Triage protocol for non clinical staff 2026

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  1. Click ‘Get Form’ to open the triage protocol document in our editor.
  2. Begin by recording the patient’s phone number in the designated field. This is crucial for follow-up communication.
  3. Ask if the issue is urgent. If yes, proceed to gather details such as the patient's name, age, and nature of the problem in the respective fields.
  4. Document the duration and severity of the problem using a scale from 1 to 10. This helps prioritize care effectively.
  5. Refer to the emergency action plan section and categorize the urgency based on symptoms listed. Ensure you select appropriate actions for each category.
  6. For any emergencies, remember to call 000 directly from your phone and document all actions taken in our platform for accurate record-keeping.

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All patients arriving for emergency care need to be assessed and classified to prioritize those who have the most urgent medical problems and are in need of immediate care. This classification process is termed triage and it is usually performed by an ED nurse.
The competent and appropriately trained registered nurse can perform triage activities within the nurses scope of practice or under the direction of an authorized health care practitioner this may include following standing orders.
Various criteria are taken into consideration, including the patients pulse, respiratory rate, capillary refill time, presence of bleeding, and the patients ability to follow commands.
The Schmitt-Thompson Clinical Content telephone protocols are tools for triage nurses. They assist the nurses through the data collection, triage, disposition selection and advice-giving processes.
Emergency room triage nurses need to be registered nurses (RNs), which requires earning a Bachelor of Science in Nursing (BSN), an Associate Degree in Nursing (ADN), or a nursing diploma.

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