Sort and Assessment RN Flashcard

Front

You have just triaged one of the previously listed adult patients. How should you discuss the next steps with the patient?

Back

The doctor will discuss your plan of care.

Front

ESI is a simple to use five level triage tool that categorizes ED patients by evaluating both ________ needed.

Back

acuity and resources

Front

What is the most important assessment component in the triage process?

Back

The Across the Room assessment

Front

T/F: It is important for the Sort RN to communicate frequently with the Greeter because the Greeter is aware of patients who have signed in with a high risk medical history.

Back

True

Front

T/F: When in doubt the Sort RN should err on the side of caution and assign a lower acuity.

Back

False

Front

T/F: Any patient and all persons participating in the care and treatment of the patient and family who has limited English skills will be offered qualified interpreter services, at no cost to him or her, to ensure effective communication.

Back

True

Front

Which of the following is the correct way to document the reason for an extremity x-ray? Options: "Fall from skateboard, R arm pain and deformity", "Rule out R forearm fracture", "Possible R forearm fracture", "Fall from skateboard"

Back

Fall from skateboard, R arm pain and deformity

Front

A 12 yo male with right lower quadrant abdominal pain since early this morning presents to triage. He also c/o nausea, vomited x4 and his skin feels warm to the touch. What acuity level would you assign this patient?

Back

Pink/3

Front

What acuity level would you assign to a 6 year old boy who fell off his scooter, is lethargic, does not remember what happened, and has vomited 5 times on the way to the hospital?

Back

Red/2

Front

A tearful 9 year old presents to triage with her mother. She slipped on an icy sidewalk and injured her right forearm. The forearm is obviously deformed but has good color, sensation and movement. The Sort RN assigned her a Pink/3 acuity. You are now seeing the patient in Assessment and her deformed extremity is cool to touch with decreased sensation and movement. What should you do?

Back

Upgrade her acuity to a Red/2 and call the Charge Nurse