Secondary (Advanced) Patient Assessment Depending on the surge of patients, the 15 triage staff may have the ‘til 50 resources and time to perform a full assessment for better triaging during their initial assessment. However, if there is a large surge of patients, triage staff will separate into two groups: those who conduct initial triage and tagging, and those who make the rounds of the tentative treatment areas to measure the following: Respiratory Status No respiration check for obstruction – Still no respiration Tag Black – R > 30 Tag Red – R < 30 Check perfusion – Perfusion No pulse Tag Black – P > 2 seconds Tag Red – P < 2 seconds Check mental status – Mental Status Those who cannot follow simple commands Tag Red – Those who can follow simple commands Tag Yellow or – Green Be sensitive to those who: speak English Don’t Have hearing deficiencies Have mental impairment Re-tag patients as necessary and direct them to the appropriate treatment area See the following page for a depiction of triage. Treatment See Guide, p. 29 Once patients have moved past the Triage area and have been directed to either Immediate, Delayed, Minor, or the Morgue, treatment will follow the orders/discretions of the treatment area MD. [All 15 Treatment staff will complete the following priority items before moving on ‘til 50 to administrative items:
Secondary (Advanced) Patient Assessment Depending on the surge of patients, the 15 ‘til 50 triage staff may have the resources and time to perform a full assessment for better triaging during their initial assessment. However, if there is a large surge of patients, triage staff will separate into two groups: those who conduct initial triage and tagging, and those who make the rounds of the tentative treatment areas to measure the following: Respiratory Status No respiration – check for obstruction Still no respiration – Tag Black R > 30 – Tag Red R < 30 – Check perfusion Perfusion No pulse – Tag Black P > 2 seconds – Tag Red P < 2 seconds – Check mental status Mental Status Those who cannot follow simple commands – Tag Red Those who can follow simple commands – Tag Yellow or Green Be sensitive to those who: Don’t speak English Have hearing deficiencies Have mental impairment Re-tag patients as necessary and direct them to the appropriate treatment area See the following page for a depiction of triage. Treatment See Guide, p. 29 Once patients have moved past the Triage area and have been directed to either Immediate, Delayed, Minor, or the Morgue, treatment will follow the orders/discretions of the treatment area MD. [All 15 ‘til 50 Treatment staff will complete the following priority items before moving on to administrative items: