MD/NP in triage?

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We are considering having one MD or NP in triage to evaluate if labs are needed, referrals required, a quick look and out the door, etc. Is anyone else doing this? If so, how is it working, what are the pros and cons, how are the logistics of this? Any input would be appreciated. Thanks

Specializes in ED.

We have a MD in triage from 12n to 2200 daily. The triage doc sees all pts. and enters orders. ESI Level 5 are discharged from Triage. Our MLP us used in the "FastTrack" area. We also occassionally have problems when the "doc in the back" wants an additional test. Most often we call the lab for an "add on" so pts. aren't stuck again. We are in the processess of remodeling so we can start IV fluids and give meds in triage. If ordered, we sent to ultrasound and CT from triage on days when the main ED is full.

The triage MD also does a quick assessment on all Squad pts. and enters orders as well. All this had decreased our LOS, LWOT and increased staff and pt. satisfaction.

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Specializes in Emergency Dept, ICU.

Vandy currently uses a midlevel or MD at triage also, to seek out the "non urgent complaints" and eval EKGs on sign in. It works well from what I have seen.

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