, and pulse.
- Assess for inadequate oxygenation, hemodynamic stability, need for immediate medication, or interventions.
- Immediate life-saving therapies needed if the patient meets criteria for Level 1 trauma.
- Level 1 trauma patients have immediate physician involvement.
- AVPU scale (Alert, Verbal, Pain, Unresponsive) used to assess level of consciousness. Level 1 patients are unresponsive or only responsive to pain.
- Level 2 patients need many hospital resources.
- Level 2 criteria includes unstable vital signs like high heart rate, low oxygen saturation, and high respiratory rate.
- Vital signs criteria for Level 2 vary by patient age.
- Nurses with experience are critical in triage decisions.
- Nurses assess unusual presentations of diseases and unusual symptom progression.
- The nurse's experience and the emergency department's routine practice help make decisions.
- Triage decisions include discharge, admission to observation unit, or admission to hospital floor.
Level 1 vs. Level 2
- Level 1 patients require immediate life-saving intervention.
- Level 2 patients require many resources.
- Level 1 patients are high-risk, confused, disoriented, lethargic, or in severe pain.
- Level 2 patients are outside the normal vital signs range that are close to dangerous limits.
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Description
This quiz examines the Emergency Severity Index (ESI) triage system used by nurses to assess patients' need for immediate medical intervention. It covers criteria for Level 1 and Level 2 trauma patients, including assessment of vital signs and the AVPU scale. Test your knowledge on how nurses make critical triage decisions based on patient presentations and condition stability.
