Telephone Triage Protocols for Nurses
by Briggs, Julie K.Edition: 3rd
Format: Spiral Bound
Pub. Date: 2006-12-07
Publisher(s): LWW
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Summary
This quick-reference manual presents over 200 triage protocols for evaluating patients' symptoms over the telephone. Each symptom entry lists questions, grouped by urgency level, to determine whether the caller should seek emergency care now, seek medical care the same day, call back for appointment, or follow home care instructions. Detailed home care instructions are then provided. This edition features fourteen new protocols: avian influenza ("bird flu"); congestive heart failure; electrical burns; hand/wrist problems; hip pain/injury; influenza; neurological symptoms; newborn problems; pertussis; severe acute respiratory syndrome (SARS); sickle cell disease problems; substance abuse, use, or exposure; West Nile virus; and wound care: sutures or staples. New appendices include guidelines for scenario practice; difficult caller practice scenarios; mystery caller practice session; temperature conversion guide; weight conversion chart; acetaminophen dosage chart; ibuprofen dosage chart; infant feeding guide; abdominal pain causes and characteristics; chest pain causes and characteristics; and headache causes and characteristics.
Table of Contents
| Introduction | p. 1 |
| Abdominal Pain, Adult | p. 4 |
| Abdominal Pain, Child | p. 7 |
| Abdominal Swelling | p. 10 |
| Abrasions | p. 13 |
| Alcohol, Hangover | p. 15 |
| Alcohol Withdrawal | p. 17 |
| Allergic Reaction | p. 19 |
| Altered Level of Consciousness | p. 21 |
| Ankle Injury | p. 24 |
| Ankle Problems | p. 26 |
| Anxiety | p. 29 |
| Appetite Loss, Adult | p. 32 |
| Appetite Loss, Child | p. 34 |
| Arm or Hand Problems | p. 37 |
| Asthma | p. 40 |
| Avian Influenza ("Bird Flu") | p. 42 |
| Back/Neck Injury | p. 45 |
| Back Pain | p. 47 |
| Bad Breath | p. 50 |
| Bed-Wetting | p. 52 |
| Bee Stings | p. 54 |
| Bites, Animal/Human | p. 57 |
| Bites, Insect | p. 60 |
| Bites, Marine Animal | p. 64 |
| Bites, Snake | p. 66 |
| Bites, Tick | p. 68 |
| Black or Bloody Stools | p. 70 |
| Bleeding, Severe | p. 73 |
| Blood/Body Fluid Exposure | p. 75 |
| Body Piercing Problems | p. 77 |
| Bone, Joint, and Tissue Injury | p. 80 |
| Breast-Feeding Problems | p. 83 |
| Breast Problems | p. 88 |
| Breathing Problems | p. 90 |
| Bruising | p. 93 |
| Burns, Chemical | p. 95 |
| Burns, Electrical | p. 98 |
| Burns, Thermal | p. 101 |
| Car Sickness | p. 104 |
| Cast/Splint Problems | p. 106 |
| Chest Pain | p. 108 |
| Chest Trauma | p. 112 |
| Chickenpox | p. 114 |
| Child Abuse | p. 117 |
| Choking | p. 119 |
| Choking Emergency Procedure | p. 121 |
| Circumcision Care | p. 128 |
| Common Cold Symptoms | p. 130 |
| Confusion | p. 133 |
| Congestion | p. 136 |
| Congestive Heart Failure (CHF) | p. 140 |
| Constipation | p. 143 |
| Contact Lens Problems | p. 146 |
| Cough | p. 148 |
| Croup | p. 151 |
| Crying, Excessive, In Infants | p. 153 |
| Dehydration | p. 155 |
| Depression | p. 157 |
| Diabetes Problems | p. 160 |
| Diaper Rash | p. 163 |
| Diarrhea, Adult | p. 165 |
| Diarrhea, Child | p. 168 |
| Dizziness | p. 172 |
| Domestic Abuse | p. 175 |
| Drug and Alcohol Problems | p. 177 |
| Earache, Drainage | p. 180 |
| Ear Injury, Foreign Body | p. 183 |
| Ear Ringing | p. 185 |
| Electric Shock | p. 187 |
| Extremity Injury | p. 190 |
| Eye Injury | p. 193 |
| Eye Problems | p. 195 |
| Facial Pain | p. 198 |
| Facial Skin Problems | p. 200 |
| Fainting | p. 202 |
| Falls | p. 205 |
| Fatigue | p. 208 |
| Feeding Tube Problems | p. 211 |
| Fever, Adult | p. 213 |
| Fever, Child | p. 216 |
| Finger and Toe Problems | p. 219 |
| Food Allergy | p. 221 |
| Food Poisoning, Suspected | p. 223 |
| Foot Problems | p. 225 |
| Foreign Body, Eye | p. 228 |
| Foreign Body, Inhaled | p. 230 |
| Foreign Body, Nose | p. 233 |
| Foreign Body, Rectum | p. 235 |
| Foreign Body, Skin | p. 237 |
| Foreign Body, Swallowing of | p. 239 |
| Foreign Body, Vagina | p. 241 |
| Frostbite | p. 243 |
| Gas/Belching | p. 245 |
| Gas/Flatulence | p. 247 |
| Genital Lesions | p. 249 |
| Genital Problems, Male | p. 252 |
| Glands, Swollen or Tender | p. 254 |
| Hair Loss | p. 256 |
| Hand/Wrist Problems | p. 258 |
| Hay Fever Problems | p. 261 |
| Headache | p. 264 |
| Head Injury | p. 267 |
| Hearing Loss | p. 270 |
| Heartbeat, Rapid | p. 272 |
| Heartbeat, Slow | p. 274 |
| Heartburn | p. 276 |
| Heat Exhaustion | p. 279 |
| Heat Stroke | p. 281 |
| Hemorrhoids | p. 283 |
| Hepatitis | p. 285 |
| Hiccups | p. 288 |
| Hip Pain/Injury | p. 290 |
| Hives | p. 292 |
| HIV Exposure | p. 295 |
| Hoarseness | p. 297 |
| Hospice Problems | p. 299 |
| Hypertension | p. 301 |
| Hyperventilation | p. 304 |
| Hypotension | p. 306 |
| Hypothermia | p. 309 |
| Immunization After Injury | p. 311 |
| Immunization Reactions | p. 314 |
| Impetigo | p. 316 |
| Incontinence, Stool | p. 318 |
| Incontinence, Urine | p. 320 |
| Indigestion | p. 322 |
| Influenza | p. 326 |
| Insomnia | p. 329 |
| Intravenous Therapy Problems | p. 331 |
| Itching | p. 335 |
| Jaundice | p. 337 |
| Jaw Pain | p. 339 |
| Joint Pain/Swelling | p. 342 |
| Knee Pain/Swelling/Injury | p. 345 |
| Laceration | p. 347 |
| Leg Pain/Swelling | p. 350 |
| Lice | p. 353 |
| Menstrual Problems | p. 356 |
| Mouth Problems | p. 359 |
| Mumps | p. 362 |
| Muscle Cramps | p. 364 |
| Nausea/Vomiting, Adult | p. 366 |
| Nausea/Vomiting, Child | p. 369 |
| Near Drowning | p. 372 |
| Neck Pain | p. 374 |
| Neurological Symptoms | p. 377 |
| Newborn Problems | p. 380 |
| Nosebleed | p. 383 |
| Nose Injury | p. 386 |
| Numbness and Tingling | p. 389 |
| Ostomy Problems | p. 392 |
| Overdose | p. 395 |
| Pertussis | p. 398 |
| Pink Eye | p. 401 |
| Pinworms | p. 404 |
| Poisoning, Suspected | p. 406 |
| Postoperative Problems | p. 409 |
| Postpartum Problems | p. 412 |
| Pregnancy, Cold Symptoms | p. 416 |
| Pregnancy, Fetal Movement Problems | p. 419 |
| Pregnancy, Hypertension | p. 422 |
| Pregnancy, Leaking Vaginal Fluid | p. 425 |
| Pregnancy, Nausea and Vomiting | p. 428 |
| Pregnancy Problems | p. 431 |
| Pregnancy, Suspected Labor | p. 435 |
| Pregnancy, Suspected Labor < 36 Weeks | p. 438 |
| Pregnancy, Urination Problems | p. 441 |
| Pregnancy, Vaginal Bleeding | p. 443 |
| Puncture Wound | p. 446 |
| Rash, Adult | p. 449 |
| Rash, Child | p. 453 |
| Rectal Problems | p. 457 |
| Reye's Syndrome, Suspected | p. 459 |
| Roseola | p. 461 |
| Rubella (German Measles) | p. 463 |
| Rubeola (Measles) | p. 465 |
| Scabies | p. 467 |
| Scrotal Problems | p. 469 |
| Seizure | p. 471 |
| Seizure, Febrile | p. 473 |
| Severe Acute Respiratory Syndrome (SARS) | p. 475 |
| Sexual Assault | p. 478 |
| Sexually Transmitted Disease (STD) | p. 480 |
| Shock, Suspected | p. 482 |
| Shoulder Pain/Injury | p. 484 |
| Sickle Cell Disease Problems | p. 486 |
| Sinus Problems | p. 489 |
| Skin Lesions | p. 491 |
| Sleep Apnea, Adult | p. 493 |
| Sleep Apnea, Infant | p. 495 |
| Sore Throat | p. 497 |
| Speaking Difficulty | p. 500 |
| Spitting Up, Infant | p. 503 |
| Stools, Abnormal | p. 506 |
| Stye | p. 509 |
| Substance Abuse, Use, or Exposure | p. 511 |
| Suicide Attempt, Threat | p. 514 |
| Sunburn | p. 516 |
| Swallowing Difficulty | p. 518 |
| Sweating, Excessive | p. 520 |
| Swelling | p. 523 |
| Teething | p. 526 |
| Tongue Problems | p. 528 |
| Toothache | p. 530 |
| Tooth Injury | p. 532 |
| Umbilical Cord Care | p. 534 |
| Urinary Catheter/Nephrostomy Tube Problems | p. 536 |
| Urination, Difficult | p. 538 |
| Urination, Excessive | p. 540 |
| Urination, Painful | p. 542 |
| Urine, Abnormal Color | p. 545 |
| Vaginal Bleeding | p. 547 |
| Vaginal Discharge/Pain/Itching | p. 550 |
| Vision Problems | p. 552 |
| Weakness | p. 555 |
| West Nile Virus | p. 558 |
| Wheezing | p. 561 |
| Wound Care: Sutures or Staples | p. 564 |
| Wound Healing and Infection | p. 567 |
| Abbreviations | p. 570 |
| Sample Telephone Triage Protocol Form | p. 571 |
| Community Resources Telephone List | p. 573 |
| Telephone Triage Quality Improvement Survey | p. 574 |
| Telephone Triage Documentation Form | p. 575 |
| Telephone Triage "Call Back" Log | p. 576 |
| Consulting Nurse Call Tape Review | p. 577 |
| Consulting Nurse Call Documentation Review | p. 578 |
| Telephone Triage Training Outline | p. 579 |
| Guidelines for Scenario Practice | p. 580 |
| Difficult Caller Practice Scenario | p. 584 |
| Mystery Caller Practice Session | p. 586 |
| Communicable Diseases | p. 588 |
| Sexually Transmitted Diseases | p. 593 |
| Typical Immunization Schedule | p. 597 |
| Temperature Conversion Chart | p. 598 |
| Weight Conversion Chart | p. 599 |
| Acetaminophen Dosage Chart | p. 600 |
| Ibuprofen Dosage Chart | p. 601 |
| Infant Feeding Guide | p. 602 |
| Teaching Self-Assessment | p. 603 |
| Abdominal Pain Causes and Characteristics | p. 605 |
| Chest Pain Causes and Characteristics | p. 607 |
| Headache Causes and Characteristics | p. 610 |
| Resources | p. 612 |
| Bibliography | p. 614 |
| Quick Reference Protocol Index | p. 618 |
| Table of Contents provided by Ingram. All Rights Reserved. |
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