Severe pain, abnormal vital signs, intoxication
Abnormal vital signs, acute mental status changes, severe pain.
High risk situation, abnormal vital signs, severe pain.
High risk situation, acute mental status changes, severe pain.
Abnormal vital signs, severe pain, lethargic.
Within three days.
Within 24 hours.
Within 36 hours.
Within 2 days.
Within one week.
ESI level 1
ESI level 2
ESI level 3
ESI level 4
ESI level 5
Rash with no shortness of breath or stridor.
Dialysis patient after fistula placement that same day and having arm swelling.
Chest pain radiating to the left arm and into the back.
Witnessed syncopal episode.
Less than 1 minute.
It is a variable that is not constant and unreliable even under the best conditions.
Vital sings are time consuming.
Vital signs can change the patient's complaint.
Vital signs can be manipulated by the patient.
Vital signs are not required by the ER MD.
Height, weight, temperature, pulse rate, respiratory rate, and oxygen saturation.
Height, weight, pulse rate, respiratory rate, oxygen saturation, and components of the pediatric triangle.
Height, weight, pulse, temperature, respiratory rate only.
Chest pain with stable vital signs.
Right flank pain with significant guarding.
Child with barking cough and mild respiratory stridor but appropriate.
Elderly female with history of dementia with new mental changes.
Overdose patient with a respiratory rate of 6.
How many resources will this patient need?
Would I give this patient my last available bed?
Is this patient dying?
What would my peers decide when in the same situation?
Greater than 120/min.
Greater than 130/min.
Greater than 140/min
Greater than 150/min.
Greater than 160/min.
The tendency to anger the staff for consuming their time.
The possibility that a future visit may turn out to be an emergency need.
The increased amount of cost to the system.
The need to provide specialty consultation such as behavioral health.
Grab the child from mom and run immediately to a room.
Call the Flow Facilitator and attempt room placement.
Call the ER physician to request orders.
Shake the child to attempt to arouse the child.
Immediately push the "code" button on the wall and administer high flow oxygen via a large volume device while in the triage room.
The discharging of patients.
Quick triage of incoming ambulance patients.
Patient placement from triage and EMS.
Quick evaluation of placement of already triaged patients.
Evaluation of acuities regarding already placed patients and workload for the staff.
Minimum of every 2 hours for ESI 3 or lower and as often as determined by the triage nurse.
Minimum of every 1 hour for ESI 5.
Minimum of every 7 hours for all levels.
As determined strictly by the triage nurse.
We do not reassess patients in this ER.
Every six months.
Every 2 years.
Every 5 years.
The algorithm should never be changed or manipulated.