Classification and evaluation of accident patients

There is a qualified medical team of doctors, nurses and technicians working 24 hours a day, 7 days a week in the emergency department.

Triage is initially handled by a qualified nurse with good communication skills.

B. Establish controls to determine care priorities according to the recognized sorting process.

1.  Triage is initially handled by a qualified nurse with good communication skills with the following tasks.

Evaluation must be fast   in the registration area and waiting area at all times.

Conduct a brief visual assessment

2.  Once the patient arrives at the emergency department, the nurse responsible for visual triage sorts the patients (at the emergency entrance) by carefully observing the patient’s general appearance and current complaint

3.  In the case of stage 1 patients, the visual triage nurse directs the patient’s family to perform  CPR on the patient inside the cardiopulmonary resuscitation room, and the nurse completes the assessment for them immediately

4.  In stage 2 patients, the visual triage nurse directs the patient’s family to deal immediately with the patient in the emergency room, and the nurse completes the evaluation for them immediately

5.  The visual triage nurse directs the remaining cases that have not been classified to the triage room to be evaluated and have their vital signs measured to determine the classification by the triage room nurse and to complete the triage form

a.  The triage assessment should take no more than two to five minutes, to obtain sufficient information to determine the severity of the illness and identify the need for immediate care

6.  The nurse records all the information obtained during the screening and evaluation process on the screening form.

a.  The priority of care may change as the patient's signs and symptoms develop.

7.  The triage nurse informs patients and their families about the classification level and the expected waiting time before the physician’s evaluation.

8.  The triage nurse re-evaluates waiting patients as necessary.

a.  The triage assessment is not intended to make a diagnosis of the patient's condition.