Triage sucks!!! Any tips?? - page 3

Let me start off by saying I really do like my new position in the ER. It was a good move for me,....but how the heck does anyone spend 8hrs in triage w/out ending up feeling cranky, mean and down... Read More

  1. by   teeituptom
    Quote from chip193
    I do Triage on Friday nights - it's considered a "rest day" from doing charge. I do enjoy it.

    We have a sign on each triage desk and several more in the waiting area that read "Your emergency is important to us. In order to serve you better, we have many special area within our department. You may notice others going in before you. Please be assured that we will address your healthcare concerns as soon as possible. If you have any questions during your stay, feel free to ask."

    Basically, I tell people who are here for a sore throat, hangnail, or other non-emergent complaint that I can't let someone sit in the WR when someone else could die. They seem to understand it when I present it that way - always in a professional manner, never with a "you're here for something stupid" attitude. It is as much the message as it is the messenger.

    Sorry for the rambling...I triaged two patients while trying to get this written!
    If you have time to get on line for this at work while at triage. Life is one heckuva lot easier for you, there.
  2. by   chip193
    Quote from teeituptom
    If you have time to get on line for this at work while at triage. Life is one heckuva lot easier for you, there.
    Nah, just late enough that the bars are already closed and a Saturday morning so there's no "I can't possibly work today with my..." crowd.
  3. by   teeituptom
    still sounds easer than my place. Down or quiet time here, just means I can get my admits done a little faster. maybe I need to go there for some relaxation.
  4. by   EmerNurse
    Quote from teeituptom
    I think about being on the golf course while at triage.
    I'd be thinking about whacking them upside the head with the 9-iron.

    Sorry - tired. Hate Triage - ick. Give me zone 1 any night of the week.
  5. by   teeituptom
    Quote from EmerNurse
    I'd be thinking about whacking them upside the head with the 9-iron.

    Sorry - tired. Hate Triage - ick. Give me zone 1 any night of the week.
    I like my 9 iron, use my 2 iron instead
  6. by   LeahJet
    I'm one of the strange people that like triage.

    I just don't let people get to me, plain and simple. I don't want another individual to have that much control over me. Especially the winners we see come through the ER.
    They can be ranting and raving and I'm just in a monotone zone.
    It drives them crazy.
  7. by   justme1972
    Quote from Ariesbsn
    Boy, since sarcasm and laughter will only get you in trouble, and tazering a person would be battery, I would suggest silent prayer (don't want someone who is not religious claiming that you violated their rights by praying in front of them).
  8. by   stayseerrn
    Unfortunately triage is one of the necessary evils of being an ER nurse. On my last assignment, I was assigned triage for 4 weeks straight because "you're the best at it and can move people through quickly." One phrase that works so well is "what has changed in this pain you've had for four years that made you come in tonight?" When phrased right, it has a two pronged approach. First it lets you decide whether or not if they are of a higher acuity (sometimes the answer is as straight forward as "nothing, just decided to come today"). And secondly, it provides you as a source of entertainment as to seeing what each person comes up with. Oh it can also help put the person back on track as to why they are actually here today. And yeah, I hate the people who constantly bug you about how much longer it is. So, I had to start making a game out of it. I would try to guess which one of my patients would be the first to come up and complain about the wait. I would also try to guess the diagnosis the ER MD would give the pt and the tx given. With computer charting it was easy to go back and take a peek at each person's tx and dx. So, you got a chance to see if your gut was right. Other than that, a sledgehammer to the head works well, too! HA!!!!
  9. by   EDValerieRN
    Just give out ativan and dilaudid in the triage room. That makes them nice.
  10. by   chip193
    Quote from EDValerieRN
    Just give out ativan and dilaudid in the triage room. That makes them nice.
    I have firmly believed for a long time that there needs to be an ativan lick in the waiting area.

    And, the best way to get your Press Ganey scores up is to hand out crack at Triage!
  11. by   GoldenFire5
    I have firmly believed for a long time that there needs to be an ativan lick in the waiting area.

    ------

    Funny!
  12. by   neneRN
    We have dedicated triage nurses who ONLY work triage, they don't work in the back with pts and the rest of us never see the waiting room...works wonderfully!
  13. by   RNinED
    Quote from rgroyer1RNBSN
    I agree with you Jennifer, I have worked in er alomg time I was fist a tech, then an LPN in fastrack now Im an RN and we rotate on doing triage in my er, each nurse at least gets one night a month if not 2. So yes get cranky and mean and nasty I do so do alot of the other senior clinical RN II's, fancy way of saying weve worked the pit for along time or ICU, and were generally the charge nurses. I work triage at least twice a month and you have to get mean and cranky to get anything through the morons thick skulls. Yes I also think everyone should get an Iv 14 or 16 gauge even a hangnail because you know they might need abx for infection, a lp, and a pelvic ( now in the case of males well make it a rectal or a foley), I also think that anyone complaining of abd. pain if we know there faking or seeking need an NG tube dropped.
    WOW! I hope you are just venting. With the changes in health care laws/regulations, there is less tolerance for the above attitudes. I am not a bleeding heart and certainly do not like the state our healthcare is in but the fact remains many poor working adults do not have PMD or coverage. There is a whole generation that grew up without them and therefore the ED is their only acccess to care.
    If we don't like the nonurgent in the ED then we must vote in elections that support changes. But please don't become less humane....the cost is too great.
    I try to see the questions about waiting as if it were me asking it. I simply EMPATHISE and say "waiting is the worst thing, other than not breathing that is. I know you are here and will get you back as soon as possible. If any thing changes let the clerk know and I will check you out again." Then I order anything that I believe the doc will need and explain to the pt that this will help make the whole visit quicker for them. Pts thank me for helping them and understanding. All of this in less than 10 minutes per triage. Of course, sometimes I vent too.

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