Julie K. Briggs - Telephone Triage Protocols for Nurses

Copyright 2001 2nd Edition. Copyright 1997 1st Edition. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. government employees are not covered by the above-mentioned copyright. government employees are not covered by the above-mentioned copyright.

To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at (products and services). 9 8 7 6 5 4 3 2 1 Printed in China Library of Congress Cataloging-in-Publication Data Names: Briggs, Julie K., author. Title: Telephone triage protocols for nurses / Julie K. Briggs, RN, BSN, MHA. Description: Sixth edition. | Includes bibliographical references and index. | Summary: Triage Protocols for Nurses is a resource to assist health care professionals make quick and effective decisions based on limited information using an algorithmic approach Provided by publisher. | Summary: Triage Protocols for Nurses is a resource to assist health care professionals make quick and effective decisions based on limited information using an algorithmic approach Provided by publisher.

Identifiers: LCCN 2020002058 | ISBN 9781975136871 (paperback) | ISBN 9781975136895 (eBook) Subjects: LCSH: Emergency nursing. | Triage (Medicine) | TelephoneEmergency reporting systems. Classification: LCC RT120.E4 B75 2020 | DDC 616.02/5dc23 LC record available at https://lccn.loc.gov/2020002058 This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work. This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.

Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work. shop.lww.com Reviewers Kathleen Baker, RN, BSN Certified Ombudsman State of Oregon Long Term Care Portland, Oregon Patricia Gabrielson, RN, BSN Advice RN Gastrointestinal & Minimally Invasive Surgery Division The Oregon Clinic Portland, Oregon Pat Reder, RN, HHP, CCM Holistic Health Practitioner Chronic Disease Case Manager Thornton, Colorado John Zelko, MD Gastrointestinal & Minimally Invasive Surgery Division The Oregon Clinic Portland, Oregon Previous Edition Contributors Gary Berg, RN, BSN, CEN Telephone Triage Nurse Emergency Department Good Samaritan Community Healthcare Puyallup, Washington Shannon Fuller, RN Obstetrics Department Good Samaritan Community Healthcare Puyallup, Washington Sheila Graham, RN Obstetrics Department Good Samaritan Community Healthcare Puyallup, Washington Valerie G. A. Grossman, RN, BSN, CEN Senior Nurse Telephone Triage Counselor ViaHealth Call Center Rochester, New York Elaine Keavney, RN, BSN, CEN Education Nursing Education Department MultiCare Health System Tacoma, Washington Laurie McGhee, RNC, ARNP Obstetrics Department Good Samaritan Community Healthcare Puyallup, Washington Linda Mercer, RN, CEN Emergency Department Good Samaritan Community Healthcare Puyallup, Washington Deborah Oakman, BSN, RN Obstetrics Department Good Samaritan Community Healthcare Puyallup, Washington Pat Reder, RN, CEN Consulting Telephonic Nurse Case Manager Boring, Oregon Sandra Velliquette, BSN, RNC Obstetrics Department Good Samaritan Community Healthcare Puyallup, Washington Previous Edition Reviewers Chris R.

Andrews, MD, FACEP Emergency Services Providence Health System Portland, Oregon Coreen Arioto, MSN, RN Former Advice Nurse Manager Kaiser Metropolitan Los Angeles Los Angeles, California Meghan Arnold, RN, BSN, MHA Quality Medical Management Providence Health Plans Portland, Oregon Stephanie H. Asher, RN, MSN Supervisor Quality Medical Management Providence Health Plans Banks, Oregon Susan Barnason, PhD, RN, CEN, CCRN, CS Associate Professor College of Nursing University of Nebraska Medical Center Lincoln, Nebraska Michelle Birge, RN, BSN, CCM Quality Medical Management Providence Health Plans Portland, Oregon Michael Brook, MD, FACEP Emergency Medicine Good Samaritan Community Healthcare Puyallup, Washington Clinical Assistant Professor of Medicine University of Washington Medical Center Seattle, Washington Nancy Church, RN, BSN, MT, CIC Manager, Infection Control Providence St. Vincent Medical Center Portland, Oregon Shelley Cohen, RN, BS, CEN Educator/Consultant Health Resources Unlimited Hohenwald, Tennessee Mary Frances Condera, MS, RN, PMHNP-BC Psychiatric Mental Health Nurse Practitioner Northwest Catholic Counseling Center Portland, Oregon Sonja R. Dahl, RNC, BSN, IBCLC Obstetric Department Good Samaritan Community Healthcare Puyallup, Washington Timothy Dahlgren, MD Emergency Medicine Good Samaritan Community Healthcare Puyallup, Washington Margaret C. Dirienzo, BSN, RN, CEN Director, Critical Care Services North Austin Medical Center Austin, Texas Laura R. Favand, MS, RN Chief, Education and Training Army Trauma Training Center Army Medical Department Center and School Miami, Florida Vickie K.

Fieler, RN, MS, AOCN Clinical Nurse Specialist, Oncology Exeter Hospital Exeter, New Hampshire Laura Gernert Genovese, RN, MSN, APRN-BC Assistant Clinical Manager Network Telephone Care Program Veterans Affairs Medical Center Bronx, New York Valerie Grossman, RN, BSN, CEN Director of Nursing for Medical/Surgical Services ViaHealth of Wayne Newark, New York Rene S. Holleran, RN, PhD, CEN, CCRN, CFRN, FAEN Nurse Manager Adult Transport Services Intermountain Life Flight Salt Lake City, Utah Elizabeth Jerabeck, RN, BSN Senior Nurse Counselor ViaHealth LINK ViaHealth System Rochester, New York Diane Kamble, RNC, APRN Network Telephone Care Program Veterans Affairs Medical Center Bronx, New York Calvin A. Kierum, Jr., MD, FAAP Pediatric Medicine Good Samaritan Hospital Puyallup, Washington Bret Lambert, MD Emergency Physician President of Medical Staff Good Samaritan Hospital Puyallup, Washington Eileen Westlake Lumb, MS, RN, CS, CEN, FNP Adult Nurse Practitioner Emergency Department Strong Memorial Hospital University of Rochester Rochester, New York Diane L. Mathews, RNC, MSN Urgent Care/Telephone Care Service William S. Middleton Memorial VA Hospital Madison, Wisconsin Judith McDevitt, PhD, RN, CS-FNP Assistant Professor of Nursing Coordinator, Family Nurse Practitioner Option Department of Health Maintenance, School of Nursing University of Wisconsin-Milwaukee Milwaukee, Wisconsin J. Michaelson, Jr., MD, FACOG Obstetrics and Gynecology Medicine Good Samaritan Hospital Puyallup, Washington Lyne Ouellet, MD Emergency Medicine Good Samaritan Community Healthcare Puyallup, Washington Clinical Assistant Professor of Medicine University of Washington Medical Center Seattle, Washington Mary Beth Passauer, BSN Clinical Coordinator Saint Vincent Call Center Erie, Pennsylvania Iris Reyes, MD Assistant Professor of Emergency Medicine Department of Emergency Medicine The Hospital of the University of Pennsylvania Philadelphia, Pennsylvania Patty C.