Jump to content

Er triage assessment

Emergency   (2,145 Views 6 Comments)
by karbearfly karbearfly (New Member) New Member

613 Visitors; 2 Posts

advertisement

When doing an objective assessment is it appropriate to use lethargic to describe a patient?

Edited by Esme12

Share this post


Link to post
Share on other sites

ednurse17 has 22 years experience and works as a RN.

1,957 Visitors; 50 Posts

Using the word lethargic is more of a diagnostic term. In triage, you should say "pt appears weak" or "pt/family reports weakness."

Share this post


Link to post
Share on other sites

VICEDRN has 5 years experience and works as a Registered Nurse.

14,024 Visitors; 1,078 Posts

I actively avoid the term "lethargic." First, it apparently has serious connotations to MDs and second because it doesn't tell me anything in particular. I chart...pt responds slowly to questions, appears to fall asleep during triage process, needs to be asked question over and over in order to participate in triage process, responds to sternal rub only, etc. Give the pt a GCS score at the end of triage note for better assessment

Share this post


Link to post
Share on other sites

emtb2rn has 10 years experience as a BSN, RN, EMT-B and works as a ER RN.

28,342 Visitors; 2,599 Posts

Agree with vic, our docs don't like the term lethargic. Families use it often and it doesn't provide much info.

Share this post


Link to post
Share on other sites

Anna Flaxis works as a Registered Nurse.

3 Articles; 30,123 Visitors; 2,815 Posts

I would avoid its use as well. It's too subjective and open to interpretation. One person's "lethargic" might be another person at baseline. Instead, I would describe specific behaviors, such as whether their eyes are open, whether they respond to voice, whether they follow commands, whether they answer questions appropriately, etc.

Share this post


Link to post
Share on other sites

613 Visitors; 2 Posts

When doing an objective assessment is it appropriate to use lethargic to describe a patient?

Thanks for everyone's response kindly appreciate it.

Share this post


Link to post
Share on other sites
advertisement
×