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Telephone triage calls break down into the following steps: Introduce yourself and explain your role. Gather basic patient information and pertinent medical history. Quickly identify the patients reason for calling. Ask appropriate assessment questions and use evidence-based guidelines, protocols, or algorithms.
The nursing protocol is a document mutually signed by a nurse and physician. Clinical guidelines and care protocols are intended to provide information, based on an appraisal of the current best evidence of clinical and cost-effectiveness, regarding therapeutic interventions for given conditions.
It is a carefully structured process in which patients are categorized to subsequent groups ing to the severity of their presenting condition.[1] Variety of triage systems are applied in different hospitals to best suit the given resource availability, economic situation, and patient capacity of each ED.
The keys to successfully managing the chaos of a fast-paced, moving MCI can be delineated with the organization of the 5 Ss: scene safety assessment, scene size-up, send information, scene set-up, and START (Simple Triage and Rapid Treatment).
To ensure that patients with more serious conditions are ed higher priority in medical treatment, HA adopts a triage system which classifies patients attending the AE Departments into five categories ing to their clinical conditions: critical, emergency, urgent, semi-urgent or non-urgent.

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Documentation should include the date, time, patients name, name of caller, the callers relationship to the patient, complaints, concerns, and questions. Thoroughly document the advice given, including any critical negative information that helped determine the advice provided.
It is a method by which a Doctor telephones the patient and assesses through a detailed history whether the patients medical problem can be managed without the patient having to come in for a face to face appointment.
Most triage nurses use the Gold-Standard Schmitt-Thompson Protocols, which are the telephone triage version of a medical checklist. The protocols are broken down by symptoms for pediatric and adult patients. Based on the most prevalent or worrisome presenting symptom, the nurse selects the correct protocol.

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