Hospital and Telephone Triage
Course Content
- Course Introduction
- What is Triage?
- Triage in the Medical Setting
- ABCDE and triage
- Active listening
- Analgesia in triage
- Assessing pain
- Documentation and triage
- Establishing patient presentations
- Establishing patient history
- Existing medications
- Managing patient expectations
- Mental health and telephone triage
- NEWS2 and triage
- Computer-based telephone triage
- Triage categories
- Professional considerations
- Ten Second Triage
- Clinical Observations
- Triage Example Scenarios
- Heart Palpitations
- Debrief - Heart palpitations
- Chest pain
- Debrief - Chest pain
- Headache
- Debrief - Headache
- Allergy
- Debrief - Allergies
- Anaphylaxis
- Debrief - Anaphylaxis
- Meningitis
- Debrief - Meningitis
- Vaginal bleeding
- Debrief - Vaginal bleeding
- Ectopic pregnancy
- Debrief - Ectopic pregnancy
- Mental health - Potential suicide
- Debrief - Mental health - Potential suicide
- Mental health - Depression
- Debrief - Mental health - Depression
- Abdominal pain
- Debrief - Abdominal pain
- Testicular pain
- Debrief - Testicular pain
- Urine retention
- Debrief - Urine retention
- Minor arm injury
- Debrief - Minor arm injury
- Lower back pain - Difficult patient
- Debrief - Lower back pain - Difficult patient
- Falls vs collapse
- Debrief - Falls vs collapse
- Head injury
- Debrief - Head injury
- Dental problem
- Debrief - Dental problem
- Eye injury
- Debrief - Eye injury
- Poisoning
- Debrief - Poisoning
- Circumference burn
- Debrief - Circumference burn
- Unknown condition - Possible stroke
- Debrief - Unknown condition - Possible stroke
- Diarrhoea and Vomiting
- Debrief - Diarrhoea and Vomiting
- Rectal bleeding
- Debrief - Rectal bleeding
- Ear, nose and throat
- Debrief - Ear, nose and throat
- Telephone Triage
- Course Summary
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Get StartedMental health - Potential suicide
Hi. My name is Mark. I am the triage nurse today. Could I just confirm your name and date of birth, please? I'm Brenda King. And what is your date of birth, Brenda? 14th of June, '75. Alright, okay. So what we need to do Brenda is just a quick assessment. It is called triage and we need to get you to the right place to get you some help. So what brings you here today? Why have you come to A&E? Are you having problems? Okay. Why today? What is different about today? I just do not want to be here anymore. Okay. So when you say you do not want to be here anymore, what do you mean? What do you think I mean? Well, you could mean that you do not want to be in the hospital, you want to be somewhere else; or could mean that you do not want to be here, you want to kill yourself. Yeah. Is that how you feel? Yeah. Okay. And when did this start? About a month ago. About a month ago? Yeah. Okay. Has this happened to you before? No. It has not happened to you before? No. Okay. Difficult questions these are but have you taken any drugs at all? Have you had... You do not care anyway. So it does not matter. I have had 50 paracetamol. Okay. When did you take those? About an hour ago. Alright. Any alcohol? Yeah. Okay, a lot of alcohol? Well, I do not know what you call a lot. I had one liter of lager. Okay. And when you took the paracetamol, what were you trying... Was that again about... What were your thoughts then? I told you, I do not want to be here. Okay. So yeah. Alright. I want to kill myself. Okay. What I need to do is just do your blood pressure quickly and we need to get you around to see the A&E doctor. Okay. Make it quick. Alright. Let us quickly do your blood pressure. Is there any reason we cannot use this arm here? No. Okay. There we go. Just going to do your temperature in your ear. Okay, that is great, thanks. So can I just confirm that you have not had this happen to you before? So what has changed then? Life. Okay. Do you have any other medical problems? Do you take any medication at all? And do you have any allergies? Okay that is great. Thanks, Brenda. Let us get you around because we might be able to give you a treatment because it has only been an hour. We might be able to give you treatment immediately that will help, okay? Okay. So if you want to come with me, we will make our way around and we will get you into A&E and see a doctor straight away. Is that okay? Yeah. It is good that you have come here. Okay, let us go.
Mental Health Crisis: Immediate Triage and Support
Introduction
Hi, I'm Mark, the triage nurse today. Could you please confirm your name and date of birth?
Brenda King: 14th June '75
Assessment and Triage
We need to conduct a quick assessment to ensure you get the right help. What brings you to A&E today?
Reason for Visit: Feeling suicidal, took paracetamol an hour ago.
Discussion
When did these feelings start?
- Started about a month ago
Have you experienced this before?
- No, first time experiencing this
Substance Use:
- Took 50 paracetamol tablets and consumed one litre of lager
Immediate Action Required
We need to move quickly. Let's check your vital signs and get you to see a doctor:
- Check blood pressure
- Check temperature
Support and Treatment
We can provide immediate treatment to help you. Please come with me to A&E to see a doctor.
Note: It's important that you came here for help.