Midterm_Impact Response.pdf

Impact Response Midterms Disaster Triage Categories Triage “trier” which means “to sort out o choose” Process by which places the right patient in the right place at the right time to receive the right level of care. Process of prioritizing which patients are to be treated first Corner stone of good...

Impact Response Midterms Disaster Triage Categories Triage “trier” which means “to sort out o choose” Process by which places the right patient in the right place at the right time to receive the right level of care. Process of prioritizing which patients are to be treated first Corner stone of good disaster management Principle: Greatest good for the greatest number of people Personal abilities of an effective Triage Officer during disasters: Clinically experienced Good judgement and leadership Calm and cool under stress Decisive Knowledgeable of available resources Creative problem solver Available Experienced and knowldegable regarding anticipated casualties Terminologies Daily triage- performed by nurses on a routine basis in the ED, often utilizing a standardized approach, augmented by clinical judgment. Prehospital care providers are trained and well practiced in triaging individual injured or ill patients to appropriate hospitals based on their needs for specialized care. Incident triage- occurs when the ED is stressed by a large numbe rof patients due to an acute incident or an ongoing medical crisis such as pandemic influenza but it still able to provide care to all patients utilizing existing agency resources. Disaster Triage Triage in an MCI is the assignment of resources based on the initial patient assessment and consideration of available resources. Mass Casualty Incident Triage (MCI) MCI triage differs from day-to-day triage due to potential resource limitations. Evidence based triage systems have been developed using these documented triage basics: T - Triage prioritizes identification of those in need of immediate intervention. - Triage must be modified for children. - “Triage requires situational awareness, decisiveness, and clinical expertise.” -Ethical justifications need to be made in order to save large numbers instead of caring for each individual need. - No-notice, dynamic incident scenes with exceedingly large numbers of patients may result in altered triage processes. Knowledge Check! Question 1: Select the correct multiple choice statement. As a clinician in a patient care unit during an MCI it is important that I: A. Take a lunch soon because I may not get one B. Review all my patients to determine who may go home or be transferred C. Do nothing at this time Knowledge Check! Mass Casualty Triage is: A. The assignment of response priority based on level of injury and available resources B. Deciding who gets to take a break first C. Determining what patient gets admitted first Triage and Assessment Tools Typical Mass Casualty Triage Categories START triage: Video https://www.youtube.com/watch?v=5x4fDsI9zbc Patient Identification, Tracking, and Fatality Management