protocol for pediatric triage
- 0Dec 27, '98 by ermickieIam looking for a flow sheet to be used for a er dept. for our pediatric patients. This is for assessment purposes by R.N.'s
- 4Jan 12, '99 by BLONDIERNCENhi,the ENPC (emergency nursing peds course) has a terrific peds triage standard that should be used by all EDs. CIIAMPPEDDS: C is chief complaint, I is immunizations, I is isolation (has the child been exposed to any communicable diseases), A is allergies, M is medications,P is past medical history, P is parents impression of the child's condition, E is the event surrounding the illnes or injury, D is diet, D is diapers (voids) and S is signs and symptoms. You should take this course if you are dealing with the little guys in your ED. smiles
- 2Mar 13, '09 by ERjodiRNwe don't have a specific flow sheet in our ER for peds triage, but these are the main points i go for when i am triaging the little ones:
-vs (and remember rule of 60's....HR no less than 60, RR no greater, and SBP no lower than 60....applies to any age pedi (unless baby is crying and for some reason hyperventilating)
-fontanels...are they depressed or swollen?
-is the baby tracking and/or acting appropriately for age
-still having wet and dirty diapers
-mucous membranes dry or moist
-YOU MUST LOOK AT THE BELLY in cases of sob....check for retractions and nasal flaring....can you hear stridor, etc.
-remember that babies are obligate nose breathers, so if they have rhinorrhea or congestion it may be diff for them and they may need suctioning
remember kids and babies who don't respond to you touching them are not doing well.
- 0Mar 20, '09 by ErNrsLynzzieAnother possible triage guide is SAMPLE:
Past Medical History
Last Meal/Last Diaper
Other ideas are the PAT (pediatric assessment triangle) which is used before you lay hands on the patients. It involves visualizing the Airway, Breathing, and Circulation.
Use the ENPC or PALS resources for ideas. They have excellent ideas.